Permit (37) CITY OF TIGARD MASTER PERMIT
- 11."' COMMUNITY DEVELOPMENT
Permit#: MST2016-00487
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2017
T[C : 1• Parcel: 2S102CA02800
Jurisdiction: Tigard
Site address: 9685 SW FREWING ST
Subdivision: 2016-029 PARTITION PLAT Lot: 2
Project: Balfour Partition, Lot 2
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1261 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1648 sf Garage: 837 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0
Detectors: Yes
Total: 2909 sf Value: $375,232.08 Rear: 0
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: 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: 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'500 sf: 6 201-400 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 2909
Owner: Contractor:
SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
1815 NW 169TH PL STE 1040 16280 NW BETHANY COURT 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006
PHONE: PHONE: 503-502-6623
FAX: 503-533-5164
Total Fees: $30,848.37
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•. a cop e r or direct questions to OUNC by calling 503.2k4.1---
Call
.1987 or 1. 32.2344.
Issued By: .�_---- Permittee Signature:
.e..• 175 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 hS r
Residential FOR OFFICE USE ONLY
,f e '" Received
City of Tigard , X 'a Date/By: //// it,/ Permit No �`�l 1/6j_.t,l4?7
13125 SW Hall Blvd.,Tigard,OR 97 ' " ,.. Plan Review J till l t�i/7
Phone: 503.718.2439 Fax: 503.598. 0 Date/By: — .. ) 7 I) Other Permit: /10A �_ato'7
T I('ARD Inspection Line: 503.639.4175 rq �}�` Date Ready/By. Jas H/See Page 2 for
Internet: www.tigard-or.gov (\f1 ! 7V U Notiiied2vfethod: / �, ( � Supplemental Information
f'r �' fti {...F ``� � e S ''''',/,`,7,,,z f ,'rtef, %r', `, JJr ' �!„"
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;(s',f '"''?'z f'''"s'f'";;f # I %, .<'s "4�" i i r l 14 l l a ,%r° I ! t
®New construction 1 iij j „ ' " Permit fees*are based on the value of the work performed.
,> Indicate the value(rounded to the nearest dollar)of all
❑Additionlalteration/replacement ''Other: equipment,materials,labor,overhead,and the profit for the
r r '7 r t ;'' # /. � t�. t„r,f�`-/ ,' � ',� ' f, work indicated on this application.
® 1-and 2-family dwellingValuation: $ J
0 Commercial/industrial
4
111Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 3
';' � r7r ' '~ '” r // , ' � Total number of floors: 2 :27
tr9i,'r," ,��
Job site address: Cr 1.40 SS Stcsi, _ New dwelling area: 2909 square feet
City/State/ZIP:TIGARD,OR Garage/carport area: 837 square feet
Suite/bldg./apt.no.: Project name-H fWtN€ ea 1_44.4r ®fit $ Covered porch area: 324 square feet , 6 y.$
Cross street/directions to job site: t ec a: 13 square feet)a c 1
SIP,' Other structure area: square feet
' i# #t,gol� 69 ",...7:', 9
�.. ..%F'': l !��,P/.`a.r' r. ii ii,3i ,i,! ;„�,r
Subdivision:FREWING Lot no.:2 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102CA02800 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
iti.,. ....,/,,,; '
*'-o-" l ea • ° `4/'f.2 �. ,f✓ `/ work indicated on this application.
NEW RESIDENTIAL CONSTRUCTION Valuation: $
Existing building area: square feet
New building area: square feet
�m ' t # /' '' r7/* ;' *.4,,Pf7P4 Number of stories:
', ;` fioo Via•' /a�. ,✓s`.
Name:SAGE BUILT HOMES LLC Type of construction:
Address:1815 NW 169'PL.SUITE 1040 Occupancy groups:
City/State/ZIP:BEAVERTON,OR 97006 Existing:
Phone:(503)533-5167 Fax:(503)533-5164 New:
i %� " + ..,". r.,`"2 s s' 1. • #, i `' //7- Vii ' �'r',� � t4177'17Z7:77,,(//?'� ,
•
2„,, „,,,,„,,„„7,
,,,,,ii,
Business name:SAGE BUILT HOMES LLC ' " '°f l.,
Structural plan review fee(or deposit):
Contact name:KYLIE HOFENBREDL
FLS plan review fee(if applicable):
Address:SAME AS ABOVE
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:(971)221-4597 Fax: :( ) ��7,,,,,,,,, ;.'F/%„ ii ,`�f
0 :„.31,,,4,,,$).0,,,n,,a �# 1 B 4.n ? pj i- V.„
E-mail:KYLIE@.SAGEBUILTHOMESLLC.COM i.;///,,, /b„�a /.-e.,;;',/,/ . :'r.,r , f'-,,,,�� <r- �f
�� ., ,c,/,',-,6" Mr- e ,� p/5,,,,;,,i•, Commercial and residential prescriptive installation of
8 7 fi;,1' �f ` .' ; 's:',1`,/,„,4f r, f` ''r ' '4,-''' , roof-topmounted Photo Voltaic Solar Panel System.
Business name:SAGE BUILT HOMES LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:SAME AS ABOVE Solar Installation Specialty Code checklist.
CitylState/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12°'o of permit fee): $21.60
CCB lie.:189330
Total fee due upon application: $201.60
Authorized signature: 4c..10(\., N.7-\_. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:KYLIE HOFENBREDL Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 0124.2011 440-4613T(11/02iCOM/WEB)
r
Electrical Permit Application �; FOR 0111( I: l tics()NEI t'
City of Tigard ReceivedDateBy: �l
4 13125 SW Hall Blvd.,Tigard,OR 972 ,/ ` Plan Review Mil
' tl ' Phone: 503.718.2439 Fax: 503.598.1Related Permit#:
Ca�� Date/By:
Inspection Line: 503.639.4175 I �\ Ready Date/By. NE= I� See Page 2 for
TIGARD Internet: www.ligardor.gov t 3'! r' ,otifiedAlethod: Supplemental Information
TYPE;OF W 1", t PLAN REVIEW
®New construction ❑Addition/alteration/e, l� t' is `' Please check all that apply(submit 2 sets of plans w/items checked):
t
irk-\• `..' '' 0 Service or feeder 400 amps or more 0 Building over three stones
❑Demolition 0 Other: ,<.,,, where the available fault current 0 Marinas and boatyards,
CATEGORY OF CONST , , exceeds 10,000 amps at 150 volts or ❑Floating buildings,
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to wound,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND'LOCATION -- , - 0 Emergency system, larger separately derived
� � 1� ❑Addition of new motor load of system.
Job#; Job site address:
01 Le(30 ail VVI Sixorore. ❑ A,.�„..t_2.,..1.3",
City/State/ZIP:Tigard,Oregon 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: F ii ❑Hazardous locations 0 Supply voltage for snore than
1 A
❑Service or feeder 600 amps or more, 600 volts nominal.
Cross street/directions to job site: 6, { -t
A IstV
Description ] Qty. ( Each I Thai I -
New residential single-or multi-family dwelling unit.
Subdivision: 7j(1e/1n I 1 �4,4
Lot#r2„ Includes attached garage.
Tax map/parcel#: 41`U ��,,�yy�� t(loo sq.ft.or lessf 168 Sa4
J�(7O [/tit/ Ea.add'l 500 sq.ft,or portion I
3392 1
Limited energy,residential
DESCRIPTION ION OF WORK 75.00 o
NEW RESIDENTIAL CONSTRUCTION (with above sq.fl)
Limited energy,multi-family
75.00 2
residential(with above sq.It)
y-.
