Permit CITY OF TIGARD MASTER PERMIT
1111111 _ „ COMMUNITY DEVELOPMENT Permit#: MST2014-00040
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • Date Issued: 04/09/2014•
TIGARD t Parcel: 1S126DC10600
MJurisdiction: TIGARD
Site address: 9436 SW LEHMAN ST
Subdivision: GRECO ESTATES Lot: 1
Project: Greco Estates, Lot 1
Project Description: New SF. 6/5/2014: REPRINT permit to add A/C. Unit must meet manaufacturer's requirements
for placement.
BUILDING
Floor Areas Reaulred Setbacks Reauired
Stories: 2 Bedrooms: 4 First: 835 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 22 Bathrooms: 3 Second: 1170 sf Garage: 418 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 2005 sf Value: $248,344.66 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 Tvaes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'500 sf: 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 2005
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: 503-657-3402 PHONE: 503-657-3402
FAX: 503-684-0102
Total Fees: $19,696.31
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 9 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.882.2344.
Issued By: Lrie--- Permittee Signature G_„�`&
Call 603.639.4175 by 7:00 a.m.for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until co Ion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appllcatl FOR OFFICE USE ONLY
City of Tigard RECEIVED Da eBy: ..13.•� ' remit N gll'S7 ,,J_, VO yo
;� 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review / ! aYJ 7
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 J 11 N '
5 2 014 Date/By:
T I GA R D Date Ready/By: Jana: ® See Page 2 for
Internet: www.tigard-or.gov c'TY^r iI RD Notified/Method: Supplemental Information
TYPE OF �',' ((� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
/ Mechanical permit fees*are based on the value of the work
w construction 1�./ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
Demolition I=1 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:9436 SW Lehamn Street 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.:1 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
Log lighter(gas) 23.32
09- 6 % EfC/S%//46 "67231/T Wood/pellet stove _ 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ 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)
Other:
Business name:Muehe Quality Heating MECHANICAL PERMIT FEES*
Address:7301 SW Kahle Ln Ste 500 Subtotal ' ,
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) 5.42/
CCB lic.:50096 TOTAL PERMIT FEE Ste, 3,
This permit application expires if a permit is not obtained within 180 a
days after it has been accepted as complete. // J/�
Authorized signature: ��(;��?j'�/yJlq� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Wayne Pykonen b�� `�/ Date:6/4/2014
I:\BuildineermitsVMEC_PermitApp_0401 I3.doc 440-4617T(I1/02/COM/WEB)
NI q CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2014-00040
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2014
Parcel: 1 S126DC10600
Jurisdiction: TIGARD
Site address: 9436 SW LEHMAN ST
Subdivision: GRECO ESTATES Lot: 1
Project: Greco Estates, Lot 1
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 835 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 22 Bathrooms: 3 Second: 1170 sf Garage: 418 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2005 sf Value: $248,344.66 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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'l 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 2005
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: 503-657-3402 PHONE: 503-657-3402
FAX: 503-684-0102
Total Fees: $19,643.95
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 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 TTENTION: Or on la squires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 through OAR 95 .01-11:!.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 . 00.332.2344.
,�
ued By:
�• 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.
CITY OF TIGARD SEWER CONNECTION PERMIT
II COMMUNITY DEVELOPMENT Permit#: SWR2014-00028
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2014
Parcel: 1 S126DC10600
Jurisdiction: TIGARD
Site address: 9436 SW LEHMAN ST
Project: Greco Estates,Lot 1 Subdivision: GRECO ESTATES Lot: 1
Project Description: Sewer connection for new SF
Contractor: Owner: LF 8 LLC
5285 MEADOWS RD, STE 171
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503-657-3402
FAX:
• FEES
• Description Date Amount
Specifics: Sewer Connection Fee 04/09/2014 $4,800.00
Sewer Inspection-Residential 04/09/2014 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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 ti 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 b ailing 503.2 .198 1.800.332.2344.
Issued y: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection d
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.
a.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
II Received Permit No.: .arr�(�O
City of Tigard Date/e : �7 l tiSrd l _.ezz
• 13125 SW Hall Blvd.,Tigard,OR 9 2 7 2014 Plan Review , - ��t�/
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: , W �( Q
Inspection Line: 503.639.4175 CITY OF TIGARD Notified/Method:yl Iif e ry— ran Supplemental Information
I l t n It t>
Internet: www.tigard-or.gov F( "F'
BUILDING DIVISION e.",; WC-144k_
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.
