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Permit (161) CITY OF TIGARD71 MASTER PERMIT '.. COMMUNITY DEVELOPMENT Permit#: MST2015-00300 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2016 T[ akt. Parcel: 2S112C600500 Jurisdiction: TIGARD Site address: 15171 SW 81ST AVE Subdivision: HOGGAN'S PARK Lot: 6 Project: Hoggans Park, Lot 5 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1221 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1663 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2884 sf Value: $354,499.43 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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 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''500 sf: 5 201-400 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 2884 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,311.67 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. ATTE�TI egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 10 through OAR 2-004009 ,You may obtain a copy of the rules or direct questions to OUNC by calling 503._______.%14)..232 / Iss ed By: U\ J,�� �(-if'J�l� / Permittee Signature: Y1 Call 603.639.4175 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 Residential � 11 k _ FOR orrice 1 SI: O.Nl.v City of Tigard Received `,I g Permit No.: , . 13125 SW Hall Blvd.,Tigard,OR 3 2 � Date/B : w, /S /�7QLj��6/S 0� (�" e7 ����5 Plan Review, t Phone: 503.718.2439 Fax: 503398:1960- Date/B : E� as Other Permits TI G A R D Inspection Line: 503.639.4175 Date Ready/By: r� a,�; See Page 2 for Internet: www.tigard-or.gov Cr i;,.t.1;4' t,4 ll "� .s.,1 Notified/Method: / /f /(p .^' ,may Supplemental Information TYi > WORK REQUIRED d ri�.}1" REQUIRED DATA:1-AND 2-FAMILY DWELLING Z 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $�'j? ' 't ' c�—Lf. �C ElAccessory building 1:1 Multi-family Number of bedrooms: ! El builder 0 Other: Number of bathrooms: .JOB SITE INFORMATION AND LOCATION Total number of floors: t Job site address: ( (, ., <_: ,/ rf , 7 New dwellingarea: 2:Y.',-,'" 9 .'� +�"� �l . �� �'�ff. � square feet �: �� City/State/ZIP:'7 ,. r f t, - i l- Garage/carport area:\i;/_7(.: square feet Suite/bldg./apt.no! 1 Project name: Covered porch area: ' square feet j( (3 Cross street/directions to job site: Deck area: -- k';' "-- I S square feet ` „�-�.a! Other structure area: --- square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST M f�/ Subdivision:(Icy7/?,~ 7(.. Cr i�'(i Lot no.: ', Permit fees*are based on the value of the work performed. �/ Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.. equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Single Family Construction Valuation: $ Existing building area: square feet New building area: square feet igl PROPERTY OWNER 0 TENANT Number of stories: Name:Westwood Homes LLC Type of construction: Address: 12700 NW Cornell Rd Occupancy groups: City/State/ZIP:Portland,OR 97229 Existing: Phone:(971)678-5018 Fax:( ) New: ®..APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Westwood Homes LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Matt Fricke FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR 97229 Phone:(971)678-5018 Fax::( ) Amount received: f 757, aft E-mail:Matt@Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR oof-top mounted PhotoVoltaic Solar Panel System. Business name:Westwood Homes LLC • .emit two(2)sets of roof plan with connection de .'s and e department access,along with the 20 0 i regon Address: 12700 NE Cornell Rd Solar tallation Specialty Code the P- ••'t Fee inclue , .. review $180.00 City/State/ZIP:Portland,OR 97229 —� (iii 'nistrative feesL Phone:(971)678-5018 Fax:( ) State surchar • 12%of permit fee): $21.60 CCB lic.:195597 Total fee due •on application: $201.60 This permit application ex,'res if a permit is not obtained Authorized signature: �. ,,,./7 i{ within 180 days after it has .•en accepted as complete. Print name:Matt Frick Date: Y7/10 /t *Fee methodology set by Tri-Coun :uilding Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i ..;,/Electrical Permit Applicat LA —'�- to -/ FOR OH'I( I a s e 0\1.1 City of Tigard ,�1 r Received B / I Permit#: 1,-../ r9..0/ _�?