Permit CITY OF TIGARD MASTER PERMIT
II Permit*: MST2014-00021
COMMUNITY DEVELOPMENT a Date Issued: 03/19/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r' Parcel: 1S126DC11100
rp / 41V Jurisdiction: TIGARD
Site address: 9826 SW TAYLOR CT
Subdivision: GRECO ESTATES Lot: 6
Project: Greco Estates, Lot 6
Project Description: New SF. 6/5/2014: REPRINT permit to add A/C. Unit must meet manaufacturer's requirements
for placement.
BUILDING
Floor Areas Required Setbacks Required
Stories. 2 Bedrooms: 3 First: 819 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 1107 sf Garage: 440 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 1926 sf Value: $225,957.09 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100
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: 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: 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:
OTR SF VB R-3 1926
Owner: Contractor:
LF 8 LLC JTSC LLC Required Items and Reports(Conditions)
5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-308-7324
FAX: 503-684-0102
Total Fees: $19,408.83
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 77'--.- Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. -
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio
It I I kECF
1 FOR OFFICE USE ONLY
City LY
Cl 25 of Tigard V Received ip Permit No A�
j�
t• -067-067 Q� 131 S W Hall Blvd., OR 972 Date/By:. (e /5//y
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Tit Inspection Line: 503.639.4175 J U N - 5 2014 Date/By:
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY Of-116ARL
C(3
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
Ne construction ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
• -molition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. _ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:9826 SW Taylor CT Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Greco Estate Duct work 23.32
Cross street/directions to job site:Greenburg 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: Lot no.:6 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Air Conditioning fireplace 23.32
9.66 77A/G- n��� T Log lighter(gas) 23.32
/! Ems/s r 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:LF 8 LLC Range hood/other kitchen
equipment 33.39
Address:5285 Meadows Road Suite 171 Clothes dryer exhaust 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:JT Smith Companies Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Wayne Pykonen Furnace,etc. __
Address:5285 Meadows Road Suite 171 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)358-8955 Fax::( ) Fireplace
Range
E-mail:waynep@jtsmithco.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Quality Heating Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kahle Ln Ste 500 Subtotal 4/(a, 25
City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)598-0966 Fax:( ) State surcharge(12%of permit fee) 5.(,
CCB lic.:50096 TOTAL PERMIT FEE 5.2, 3(0
This permit application expires if a permit is not obtained within TO'
days after it has been accepted as complete. i(�/�Y
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Wayne Pykonen Date:6/4/2014
I:\Building\Pmnits\MEC_PermitApp_040113.doe 440-46177(I1/02/COM/WEB)
`� q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014-00021
Date Issued: 03/19/2014
T I CAA fi D 13125 SW Hall Blvd..Tigard OR 97223 503 718 2439 Parcel: 1 S126DC11100
Jurisdiction: TIGARD
Site address: 9826 SW TAYLOR CT
Subdivision: GRECO ESTATES Lot: 6
Project: Greco Estates, Lot 6
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories. 2 Bedrooms 3 First 819 sf Basement 0 sf Left 5 Parking Spaces 0
Height. 29 Bathrooms 3 Second. 1107 sf Garage 440 sf Front 15 Smoke
Dwelling Units 1 Third 0 sf Right 5
Detectors Yes
Total 1926 sf Value 5225.957 09 Rear 15
PLUMBING
Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Urinals 0
Lavatories. 5 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100
Drains 0
Tubs/Showers 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Catch Basins 0
Bckflw Prevntr 0
Footing Drain 0 Ice Maker 1 Hose Bib 2 Backwater Value 1
Drywell-Trench Drain 0 Other Fixtures 0
Other Fixture Units
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans 5 Clothes Dryers 1
Natural Gas Heat Pump N Hoods 1 Other Units 0
Furn<100K. 1 Vents 0 Woodstoves 0 Gas Outlets 4
Furn>=100K 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp 0 0-200 amp 0 W/Svc or Fdr 0
Ea add'I 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 8 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:
OTR SF VB R-3 1926
Owner: Contractor:
LF 8 LLC JTSC LLC Required Items and Reports(Conditions)
5285 MEADOWS RD.STE 171 5285 MEADOWS RD.SUITE 171 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO.OR 97035
PHONE PHONE 503-308-7324
FAX 503-684-0102
Total Fees: $19,356.47
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 cop{LoFthc+cdec-.or_direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
______--- ,
Issued By`.� - - _ C^'� �� Permittee Signature: l -
Call
,..,_2').39:4475 by 7:00 a.m.for the next available inspectipn e.-
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.