Valuation: $-24")34A
® 1-and 2-family dwelling ID m
Commercial/industrial
t •
El Accessory building ID Multi-family Number of bedrooms: 4-
❑Master builder ❑Other: Number of bathrooms: Q, la
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address:9436 SW Lehman Street New dwelling area: 2005 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 418 square feet
Suite/bldg./apt.no.: Project name:Greco Estate Covered porch area: 11 O square feet ((7
Cross street/directions to job site:Greenburg Road Deck area: square feet �5
Other structure area:2423 square feet •2z.
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: oive.�O E-��17i"p�4 Lot no.:1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: /5/2_4 77�'"G�Q�'� �/Q 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 ro fee schedattJ
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: jP
City/State/ZIP:Lake Oswego,OR 97035 �G
Phone:(503)358-8955 Fax::( ) Amount received:
E-mail:waynep @jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installatio •f
CONTRACTOR roof-top mi, ted PhotoVoltaic Solar Panel S : - .
Business name:JTSC,LLC Submit two(2 is of roof plan with •• -ction details
and fire departme <ccess,Mon: 't the 2010 Oregon
Address:5285 Meadows Road Suite 171 Solar Installation Spec • ■ • checklist.
Permit Fee(inc .-s p .•review
City/State/ZIP:Lake Oswego,OR 97035 administrative $180.00
Phone:(503)657-3402 Fax:( ) State . harge(12%of permit fee): $21.60
CCB lic.:200237
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
li. I r within 180 days after it has been accepted as complete.
Print name: j t)gyN Py KO N N Date: 31 2"
T( ! I *Fee methodology set after it County Building Industry
{ Service Board.
1:1Building1Permits lBUP-RESPermitApp.doc 02/24/2011 440�613T(11/02/COM/WEB)
Plumbing Permit Application RECEIVE
Building Fixtures 1 u1t OI I It r. 1 `I 0\11
Received
City of Tigard t Permit No.:
71
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 7 2014
Date/By: aT l�`l �/�-���d
Plan Review '/
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.i p�ESl y'-G1GYJsZ-!
T I G A R ll Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. kris' Id See Page 2 for
Internet: www.tigard-or.gov - Notified/Method: Supplemental Information
� 41 y T r r N° I .. ..a.sthil.a-. 3,. :%. .. ,.
a ,,._„�� ., " _. ' R,#.,-,..a�. ram s.: a_:__:___ . ...� �_. .... F �...�,�'4.- c_:::.:42f..1,1,-:.4t.,..:-.:4..,.»xa3rA..:.cx..:3. xa...t� .buas
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
't.,;,Z :", ` "...,f'.,-:::: .i .#,..a -r 8 fig- 5= �i
ri i � .s`rz z...-., _ 17.•,41,i:el 1 :sr,,� _..i �..,x., t} . , ,;t :!.. ..s-4,, 1. SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler 2
�'e+. ec-s irk?w uf„�^s:3 . _fi , ,-..a„,w C' =+??�"t - P sq.ft.) g
s _i ,��� t K :-, 1 "i.\i t V'tt , k fit+,=. as- Site utilities:
dxmac N _t. 3a:\ I1` -... >'. v.Y_-_i'i �R:ItItAZ� 7eic# r z et.,.R.1a,...:.
Job site address:9436 SW Lehman St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Greco Estate 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 ft.: ) Page 2
Subdivision: I Lot no.: 1 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
r" "" Backwater valve 12.51
Clothes washer 25.02
Plumbing for new single family home Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
t13:-. -'''..-t 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/State/ZIP:Lake Oswego,OR 97223 Hose bib 25.02
Phone:(503)657-3402 Fax:( ) Ice maker 12.51
h J t :771=7:2 ` ':4-:11:. Interceptor/grease trap
25.02*' elliAtt qt r-- S.fr ;i 4-'54-L1._ 4iiic f L u .: _`' Li-L7 ..)
Business name:JT Smith Companies Medical gas(value:$ ) Page 2
Contact name:Wayne Pykonen
Primer 12.51
Roof drain(commercial) 12.51
Address:5285 Meadows Road Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)358-8955 Fax::( ) Tub/shower/shower pan 12.51
E-mail:waynep@jtsmithco.com Urinal 25.02
" r `77z �p * f¢.. : t r t a ` -`fs Water closet 25.02� t i;r_.: 4`.,2,7:1 < t . r,._. in r - _ � .