� U 13125 SW Hall Blvd.,Tigard,OR 9 F232 9 Plan Review a � . I: Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Crry a ,' )`,J'n.'i,,% Ready Date/By: Juris: 63 See Page 2 for T I G A R D Internet: www.tigard-or.gov � Yid'. 'I'n"1""'3Notified/Method: T1rPRKSupplemental Information "ili< PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION , ❑Emergency system. larger separately derived ` c 0 Addition of new motor load of system. Job#: Job site address: t (I f f=-( 4'�;y a/ �' '-- ft�>* 1oo11P or more. ❑"A","E","l-2",°`I-3", Ci /State/ZIP: /j I'� r; ❑Six or more residential units. occupancy. ty �(6'ri of "�� f. K ( �L_ 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I... .Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: �7,�!7 - Cs }�(+r.i H t Lot#: � Includes attached garage. Tax map/parcel#:�` 1 1,000 sq.ft.or less j 168.54 4 Ea.add'l 500 sq.ft.or portion , '-`. 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) j 75.00 2 New SFR Limited energy,multi-family J residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 181 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps ( 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 1gi.APPLICANT ❑;CONTACT PERSON A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave#203 Signalnl,alteration, or extension. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(I hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 157891 Electrical Lic.: 34-436C Suprv.Lie.: 42325 specifically listed(%hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): ,''i State surcharge(12%of permit fee): Authorized signature:j V/4' %l7 ;./. TOTAL PERMIT FEE: /.` X" This permit application expires if a permit is not obtained within 180 Print name: „,` Date: l V-- (..--A=5 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Mechanical Permit App 1 tt I ii J , FOR OFFICE USE ONLY k ..',./ , City of Tigard J � Date/By: / i 1�- %� „tail �� B. Permit No.: e 13125 SW Hall Blvd.,Tigard,OR 97223 PlanReceived Review Phone: 503.718.2439 Fax: 503[ $ 9C2Date/By: Other Permit: Ins Inspection Line: 503.639.4175 l01:) Juris: ® See Page 2 for T I G A R D p Date Ready/By: g Internet: www.tigard-or.gov Notified/Method: Supplemental Information. 0s a .a; / le7 ,, 4 w »1 t ,d ' „M. ki ] 4 � (,7':,-3,- *, COMMERCIAL FEE* SCHEDULE — USE CHECKLIST '' Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 46.75 Job site address: 1 / / '1!./, 5( �ti'. Furnace 100,000 BTU(ducts/vents) if 46.75 City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 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 4-, Other: 23.32 Subdivision: �+:„~ rl �C; / Lot no.: -y 3 / ✓ Other fuel appliances: Tax map/parcel noo.. Water heater ( 23.32 DESCRIPTION OF WORK Gas fireplace/insert t 33.39 Flue vent for water heater or gas new SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 02 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen equipment 1 33.39 Address:12700 NW Cornell Road Clothes dryer exhaust i 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, (' � toilet compartments,utility rooms) / 23.32 Phone: 7 fY�{-4�1z�ygilt Fax:(503)342-2403 Attic/crawlspace fans 23.32 g APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Westwood Homes LLC $14.15 for first four;$4.03 for each additional Contact name:.ic'i Fri G,(CQ, Furnace,etc. Address:12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland OR 97229 Water heater Ti-hone: -6:771-co-is Fax::(503-)342-2403 Fireplace Range E-mail:tk' twestwoodhomesllc.