Permit (56) CITY OF TIGARD MASTER PERMIT
r
COMMUNITY DEVELOPMENT Permit#: MST2017-00496
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 7111 Date Issued: 12/21/2017
� �� Parcel: 2S112CB00700
Jurisdiction: Tigard
Site address: 15167 SW CHANDLER LN
Subdivision: MANGOLD SUBDIVISION Lot:
Project: Mangold, Lot 1
Project Description: 520 sq ft detached garage. 4/18/2018: REPRINT permit to add(11) branch circuits.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 15 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No
Total: 0 sf Value: $23,446.80 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 11
Ea add'I 500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet:
ACS SF VB
U 0
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
PHONE: PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $976.70
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 R 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: / Permittee Signature: aiv %T r: h/e 7-7e,N
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.
Electrical Permit Application . '-a'z FOR 01 I I( I-: t SI':0\1.1
City of Tigard Received
a //t •ennit#I'f,,'T 7-aa -
lig is 13125 SW Hall Blvd.,Tigard,OR 97223 1 r N. I. $ 't I P Plan Review
: Phone: 503.718.2439 Fax: 503.598.19600._ , t ii 21.i 1'' Date/B : Related Permit#:
Inspection Line: 503.639.4175 ' ' `. "t Ready Date/By: iuris: ® See Page 2 for
UI t, ]t D Internet: www.tigard-or.gov l' ';'''T'''1;c 143,."' Notified/Method: Supplemental Information
4.1t lir A,.0 ,t;.*::i r,
m�. z4fe02 ":;',,r140, a�}
� ,.....:� .. ., I N.0 ' .� .1.' �or ,4 a��'.�mai�i1�# it 1� t;. ,E ,,.,iAI ,- $.�1 w„r�, " 2.. � yi�Y,� 5 ak h;r:,=A: ,ifi,...-.
®New construction 0 Addition/alteratl0n/rep agement Please check all that apply(submit l sets of plans w/items checked):
0 Demolition 0 Other: where
Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
ti IM ' OA "O'[1 c t err 7 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial ®Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
' 1 , 7$,'11)<g 1�7,47%:f, �� : a,, ,,x-00,401014 ig1 ,_� t,r - A,I ❑Emergency system. larger separately derived
Job#: Job site address. SSI �'SW Chandler Lane 0 Addition of new motor load of system.
100HP or more. 0"A„"E" "1-2","1-3 ,
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 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: Ye- ',711.1.,. .6144;',1'f:" ", * .c4i 1 '� ,T't
n.sertpdon 1 Qty. 1 Eah
I Total
New residential single-or multi-family dwelling unit.
Subdivision:Mangold Lot#: 1 Includes attached garage.
Tax map/parcel# 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
':'011,'•:',"% 'i .ii, city °;'s �" , :'_ e19,�.a .,1.; ., ^aa `',. x �a Limited ener
gy,residential 75.00 2
(with above sq.ft.)
Build detached garage for existing house
Limited energy,multi-family 75.00 2
,¢-Az) f/ / e� e fgzij`7 f► �,q- fj� residential(with above sq,ft.)