Water heater 37.52
Business name:The Mullen Co. dba Edward Mullen Plumbing Water piping/DWV 56.29
Address:1601A SE River Road Other: 25.02
City/State/ZIP:Hillsborto/OR/97123 Subtotal
Phone:(503)640-0113
i CCB Lic.:92689 Fax:(503)640 483 Minimum permit fee: $72.50
Plumbing Lie.no.:34-260PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: , TOTAL PERMIT FEE
Print name:Ray Mullen Date:3/18/2014 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
Mechanical Permit A lic EIVEP FOR OFFICE USE Oil 1
III City of Tigard Date/BY _ 49,7 ,4 - Permit No.: f`�57-
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 'f "�^^^"�"`'r'ZZZ
' . Phone: 503.718.2439 Fax: 503.598.1960 Other Permit �/ !(i_ +,CS
Date/By: 75
I I c;n k i Inspection Line: 503.639.4175 MAR 2 7 2U 14 Date Ready/By: hris. iii See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE glIMG DIVISION . COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. J Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning _ 46.75 '
Job site address:9436 SW Lehamn Street 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 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.:1 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New single family home fireplace 23.32 _
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ' l ❑ 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) 5 23.32 116.60
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 1 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. 1 14.15 14.15
Address:5285 Meadows Road Suite 171 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater 1
Phone:(503)358-8955 Fax::( ) Fireplace - 1
Range 1
E-mail:waynep@jtsmitheo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Quality Heating,Inc. Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kable Lane,Suite 500 Subtotal 267.60
City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)598-0966 Fax:(503)598-8498 State surcharge(12%of permit fee)
CCB lie.:50096 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
r days after it has been accepted as complete.
Authorized signature: -- • Fee methodology set by Tri-County Building Industry Service Board
Print name:Kyle Birman - Date:3/18/14
I:\Building\Permits\MEC_PenndApp_040113.doc 440.46171(11/02/COM/WEB1
w RECEIVE
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received � 1, Permit No.: �[�,Lr�}/ A AN
13125 Hall Blvd..Tigard,OR 97223 MAR 2 7 2014 Date/B : i L! fly_
�. Plan Review nA '�r/
Phone: 503.71
8.2439 Fax: 503.598.1960 e/B : Other Permit. 4_96,-f'XD
i I(,i+li1J Inspection Line: 503.639.4175 CITY OF TIGA Mk Ready/By: Juris RI see Page 2 for
Internet: www.tigard-or.gov �Q�py /Method Supplemental lnformntion
:T37P,k OF` 6- -'1J.ILP : #ttVI11V , r
-t_� '' :,-- --.'-----17-4::---;-:-=--''
� (' PLAiN
®New construction ❑Addition/alteration/replacement Please check all that apply(subunit 2 sets of plans w/items checked below)
❑Service or feeder 400 amps or more ❑Building over three stories
0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards
':CATR00RY OF:CO) SfK`IC.PT1O. exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation 0 150 KVA or
❑Emergency system. larger separately derived system
JOB.SITE 1NF*4410.N AND LOCATION ❑Addition of new motor load of ❑"A" "0",`1-2" "1-3"
Job no.:
Job site address:9436 SW Lehman St 1001-1P or more. occupancy.
0 Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑Health-care fac-ilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name:Greco Estate ❑Service or feeder 600 amps or more.
FEE;SCHEDULE ,
Cross street/directions to job site:Greenburg Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1 1.000 sq.ft.or less 1 168.54 4
.. Ea.add')500 sq.ft.or portion 3 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK q, 75.00
{with above fl.)sq.
Limited energy.multi-family 75.00 ?
