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Permit y n CITY OF TIGARD MASTER PERMIT "1 " . COMMUNITY DEVELOPMENT . i Permit#: MST2014 00194 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2014 ® Parcel: 2S109AA01000 Jurisdiction: Tigard Site address: 14475 SW 125TH AVE Subdivision: VALLEY VIEW Lot: E Project: Sandford Project Description: New SF. Demo credits from BUP2014-00205 for TDT and Park apply towards this permit. 12/8/14, reprinted to remove a/c&add geothermal heat pump. 6/4/15: Reprinted permit to include BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2833 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 19.5 Bathrooms: 4 Second: 1000 sf Garage: 719 sf Front: 30 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3833 sf Value: $463,458.65 Rear: 25 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 ins: 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvaes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y 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: 8 201-400 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 3833 Owner: Contractor: JUSTIN&TRACY STANDFORD QUAIL CONSTRUCTION LLC Required Items and Reports(Conditions) 13604 SW ASCENSION DR 4501 MINNEHAHA#200 1 Ersn Cntrl 503-639-4175 TIGARDE,OR 97224 VANCOUVER,WA 98661 PHONE: 503-341-1858 PHONE: 360-949-3539 FAX: Total Fees: $11,696.61 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of erole or direct questions to OUNC by calling 503.232.1987 or 1.800.332. 344. ' 1./.....f - Issued By: Permittee Signature: • Call .4175 by 7:00 a.m.for the next available inspection date This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received DateBy: �/ r Permit No.: �/� �1 :, -•• 13125 SW Hall Blvd.,Tigard,OR 97223 D Plan Review/ (�7J , U , y ■ CE N E Other Permit: Phone: 503.718.2439 Fax: 503.598. Date/By:I I c i A R 1 Inspection Line: 503.639.4175 Date Ready/By: Jens: 0 See Page 2 for Internet: www.tigard-or.gov 4 2015 Notified/Method: Supplemental Information JUN - fl I Mechanical permit fees'are based on the value of the work i ❑New construction ❑Addition/altt / erl performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ❑ I-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 . Heating/cooling: Air conditioning 46.75 Job site address: f/fit 7 S) Sw Q.. - Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: / !7`"7)� Furnace 100,000+BTU(ducts/vents) 54.91 /�J/>f` Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above - 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 • DESCRIPTION OF WORK ' Gas fireplace/insert i 33.39 .33 3'/ Flue vent for water heater or gas /� fireplace 23.32 i9 Gf ( ri ~L Log lighter(gas) 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent I 23.32 I t ❑ TENA Other: 1 23.32 Environmental exhaust and ventilation: _ Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name: A.43 C $14.15 for first four;$4.03 for each additional_ Contact name: r 4 I��E sok 1 G� Furnace,etc. Address: .SD t rttiyi 1e.V11&Yom\ Sk-- Sw Fe 200 Gas heat pump Wall/suspended/unit heater City/State/ZIP: J �c co\f e`r A f '1 e, 2.. Water heater Phone:(360 ) l? i 3 e,16 I Fax::( ) Fireplace Range E-mail: �1 L 2jR c4J ' � J>n 42 , C;OW\ Barbecue Clothes dryer(gas) Other: Business name: r C/,ira Address: Subtotal 3?37 City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) . .. State surcharge(12%of permit fee) Ai, a CCB lic.: //g-,-/_21 TOTAL PERMIT FEE ��7.K 0 • This permit application expires if a permit is not obtain NU days after it has been accepted as complete. Authorized signature: C • Fee methodology set by Tri-County Building Industry Service Board Print name: N cat t eN4.4,(OA f Date: Co- f--(C +iLi5 c iv),-S' I:1 Building\Permits\MEC_PerntitApp_040113.doc 440-46th (11/02ICOM/WEB) 2 iv Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Famil Fee Schedule: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_0401 I3.doc 2 1r n CITY OF TIGARD MASTER PERMIT 111 I ' COMMUNITY DEVELOPMENT n Permit#: MST2014-00194 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /e 8 Ara Date Issued: 11/06/2014 Parcel: 2S 109AA01000 Jurisdiction: Tigard Site address: 14475 SW 125TH AVE Subdivision: VALLEY VIEW Lot: E Project: Sandford Project Description: New SF. Demo credits from BUP2014-00205 for TDT and Park apply towards this permit. 