Permit CITY OF TIGARD MASTER PERMIT
III '4
.' , COMMUNITY DEVELOPMENT Permit#: MST2019-00457
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2020
TIGARDParcel: 1S135CD15400
Jurisdiction: Tigard
Site address: 9794 SW WINDSWEPT PL
Subdivision: CANYON COURT Lot: 1
Project: Canyon Court, Lot 1
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 376 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 4 Second: 812 sf Garage: 420 sf Front: 0 Smoke
Dwelling Units: 1 Third: 867 sf Right: 0
Detectors: Yes
Total: 2055 sf Value: $273,462.25 Rear: 0
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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 3
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: 3 201-400 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 2055
Owner: Contractor:
MAOZ LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
1800 NW 167TH PL STE 150 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006
PHONE: PHONE: 971-221-4597
FAX: 503-533-5164
Total Fees: $32,591.20
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 .800.332.2344.
Issued By: r Permittee Signature: A
t
1503.639.4175 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
r— }
l fsidential (� �`` \� FOR OFFICE USE ONLY
Ci of Ti and f �► �+ � `� Received � .
/ Permit No.: q
13125,SW Hall Blvd.,Tigard,OR 97223 PlDaan Review te/By: `�! `��` / /�l[_���
Phone: 503.718.2439 Fax: 503.598.1960 1Date/By: 2 c1 Other Permit:;,_f dil_co 3,,,,..7
, "V
TIGiRD Inspection Line: 503.639.4175 � OF �G� � Date Ready/By: �- h/ Juris. 0See Page 2 for
Internet: www.tigard-or.govtified/Method: ` ✓4j Supplemental Information
—
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling IDCommercial/industrial Valuation: $ 2-73/'4 ./Z,
0 Accessory building ®Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:! Ci
JOB SITE INFOR TIO AND LOCATION Total number of floors: '1 24—7 S
11C\4 w,,"pt, 2 S(r�-7
Job site address: SW W' set lace New dwelling area: ("��C square feet
City/State/ZIP:Tigard Oregon Garage/carport area: ) square feet ` ( .
Suite/bldg./apt.no.: Project name:Canyon Court Covered porch area: square feet 3`]
Cross street/directions to job site: Deck area: S- square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Canyon Court Lot no.: 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.
New Residential Construction Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Sage Built Homes LLC Type of construction:
Address: 1815 nw 169*Place Suite 1040 Occupancy groups:
City/State/ZIP:Beaverton Oregon 97006 Existing:
Phone:(503)533-5167 Fax:(503)533-5164 New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee scheduk
Business name:Sage Built Ilomes LLC
Structural plan review fee(or deposit):
Contact name:Alex Rodriguez
FLS plan review fee(if applicable):
Address:Same as above
Total fees due upon application:
City/State/ZIP:
• Amount received:
Phone:(971)336-6911 Fax::( )
E-mail:planning@sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Same As Above Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same as Above Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): e-
CCB lie.:189330
Total fee due upon application:
Authorized signature:
Print name:Alex RodriguezThis permit application expires if a permit
within 180 days after it has been accep' r�
Date: 1 y *Fee methodology set by Tri-County Bui' a
��1� '� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cityof Tigard Received
IN ganDate/By: Permit No.:
w 13125 SW Hall Blvd.,Tigard,OR 97223 Associated: ermits:
i Phone: 503.718.2439 Fax: 503.598.1960 P
TIGARD 24-Hour Inspection Line: 503.639.4175 12Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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 ❑ ❑ ❑
there 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 ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
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- ❑ ❑ ❑
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. ❑ ❑ ❑
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- ❑ ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Oreton and shall be shown to be as.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". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
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 ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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.
g\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE CSE ONLY
City of Tigard Received
Date/BY: No.:
ACA
7- -C
. 13125 SW Hall Blvd.,Tigard,OR 9722CEI�r �} Plan Review
Phone: 503.718.2439 Fax: 503.598.19 �I C , Date/By: Other Permit:
TI G A R D Inspection Line:X503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov DEC 18 2019 Notified/Method: Supplemental Information
TYPE OF '1r'OF Ti6K6b COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
n6por:rut Ji `j1 wh Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑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 ❑Accessory building For special information use checklist.
®Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:C 'lO\, SW Windsept Plac Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Canyon Court 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
Other: 23.32
Subdivision:Canyon Court Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New Residential Construction fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Sage Built Homes LLC Range hood/other kitchen
equipment 1 33.39 33.39
Address: 1815 nw 169th Place Suite 1040 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms, `` ''
toilet compartments,utility rooms) 23.32 1�
\ •C‘.
Phone:(503)533-5167 Fax:(503)533-5164 Attic/crawlspace fans 1 23.32 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Sage Built Homes LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Alex Rodriguez Furnace,etc.
Address:Same as above Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(971)336-6911 Fax::( ) Fireplace
Range
E-mail:planning@asagebuilthomesllc.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:All Time Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address:PO Box 1341 Subtotal
City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00)
Phone: ) Plan review(25%of permit fee)
(503)208-2276 Fax:(
State surcharge(12%of permit fee)
CCB lic.:1845757 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signat e: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Alex Rodriguez Date:ft 21`SWo
1
1\Building\Permits\MEC_PermitApp_040113.doc 440-46171(11/02/CO M/WEB)
Mechanical Permit Application - City of Tigard •
• ger
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.
I:\Building\Permits\MEC_PermitApp_040I 13.doc 2
5
r
*Electrical Permit Application RECEIVEIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
City oTigard Received
:� '11 13125 SW Hall Blvd.,Tigard,OR 97223 DECPDReyvi
ew
Perm"II inc �7,^lc
1--Lr ri S.7
Related Permit N:g Phone: 503.718.2439 Fax: 503.598.1960 Date/BY:
1 1 C.1(t I) Inspection Line: 503.639-4175 CI-TY OF r�(�A�� ifady Date/By: Jurir ® See Paget for
Internet: www.tigard-or.gov y� AA1'[�[r��y1a���(/tted/Method: Supplemental Information
TYPE Ota ,` PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plansw/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Mannas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
•Q�—�n ❑Addition of new motor load of system.
Job#: Job site address: I t"14 s 3 ► t1`r /�,* ��, 100HP or more ❑"A","E","1-2",`°I-3",
'��V W � 'L�'1
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard Oregon 0Recreational vehicle parks
❑Health-care facilities
Suite/bldg./apt.#: I Project name:eaN0A "Y Co / ❑Hazardous locations ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: ( Includes attached garage.
1,000 sq.ftor less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq,ft,or portion 33 92 t
DESCRIPTION OF WORK Limited energy,residential 75 00 2
New Residential Construction {with above sq.ft)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® 0 TENANT PROPERTY OWNERServices or feeders installation,alteration,and/or relocation
Name:Sage Built Homes LLC 200 amps or less I I 100 70 T 100.70 12
Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps I 133.56 ( 12
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
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 f 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A Fee for branch circuits with
Business name:Same As Above above service or feeder fee,
7.42 2
each branch circuit
Contact name: Alex Rodriguez B.Fee for branch circuits without
service or feeder fee,first
Address: branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7.42 2
l'
Miscellaneous(service or feeder not included)
Phone:(971)336-6911 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:Planning@sagebuilthomesllc.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Ross Electric Sign or outline lighting I I 67 84 I 12
Address:2870 SE 75th Ave 203 Signal circuit(s)or limited energy I 1:3 See Page 2 I 12
panel alteration or extension
City/State/ZIP:Hillsboro Oregon 97123 Each additional inspection over allowable in any of the above
, Additional inspection(1 hr min) 66.25/hr
Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: M./5-424 I U /<7u—
Industrial plant Q hr min) 78.18/hr
( Inspections for which no fee is 90 00/hr
CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.:4/23,2s specifically listed('A hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: t,. tl<_,, Subtotal:
Print name: Stephen Ross sit 4e,, �05r Date: ❑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 I80
Print name: Alex Rodriguez Date: 12_1`B t.G days after it has been accepted as complete.
` • Number of inspections allowed per permit.
r\Building\Permits\ELC_PennitApp_ELR_ERE.doe Rev 06/17/2015 440-46151(11/05/COM/WEB
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard RECEIV Received
- WW Da[e/B Permit No.: r
• 13125 SW Hall Blvd.,Tigard,OR 97223 r / )57 ,i ti's-x'`75 l
Plan Review
Phone: 503.718.2439 Fax: 503.598.1961)E 1 8 O,9 Date/By: Other Permit No.:
U
Inspection Line: 503.639.4175
TIGARD Internet: www.tigard-or.gov Date Ready/By: Juris: H See Page 2 for
Notified/Method: Supplemental Information
TYPE OF W94142.4 flIPJ�1 JViSlf,z.: 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
ElAccessory building ®Multi-family _ SFR(3)bath X 500.32 ; ),...
Each additional bath/kitchen i 25.02 1....,5_t�-
❑Master builder El Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: SW Windsept Place Catch basin or area drain 18.76
"1�=t p
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard Oregon
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Canyon Court 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:Canyon Court I Lot no.: 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
New Residential Construction
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
►�� PROPERTY OWNER 1 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 Suite 1040
Garbage disposal 1 25.02 25.02
City/State/ZIP: Hose bib 2 25.02 50.04
Phone:(503)533-5167 Fax:(503)533-5164 Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Sage Built Homes LLC Medical gas(value:$ ) . Page 2
Primer 12.51
Contact name:Alex Rodriguez
Roof drain(commercial) 12.51
Address:Same as above Sink/basin/lavatory i.Y 25.02 ICO• I�
City/State/ZIP: Solar units(potable water) 62.54
_
Phone:(971)336-6911 Fax::( ) Tub/shower/shower pan 5 12.51 :1/4?).-1 •5s
E-mail:planning@sagebuilthomesllc.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name:Edward Mullen WaterpiIptog/D WV 56.29
Address: 1601A SE River Rd Other 25.02
City/State/ZIP:Hillsboro Oregon 97123 Subtotal
Phone:(503)572-4586 Fax:( ) 7/( �j i� Minimum permit fee: $72.50
Li ,/ 6�pa/5 Plan review (25%of permit fee)
CCB Lic.:92689 Plumbing Lic.no.: `�C/
State surcharge(12%of permit fee)
Authorized signatur S Q TOTAL PERMIT FEE
Print name:Alex Rodriguez Date:‘2..%`t to 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-PemutApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard ._ ,
Page 2 - Supplemental Information t
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) 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
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 Inspections or Fees Qty. Fee(ea) 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*.
Quantity 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
Baptistry/Font Please check all that apply.
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 ❑ 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.
Isometric or Riser Diagram
Car Wash Drain
D Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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:
S:\Sage Built\Purchasing\Subdivisions\Canyon Court\Apps\Plumbing.doc2
MST2019-00457-Canyon Court,Lot 1
Save Reset Help
Go To v Summary Case Addti Into ASL-Building ASS-Electrical ASS-Mechanical , ASI-Plumbing ASI Table(2) ` Fee(30) Fee History(32) Workflow 1 V
General Information
Received Date • Received By Received Method * Plan S State of Oregon Specialty Code School District
1112/18/2019 x l M I BTAGGART I lin Persson v I I Franklin 1 12017 I I Tlgard-Tualatin 1
Expiration Date Type of Use • Class of Work . Type of Construction Occupancy Group
16/15/2020 1 M 'SF v l 'NEW v.1 I VB v I 1R-3 H
Specifics
Number of Stories Building Height Number of Dwelling Units
13 1 10 1 11 I
Number of Bedrooms Number of Bathrooms Mixed Use
14 1 14 I 'Not Applicable vi
Areas
Basement Area Garage Area Decks
10 1 Sq Ft 1420 1 Sq Ft 155 ISq Ft
First Floor Area Total Area Plus Garage Covered Porch
1376 son 12475 1 Sq Ft 10 (Sq Ft
Second Floor Area Accessory Structure '..
1812 ISq Ft 1 ISq Ft
Third Floor Area Carport
1867 1 Sq Ft 10 ISq Ft
Total Area
12055 ISq Ft
Setbacks
Required Sideyard Setback-Right Required Setback-Front
10 1 10 1
Required Sideyard Setback-Left Required Setback-Rear
10 1 18 I
Required Items
Number of Parking Spaces Required
18 I
Smoke Detectors Required Fire Sprinklers Required Party Wall Required
® Yes0No 0 Yes 0No 0 Yes 0 No
Hi Allyson
When you have a chance, could you please?