CITY OF TIGARD SEWER CONNECTION PERMIT
III s COMMUNITY DEVELOPMENT Permit#: SWR2014-00024
T t GA R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2014
Parcel: 1 S126DC11100
Jurisdiction: TIGARD
Site address: 9826 SW TAYLOR CT
Project: Greco Estates,Lot 6 Subdivision: GRECO ESTATES Lot: 6
Project Description: New SF.
Contractor: Owner: LF 8 LLC
5285 MEADOWS RD, STE 171
LAKE OSWEGO, OR 97035
PHONE: PHONE:
FAX:
FEES
Description Date Amount
•
Specifics: Sewer Connection Fee 03/19/2014 $4,800.00
Sewer Inspection-Residential 03/19/2014 $35.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $4,835.00
Required Items and Reports(Conditions)
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 th direct questions
to OUNC by calling 503.232.1987 or 1.800.3322344.
Issued By: / Permittee Signature:
•
Call 503.• •04,I' 00 a.m.for the next available inspect l'n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'Building Permit Application
' Residential FOR OFFICE USE ONLY
City of Tigard Received Permit No
`J g . ;1 Date/By: a� / I h A Aw_aez ��coeozi
a 13125 SW Hall Blvd.,Tigard, '+At MMM Plan R wc;r• , / _
Phone: 503.718.2439 Fax: 5 c. :. 'ref i r I Other Permit - , .-0 _� . t
Date/B �i
TI G A R D Inspection Line: 503.639.4175 FED 2 4 2-° Date R!.* :y: 10 See 'age 2 for
i "El Internet: www.tigard-or.gov Notified/Method: i / IA p Supplemental Information
6 a' ri OD iJ o. • - «- •
TYPE O'ilha j M`S`i ' REQ IRED DATA:1-AND 2-FAMILY DWELLING
I" Permit kcal'arc based on the value of the work performed.
®New construction � Demolition pe
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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 12.2-5-16740e?
❑Accessory building ❑Multi-family Number of bedrooms: 3
El Master builder CI Other:
Number of bathrooms:2 1�
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address:9826 SW Taylor CT New dwelling area: 1926 square feet
City/State/ZIP:Tigard,OR 97223 ] Garage/carport area: 440 square feet
Suite/bldgiapt.no.: Project name:Greco Estates Covered porch area: I 1 1 square feet (`�'7
Cross street/directions to job site:Greenburg Road Deck area: 1 square feet r
Other structure area: 23(:)Co square feet 2�
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:6 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 Single Family Residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:LF 8,LLC Type of construction:
Address:5285 Meadows Road Suite 171 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:(503)657-3402 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:JT Smith Companies (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Wayne Pykonen
-
FLS plan review fee(if applicable):
Address:5285 Meadows Road Suite 171
Total fees due upon application:
City/State/ZIP:Lake Oswego,OR 97035
Phone:(503)358-8955 Fax::( ) Amount received:
E-mail:waynep@jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:JTSC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5285 Meadows Road Suite 171 Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)657-3402 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB tic.:200237 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Wayne Pykonen Date: *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Plumbing Permit Applic nti
Building Fixtures - 14 Hi O11 H r I �i. ll\1.1
City of Tigard 2b1Q Received• Permit No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 j� Date1By: s7ak cl/y-fx7t:.�1
• Phone: 503.718.2439 Fax: 503.598.19691,4_1%w,,- (`` Date/By:Review` Other Permit No.:
I .',i i) Inspection Line: 503.639.4175 (+� ,o`S`10{`t Date Ready/By • ions ' la See Page 2 for
Internet: www.tigard-or.gov LL :n,+�`O Noti bod; p. : " , .al Information
®New construction ❑Demolition For special tq fornradon use ckecbUaf.
Description
❑Addition/alteration/r placement ❑Other: ' I Ea Total
Nt+r 1-2-Grapy dwellings(includes 100 ft.for each utility connection)
SFR(I)bath I. 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath ( 500.32
❑Accessory building ❑Multi-family
Each additional bat /kitchen 25.02
❑Master builder D Other:
Fire sprinkler( sq.ft.) Page 2
Site utilities:
Job site address:9826 SW Taylor CT Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2
Suitefbklg.apt,no.: I Project name:Greco Estates Manufactured home utilities 50.03
Cross street/directions to job site:Greenburg Road 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 II.: ' I Page 2
Subdivision: Lot no.:6 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27•• Backwater valve 12.51
Plumbing for new singk family home Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02_
Ejectors/sump 25.02
. . - Expansion tank 12.51•Name:LF 8,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:5285 Meadows Road Suite 171
Garbage disposal 25.02
City/StatefZIP:Lake Oswego,OR 97035 Hose bib 25.02
Phone;(503)657-3402 Fax:( ) lee maker 12.51
Interceptor/grease trap 25.02
Business name:JT Smith Companies Medical gas(value:$ ) p 2
Primer 12.51
Contact name:Wayne Pykowen Roof drain(Commercial) 12.51
Address:5285 Meadows Roads Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)358-8955 l Fax: :( ) Tub/shower/shower pan 12.51
E-mail:waynep@jtsmithco.com Urinal 25.02
r�z;*w-•; ,oi5t Water closet 25.02
Water heater 37.52
Business name:The Mullen Company dba Edward Mullen Plumbing Water piping/DWV 56.29
Address:1601A SE River Road Other: 25.02
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)640-0113 Fax;(503)4483 Minimum permit fee: $72.50
CCB Lie.:92689 d//,,ii, Plumbing Lic_no.:34-260P6 Plan review (25%of permit lee)
State surcharge(12%of parrot foe)
Authorized signature: .V?i. TOTAL PERMIT FEE
` print name:Ray Mu lea,CFO Date:01/27/2014 1 This permit application es pares if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methaioluxy set by Tri-County Building Industry Service Board.
I.1Build,r ipc mits\PLMIJ-PermitAppdoc 10/D1009 440.4616Tt10/02/COMAVEBI
t
• Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard r, "�� f Received
■ 13125 SW Hall Blvd.,Tigard,OR 97 2 �,J• S Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 2014 I)atelBy:
i i 1 Inspection Line: 503.639.4175 FEB 2 4 Date Ready/By: J
ur s
See Page 2 for
Internet: www.tigard-or.gov Notified/Method Sup!denientaI Information
CITY OF
TIGARD
TYPE OF $ m -.)ZviSIOt`+ COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
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/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75 _
Job site address:9826 SW Taylor C T Furnace 100,000 BTU(ducts/vents) I 46.75 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
' Heat pump 61.06
Suite/bldg./apt.no.: Project name:Greco Estates Duct work 23.32
Cross street/directions to job site:Green burg Road Ilydronic 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: Lot no,:6
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 33.39
Flue vent for water heater or gas
New single family residence 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:LF 8,LLC Range hood/other kitchen
equipment 1 33.39 33.39
Address:5285 Meadows Road Suite 171 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
' APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: JT Smith Companies Fuel piping:
$14.15 for first four;$4.03 for oach additional
Contact name:Wayne Pykonen Furnace,etc. I 14.15
Address:5285 Meadows Road Suite 171 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater t
Phone:(503)358-8955 Fax: :( ) Fireplace 1
Range I
E-mail:wayne Vie jtsmithco.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Muche Quality Heating,Inc. Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kahle Lane,Suite 500 Subtotal 244.28
City/State/ZIP: Portland.OR 97224 Minimum permit fee(590.00)
Plan review(25%of permit fee)
Phone:(503)598-0966 Fax:(503)598-8498 State surcharge(12%of permit fee)
CCB lic.:50096 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within tat)
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
IPrint name: Kyle Birman Date: 1/27/14
1 IBuddinglPernuts\MEC PermnApp..040113.doe 440.4617[t t VOVCOM/wES)
or ,4 t.
Electrical Permit Application FOR OFFIC C 1 SF.0\I.\
City of Tigard Received `
114 '11
13125 SW Hall Blvd.,Tigard,OR'+;- ç \\JEO Plan Review
■ r• ' Outer Permit:
Phone: 503.718.2439 Fax: 503. -. DaaB
TIC A K O Inspection Line: 503.639.4175 p 4 � 114
Date Ready/By: hints: ® See Page 2 for
Internet: www.tigard-or.gov L� LI Notified/Method: Supplemental Information
n d
New cnnsirnehon ❑Addition/alt ` + 8
!Nettie check all that apply(submit lsitsofpliuisw/Neni$elieelced below):
❑Service or feeder 400 amps or more ❑Building over three stories.
_❑Demolition ID Other: where the available Fault current El Marinas and boatyards.
' t t hl';CORI' OP CONS Rt1C:TI, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® I
and 2-family dwelling Q Commercial/industrial ❑Accessory building amps for all other installations. buildings.
El MultWamjily 0 Mitstcr builder ❑Other: ['Fire pump. ❑installation of 150 KVA or
❑Emergency system larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2 "1.3",
Job no.: Job site address:9826 SW Taylor CT
100H0 or more. occupancy.
❑Six or more residential units ❑Recreational vehicle pasts.
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Greco Estates 0 Service or feeder 600 amps or more.
MIIIIMIIIMINERWSgrAIM
Cross street/directions to job site:Greenburg Road Description I Qrv. l. Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:6 1,000 sq.ft.or less c. 168.54 4
Ea.add'I 500 sq.ft.or portion '' 33.92 l
Tax map/parcel no.: Limited energy,residential
r ?i' to ., DESCRIPI'1ON OF WORK (with above sq.ft.) 1 75.00 -
Limited energy,multi-family 75.40 -
Electrical for new single family home residential(with shove sq.ft.)
-- .-- Renewable Energy O-See Page 2
Services or feeders installation,alteration,and/or relocation
SiTSMAWAVOV1R11. I Th,t __r k 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:LF 8,LLC 401 amps to 600 amps 200.34 2
Address:5285 Meadows Road Suite 171 601 amps to 1,000 snips 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or
Phone:(503)657-3402 Fax:( ) relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange.according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension, rpanel
7:c +�.. '-*-1-1.`-'.' ,, 6, y k.'- - ?c e7`4opt F-' ,io, .-.A.,,,,,.',. A.Fee for branch circuits with
', above service or feeder fee,
Business name:JT Smith Companies each branch circuit 7.42 2
R.Fee for branch circuits without
Contact flame:Way Pykonen service or feeder fee,first 56.18 2
branch circuit
Address:5285 Meadows Road Suite 171 Each add'1 branch circuit 7.42 2
City/State/Z1P:Lake Oswego,OR 97035 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)358-8955 Fax::( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:waynep@jtsmithco.com 6 Pump or irrigation circle 67,84 2
f,.�} 'y g}.,.`..; ::+ y., rt..p),t zh r E`): n+:.t:• -z"5 4 ee' ix{.€
•.1 � .. �a- � � 3�,� - �.� �„ �L s+m: Itiv+�t, Sign or outline lighting 67.84 2
Business name: �� ex., C_ Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: act"is, .' -s--kR,4O,‘,4, O b ;emu'e Each additional inspection over allowable in any of the above
CityJStatClZlP: �`` z g .� Additional inspection(I hr min) 66.25/hr
\'A tl �>` rZ Investigation(I hr min) 66.25/hr
Phone:( a3) cr--%t- •kt S S')__ F 'a,) C. _ .--)'- _ Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.:�'�k t♦'St: Electrical Lic.: 4._ �g S ic_: "Ic 'S s cthcall,listed(V:hr min)
y�� ,P�Pti� t •=. ELECTRICAL PFR11, _r.
Suprv. Electrician si tI,required: yr,{t a+ •. Subtotal:
T LL
7;rt..
Print name: 1r,,. Date: Plan review(25%of permit fee):
s"� ,r.t, State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires If a permit Is not obtained within 180
Print name: Date: days after it has been accepted as complete.
' Number of inspections alio,ved per permit
1-'suildimh\Permi+s,ELC_PermimApp EIR ERE doe Sty 05212011 440-5015T{11105KOm/WER
4
cf 16e
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
E _. M A
Fee for all residential systems combined $75.00 Description I Qty. ( Fee I rotes
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5 01 to 15 kva 13356 2
n Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
Burglar Alarm
25.01 to 50 kva 301.04 2
Garage Door Opener* 50.01 to 100 kva 55226 2
>100 kva(tee in accordance with 552.26 2
Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems its excess of 25 kva:
Each additional kva over 25 7.42 3
Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: Each additional inspection is 2_
charged at an hourly(1 hr min) 66._x/hr
Inspections for which no fee is 90.00/hr
specifically listed('/:hr min)
COMMERCIAL WORK ONLY: ELECT{t1CAL PERIVitr FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
I1 Audio and Stereo Systems days after it has been accepted as complete.
• Number of utspections allowed per permit
I Boiler Controls
n Clock Systems
[I Data Telecommunication Installation
n Fire Alarm Installation
I I HVAC
Li Instrumentation
n Intercom and Paging Systems
I I Landscape Irrigation Control*
I Medical
n Nurse Calls
_ Outdoor Landscape Lighting*
• Protective Signaling
PI Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I.Duildi*Permit eELC_Permit App_ELR ERE doe Rev 05/21/20t 3
Building Permit Number: / r-ri? ) _ QL ) /
Iiii ' Building Permit Review �v--
Residential Projects ` ( 7
TIGARD �
Site Address: cliSIt, SW taji tar- C t-
❑Verify site address is valid.
Project Name & Lot #: C Q co Q i R-c s Lo 1- •1=Lo
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No ❑ Received: Yes ❑ No ❑
Site Plan Elements;
"Site plan must be on 8-1/2"x 11"or 11"x 17"paper gfhree(3)copies of site plan
L t5rawn to scale(standard architect or engineer scale) I2f Torth arrow
❑Map and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished
name,lot number,and zoning floor elevations
❑Applicant information (name and phone number) I. • and building setback dimensions
Etrioperty corner elevations(2 foot contour lines if more than r •t area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
❑Utility locations ❑Location of wells/septic systems.
❑Existing structures on site EiStirfacrdrizinxgr
[t eet names ❑Street tree size,type and location
IIPtrosion control(including drainage-way protection,silt fence DES-ii-sting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Manning Review
Er Land Use Case Number. Su 9, 2001 -wool,
Zoning. ¢.-1'Z
0r Setbacks:
Front l t) Rear 1 '5 Side 5 Street Side l0 Garage 2...0
EKLandscape Requirement: % 5. .01.
Lot Coverage Maximum: (t) % yo.a%d
ar Building Height: Maximum Height 35 Actual Height :,{ y
Q"Visual Clearance
8-Easements
(Sensitive Lands: ❑ Yes Type N/A
Urban Forestry Plan • . ._ ,`
•i2' t;onditions Satisfied v. ' ) ` • vp
Approved by: CiAtil rozetto Date: at. 3 - It. -14
Notes: ',,l.,.h 904',uvt tJ as not cr./�,',.e a '— l.rt 1-w,; -1,r-e.?.) S in_u u.- p-1
Ore- eXi.S-WI vt iiraAiL1624 Pia& ',. 11 v v e.1C-►'u ad'1meof i erf u TPZ . C0 At ' rt.L L� 1 ti)U: 0
be re....oved. `fl 7 zone ha.1 been r•,-.ud•-4e4 101 -h.r pniec4-
a-49°I1.54. fr t* po,GM Jac' oat e• ceueecn ∎ nv-v ►5V scI. bacjL b1 meet -1"10-1 A. iAC. f•
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
I:\Buildingl Forms1BIdgPermitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: 5/y/j By: ep
Site Plans: # 3
Building Plans: #
Create Case Record#: L���E r case #above r Building Permit NN her.
Workflow Routing: L�ZY, �PI g engineering Ld�Permit Coordinator I� t3utldit�g
Workflow Sign-off: for Planning staff,including notes from planning review(page 1)
Route Application Documents: ring: (1) copy of permit application, (1) site plan, (1) building plan and
on plan review routing form.
uilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
r
Reviewed By: boil Date:
Notes:
Engineering Review—reviewed by; ��� K:I4f {Z
Actual Slope: t'
❑ Conditions Satisfied
Notes:
Approved by: _ � Date: 5- 5--
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
onditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Applic /5///
Okay to Issue Permit- Date: 3
I:1Building\Forms\BldgPermitRvw_RES_123013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9826 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
July 14, 2014 at 1:00:21 PM
MST2014-00021
Jeff Grove
Violation Summary:
Inspector Contractor