�/ ( x,r r Energy 1❑ S Page 2
Renewable En See
'",:k24:#. r: # • `''4 � ` Z " ¢ '. -- i ''f-i ::-Alj Services or feedersinstallation,alteration,and/or relocation
Name:Matt Fricke 200 amps or less I 100.70 2
Address: 15029 NW Oakmont Loop 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:(971)678-5018 I Fax:( ) 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
ams :$ , v i ' Branch circuits-new,alteration,or extension,per panel
t t �� A.Fee for branch circuits with
� ,>£.�. •r�� .aa. . ,t . �..�� <: �nrnr,�??'+ #' �.L��=„x...a�� �. i,y� ti"t� '�:G:
Business name: above service or feeder fee, !i,
each branch circuit 7'42 (���j�.2
Contact name:Matt Fricke B.Fee for branch circuits without
Address: 15029 NW Oakmont Loopeaor feeder fee,first
bbranicech circuit 56.18 2
n
City/State/ZIP:Beaverton,OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)678-5018 I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:
Matt@westwoodhomeslIc.com ` kg,
Reconnect only 67.84 2
q,0,? -ug„ � W1tfk rim f�„ „ '�S * _ SS� �,V 'ON 1,1
r.:. Pump or irrigation circle 67.84 2
Business name:Pyramid Electric LLC Sign or outline lighting 67.84 2
Address: 12700 NW Cornell Rd Signal circuit(s)or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97229 Each additional Inspection over allowable in any of the above
Additional inspection(1 hr mm) 66.25/hr
Phone:(503)715-2383 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:office@pyramidelectric.com Industrial plant p hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 217347 Electrical Lie.: 4625-C Suprv.Lie.: specificall fisted(/z hr mini
{ �`
a aRv"y a u, LI.EI �r ,.h. 4,"J/ s�1'iP„'yi,,w
Suprv.Electrician signature,required: Subtotal: /, &
Print name: Jeff Evans (/T;. / -?.• I Date: 12/13/17 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 9 +"Id
Authorized signature: % TOTAL PERMIT FEE: 9/ i 7 aK
// �` "' This permit application expires if a permit is not obtained within 180
Print name: Jeff Evan/ M Date: 12/13/17 days after It has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PnmitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/VEB .:: ar
RN
CITY OF TIGARD ..a
111 .„ . MASTER PERMIT
COMMUNITY DEVELOPMENT " Permit#: MST2017-00496
Ti( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2017
Parcel: 2S112CB00700
Site address: 15167 SW CHANDLER LN Jurisdiction: Tigard
Subdivision: MANGOLD SUBDIVISION Lot:
Project: Mangold, Lot 1
Project Description: 520 sq ft detached garage
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf
Left: 5 Parking Spaces: 0
Height: 15 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front 0
Dwelling Units: 0Smoke
Third: 0 sf Right 5 Detectors: No
Total: 0 sf Value: $23,446.80 Rear 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0
Y Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0
Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: p 0
Water Lines: 0 Drains: Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0
Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
-""" _..` ELECTRICAL
Residential Unit Service Feeder _— Temp Srvc/Feeders
Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 0 201-40 . 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 N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
Type of Constr: Occupancy Group:
Square Feet:
ACS SF VB
U 0
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
PHONE: PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $885.28
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 ar et forth in OAR
952-001-0010 through OAR 952-00.i-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 or 1.800.332.2344.
Issued By: �e- f,T-1--C_____
Permittee Signature:
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 pro' c
Approved plans are required on the job site at the time of each inspection.
)1 , :. CITY OF TIGARD MASTER PERMIT
31:' COMMUNITY DEVELOPMENT Permit#: MST2017-00496
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2017
-f
Parcel: 2S112CB00700
Jurisdiction: Tigard
Site address: 15167 SW CHANDLER LN
Subdivision: MANGOLD SUBDIVISION Lot:
Project: Mangold, Lot 1
Project Description: 520 sq ft detached garage
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 15 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $23,446.80 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 • W/Svc or Fdr: 0
Ea add!500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ACS SF VB U 0
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
PHONE: PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $885.28
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 folio .- 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 ob=in a copy of th= rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�`//�
Issued By:Zj%'� /� Permittee Signature: ^c. _____E,:::, 4 _,,rez.z- ^
L.= err 13.639.4175 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 . , ..-5; „, . -. .
Residential ,---. .- FOR OFFICE CSE 0y1.1
Cityof Tigard Received fi /� PermitNo ��
g r o r Date/B : Ar+d Q���.
1,1 II 13125 SW Hall Blvd.,Tigard,OR 97223 )�` .a ,. Plan Review
m Phone: 503.718.2439 Fax: 503.598.1960 Date/B : r • — js Other Permit:
T i C A R D Inspection Line: 503.639.4175 '''''' � Z Date Ready/By: i '"� H See Page 2 for
Internet: www.tigard-or.gov Notified/Method:/ 2/ / 4.07411Supplemental Information
TYPEOF i ' e
�;�.. � mak; .f�.
®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
' CA . UC�N
, work indicated on this application.
Valuation: —"moo,-
❑ 1-and 2-family dwelling 0 Commercial/industrial
®Accessory building 0 Multi-family Number of bedrooms: jVJ/A
❑Master builder 0 Other: Number of bathrooms: NAA-
`"
�,� ..... .;."'":",E":4-','
.>,. ' .: RC1$6e;+ IN1k117Clj'1�'ANo" " Aip ,.., xxr;==. Total number of floors:...
Job site address:l5t64 SW Chandler Lane New dwelling area: A// square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5.L,0 square feet
Suite/bldg./apt.no.: Project name: Covered porch area: NitA, square feet
Cross street/directions to job site: Deck area: /1,J/t4. square feet
Other structure area t e4 square feet
Subdivision:Mangold Lot no.:1 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
,x ,":"...'.".:::',,-,-*'?"?:,F'-';". 7 c5 , _ i work indicated on this application.
Build a detached garage Valuation: $
Existing building area: square feet
New building area: square feet
� :€.,4, r ai r S ,,. . ... , 41.,,,,,!,::.'e4," Number of stories:
Name:Matt Fricke Type of construction:
Address:15029 NW Oakmont Loop Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(971)678-5018 Fax:( ) New:
:F
# PI( !' r wr y I . 5.° :-AA',,, .. . " t 9 F
Business name:
Structural plan review fee(or deposit):
Contact name:Matt Fricke
FLS plan review fee(if applicable):
Address:15029 NW Oakmont Loop
Total fees due upon application:
City/State/ZIP:Beaverton,OR 97224
Amount received:
Phone:(971)678-5018 Fax::( )
E-mail:Matt@westwoodhomeslIc.com
t �� � i .4
Commercial and residential prescriptive installation of
xy 4 t 1 '.,:7:'44;-; : .-z*1 , ,ik , roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Westwood Homes LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12700 NW Cornell Rd Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP:Portland,OR 97229 $180.00
and administrative fees):
Phone:(503)406-2442 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:195597 /J Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
._l„,..• r * within 180 days after it has been accepted as complete.
Print name:Matt Fricke Date:12/13/17 Fee methodology set by Tri-County Building Industry
/ Service Board.
ci/r
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1.1
Electrical Permit Application: `� y, ReceiFOR orrlcr: l:sl:oN1.1
City of Tigard Date/B a Permit 1447f7;207,.10i
' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196011%[,A 3 :11,j 1;' Date/B : Related Permit#:
111111 -
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
TIARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
N OF s "i r, �"lTI7 j ►1 :x,., ,. °:1 u; 4. ,
®New construction 0 Addition/alteration/rep�acement Pleaselle':eck all that apply(submit 2 sets of plans w/items checked):
❑See or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: wherethe available fault current 0 Marinas and boatyards.
�
x � �,
�� s O;t�3� C}lL"�`{ �+ � ''� `� exceeds 10,000 amps at 150 volts or 0 Floating buildings.
. ❑ i-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 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
B1TEpri , �'>, ❑Emergency system. larger separately derived
❑Addition of new motor load of em.st
syst
Job#: Job site address: 1514-1-SW Chandler Lane 10OHP or more. ❑s
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occuparency.
0 Health-care facilities. ❑Recational vehicle parks.
Suite/bldg./apt.#: Project name: 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: U , " 1*L,E t ,.
Description 1 Qty. I Each I Total *
New residential single-or multi-family dwelling unit.
Subdivision:Mangold Lot#: 1 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 8 Ea,add'l 500 sq.ft.or portion 33.92 1
L ,. w ,.ri _. � : �..�!' Limited energy,residential 75.00 2
Build detached garage for existing house
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
0,
-... , ,.._ Renewable Energy 0 See Page 2 sr °° t� O1
Services or feeders installation,alteration,and/or relocation
Name:Matt Fricke 200 amps or less 100.70 2
Address: 15029 NW Oakmont Loop 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:(971)678-5018 I Fax:( ) 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
Branch circuits—new,alteration,or extension,per panel
' -'.� a � ., �,. „r( . .... , r*,s. Oi:aw f,n._... .n,,vbranch circuits with
A.Fee for vic
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name:Matt Fricke B.Fee for branch circuits without
Address: 15029 NW Oakmont Loopservice or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Beaverton,OR 97006 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)678-5018 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:Matt@westwoodhomesllc.comReconnect only 67.84 2
a
' ` '°•,' ,.. • I" ( °- .« v* a ) Pump or irrigation circle 67.84 2
Business name:Pyramid Electric LLC Sign or outline lighting 67.84 2
Address: 12700 NW Cornell Rd Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97229 Each additional inspection over allowable in any of the above
Additional inspection(1 hr mm) 66.25/hr
Phone:(503)715-2383 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:office@pyramidelectric.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
ted('/z hr mm)
CCB Lic.: 217347 Electrical Lic.: 4625-C Suprv.Lic.: specifically listed ,t..,,
°° RC1 C'. .,v y ,!' „,
Suprv.Electrician signature,required: Subtotal:
? 0 Plan Review Required(25%of permit fee):
Print name: Jeff Evans 1J; fx ,,,,,—i. Date: 12/13/17
State surcharge(12%of permit fee):
Authorized signature: %``'
'
�� "---t---- This permit application expires if a permit is not obtained within 180
Print name: Jeff Evans/ �} TOTAL PERMIT FEE:
Date: 12/13/17 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/WEB
s.
