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Permit (162) x IA CITY OF TIGARD ivor ,5' ..---,. MASTER PERMIT `''_ 2 COMMUNITY DEVELOPMENT Permit#: MST2018-00058 TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 1 S 135BD02400 Jurisdiction: Tigard Site address: 9530 SW ANNA BELLE CT Subdivision: ASH CREEK VILLAGE Lot: 10 Project: Ash Creek Village, Lot 10 Project Description: New SF. 8/14/2019: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 446 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 841 sf Garage: 360 sf Front: 15 Smoke Dwelling Units: 1 Third: 892 sf Right: 3 Detectors: Yes Total: 2179 sf Value: $264,875.30 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 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 2179 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169I#PLST€1-040- t /F _ BEAVERTON,OR 97006 BEAVERTON,OR 97006 2 Fire Rated Eaves Both Sides PHONE: 971-221-4597 PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,187.35 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2/32.1987 or 1.800.332.2344. Issued By: r Permittee Signature: 04 �'r�Crl �d'V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicatCEIVE® City of Tigard Received I /ry Date/By: d /,�r( Permit N ,�r7 OSP 13125 SW Hall Blvd,,Tigard,OR 97223 AUG 1 2 2019 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By:Other Permih TIGARD Inspection Line. 503.639A175 Internet wwwetigard orgov CITY OF TIGARD DateReady/By: hos: See Page2 for BUILDING DIVISION NotingdiMethod;; [&1 Supplemental Information 1.11' �I� 'laOU�wi.. .,xa ®New construction Mechanical permit fees"are based on the value of the work ❑Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ;It �iliCA�URY"OP CONSTi UCT3ON: m ,4t Value:$ dwelling �, E�B>�l k. 3Ti� 1-and 2-family ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder e y 0 Other: Description 1 Qty. 1 Ea. 1 Total rI Heatine/cooling: ,�T�ts s7tr� >ml��>t� oiv�AiY(1 ,i ><�t� �;� '° �� Job site address: 9530 SW Anna Belle Ct �` "" Air conditioning 46.75 46,75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard Oregon Furnace 100,000+BTU(duets/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 , j Ash Creek Village Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: 10 Other: 23.32 Other fuel appliances: Tax map/parcel no.: - _ Water heater e DESZ'RI ON O WORK' _ r '. Gas fireplace/insert 23.32 = W� P�' .�� ' , �.' �,� p 33.39 Adding A/C TO existing Permit:MST2018-00058 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 .',( PROPERTY OWNER. TENANT ", Other 23,32 Environmental exhaust and ventilation: Name: Sage Built Homes lie Range hood/other kitchen Address: 1815 SW 169th Place Suite 1040 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Beaverton Oregon 97124 Single-duct exhaust(bathrooms, toilet c ompartments, utility rooms) 23.32Phone:( 971)336-6911 Fax ( 503 )533-5164 Atti crwlspace fans 23.32 APPLIEArNI *NTACF,pERSONr Other: 23.32 Business name: Same As Above Fuel piping: $14.15 for first four:$4.03 for each additional Contact name: Alex Rodriguez Furnace,etc, Address: Gas heat Rump Wall/suspended/unit heater City/State/ZIP: Water heater Phone E-mail: planning@sagebuilthomesllo.com Range Brbecue , Clothes dryer(gas) Business name: All Time Heating&Cooling Other: Address: PO Box 1341 .. . ,- E$i�";I . =bt Subtotal 4C. City/State/ZIP: Lake Oswego OR 97035 Minimum permit fee($90.00) Phone:( 503 )208-2278 Fax:( ) Plan review(25%of permit fee) CCB tic.: 1845757 State surcharge(12%of permit fee) s. (s TOTAL PERMIT FEE 3. 74, This permit application expires ira permit is trot atrtalsedwithla iSo OA/ 1r/�s6�"1 9,t: �f• ,� C•�., days after it has been accepted as complete. Authorized signature: V✓F( /"/ Ca ��/�� • Fee methodology set by Tri-County Building Industry Service Board Print name: Alex Rodriguez Date: I.Building\Permits\MEC PermitApp_040i 13.doc -- - 440-4617r(11/02/COM/WEa) Mechanical Permit Application- City of Tigard Page 2 -Supplemental Information Commercial&Multi-Farm' Fee Schedule: $0.00 to_$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I l3ulidi %Perm FCS enitApa 0401i .doe CITY OF TIGARD MASTER PERMIT . ' COMMUNITY DEVELOPMENTiii Permit#: MST2018 00058 T1 G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 15135BD02400 Site address: 9530 SW ANNA BELLE CT Jurisdiction: Tigard Subdivision: ASH CREEK VILLAGE Lot: 10 Project: Ash Creek Village, Lot 10 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 446 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 841 sf Garage: 360 sf Front: 15 Dwelling Units: 1 Smoke Third: 892 sf Right 