12/8/14, reprinted to remove a/c&add geothermal heat pump. BUILDING - Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2833 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 19.5 Bathrooms: 4 Second: 1000 sf Garage: 719 sf Front: 30 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3833 sf Value: $463,458.65 Rear: 25 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 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 Tvpes Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: Y 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: 8 201-400 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 3833 Owner: Contractor: JUSTIN&TRACY STANDFORD QUAIL CONSTRUCTION LLC Required Items and Reports(Conditions) 13604 SW ASCENSION DR 4501 MINNEHAHA#200 1 Ersn Cntrl 503-639-4175 TIGARDE,OR 97224 VANCOUVER,WA 98661 PHONE: 503-341-1858 PHONE: 360-949-3539 FAX: 1 Total Fees: $11,614.21 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 i dance 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 day . ATTENTION: gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 2-001-0010 through OA952- -0090. You may obtain a copy of the rules or direct questions to OUNC by callil g5aa-232.1987'or 1.800.332.2344. sued By: 0 Permittee Sig , re: 1/ �' ,,,,. / Call 503.639.4175 by 7:00 a.m.for the next available inspectio • te. This permit card shall be kept in a conspicuous place on the job site until ompletion of the 'fa Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT ii 1°1 I.• COMMUNITY DEVELOPMENT Permit#: MST2014-00194 1 T j GAF:D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2014 Parcel: 2S 109AA01000 Jurisdiction: Tigard Site address: 14475 SW 125TH AVE Subdivision: VALLEY VIEW Lot: E Project: Sandford Project Description: New SF. Demo credits from BUP2014-00205 for TDT and Park apply towards this permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2833 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 19.5 Bathrooms: 4 Second: 1000 sf Garage: 719 sf Front: 30 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3833 sf Value: $463,458.65 Rear: 25 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 8 201-400 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 3833 Owner: Contractor: JUSTIN&TRACY STANDFORD QUAIL CONSTRUCTION LLC Required Items and Reports(Conditions) 13604 SW ASCENSION DR 4501 MINNEHAHA#200 1 Ersn Cntrl 503-639-4175 TIGARDE,OR 97224 VANCOUVER,WA 98661 PHONE: 503-341-1858 PHONE: 360-949-3539 FAX: Total Fees: $11,598.18 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 ac.. .-nce 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. A' TION: &syon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are - forth in OAR 952-0• -0010 through OAI:45 46,1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 .1987 or 1. 0.332. 344. 1 Iss =d By: �' / Permittee Signature: SC 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. building Permit Application ��/L�, 64,0, D5 Residential FOR OFFICE USE ONLY Received /� p City of Tigard Date/13 : IO� _ / Permit No.: )16.7"; / �V17 IMII • 13125 SW Hall Blvd.,Tigard,OR 97 TS: Plan Review Phone: 503.718.2439 Fax: 503.598 DateB : �� 2�� Other Pertt ufea4iL/�0/7 TIGARD Inspection Line: 503.639.4175 2014 Date Ready :y: / •f W Juns Ei See Page 2 for Internet: www.tigard-or.gov QC� 3 o Notified Method�I �/7 �� Supplemental information A/�l TYPE OF WO N QUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑ �� ` 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. el 1-and 2-family dwelling El Commercial/industrial Valuation $,�.L9 -U; 00 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 //.. JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: 14475 SW 125TH AVE New dwelling area: 3e 3,1 square feet City/State/ZIP:TIGARD OR 97223 Garage/carport area: 7(El square feet Suite/bldg./apt.no.: Project name: ,�ot2a Covered porch area: M ! square feet 1000 Cross street/directions to job site:SW BULL MOUNTAIN Rd Deck area: square feet ae?)3 Other structure area: L1]f"62 square feet 11 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 CONSTRUCTION Valuation: $ , —! �� t�)(f ST/N eY —SA-;' TWitr- IS etV.Q-'� S/ Existing building area: square feet e. -f E. re e e,s — /tiro ,S'Z/2. /1-6-72A-#r New building area: square feet ® PROPERTY OWNER ❑ TENANT /Z' -S Number of stories: Name:JUSTIN&TRACY,SANDFORD Type of construction: Address: 13604 SW Ascension Dr Occupancy groups: City/State/ZIP:TIGARD,OR 97223 Existing: Phone:(503)341-1858 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:QUAIL HOMES Structural plan review fee(or deposit): Contact name:ANDY CHEN Address:4501 NE MINNEHAHA FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:VANCOUVER,WA 98661 ��'4'61 Amount received: Phone:(360)949-3539 Fax::(360)694-7322 a E-mail:andy @quailhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top • ounted Photo Voltaic Solar Panel Syst- 1 Business name:QUAIL HOMES Submit two 2)sets of roof plan with connect ' details and fire dep. I •-nt access,along with • 010 Oregon Address:4501 NE MINNEHAHA Solar Installation ':-ciaily Code • -cklist. City/State/ZIP:VANCOUVER,WA 98661 Permit Fee(inclu• . . review $180.00 and .•- i istrati•- -es): Phone:(360)949-3539 Fax:(360)694-7322 State s i • ge(12%of permit fee): $21.60 CCB lie.:104093 ?J'7//' Total fee due upon application: 01.60 Authorized signature: /,.-• ,.----e— This permit application expires if a permit is not obtain �-- within 180 days after it has been accepted as complete. Print name:ZARKO SUKLJE Date: /a// / *Fee methodology set by Tri-County Building Industry �y/2 v/!,r Service Board. 1:\Buil ding\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11//02/COM/WEB) . Ele,ctrical Permit Application FOR OFFICE USE ONLY City of Tigard Recei 11 Dale/Bv: Permit No.: " 13125 SW Hall Blvd..Tigard,OR 97 3 -- — - -....-----••- t Plan Reyicw Is' • Phone: 103.7{R.2439 Fax: 503.598. 444�� Date/13v: Other Permit: Inspection Line: 503.639-4175 Date Ready/By: 3orir TIGARD rZQ14 ® SecPage2for Internet: www.tigard-or.gov f�C� 3 O NotitiedlMelhod Supplemental Information TYPE OF WORK s D PLAN REVIEW i ® New construction ❑Addition/alteration d ,'1s Please check all that apply(submit l sets of plans w/hems checked below): I COP" ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑floating buildings. less lo ground,or exceeds 14.000 ❑Commercial-use agricultural 0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑lire pump ❑lnstallalion of 150 K VA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system ❑Addition of new motor load of ❑"A' `E" "I-2'- "I 3" Job no.: Job site address: 14475 SW 125TH AVE 100I4P or more, occupancy. _ ❑Six or more residential units. ❑Recreational%chide parks Cilyi State/'%1P:TIGARD OR 97223 ❑Health-care facilities ❑Suppl) oltage lin more than ❑Hazardous locations 1,110 volts m)mmal Suite/bldg./apt.no.: 1 Project name: __ - --- - ❑Service or feeder 6011 amps or more-- FEE SCHEDULE Cross street/directions to job site:SW BULL MOUNTAIN Rd oeuriorion t,. Fee. Total I , — New residential single-or multi-family dwelling unit. —-- -_ Includes attached garage. Subdivision: Lot no.: 1.000 sq.Ii.or less 1 1 168.54 I h — Ea.add'I 500 sq.0 or portion 6 33.92 1 Fax map/parcel no.: — - -----_ ___-----------_--- Limited energy,residential • DESCRIPTION OF WORK (with above sq.ft.) )_- 75.00 -i Limited energy,multi-family 75 00 2 NEW CONSTRUCTION residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation _ ® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 --- 2 201 amps to 400 amps 133.56 2 Name:JUSTIN&TRACY,SANDFORD 401 amps to 600 amps - 200 3I_ - Address: 13604 SW Ascension Dr 601 amps to 1.000 amps 301.04 2 -' — Over 1,000 amps or volts 552.26 2 City/State/ZIP:TIGARD OR 97223 Temporary services or feeders installation,alteration,and/or Phone:(503)341-1858 Fax:( ) relocation 200 amps or less 59.36 1 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 1- 168"54 2 Owner signature: Date: - Branch circuits-new,alteration,or extension, to panel • ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, Business name:QUAIL HOMES each branch circuit 7 42 - 2 B.Fee for branch circuits without Contact name:ANDY CHEN service or feeder fee.first 56 18 2 branch circuit Address:4501 NE MINNEHAHA Each add'I branch circuit 7.42 City/State/ZIP:VANCOUVER,WA 98661 Miscellaneous(service or feeder not included) _ ___ _____ Each manufactured or modular 2 dwelling,service and/or feeder 67.8•i Phone:(360)949-3539 Fax::(360)G94-7322 —. Reconnect only 67.84 2 E-mail:andy®quailhomes.com Pump or irrigation circlet 67.84 2 • CONTRACTOR Sign or outline lighting 67.84 2 Business name: PRAIRIE ELECTRIC Signal eircuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:6000 NE 88th ST Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66 25/hr City/State/ZIP:VANCOUVER,WA 98665 ---- -. - _-- Investigation(I hr mm) 6h 25/hr Phone:(360)573-2750 Fax:(.3k01.576-7422 )e I l to Industrial plant(1 hr min) 78.18/hr JJ 7 •'1 i ( /--""—• Inspections for which no fix is 90.0 hr CCB Lie.: 60178 �1 17� Electrical Li .: 7-451 4 S o ry Lie.:3542 s specifically listed(5;hr min) _ --- Suprv. Electrician signature.requir : J VP ELECTRICAL PERMIT FEES MN Subtotal: lir Plan review(25%ofpermit fee): Print name: y; it ii,eib.,, b. -; -- -- ----- - - T Slate surcharge(12%of permit Ice): I Authorized signature: TOTAL PERMIT FEL: -j' 'this permit application expires if a permit is not obtained within 190 Print name: .49.,7 — Date: days after it has been accepted as complete. (J • Number of inspections allowed per permit. 1:\Building\Permiis\ELC_PeemitApp ELR ERE.doe Rev 05/21/2013 440.4615T(II/05/COM/WEB •Mechanical Permit Application r FO OFFICE USE,ONLY , City of Tigard �� R Reeci ed 4 13123. SW Hall Blvd ? Dutc't3y; Permit 7�. i - . B d.,'1'tgatd.�y Phone: 503.718.2439 Fax: 5 •. 1r;, \Q Plan ny:ictl Inspection Line: 503.639.4175 c� O Dale rte: Ckhcr Fennel TIGARD p n�` J Ready/By: -Wit 0 SeePagetfor Interner www•ti •or. v l: r. ® Vntitiot.M1lelluxl" _..... _ - .," I - SuPfa�eatal laArarstioa.- -- ,TYPE-OF W , ' cOMMEKCIAl.FEIN CLtEDUL E — UST CHECK,J.S i ❑Addition+altrtafitml . ,placement u Mechanical permit fors*am based on the value of the work ®New construction performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor.overhead,and profit. __. Value:$ CATEGORY OF CONSTRUCTION }- . RESIDENTIAL EQUIPMENT'/SYSTEMS FEES" e I-and 2-family dwelling ❑Commcrcialiindus-trial ❑Accessory building For:pedal information use chec,,iier. ❑Multi-family 0 Master builder ❑Other: IkscYiption rTit371—Fa—Ti i,tal JOB SITE INFORMATIONi AND.LOCATION Iteatingjcouling: 1 Job site address: 14475 SW 125TH AVE conditioning 46.75 Furnace 100,000 BTU(dams/vests) I 46.75 City/State/ZIP:TIGARD OR 97223 Furnace 100,000+BTU(duets/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct weft i 23.32 Cross stt+eet/directions to job site:SW BULL MOUNTAIN Rd Hydronic hot water system 23.32 Residential boiler(radiator or hydroma) 23.32 Unit hulas(libel-type,not electric), in wall,in-duet,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: J Lot no.: Other 1 i 23.32 Other lied appliance; Tax man parcel no,: Want beater 4 23.32 - DI<5C'R1PT[Q\ OF WORK '4" T` `,.