, Renewable Energy 0 See Page 2
►' PROPERTY OWNER `.' ":❑ TENANT `,. .._ Services or feeders installation,alteration,and/or relocation -�
Name:SAGE BUILT HOMES LLC 200 amps or less 1 100.70 2
Address: 1815 NW 16911'PL.SUITE 1040 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:BEAVERTON,OR.97006 601 amps to 1,000 amps 301,04 2
Phone:(503)533-5167 Fax:(503)533-5167 Over 1,000 amps or volts 552.26 2
' Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
,, Branch circuits—newalteration,or ler panel ,
IN APPLICANT COStTFXCF"-PERSON
A,Fee for branch circuits with
Business name:SAGE BUILT HOMES LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name:KYLIE HOFENBREDL B.Fee for branch circuits without
Address:SAME AS ABOVE service or feeder tee,first 56.18 2
branch circuit
Each add'l branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:KYLIE@SAGEBUILTHOMESLLC.COM Reconnect only 67.84 2
COM RAC FOR , Pump or irrigation circle 67.84 2
Business name:Ross Electric Sign or outline lighting 67 84 2,
Signal circuit(s)or limited-energy
Address:2870 SE 75th Avenue,203 panel,alteration,or extension. ❑ See Page 2 2
CitytState/ZIP:Hillsboro,Oregon 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr mm) 66.25/hr
Phone:(503)642-2800 Fax:(503)642-5815 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
p (,/ —C specifically listed('6=hr min)CCB Lic.: 157891 Electrical Lie.: 34-436C Suprv.Lia:_( ,,
ELEG' iC L PERMIT„FEES ;
Suprv.Electrician signature,required: ,_,z ' .-� Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
V 7'���1 n /' TOTAL PERMIT FEE:
Authorized signature: l/ V PERMIT R
'("his permit a don expires if a permit is not obtained within 180
Print name: Kylie Hofenbredl Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
r\AuildinglPermits`ELC_PernilApp_FLR_ERE,doe Rev 06,1712015 440-461.5T(l 1/051CO IAVER
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard Received
,-v ay Permit No.. / �y(y
g Date, y gaol d0-L 0 7
II
't 13125 SW Hall Blvd.,Tigard,OR 97223 Ai I ' 't)' Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 . ' Date/By. Other Permit:
TIGARD Inspection Line: 503.639.4175 .1 ;,v.� Date Ready By: loris: H See Page 2 for
Internet: www.tigard-or.gov . 4 ry��kt ii Notified/Method: Supplemental Information
Al
! ° # tilk° ? 9 # 8
r., , Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/rep11�1ht v..,',..0-:,..,.1,,',,:::: '
a, performed.Indicate the value(rounded to the nearest dollar)of all
c
0 Demolition ❑ Other: '`5'` -k mechanical materials,equipment,labor,overhead,and profit.
Value:$
sZ.
® 1-and 2-family dwelling 111Commercial/industrial E]Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑ Other: Description I Qty. I Ea. I Total
I �'� Heating/cooling:
Air conditioning 46.75
Job site address: qu)YJS Sj V/tv Fje/\/'iv\ .--k---..--k---. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TIGARII D OR 97223 e V v Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:FREWING Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
-AGO Ne 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:FREWING I Lot no.:2 Other23.32
Other fuel appliances:
Tax map;`parcel no.: (i�_ ,� Water heater 1 23.32 23.32
/� I ! 20.;';i1.4'.+4,,,./t: Gas fireplace/insert2 33.39 66.78
Flue vent for water heater or gas
NEW RESIDENTIAL CONSTRUCTION fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name:SAGE BUILT HOMES LLC Range hood/other kitchen
equipment 1 33.39 33.39
Address:1815 NW 169TH PL SUITE 1040 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:BEAVERTON,OR 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32 116.60
Phone:(503)533-5167 Fax:(503)533-5164
Attic/crawlspace fans 1 23.32 23.32
Other:o !
23.32
Business name:SAGE BUILT HOMES LLC
3
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:KYLIE HOFENBREDL Furnace,etc.
Address:SAME AS ABOVE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(971)221-4597 Fax: :( ) Fireplace
Range
E-mail:KYLIE@SAGEBUILTHOMESLLC.COM4. Barbecue
Clothes d
r er((gas)
p
Business name: GRAMER HEATING&COOLING Other:
Address:53725 NW Old Wilson River Road Subtotal
City/State/ZIP: Gales Creek,Or 97117 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)720-2636 Fax:(503)536-6734 State surcharge(12°'o of permit fee)
CCB lie.:161571 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days atter it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:KYLIE HOFENB EDL Date:
1\Building\Permits\MEC_PermitApp_040113.doe 440-461'T(11/02iCOM/WEB)
•
' Plumbing Permit Application
Building Fixtures . FOR OFFICE USE ONLY
i.
City of Tigard4:',,,,,i. ',k:' Received
Permit No.: / ti
.. 13125 SW Hall Blvd..Tigard,OR 9 17:,,,r
Date/By: ✓�57 P (�7
NI I Phone: 503.718.2439 Fax: 503.5400,', PlanaReview Other Permit No.:
Inspection Line: 503.639.4175 't`,
Date/By
TIGARD
p 1 1\'� Date Ready/By: Jrrris: B See Page 2 for
Internet: www.tigard-or.gov , S \ n ' -0- Notifiediviethod: Supplemental Information
r ran,,,v; / ,/ //rrs wr' ¢ y y.-> � "v.�r� ,r.o- ��/'' e%,'''�� /�sw % ///%/i �%/ �r/� /, %
. ,, ° .r%.� ,''���� r, �i �~ .iii r //l�'-i�///r/ ,
®New construction ❑Denb3t"ti t '‘.',s5,;\ '` For special information use checklist.