3 Detectors: Yes Total: 2179 sf Value: $264,875.30 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: i Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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 orFdr: 0 Ea add!500 sf: 4 201-400 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 Y 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 2179 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 1815 NW 168TH PLACE 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 2 Fire Rated Eaves Both Sides PHONE: 971-221-4597 PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,089.99 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 a ohtain a co he rules oT"d4ect questions to OUNC by calling 503.2 .1987 or 1.800.332.2344. Issued By: ..qp,�_ ✓mermittee Signature: _6 40 C=75 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. 1 Building Permit Application Residential E7., '' r`° , 7,7: FOR OFFICE Irt :SE 01\11, City of Tigard Received .. 2013 Date/By: f!)1... /1Permit No.:�A t�� j� 13125 SW Hall Blvd.,Tigard,OR 972231 o ( :z f/ ��C Plan Review„.?.... Phone: 503.718.2439 Fax: 503.598.1960367 �, _ Other 'A�cy/Fr- Date/By: NK T 1 G A R D Inspection Line: 503.639.4175 Cr,-( ' ) Date Ready/By: / �� Juris: H See Page 2 for ard-or. ov Internet: www.tigard-or.gov g i)PLEi�;�ra t� 3;ca..a otified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA;I-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. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: I y} ❑Accessory building 0 Multi-family Number of bedrooms: 4 as 9 J 8 73' ❑Master builder 144 • z ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 •96° 9 _t+a 9 Job site address:9530 SW Anna Belle Ct New dwelling area: 2179 square feet City/State/ZIP:Tigard Oregon Garage/carport area: 360 square feet V Suite/bldg./apt.no.: Project name:Ash Creek Covered porch area: ( square feet Cross street/directions to job site: Deck area: 25 square feet :08i I'l Other structure area: square feet REQUIRED DATA;COMN/ERCIAL-USE CHECKLIST Subdivision:Ash Creek I Lot no.:10 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 OP WORI(. work indicated on this application. New Residential Construction Valuation: $ Existing building area: square feet New building area: square feet 'I PROPERTY OWNER ❑"TENANT. Number of stories: Name:Sage Built Homes Type of construction: / Address:1815 NW 169th Place Occupancy groups: City/State/ZIP:Beaverton Oregon 97006 Existing: Phone:(971)221-4597 Fax:( ) New: it APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Same As Above (Please rejervia srheahrte) Contact name:Alex Rodriguez Structural plan review fee(or deposit): Address:Same As Above FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:(971)336-6911 Fax::( ) Amount received: E-mail:Planning@sagebuilthomesllc.com PFIOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) / `` State surcharge(12%of permit fee): $21.60 CCB lie.: l 7'13 s() t! y� t/ Total fee due upon application: $201.60 Authorized signatur . 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 Print name:Alex Rodriguez Date:2/1/2018 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE 1 SE O"LA City of Ti aid Received Permit No.: g Associat III ® 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical T 1 c A R D 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ 0 0 5 Septic system permit or.,authorization for remodel. Existing system capacity ❑ 0 CI 6 Sewer permit. 0 0 0 7 Water distrjct approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 ❑ thew is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and•driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufacture�tc floortroof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ 0 architect licensed in Oreton and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicataREc;FiNIED FOR OFFICE USE ONLY City of Tigard �L 2�IIJ Received N13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No:. S Plan Review A Phone: 503.718.2439 Fax: 503.598.1960; ; 7.;„'..,',.."0-;D ,; ^, Date/By: Other r Permit:Ins Inspection 503.639.4175TIGARDB° 1`( iN �`i: :v� Date Ready/By: mr s: 611 See PageforInternet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE*SCHEDULE- USE CHECKLIST` N New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORYOF CONSTItUON Value:$ ® 1-and 2-family dwelling ❑Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Accessory building For special information 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:9530 SW Anna Belle Ct Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Ash Creek Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: 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:Ash Creek I Lot no.:10 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 DESCRIPIICON OF.V1'ORK�`, Gas fireplace/insert 1 33.39 33.39 New Residential Construction 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 C PROPERTY OWNER ['� TENANT'.. Other: 23.32 Name:Sage Built Homes Environmental exhaust and ventilation: Range hood/other kitchen Address:1815 NW 169th Place equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms, Phone:(971)221-4597 toilet compartments,utility rooms) 5 23.32 116.60 Fax:( ) Attic/crawlspace fans P 1 23.32 23.32 o+ APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Same As Above Fuel piping: Contact name:Alex Rodriguez $14.15 for first four;$4.03 for each additional Furnace,etc. Address:Same As Above Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:(971)336-6911 I Fax::( ) Fireplace E-mail:Planning@sagebuilthomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:All Time Heating&Cooling Other: Address:PO Box 1341 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Phone:(503)208-2276 I Fax:( ) Plan review(25%of permit r State surcharge(12%of pt CCB lac.:1346767 C/Q IfS-2 h/`ir7 fir TOTAL PERM / This permit application expires if a permit is days after it has been accepted a ' Authorized signature: ii * Fee methodology set by Tri-County Building 5. I Print name:Alex Rodriguez l Date:2/1/2018 l.\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee. $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 'ermits\MEC PermitApp_040113.doc 2 • Electrical Permit Application D 1.0R OI F1( I' 1 SI. tly l.1 i City of Tigard Received lIZIMMIM111 11 13125 SW Hall Blvd.,Tigard,OR 97223 1 ° Plate/B _�ZI C t3 Pl Phone: 503.718.2439 Fax: 503.598.1960 FEBL an Review Related Permit#: Inspection Line: 503.639.4175 `r�r Date/13 . C 1 G a R I) Co 1 r Cr' w 1�a D Ready DateBy: kris: ® See Page 2 for Internet: wwwtigard-orgov BUILD NG DI1✓o::slvl Notified/Method Supplemental Information ` T'1'"R Z, ' # 'Ii N l`: ; ®New construction 0 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 0 Other: where the available fault current 0 Marinas and boatyards. _ `' CATEGORY OF CO)V ( N: ".�, exceeds 10,000 amps at 150 volts or 0 Floating buildings. CO 1-and 2-family dwelling 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: El f Fire pump. 0 Installation of 150 KVA or Stk.'111IFOt,t C1 i'A) :tO( (TION . 0 Emergency system. larger separately derived Job#: Job site addressSSt , W Anna Belle Ct 0 Addition of new motor load of system. 100HP or more. ❑"A",`E","l-2","l-3", City/State/ZIP:Tigard Oregon 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Ash Creek 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: E SDUI IE Description 1 Qty. I Each I Total.. ..(. • New residential single-or multi-family dwelling unit. Subdivision:Ash Creek Lot#: '® Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 add'I 500 sq.ft.or portion 33.92 1 l a,.. ," DESCii1Jt1 1 OF W Limited energy,residential New Residential Construction (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ?.+ Renewable Energy 0 See Page 2 OWNER EN�1NT, 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 Oregon 97006 601 amps to 1,000 amps 301.04 2 Phone:(971)221-4597 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 : ❑,`cor4TAti.ruseNBranch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same As Above above service or feeder fee, each branch circuit 7.42 2 Contact name:Alex Rodriguez B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(971)336-6911 Fes: : ( ) Each manufactured or modular 67.84 2 Email:Planning@sagebuilthomesllc.com dwelling,service and/or feeder Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Ross Electric Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave 203 Signal circuit(s)or limited energy El See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Hillsboro Oregon 97123 Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email: C ` /`l Industrial plant(1 hr min) 78.18/hr ` Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C 1 Suprv.Lic.:� s specifically listed(V2 hr min) 90 00/hr Suprv. Electrician signature,required: % SII AL '>Eil11 tr 1»I , r -ft—',.: iC '�� Subtotal: Print name: Stephen Ross J iC i c,_, ,5 f Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signatu : TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Alex Rodriguez Date: 2/1/2018 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 Applicatio ,V '. D Building Fixtures (� FOR OFFICE USE ONL\ City of Tigard FEB 1 201 3 Received Date/13y: Permit No.:i1.i57; ��/7i) • 13125 SW Hall Blvd.,Tigard,OR 97223 /�°J /� (/V(J �IN � r Plan Review Phone: 503.718.2439 Fax: 503.598.1�60� / Other Permit No.: Inspection Line: 503.639.4175 BIi LD>, .G Devi RA Date/By: TIG A R D Date Ready/13y: Juris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information YPE OF WOR FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total 0 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 ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath x 500.32 500.32 Each additional bath/kitchen 1 25.02 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9530 SW Anna Belle Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard Oregon Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Ash Creek 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:Ash Creek I Lot no.: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 New Residential Construction Drinking fountain 25.02 Ejectors/sump 25.02 I4 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 169th Place Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton Oregon 97006 Hose bib 2 25.02 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 el APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Same As Above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Alex Rodriguez Roof drain(commercial) 12.51 Address:Same As Above Sink/basin/lavatory 6 25.02 150.12 City/State/ZIP: Solar units(potable water) 62.54 Phone:(971)336-6911 Fax::( ) Tub/shower/shower pan 3 12.51 37.53 E-mail:Planning@sagebuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 1 37.52 37.52 Business name:Edwards Mullen Plumbing WaterPip P�t m WV 56.29 Address:1601 A Se River Rd Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 Subtotal Phone:(503)628-3560 Fax:( ) 7/i/Zv Minimum permit fee: $72.50 r 4/�6`a oti Plan review (25%of permit fee) CCB Lic.:92689 PlumbingLic.no.:J Y State surcharge(12%of permit fee) Authorized signature: ()",\..,..... fp TOTAL PERMIT FEE Print name:Alex Rodriguez Date:2/1/2018 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 10/01/09 440-4616T(10/02/COM/WEB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee tea) Total Square Footage: Permit Fee: Footing drain-1'`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 t Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inst ectious or Fees Q '' Fee�) Total , each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic El Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4" Isometric or Riser Diagram Car Wash Drain Garbage Domestic non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\alejandra\Desktop\Templates\City of Tigard\Plumbing.doc 2 City of Tigard ■ a COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: /L 7 (, --Lo 5-1- Site Site Address: ,. 740 k „,, ,-/--- Project Name: A ch Cry%. V i (( 0/5e Lot #: I0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review L /44, Proposal: N S Z 446/ s ,l s s/ TL 0 Verfy site address/suite# exists and active in permit system. ,l River Terrace Neighborhood: 1 No ❑ Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3)copies of siteplan �p P P-' .c�sting structures on site lte plan must be on 8-1/2”x 11"or 11 x 17"paper r,Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations rth arrow M tility locations&easements (required for new and additions) U'' e address,project or subdivision name and lot number Sidewalk/driveway approach V aplicant information(name and phone number) )[ 1 `� cation of wells/septic systems X Lot dimensions and building setback dimensionsI�`sting trees to be retained with drip line,and tree II'`•uare footage of buildings to be demolishedprotection measures IL Lot area,building coverage area,percentage of coverage and ": .eet tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) X Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? /Yes Epro 4 foot differential) If es,is a storm water •uali facili shown? ' I ■Yes til No in can Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Y ,applicant was notified 2d No Received: 1:1 Yes ❑ No NI Public Faciliti Improvement`(PFT) Permit: PF1.1 c C70/ (�j Required: Yes,applicant was notified ❑ No Applied For: gYes ❑ No,stop intake and Use Case#: P.Dit201; - 00001 cUe2-®IS - 00003 Zoning: 1` ZZ equired Setbacks: Front /c Rear ,20 Side ." Street Side 2 '4_ Garage ,O andscape Requirement: C) % kLivcir,t V Bof Coverage Maximum: % uildin Height:Building g Maximum Height " ,c, Actual Height z /, .