* Enter the setback information into the ASI-Building tab
* Sign off in the ASI-Table
City of Tigard
11
.N COMMUNITY DEVELOPMENT DEPARTMENT
11
T1cARD Building Permit Review — Residential
Building Permit #: M,5Ta.t>6`( -0r i -7'
Site Address: O 1'2)4 S w W i nd c i-- el
Project Name: ('_C4(1 1 o n C,L U f•+ Lot #: 1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: f cc
yr Verify address/suite# active in Accela. zr
In River Terrace: Xi
No CIYes, River Terrace Review Addendum
Site Plan Elements: Crosion Control
/3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper wined trees with drip line and tree protection measures q..0C-egite,
Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and FFE
North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) Erdeation of wells/septic systems
ZLot dimensions and building setback dimensions /Street tree .e and location
[ Sgtrare footage of buildings to be demolished ,l IStreet names
❑Existing structures on site Comer elevations(2'contours if more than 4'differential)
,Zi Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? e No NA
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es N6
wi"Iri•✓lcA_
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): iS
Required: ❑ Yes,applicant was notified /No Received: /e] Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: nn7 Yes CI No,stop intake
Land Use Case#: SUB l 7 - O 000 2-- 7Zoning: 1` 12y1Required Setbacks: Front: 1 S Rear: t 5 Side: Street Side: 1'0 Garage:-2--C7
Building Height: Max. Height: 5 5 Actual Height: : 'S
lor Landscape Area: % / Lot Coverage Max: €0
Entrance 0 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows gi Minimum 12%of area of all street-facing facades
Garage (, Garage door is behind widest street-facing wall 21 Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gar.•;- door wi.. is I=112'or less ❑ 50%or less of facade CI 60%or less and includes 7 of following:
❑ Cove < s orch CI Recessed entrance ❑ Wall offset CI 1'Roof eave CI Roof offset
0 ❑ 'd e shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
MI Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
VI Visual Clearance ❑ Urban Forestry Plan
Sensitive Lands: ❑ Yes prNo Type:
/ Conditions met prior to issuance of building permit
Notes:
yi Approved By Planning: /V) Bim— V�— Date: 1"2-1 17 / i 61
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved Cl Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # 3
Building Plans: # 3
Building Permit#: der building permit#above.
Workflow Routing: Planning [ ngineering [ ..-Pafrmtt Coordinator ing
Workflow Sign-off: E��gn-off for Planning(include notes from planning review)
Route Application Documents: E Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o nal 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:
-
Engineering Review
[ Slope at building pad:
Conditions "Met"prior to issuance QX of building permit
g Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes �No
Assess Water Quantity Fee in-lieu: CI [Yes No
LIDA Facility on lot: ❑ Yes Vnio
inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
VApproved by Engineering: Date: / 423
/"
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El 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: L3'Yes ❑ N/A
Tigard Trans SDC: s ❑ N/A
Parks SDC: Yes ❑
LIDA ❑ YesN/A
OK to Issue Permit 1
) ti
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
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.
74City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= Transmittal Letter
etter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
Y.CiLlS
DEC 201
CITY OF TIGARD
A)t
COMPANY: S(yir�/ �}- " -co \\( BUILDING DIVISION
PHONE: on \ 33L49 VI,11 By: e,-;
4 V 2,oNc oo 4.8
RE: e 7c1 / c,)3 - \ . P%)"2-0,61 -L�045
(Site Address) (Permit Number)
QJT1V\MOv' 4'r
roject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
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 FFIC USE ONLY
Routed to Permit Techni ian: Date: 12, y3 [/ Initials:
Fees Due: 111 Yes No Fee Descri tion: Amount ue:
$
/0—
n e $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
L:\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
lill >s " Transmittal Letter
I i c;A p n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 1 2 2020
FROM: Alex Rodriguez CITY OF TIGARD
BUILDING DIVISION
COMPANY: Sage Built Homes LLC /
PHONE: 971-336-6911 BYE y
RE: 9794 SW Windsept Place MST2019-00457
(Site Address) + (Permit Number)
Canyon Court lots 1 t
(Project name or subdivision name and lot numb
ATTACHED ARE THE FOLLOWING ITE14' S
Copies: Description: /4_,,,_ . Copies: Description:
Additional set(s) of plans.i ' ' Revisions:
Cross section(s) and detai .t Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
X Other(explain):
REMARKS: Trusses were anged to support the new placement of the furnace in the attic.
li FO O FICE USE ONLY
Routed to Pe it Technician: Date: 31t� Zoi. Initials: a
Fees Due: "Ys-f]No Fee Desc pti n: Amount Due:
$ b
9 1/1, p(Gin rdcyl' Gw3 ,/ $ If ----
1
m' $
Special,'
Instrycitions:
Reprint Permit(per PE): ❑ Yes if ElDone .,
Applicant Notified: ee. Date: 7f(0 _p Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012