4.';';.. Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Oth• i. New 1-2-family dwellings(includes 100 ft.for each utility connection)
t # i ' / G '% SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) I Page 2
/Ar Yi 9 4 1 f Site utilities:
Job site address: C\t9(30 S A TY{i.\\1 1n �� _Catch basin or area drain 18.76
J VlJ Drywall,leach line,or trench drain 18.76
City/State/ZIP:TIGARD,OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:FRE WING Manufactured hone utilities 50.03
Cross street/directions to job site: cz'1Jv ASt \ Q, 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:FREWING Lot no.:2 Fixture or item:
Tax map,parcel no.: � ,<0., �+2�`+1,
Backflow preventer 1 31.27 31.27
Backwater valve 12.51
i3 t # a �"' Clothes washer 1 25.02 25.02
New Residential Construction
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
�d� , , , t ® Expansion tank 12.51
Name: Sage Built Homes,LLC Fixture/sewer cap 25.02
Floor drainvfloor sink/hub 25.02
Address:1815 NW 169'Place,Suite 1040
Garbage disposal 1 25.02
City/State/ZIP:Beaverton,Oregon 97006 Hose bib 2 25.02 50.04
Phone:(503)533-5167 Fax:(503)533-5164 Ice maker 12.51
+ fInterceptor,/greasetrap 25.02
i
Business name: Sage Built Homes,LLC. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Kylie Hofenbredl
Roof drain(commercial) 12.51
Address:Same as aboved
Sink/basin/lavatoryk6e� P(e 25.02 125.10
City/State/ZIP: Solar units(potable water) 62.54
Phone:(971)221-4597 Fax: :( ) Tub/shower/shower pan 4 12.51 50.04
E-mail:kyle(ajsageuilthomesllc.com Urinal 25.02
Water closet 3 25.02
`�� Water heater 1 37.52 37.52
Business name: Ed 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:( ) Minimum permit fee: $72.50
Plan review (25°ro of permit fee)
CCB Lie.:92689 Plumbing Lic.no.:34-260PB
State surcharge(12°ro of permit fee)
Authorized signature: r)-\ n V/` TOTAL PERMIT FEE
Print name:Kylie Hofenbre V Date: 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.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su i .ression S stems:
Footing drain-is 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 t d
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
# t each additional$100.00 or fraction thereof,to
t and including$10,000.00.
Inspection of existing plumbing or for ■ ■ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof.to
Reinspection Fees _ 90.00/hr and including$50,000.00.
Additional plan review for revisions - 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-112 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
✓ F ,y,fi'",r' ?if^"i'✓ �'` /',%rig"'#, r'F ,r;
/ !/r,;
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
C
r 1 c A R o Building Permit Review — Residential
Building Permit #: M. / --Qf()lir 7
Site Address:
6i3C-- SA.) 77"ret{_so C��-ee...7/--
Project Name: yt
, /Kir -/i 4 Lot #: cR
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Ai-40Sile.
/Verify site address/suite#exists and actio in permit system.
Oliver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Sit/Plan Elements:
' ree(3)copies of site plan sting structures on site
I tte plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
prawn to scale(standard architect or engineer scale) •or elevations
ii)
rth arrow I/,Utility locations(required for new,may apply for additions)
e address,project or subdivision name and lot number �J cation of wells/septic systems
V •plicant information(name and phone number) M xisting trees to be retained with drip line,and tree
lG .t dimensions and building setback dimensions protection measures
1' , area,building coverage area,percentage of coverage and \ifeet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) treetrnames
roperty corner elevations(2 foot contour lines if more than
foot differential)
tlLlean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
(equired: ❑ Yes,applicant was notified (No Received: ❑ Yes ❑ No
Public Facilitie mprovement(PFI) Permit:
VRequired: Yes,applicant was notified ❑ No Applied For: (2 Yes ❑ No,stop intake
iLand Use Case#: i -/); 5- GIGO(./
v./Zoning: -I71 c'
Required Setbacks: Front QQ Rear /s Side Street Side 0-Garage CQ0
I1 Pandscape Requirement:
i of Coverage Maximum: %
r ,,((w� ilding Height: Maximum Height _s Actual Height (Q1/
Ojisual Clearance
Easements
) nsitive Lands: ❑ Yes 12No Type
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of uilldin permit // J
Notes: �)1741/1)6;12c // he ,/ �r.)y- Tl) i//- I gz,,a/'I
Approved By Planning: �" ='� - ,. Date:
Revisions (afterdlf.ing Submittal only) Review ,
,lf'er ate
Revision 1: Approved CI Not Approved .‹._u..� .� - , / /-
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw RES 0912I6.docx
Building Permit Submittal
Original Submittal Date: j(/7//C?