Electrical for new single family residence residential(with above sq.ft)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER ❑ TENANT 200 amps or less 100 70 2
201 amps to 400 amps 133.56 2
Name: LF 8 401 amps to 600 amps 200 34 2
Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 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
relocation
Phone:(503)657-3402 Fax:( ) 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,per panel _
® APPLICANT I El CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42
Business name:JT Smith Companies each branch circuit
B.Fee for branch circuits without
Contact name:Wayne Pykonen service or feeder fee,first 56.18 3
branch circuit
Address:5285 Meadows Road Suite 171 Each add'l 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 Pump or irrigation circle 67.84 2
• CONTRACTOR, Sign or outline lighting 67.84 2
Business tact elayntv circuits)or limited-energy Sec
t , panel,alteration,or extension. _ Page 2 2
Address: jai .() SE e 'v ku/e�C �` /9— Each additional inspection over allowable in any of the above
` vJ Additional inspection(I hr min) 66.25/hr
City/State/ZIP: Li 5IO p yv �' jj Investigation(I hr min) 66.25/hr
Phone:(9)3 40q0. 955, Fax:( ,i ir' ,7 ,„ .5 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00!hr
CCB Lie.: /„Z,1 i el Electrical Lie.:3 Supr ic.: 3-7O7rj specifically listed(V:hr min)
E LECTRICAL PERMIT FEES
Suprv. Electrician signature,required: r / Subtotal:
CyA/ , _t 7 li '`1 t.te. j g' Plan review(25%of permit fee):
Print name: v //"(`'/fv (� i J State:surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE
��y This permit application expires if a permit is not obtained within Ia0
Print name: , r/ ¢ Date: /�I days after it has been accepted as complete.
A A-.- ,!
• Number of inspections allowed per permit
I\auildingd'ermits'El.0 PermitApp_ELR F.RE doe Rev 05/21!'-011 440.45 1 5T111/05/COM/WEB
• .
Building Permit Number: 5! 90 l e-/-0DO clo
114 • Building Permit Review
Residential Projects
TIGARD
Si,Address: IL/360 CIA/ Ze,hnim S ".
r Verify site address is valid.
Project Name & Lot #: 6ree0 rT & i_ (/' i 24 9C /O(O(vO
Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No Received: Yes ❑ No ❑
Site lan Elements:
Site plan must be on 8-1/2"x 11"or 11"x 17"paper i .iree(3)copies of site plan
yawn to scale (standard architect or engineer scale) ,�North arrow
d
Map and tax lot number,site address,project or subdivision Ir 'f�'ootprint of new structure(including decks)with finished
name,lot number,and zoning fli r elevations
g/) plicant information(name and phone number) L7L.ot and building setback dimensions
L' l roperty corner elevations(2 foot contour lines if more than 111. -t area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
�tility locations Location of wells/septic systems.
Q'1✓ *sting structures on site 4■Vf'.urface drainage
OF. reet names greet tree size,type and location
osion control(including drainage-way protection,silt fence [ isting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review �"
Ly'Land Use Case Number: �j'jA1 Za � 0 W
11/2oning: (Q I Z
Lr Setbacks:
/ Front /6-- Rear /6- Side 6 Street Side /0 Garage 2-o I "Landscape Requirement: j
21,ot Coverage Maximum: 60
}Q Building Height: Maximum Height ?j- '- Actual Height 22-0-
Iiirisual Clearance
asements
AO 12' Sensitive Lands: ❑ Yes Type
0 L' Urban Forestry Plan
❑ Conditions Satisfied
Approved by: /. / -__
Date: �j/2---7//1-7/
Notes: A• " 4�lj -/�. i / G • / / ✓ di-Y /A44? f /a ti 1.1.PL-p/a?
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved Cl Not Approved ❑
Revision 2 Approved ❑ Not Approved Cl
Revision 3 Approved ❑ Not Approved ❑
I:\Building\Forms\BldgPermitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case# above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: El Sign-off for Planning staff,including notes from planning review(page 1)
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.
Reviewed By: Date:
Notes:
Engineering Review-reviewed by: ,IL L ?'� I ,r")
Actual Slope: 3
❑ Conditions Satisfies
Notes: , . .. ... . ! . - - '_
• =ter .t ira ,ter .I.M
Approved by: Date:
Revisions (after Building Submittal only) �/ Revie er Date
Revision 1 Approved ❑ Not Approved ,Q d ,pjy ,r, 3.../
Revision 2 Approved Not Approved CI I r_ � ��
Revision 3 Approved ❑ Not Approved El
Pe it Coordinator Review
Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant: 3 ///4
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Ap • nt _
Okay to Issue Permit- . Date:
..1/A 7Z
i:\Budding\Forms\BIdgPermitRvw_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
9436 SW LEHMAN ST, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
FAIL
MST2014-00040
George Heimos
1. Expose/uncover for inspection sanitary sewer outside cleanout
103.5.1.4/103.5.1.3/315.3
2. Complete storm/rain collector box. 310.0
3. Re caulk kitchen sink, gaps in caulking. 407.2
Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
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
9436 SW LEHMAN ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00040
Herb Stabenow
Violation Summary:
Inspector Contractor