� Gas fueplaceiinsert 3339 Flue vent for water heater or gas NEW CONSTR1.:C'TIO(1 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 — Chimney/liner/flue/vent l 23.32 PROP Cf NF R ] 1 � a Other: 23.32 Environmental exhaust and ventilation: Name:JUSTIN&TRACY,SAN UMW) Range hood/other kitchen Address:13604 SW Ascension Dry 33,39 Clothes dryer exhaust 33.39 City/State/ZIP:TIGARD OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) - 23.32 Phone:(503)341-1858 Fax:( ) Anid«ewlspaes fans 23.32 4— ® APPLICANT r ❑ CONTACT PERSON _°ther: 2332 • Business name:QUAIL HOMES _ - Fuel piping: - S14.IS for fist roar,$4.03 for each additional Contact name:ANDY CHEN Furnace,ere. ' 1 Address:4501 NE MINNEHAHA Gas heat pump — - Walllsuspended/unit heater City/State/ZIP:VANCOUVER,WA 98661 Water heater I Phone:(360)949-3539 Fax::(360)694-7322 Fireplace 1 E-mail:andy!uquailhomea.corn RultlOe t - Barbecue I -'' '0ONTR4CIOR - Clothes dryer(gas) Business name:PERFECT CLIMATE INC. Other. Address:31925 E HIST.COL.RIV.HWY MECHANICAL PERMIT FEES" Subtotal City/State/ZIP:TROUTDALE,OR 97060 Minimum permit fee(YS90.00) Phone (503 491-4845 Plan review(25%of permit fee) Fax (503)491-4849 _ GCB lie.:1 16424 _ State surcharge(12%of permit fee) , I ; TOTAI,PERMIT FEE The permit applica non expires if a permit is not obtained within 150 days after it has been accepted as complete. Authorized signature' ♦ '' Fee methodology set by In-County Building I nftsry Service Bawd Print name;LO '` JUT- SON Date: r _! r 1 auddi Aom:le.'AfF.0 PanwiApp 040113 dm 171'(11/02 OMIWEa} . Plumbin, Permit Application Building Fixtures � FOR OFFICE USE ONLY 1..E City of Tigard Received p�4 DaIC/By: Permit No.: 11111 • 13125 SW Hall Blvd.,Tigard,OR 9722 r j ‘.1 0 Plan Review S Phone: 503.718.2439 Pax: 503.598.1960 Q� patsy. Other Permit Na.: Inspection Line: 503.639.4175 Date Read B orris: El Page_for TIGARD p � � Ready[By: g Internet: www.hgard-Or.gov �, __,iettjpn5eeumethad: Supplemental Information lr+a§iw'}s1lMSlyi� t TYPE OF WORK '• _ .__ FEL* SCHEDULE ®New construction ❑Demolition For s 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) `-CATEGORY OF CONSTRUCTION SFR(1)bath 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 bath/kitchen 25.02 ❑Master builder ❑Other: ' Fire sprinkler( .sq.ft.) Page 2 JOB SITE INCORMATION,AND LOCATION Site utilities: Job site address.14475 SW 125TH AVE 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.:. �9 Page 2 Suite/bldg./apt.no,: f Project name: Manufactured home utilities 50.03 Cross street/directions to job site:SW BULL MOUNTAIN Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear fl.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture ur item: Tax map/parcel no.: Baekflow preventer 3127 -�- Backwater valve 12.51 DESCRIPTION OP WORK: s = __ Clothes washer 25.02 NEW CONSTRUCTION Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 _ . M. PROPERTY OWNER ❑ TEN=ANT = Expansion tank 12.51 Name:JUSTIN&TRACY,SANDFORD v Fixture/sewer cap 25.02 Floor drain/floor sink/hub / 25.02 Address: 13604 SW Ascension Dr Garbage disposal / 25.02 City/State/ZIP:TIGARD OR 97223 Hose bib _ 25.02 Phone:(503)341-1858 Fax:( ) Ice maker I 12.51 I APPLICANT_' _.-_;_E CONTACT PERSON- Interceptor/grease trap 25.02 Business name:QUAIL HOMES Medical gas(value:$_) Page 2 Primer 12.51 Contact name:ANDY CHEN - Roof drain(commercial) 12.51 Address:4501 NE 11INNEIIAIIA Sink/basin/lavatory 25.02 City/State/ZIP:VANCOUVER,WA 98661 Solar units(potable water) 62.54 Phone:(360)949-3539 Fax::(360)694-7322 Tub/shower/shower pan 12.51 E-mail Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater / 37.52 Business name:EK PLUMBING INC. Water piping/DWV 56.29 Address:PO.BOX 1898 Other: 25.02 City/State/ZIP:BATTLE GROUND,WA 98604 Subtotal Phone:(360)687-4648 Fax:(360)687-6473 7/I/17 Minimum permit fee: $72.50 CCB Lic.:129363 I p" Ll' //Plumbing Lic.no.: 31-y 3`010 PIS Plan review (25%of permit fee) �CGI�[r�<r �'^ State surcharge T(12%of permit fee) EE Authorized signature: TOTAL PERMIT FEE Print name: 04;1 L„/ EL Date: This permit application expires if a permit is not obtained within ISO days �O'/ej-, 1c after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:1Building`Pcrrnits'PLMU-PernutApp dac 10/01109 440-t616T(10/O2/COMAVEB) • • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l n u D Building Permit Review — Residential Buildin g Permit #: 11 -oi10 19 Site Address: I 1-114-1 5 sW 125 five,, Project Name: San - °r8 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review��`--•� Proposal: nVA) SP homes Verify site address/suite #exists and active in permit system. Si t,Plan Elements: 'ree(3)copies of site plan sting structures on site e plan must bg on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished I'. P rawn to scale(standard architect or engineer scale) ?•or elevations wcais+r t t le _prom hoe +o me}'e(' ►VA► orth arrow -:•�- : ty locations(required for new,may apply for additions) i'ASite address,project or subdivision name and lot number C ,.cation of wells/septic systems or SevJer C-enneeAcon 114pplicant information(name and phone number) l'1 Erosion control(including drainage-way d age-way protection,silt fence Lot dimensions and building setback dimensions sign,location of catch basin,etc.) "$hbt area,building coverage area,percentage of coverage and Street names pervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location 2 roperty corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water rvices-Service Provider Letter: (lot platted prior to 9/10/1995): Required: Yes-Applicant Notified ❑ No Received: li" Yes ❑ No and Use Case #: oning: R-1 Setbacks: Front SO 1 Rear Side 5) Street Side 7Q 2S u Garage $Landscape Requirement: -9-- of Coverage Maximum: % 1 uildin Height: Maximum Height ?? 1 S g g g .�L J Actual Height �q E9 Visual Clearance asements M Sensitive Lands: Yes ❑ No Type Sfeef Slopes (f bi+r. ' -B-Urban Forestry Plan 1I --B---Conditions Met Notes: ..'. — .r.,"III... - _ . _-•• S•-- �— - ___,7_. -—...,,Ira.� - ---if . . r /f co S ceiaf Approved By Planning: A/' C4VA- Date: j0/'J�l(�.�, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 042914.docx Building Permit Submittal Original Submittal Date: /e/Zo/,( Site Plans: # 3 Building Plans: # Building Permit#: IES ranter building�perm#above. Workflow Routing: Planning [ Engineering a-Permit Coordinator *$Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ( Engineering: (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. lR'Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: i / , Datc: 4./57/// Engineering Review x Actual Slope: 3 ❑ Conditions Met Notes: Approved by Engineering: )/ , /5,442 Date: // /if 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 ❑ Conditions Met-Prior to Issuance of Building Permit 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: OK to Issue Permit / //A/4.4 Approved by Permit Coordinator: I Date: 1:1Buil ding\Forms\BIdgPermitRvw_RES_092914.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 14475 SW 125TH AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00194 Jeff Grove 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 14475 SW 125TH AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS August 18, 2015 at 12:41:55 PM MST2014-00194 David Young 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 14475 SW 125TH AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00194 David Young Violation Summary: Inspector Contractor