Site Plans: # 7
Building Plans: # 7
Building Permit#: a• nter building permit#above.
Workflow Routing: 8-rIanning C ngineering 1:gl—P-rrnit Coordinator [ 4ding
Workflow Sign-off: " Si off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
originalor�-- plan review routing form.
1Q--<lding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: —�
By Permit Technician: r
Date: ////4",,f►_... _...
Engineering Review
12'-Slope at building pad: d
,B—Conditions "Met"prior to issuance of building permit err,�! �
4„,„4,.. .
ErEasements (encroachments)per engineering conditions of approval a plat �r
aVater Quality/Quantity Facility: • 04:0A'4= 1/ /
Assess Water Quality Fee in-lieu: A =.
�
Assess Water Quantity Fee in-lieu: Ges No Ptia'
• . i
e.:41F 1:0177°
LIDA Facility on lot: 1 es I1""NIo ..��
SNOT Approved by Engineering: K , 'Is 1 Date: i I`is •1 S.
Notes: si-kr1 SA. 1;1Au 1- S4-Ivt. , 14-9"..)- 1DC uah r*4L /r r*e r ( i *5
Gy.,DL-nOcrs 6r+,R t l gk.. rti.tT Pv, -F-e) I'LLWIT T (S$ Ic>.t4,e
Approved by Engineering: Date: t— 2-�
Revisions (after uilding Submittal only) Revie er Date
Revision 1: Approved CI Not Approved / L p /7: 3•,/7
Revision 2: El Approved El Not Approved
Revision 3: El Approved El Not Approved
Permit Coordinator Review
El Conditions"Met"prior to issuance of building permit
El Approved,��NOT Released: Date:
ill firod ri eoArp/7?ows /Nd ///241/4,
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: 'Yes ❑ N/A
Tigard Trans SDC: '-Yes ❑ N/A
Parks SDC: Yes El N/A
10 411(to Issue Permit i
Approved by Permit Coordinator: //(rit/Pate:
1/2-
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Albert Shields
From: Albert Shields
Sent: Monday, November 28, 2016 6:17 PM
To: 'kylie@sagebuilthomesllc.com'
Subject: Balfour Partition, MST2016-00487
Attachments: Conditions - 11-28-2016.pdf
Kylie, on reviewing the site plan Engineering asked that you revise the plan to show how the storm water line runs. And
I notice that there are 6 of the conditions of approval that remain to be met before we can issue the building
permit. Please revise the site plan and let me know when the conditions have been met. Meanwhile, Plan Review will
proceed but I'll put the permit on hold as"Approved but Not Released"for the conditions.
Thanks,Albert Shields.
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 April 27, 2017 at 11 :35:07 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
No AC installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 April 27, 2017 at 11 :36:48 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
No AC installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 April 27, 2017 at 12:14:10 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Cut off cleanouts to grade and provide thread sealant. 719.3, 316.1
No access to main bath to test fixtures, door installers working.
Adjust hot water temp, too hot at kitchen sink. Water heater temp turned up.
Hard cap un used interior rain drain stand pipe at rear of house. 101 .4.1 .2
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 May 1 , 2017 at 8:07:30 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 May 1 , 2017 at 8:08:47 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved plumbing final inspection for landscape irrigation Backflow devise as
noted on previous (2) failed final inspection. PLM 2017-00147
Provide city engineers approval for storm catch basin, not a LIDA box.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 April 28, 2017 at 7:32:22 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Corrections from previous failed inspection not done.
Inspections to be scheduled when work is complete and ready for inspections. R109.3
Re inspection fee will be applied if not corrected at next inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 April 27, 2017 at 12:18:54 PM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved electrical final to close ELC 2017-00077.
Provide permit and approved final inspection for landscape irrigation Backflow devise
installed without permit.
Provide approved plumbing final inspection.
Provide engineering approval for catch basin at front of property.
Provide hangers at rear patio landing joist.
Provide full bearing under lower stair stringers same location.
Provide impact protection for water heater and furnace from 2 car garage door side.
M1307.3.1
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9685 SW FREWING ST, TIGARD, OR, 97223 May 3, 2017 at 8:38:56 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00487
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Final erosion control approved.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Insulation certification checked.
Continuous fan in crawl for radon mitigation.
C of 0 left on site at island counter.
No AC installed at time of final inspection.
Violation Summary:
Inspector Contractor