---- III I isual Clearance � 1• :ensitive Lands: Ltd Yes ❑ No Type k 660-U�/�� ►7, Urban Forestry Plan ❑ Conditions "Vlet" ,,ppripr to issuance/of building permit Notes: / )Yig Cie l p/'/ c 7�2 1f- ). ._c C%L� , El Approved By Planning: — _F // O Date: c7 0. Revisions (after Building Submittal only) Re�'ewer Date Revision 1: Approved El Not Approved f CJIL '/� (&/t l l i Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal / y. Original Submittal Date: 1/f4 Site Plans: # Building Plans: # _ Building Permit#: nter building permit#above. Workflow Routing: Planning 1:5"Engineering [ Permit Coordinator � Building Workflow Sign-off: Sign-off for Planning(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: i /� By Permit Technician: ,A(�, �.10l;44L1 �� Date: a, r Engineering Review Slope at building pad: a Conditions"Met"prior to issuance of building permit 7 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 ® No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 12. 12' Date: ,-7:-.4:9 Revisions (after wilding Submittal only) 'ems, Date /� Revision 1: Approved ❑ Not Approved .4•`8- 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 Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes ?N/A OK to Issue Permit Approved by Permit Coordinator: fr‘ Date:al/15/ \Building\Fonns\B1dgPermitRvw_RES Al,f 110118.docx (/ Et 1 I RECEIVED IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT MAY 2 2 2018 Request for Permit Action CITY Or FICmFi BUILDING DIVISm. T i Ci A►t p 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov 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: ❑ Owner ❑X Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Sage Built Home Mailing Address: 1815 NW 169th Place Suite#1040 City/State/Zip: Beaverton,OR 97006 Phone No.: 503-533-5167 PLEASE TAKE ACTION FOR THE ITEM(S) 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#: MST2018-00058 Site Address or Parcel#: 9530 SW Anna Belle Ct Project Name: Ash Creek Village Subdivision Name: Ash Creek Lot#: 10 EXPLANATION: Requesting to remove A/C from permit and a refund Signature: 4j42. Date: "/ 2 2--A fr Print Name: Ben Cooper " Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund 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. i\iO/ /--C:rt / ,-z77-7,e/g-- C - /'V i> re-E ,//2-// ...4,— FOR `""FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date By Refund Processed: Date A/4.4 B; C.. Invoice Processed: Date By Permit Canceled: Date it/,. - By 'f.` Parcel Tag Added: Date By I:\Building\Forms\RegpermitAction_092314.doc L.oi--- 10 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT m Transmittal Letter i :(,,}lE t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FROM: BevA Coiier COMPANY: p �t&: t "- Nory 5 PHONE: � —z3 - 66cjBy: RE: go3o 5NATI& Me CI / kf -2O k� -OCC (Site Address) (Permit Number) NSA C Lot- 10 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: , Description: Copies: Description: Additional set(s) plans. of Revisions:ta ki•0A-- Si1%;)('S 1-O jtiC p� Cross section(s)and details. Wall bracing and/or lateral analysis. r Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FO O CE USE ONLY Fees RoutedDue:to P t T cian:No Fee Date:Desc lq t Initials: — ph n: Amount Due: $ _r`� 2, f 1L to t $ $ Special Instructions: Reprint Permit(per PE): o E Done �� Applicant Notified:yDate: /o��v�l� Initials: I:\Building\Forms\TransmittalLetter-Revisions o61316.doc Loi- IO FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION FROM: 3ey Côoier COMPANY: ale, 3U \- No11v15 PHONE: Z ` 6Gcj By: RE: ' te Address) 5w Nnne:k c.T (Permit Number)20i -Oc /& 9 CI,Q Lot- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions:tiV&& OA1 15 }O `�r)t Pc Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T i c;n iz n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti Y d-or.gov TO: DATE CEIVED: DEPT: BUILDING DIVISION s �s APR 252019 FROM: N nqveic- BUILD; DR/00N COMPANY: saw, \\ `\ (r c. PHONE: 1\ a ot I By: RE: ( ��teAdcTress j �1�(�D► 1�P� (Perm t^Num�e`r)" — 0005b `sV\ C�ef \.\31t— 0 Project name or su dniston name and&ot umber) ATTACHED ARE THE FOLLOWI E Copies: Description: 1"1" ` Copies: Description: Additional set(s)of plans. ) Revisions:--\ )01(.5t Cross section(s)and Beta' Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: -- -\0(3y O — S\ WA) 01cmiecA. FOr OFFICE USE ONLY Routed to Pe-rm, ' ician: Date: Initials: API- Fees Due: [�/ -s ❑No Fee Description: Amount Due: pb l Special Instructions: Reprint Pe it(per PE): El Yes No Done Applicant Notified: Date: t/�,jU�fe� Initials�� 1:\BuildineForms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Post address on site for inspections. R319 Water pressure exceeds 80 psi, 98 psi at left side hose bib. Debris in sinks and tubs, un able to test. Not ready for inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide address on site for inspections. R319 Seal all mechanical penetrations in garage and at ac line set penetration. R302, 408.2 Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide address on site for inspections.R319 Dishwasher not connected, hard wire not safed off, laying on kitchen floor. OESC 334.15,30 Fireplace not installed, exposed Romex at less than 8'. OESC 334.15 Not ready for inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No address on site for inspection as noted on previous failed inspection. R319 Investigative fee to be applied at next inspection scheduled without address posted on site. R319 No inspection done. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 September 3, 2019 at 12:57:19 PM Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Previous corrections have been completed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9530 SW ANNA BELLE CT, TIGARD, OR, 97223 September 3, 2019 at 12:57:25 PM Record Type: Record ID: Residential - Master Permit MST2018-00058 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures FOR OFFICE FSE O l.v CitNy of Tigard • : , Receivedy: 7 /?s/lF il.yk Pernut '14.5�j6Y- c/ 11 13125 SW Hall Blvd.,Tigard,OR 97223 ` t( tr Li i„t:, DateBy: ( ( �C/� ! v Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Y� Date/$ . Other Permit No.: � i 1,,A I:I Inspection Line: 503.639.4175 gs Daie: f Juns H See Page 2 for Internet www.tigard-or.gov s31 * d Supplemental Information .,,„,4)„,.:4! r f 4 ,r e e' ,� t.. r , tit'�j # a-„f, ;' }. "i llf:7 w . }s . .*�k,-...Ni ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,,,t„,,,,,4„;07..,,,,,,,,,,,,„,,,,' of , t t ,vpkirt- SFR(1)bath 312.70 e� �' . x y ® 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 ❑Other: Fire sprinkler( sq.ft.) Page 2 g'-'-'0'tt,, r v T'' .c . ...1 } . t,.7 n ,�°: .u„:!--44-P- Site utilities: Job site address:9530 SW Anna Belle Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,Oregon Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Ash Creek Village Manufactured home utilities 50.03 Cross street/directions to job site:SW 95th 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:Ash Creek Village l Lot: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 rs E1 a5 :7-: Backwater valve 12.51 . ' Clothes washer 25.02 New residential construction/Plumbing contractor revision Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r e.iltOjtERff iiN, a a, Expansion tank 12.51 Name:Sage Built Homes,LLC. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1815 NW 169th Place,Suite 1040 Garbage disposal 25.02 City/State/ZIP:Beaverton,Oregon Hose bib 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 APPLI = ;4.4 ' °'fl ACT PER50N Interceptor/grease trap 25.02 Business name:Sage Built Homes,LLC. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Ben Cooper 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)258-6658 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:planning@sagebuilthomesllc.com Urinal 25.02 Water closet 25.02 , . est 01''''',fti1CT �4-Ira 14.'VV",,:', Water heater 37.52 Business name:Max Plumbing Service Inc Water piping/DWV 56.29 Address:PO BOX 230674 97281 Other: 25.02 City/State/ZIP: Tigard,OR 97281 Subtotal Phone:(971)-275-0198 Fax:( ) Minimum permit fee. $72.50 CCB Lic.: 205392 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Ben Cooper Date:7/23/2018 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:'.Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su s t ression S stems: Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000 00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ty :' each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for ■ ■ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum char_e-1/2 hour and including$25,000.00. Inspections outside of normal business - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours minimum char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions - 90.00/hr - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum char_•e-1/2 hour each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantiy by Fixture Type laic#ere Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower 111 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" • Isometric or Riser Diagra i Car Wash Drain Garbage Domestic-non-food 1=1 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter -.- *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\kylie\Dovmloads\PLMF_PermitApp.doc 2