City of Tigard
im
II/ COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 c A u D Building Permit Review — Residential
Building Permit #: /t/577,20-i 7 - rt/j ,
Site Address: /S7(17 ,C/C.) a ,J. - 2(9-N-Q___
Project Name: ,�j/ , 1c Lot #: J
(New dwesubdivision name;Addition or Alteration=last name of owner)
Planning Review
Prop,sal: /jP,2t) 0- „c -47) ) irL4 de •
Verify site address/suite#exists and activ in permit system.
❑ River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
S4e Plan Elements:
�V�ree(3)copies of site plan sting structures on site
1J to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
2crawn to scale(standard architect or engineer scale) i.or elevationsrth arrow 71 qty locations&easements(required for new and additions)
e address,project or subdivision name and lot number el.'Si. alk/driveway approach
pplicant information(name and phone number) 9 6, ,ation of wells/septic systems
Lot dimensions and building setback dimensions I! xisting trees to be retained with drip line,and tree
It 0k uare footage of buildings to be demolished otection measures
DI I1%t area,building coverage area,percentage of coverage and �dS eet tree size,type and location
pervious 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
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes o
p\Kan Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified t No Received: El Yes ❑ No
01 Public Faciliti Improvement(PFI) Permit:
7 m 00'
e uired: l C No,stop
J
, q Yes,applicant was notified ❑ No Applied For: Yes stop intake
and Use Case#: r'�� 40/ —UV-ming: R-
L41 Required Setbacks: Front I, Rear Side Street Side _p1A-Garage 2 0
andscape Requirement:
p! .t Coverage Maximum:
FI Building Height: Maximum Height J Actual Height 1
VOJisual Clearance
;i.ensitive Lands: ❑ Yes ❑ No Type
7 Urban Forestry Plan
❑ Conditions "Met"p 'or to issuance of b ' .'.g pe 't
,
Notes: AI Al 0. ,_ /. / r 49 .. r/ Ar �%r /1
D I S Q.,42-0 0 (7
Approved By Planning: / Date: ir
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_061417.docx
Building Permit Submittal
Original Submittal Date: 12//3//2
Site Plans: # 3
Building Plans: [9"
Building Permit#: Enter building permit#above.
Workflow Routing: Planning engineering '-e-"Permit Coordinator 13uilding
Workflow Sign-off: -I� S�i -off for Planning(include notes from planning review)
Route Application Documents: I.YEngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: IAA" z , Date: %L-/dVj�
Engineering Review
ll Slope at building pad: ,_�
dill
"Met"prior to issuance of buildingpermit
Easements (encroachments)per engineering conditions of approvaland plat
22/
Ar'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ YesNo
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approv;i b Engineeri : Date:
Notes: �. 40 e )5 o ,"i �V 04"-.70.' �� --leg �i .e:ir-
Approved by Engi •ering: .11, 0 Date: .Lv' �`7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved D 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 /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
sy OK to Issue Permit / tt1
APProved by Permit Coordinator: Date: /� �
I:\Building\Forms\BldgPermitRvw_RES_111617.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15167 SW CHANDLER LN, TIGARD, OR, 97224 June 28, 2018 at 10:04:32 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00496
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Provide access for inspection.
No answer at door, 9:47 am.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15167 SW CHANDLER LN, TIGARD, OR, 97224 June 28, 2018 at 10:05:18 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00496
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
No access for inspection, no answer at door. 9:47 am
Landing at exterior door to be graded to code. R311 .3
Non pt wood at truss tails and overhang exposed to the weather. R317.1 .3
Provide slope away from structure, 6" in 10' or approved drainage swale. R401 .3
No gutters, down spouts or splash blocks to doer the water away from house to
approved location. R401 .3.
Provide approved electrical final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15167 SW CHANDLER LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2017-00496
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Just an FYI that the fridge/freezer should not be plugged in to a gfci just in case you
have a nuisance trip.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15167 SW CHANDLER LN, TIGARD, OR, 97224 August 24, 2018 at
12:15:49 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00496
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed
Violation Summary:
Inspector Contractor