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Central Air MECHANICAL PERMIT FEES* Address:PO Box 433 Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) CCB lic.:178624 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 s ®, days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgot Date: I:\Building\Permits\MEC_PermitAPP_040I 13.doc 440-4617T(11/02/COM/WEB) Plumbing Permit Applic L ( 7 ;i Building Fixtures FOR OFFICE USE ONLY City of Tigard J 2 Received Date/By: /A.14* /5-- ( 1Qi/l PermitNo.:1 / /0 / e6 ■ 13125 SW Hall Blvd.,Tigard,OR 93 II Plan Review S Phone: 503.718.2439 Fax: ri5e$1A4 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.41754-1 A p.J. P. Y A ADDate Ready/By: Jar s: BI See Page 2 for Internet: www.tigard-or.gov 1i I';1N , +n , r: Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist - Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath i 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: <:, Catch basin or area drain 18.76 Job site address: 7, " ( r V ,J.,? ? ,'� (./ ` `� Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: i Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: (147:4,2 "s": r / City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: M favi S-D©moo Site Address: / / / (Sir) S/S7( hive.. Project Name: _ s> Lot #: (Newtd jr,ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /ljj R Verify site address/suite# exists and active in permit sys . _te Q /fiver Terrace Neighborhood: El Yes l�J' No Si/Plan Elements: • I( ree (3)copies of site plan V i' sting structures on site lite plan must be on 8-1/2"x 11"or 11 x 17"paper IIE ootprint of new structure(including decks)with finished awn to scale (standard architect or engineer scale) or elevations rth arrow or locations(required for new,may apply for additions) address,project or subdivision name and lot number Iri I cation of wells/septic systems fplicant information(name and phone number) I/ rosion control(including drainage-way protection,silt fence IIQL dimensions and building setback dimensions ign,location of catch basin,etc.) Mot area,building coverage area,percentage of coverage and tXS eet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 014erty corner elevations (2 foot contour lines if more than p sting trees to be retained with drip line,and tree _ 4 foot differential) protection measures O) lean Water Services—Service Provider Lette of platted prior to 9/10/1995): /equired: E Yes,applicant was notified No Received: E Yes ❑ No to Public Faciliti mprovement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: jZ1 Yes E No,stop intake Vand Use Case #: �r '" ' /L71 — C 66(7 ning: '" W et' backs: Front /S' Rear /S Side - Street Side /0 Garage 7o FICt andscape Requirement: 4•._. UrA of Coverage Maximum: At r (0 b Building Height: Maximum Height Actual Height POisual Clearance 1ti Easements VII -nsitive Lands: ❑ Yes litNo Type l& Urban Forestry Plan ❑ Conditions "Met" .rior to issuance of building permit Notes: : - ' e / ,,.�pp _� �. �OAS' /yIL� �!7(�f' /U /S,.SG,e2/I e, c- Zeidoffit Approve s ByPlanning: �i� 1 Date: PP � .'„�� b2AT- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: /02/% 0//5 Site Plans: # 3 Building Plans: # 3 Building Permit#: .['Enter building permit# above. Workflow Routing: 121--Planning engineering 'ermit Coordinator . uilding Workflow Sign-off: Ca"Sign-off for Planning(include notes from planning review) Route Application Documents: ,Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 1 I .J' Date: / / � Engineering Review Slope at building pad: Z,S QConditions "Met"prior to issuance of building permit ..---3c7 ve Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 71 No Assess Water Quantity Fee in-lieu: ❑ Yes Z No LIDA Facility on lot: ❑ Yes fr No ❑ NOT Approve y Engineering: Date: Notes: >,,1 -,Gp 0,4 `49 Approved by Engineering: /4L 7 Date: /2-4.0—Z5 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 pproved,NOT Released: Date: .2--/%3114, Notes: .01.4---,4%60-2-.---7 14-e-174`1.--41-d Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: '` 'es El N/A Tigard Trans SDC: (❑ Yes N/A Parks SDC: Yes ❑ N/A _ 3 O / (j •a • to Is-ue Permit i// ____ _ pprov- : Iy Permit Coordinator: /'''�"`I� Date: 1::\Building\Fonns\B1dgPennitRvw_RES_070915.docx Albert Shields From: Albert Shields Sent: Wednesday, February 03, 2016 1:37 PM To: 'Matt Fricke' Subject: MST2015-00300 Matt, because the infrastructure is not complete and we have not received a copy of a recorded plat we are putting this permit on Hold as "Approved but Not Released." Albert. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15171 SW 81ST AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2015-00300 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor