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Permit (47) 11111 CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit#: MST2018 00016 T IGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2018 Parcel: 1 S135BD02700 Jurisdiction: Tigard Site address: 9552 SW ANNA BELLE CT Subdivision: ASH CREEK VILLAGE Lot: 13 Project: Ash Creek Village, Lot 13 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 947 sf Basement: 0 sf Left: 2 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1275 sf Garage: 340 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2222 sf Value: $269,838.70 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 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 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 2222 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 1815 NW 168TH PLACE 1 Fire Rated Eaves-both sides BEAVERTON,OR 97006 BEAVERTON,OR 97006 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,119.51 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�ugOAR 952-001-0090. You ma obtain a co.•• . - . - direct questions to OUNC by calling 503.232.1987 or 1.800.3 344. Issued By: l/' ., j...c Permittee Signature: 1. r' •-t.".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 FOR OFFICE ISE ONI.A City of Tigard Received ` c� F w . d v DateBy: I !o I �,_. Permit No.:/�c3.�);t i r...c �(..�1 W 13125 SW Hall Blvd.,Tigard,OR 97223 rti Ian Review ��Vv / ' ' rGw W Phone: 503.718.2439 Fax: 503.598.1961 . ,c •,.,.. .4, ,� f` )- , 4 $ Other Permit: Q /j f i'y'y)/5 TI G i.D Inspection Line: 503.639.4175 Date Ready/By Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Meth. . / V t Tr- Supplemental Information JAN 10 2018 ._, TYPE OF WOTIGARD 'REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction • i.• , l• •' Permit fees*are based on the value of the work performed. �+ &� 2._ Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement Q•I er: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. dwelling ❑Commercial/industrial Valuation: a6 9, S.38 ® 1-and 2-family $ `+ 0 Accessory building ❑Multi-family Number of bedrooms: 4C ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 CS' 6 Q Job site address:9552 SW Anna Belle Ct New dwelling area: 2222 square feet City/State/ZIP:Tigard Oregon Garage/carport area: 340 square feet Suite/bldg./apt.no.: Project name:Ash Creek Ui lilt., 6 4.07 l� Covered porch area: 28 square feet 1 `7 S' Cross street/directions to job site: / . E4,;[�„�:COV`(/ 40 square feet l q I9 7 515ne7 ,e--j re N%/�ti€ UH .L�ltll (.e� �rec-haat' 4 Other structure area: square feet azt-011tfairlJlz, I 9 • ,ri v✓ ' r Clee t L REQUIRED DATA:COMMERCIAL,-USE CHECKLIST Subdivision:Ash Creek Lot no.: 13 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 Residential Construction Valuation: $ Existing building area: square feet New building area: square feet kJ PROPERTY OWNER 0 TENANT Number of stories: Name:Sage Built Homes Type of construction: Address:1815 NW 169'"Place Occupancy p y groups: City/State/ZIP:Beaverton Oregon 97006 Existing: Phone:(971)221-4597 Fax:( ) New: o� APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Same As Above (Pteaurgj�mjeeschelule) Contact name:Kylie Hofenbredl Structural plan review fee(or deposit): Address:Same As Above FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:(971)221-4597 Fax::( ) Amount received: E-mail:Planning@sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 Phone:( ) Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lic.: ~�,� Total fee due upon application: $201.60 1 \ This permit application expires if a permit is not obtained Authorized signature: 44W* I` within 180 days after it has been accepted as complete. Print name: A -e'/w ,\(, e Date:2 1[2_t 1,�1 i ., *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONE) Cityof TigardIN Received Permit No.: - g Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical ❑ Plumbing 0 Mechanical TI G A R D 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: ❑ 0 0 5 , Septic system permit or authorization for remodel. Existing system capacity ❑❑ 00 0 6 Sewer permit.' ;_ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ 0 ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 ❑ 0 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ❑ for four or more appliances. 0 ❑ 0 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Ore.on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. ❑ ❑ ❑ 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Ap licatio .., , v �-. City Of Tigard �( 1, Received FOR OFFICE CSE O�'Ll 13125 SW Flail Blvd.,Tigard,OR 97223 Date/By. Permit No.:cfy) y • ` I - Phone: 503.718.2439 Fax: 503.598.1960IN : Plan Review T i G n R D Inspection Line: 503.639.4175 i H N 1 /..018 Date/By: Other Permit: Internet: www.tigard-or.gov Date Ready/By: funs El See Page 2 for Q, r , r. Notified/Method: Supplemental Information ..I i i k 41,IA i TYPE OFNVOILDING INVISIOiN COMMERCIAL FEE* SCHEDULE-USE CHECKLIST ®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT J SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address:9552 SW Anna Belle Ct Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Ash Creek Heat pump 61.06 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:Ash Creek I Lot no.: 13 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 New Residential Construction Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t....+ PROPERTY OWNER } 0 TENANT Other: 23.32 Name:Sage Built Homes Environmental exhaust and ventilation: Range hood/other kitchen Address:1815 NW 169th Place equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms, Phone:(971)221-4597Fax:( ) toilet compartpments acefans,utility rooms) 51 23.3223.32 116. 23.3260 " APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Same As Above Fuel piping: Attic/crawls Contact name:Kylie Hofenbredl $14.15 for first four;$4.03 for each additional Furnace,etc. Address:Same As Above Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:(971)221-4597 I Fax::( ) Fireplace E-mail:Planning@sagebuilthomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:All Time Heating&Cooling Other: Address:PO Box 1341 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Phone:(503)208-2276 I Fax:( ) Plan review(25%of permit fee) CCB lic.:1845757 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: 11111A l days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:_Ai Date ti‘2.ti V(� I:\Building\Permits\MEC PermitApp 040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $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_040113.doc 2 Electrical Permit Application - I oi'rl( F 1 SI, 0v1.' 11 City of Tigard > E a ivea w 13125 SW Hall Blvd.,Tigard,OR 97223 PlanDate/Reveyv Permit#:/ '�l a'CJ is,,, Phone: 503.718.2439 Fax: 503.598.1960 iew 11 Related Permit#: Inspection Line: 503 639.4175 f l t i:11) Ready Date/By: loris: H See lpagetal I2 for ti Internet: www.tigard-or.gov Cilli S}. g Y x t � otifi ethod: uppemennormaon ®New constructiont h l llin_ j Please check all that apply y PLAN VIRlan 0 AfldltlOn/alteCdtl f !S (submit 2 sets of plans w/items checked): ❑Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY-OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Ci 1-and 2-familydwelling ❑Floating buildings. dlg 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 IACATION 0 Emergency system. larger separately derived Job#: I Job site address:9552 SW Anna Belle Ct ❑Addition of new motor load of system. 100HP or more. ❑"A" °`E" "1-2" "1-3„ City/State/ZIP:Tigard Oregon ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Ash Creek 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDRIL Description � Qty. JE Each I Total New residential single-or multi-family dwelling unit. Subdivision:Ash Creek I Lot#: 13 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 DESCRIPTION t31? WORK Ea.add'1500 sq.ft.or portion 33.92 I Limited energy,residential New Residential Construction (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 f, ROPER `© ER [ Q TENANT Renewable Energy 0 See Page 2 Name:Sage Built Homes LLC Services or feeders installation,alteration,and/or relocation 200 amps or less 1 100.70 100.70 2 Address: 1815 nw 169T1 Place Suite 1040 201 amps to 400 amps 133.56 2 City/State/ZIP:Beaverton Oregon 97006 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(971)221-4597 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less I 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampsto 400 amps 1 125.08. 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 14 APPLICANT` 1 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel Business name:Same As Above A.Fee for branch circuits with above service or feeder fee, Contact name:Kylie Hofenbredl each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Phone:(971)221-4597Miscellaneous(service or feeder not included) I Fax: :( ) Each manufactured or modular Email:Planning@sagebuilthomeslle.com dwelling,service and/or feeder 67.84 2 CONTRACTOR Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Ross Electric Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave 203 Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Hillsboro Oregon 97123 Additional inspection(I hr min) 66.25/hr Phone:(503)642-2800 I Fax: ( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: /U /l Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C I Suprv.Lic.: 2( ti specifically listed(%hr min) 90.00/hr Suprv.Electrician signature,required: ,- L` V ELEC AL P IT FEES + 'Cr' Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): ;/� p c State surcharge(12%of permit fee): Authorized signature: L --- TOTAL PERMIT FEE: Print name: p1 t.. hiviq,,e,--1.,_ This permit application expires if a permit is not obtained within 180 I Date: '2. L �)l� Idays after it has been accepted as complete. ([ Lf ` Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures Di f FOR oFFICF USE ONE1 1 Cl of Tigard A � n 0 Received ii 13125 SW Hall Blvd.,Tigard,OR 972 'A" ^ DateBy: Permit No.:/mssr is �/ .11 Plan Review L F "Vv W Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 t o �.��1 Date Read B Jung Internet: www.tigard-or.gov Ready2 /By: See Page for Supplemental Information TYPE OF WORK `I`i'I OF TIGARD FEE* SCHEDULE ®New construction IDiAltiptING p \ ( \ For special information use checklist Description I Qty. I Ea. 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 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑AccessorybuildingSFR(3)bath x 500.32 500.32 0 Multi-family El Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9552 SW Anna Belle Ct Catch basin or area drain 18.76 City/State/ZIP:Tigard Oregon Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Ash Creek 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:Ash Creek I Lot no.: 13 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 New Residential Construction Drinking fountain 25.02 Ejectors/sump 25.02 ;74 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Sage Built Homes LLC Fixture/sewer cap 25.02 Address:1815 NW 169th Place Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton Oregon 97006 Hose bib 2 25.02 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 W APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Same As Above Medical gas(value:$ Page 2 Contact name:Kylie Hofenbred Primer 12.51 Roof drain(commercial) 12.51 Address:Same As Above Sink/basin/lavatory 5 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:Planning@sagebuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 1 37.52 37.52 Business name:Edwards Mullen Plumbing Water piping/DWV 56.29 Address:1601 A Se River Rd Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 Subtotal Phone:(503)628-3560 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: L._....----) (�W TOTAL PERMIT FEE Print name: e. J IO/ ck,, ��-� i Date 2L[ i r7 1 I 4 - 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\PLMO-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard ' Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1' 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 Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: ' 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 Qty.: Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Feesand 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for ReCapped Added Rei e/ Plan review is required for any of the following. Work Performed: Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\alejandra\Desktop\Templates\City of Tigard\Plumbing.doc 2 City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /`),./7;26i,r--t Site Address: /SS 2- 5`j itc. CI Project Name: k tj l� tz ( et e Lot #: '�.3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: hi� ALL) S r Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: II No ❑ Yes,See River Terrace Review Addendum Attached Siit9.Plan Elements: [three(3)copies of site plan ."A •"sting structures on site Eagteplanmustbeon8-1/2"x11"or 11x17" a paper 7 IL/brawn of to scale(standard architect or engineer scle) flooe le a onsw structure(including decks)with finished orth arrow tility locations&easements(required for new and additions) Site address,project or subdivision name and lot number V Q plicant information(name and phone number) idewalk/driveway approach Mot dimensions and building setback dimensions cation of wells/septic systems xisting trees to be retained with drip line,and tree LJC;.•uare footage of buildings to be demolished protection measures 0IT1of area,building coverage area,percentage.of coverage and E reet tree size,type and location ,�� ifpervious area(applicableR-7,R-12,R-25&R-40) Street names II0roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious ,�,1 4 foot differential) p area created or replaced? I�XYes ❑No / If yes,is a storm water quality facility shown? ❑Yes No 07Water Services—Service Provider Letter�of platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified It�J' No Received: Ly Public Facilities Improvement(PFI) Permit: ❑ Yes ❑ No 4�'�'" ter Required: 517Yes,applicant was notified ❑ No Applied For: Ia..). use ❑ Yes ❑ No,stop intake ...1\ kand Use Case#: (PR ;S'__ 00oi ©"Zoning: -ut.S (0 P) Ly Required Setbacks: Front Rear ,_,�,// Side Street Side ",4 Garage 2 ndscape Requirement: 2,0o of Coverage Maximum: '0 Building Height: Maximum Height 30 22 tsual Clearance Actual Height ensitive Lands: Yes rig No Type �21/Urban Forestry Plan a Conditions "Met"prior to issuance of building permit Notes: j Approved By Planning: , Date: (^10--1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWorms\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: //�/lf Site Plans: # Building Plans: # Building Permit#: nter building permit#above. 7ermit , �_�Workflow Routing: fanning C- ngineering Coordinator L�"$ g Workflow Sign-off: [���-off for Planning(include noteanning review) Route Application Documents: l�Engineering: (1) copy of permit ap (1) site plan, (1) building plan and ori al plan review routing form. E'Suilding: original permit applicatioans,building plans,engineer and beam calculations and trust details, ble,etc. Notes: By Permit Technician: ocyt.„4-f, "j, Date: /fii/it Engineering Review Slope at building pad: G�� 7 �--� 0 Conditions"Met"prior to issuance of building permit ,3 +'b✓"e � Easements (encroachments)per engineering conditions of approval and plat f Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes No Date: ❑ NOT Approved by Engineering: Notes: _Aar _.../.. Approved by Engineering: I) Date: `'ti'X," Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review "IR"Conditions "Met"prior to issuance of building permit 0 Approved, NOT Released: Date: Notes: r C h/Ua.t,4v 2-° . Lett- 1A,YMP NQS Cr-NC I l�K g "0 elYCsf 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 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: �,jYes 0 N/A LIDA 0 Yes % N/A V1,OK to Issue Permit 144)1 \0 Approved by Permit Coordinator: PV & Date: I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 11 , 2018 at 10:05:58 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Corrections not done from previous inspection. Handrail not correct, no finger recess per code section given and top width wider than 2 1/4" per code section given on previous final inspection. Provide separate mechanical and electrical permit for ac being installed without permit after mechanical and electrical final inspections. Required street trees not complete per approved site plan. Missing both out by driveway edge. Note: extra driveway poured at tree location per site plan. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 8, 2018 at 12:06:58 PM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Handrails not to code at stairs, see R311 .7.7.3 circumference and profile. Street trees not per approved site plan. Provide insulation certification. Re connect continuous operating fan in crawl for radon mitigation. No ac installed, all else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 8, 2018 at 11 :54:49 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No ac installed at this time, permit and inspection required at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 8, 2018 at 11 :51 :06 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 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: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 8, 2018 at 11 :52:57 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 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: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 21 , 2018 at 9:54:14 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: In addition to previous inspection, hand rail installed to return to wall or have approved safety terminal at each end. Addition hand rail not to code at this time. Provide separate ELC and MEC permit for ac installed after electrical and mechanical final inspection. No minor label for electrical posted at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 21 , 2018 at 9:30:42 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Corrections for ac installed after mechanical and electrical final inspections not complete as noted on final inspection dated 5/11/18. Provide separate mechanical and electrical permit for ac installed after mechanical and electrical finals were complete. Hand rail correction complete, additional hand rail to code installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 21 , 2018 at 8:04:06 AM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: This inspection passed previously, see Inspection dated 5/8/18. A separate mechanical permit and final inspection required for ac installed after MST mechanical final was approved, see final inspection results dated 5/11/18. A separate electrical permit and approved inspection required if minor label not posted at time of electrical connection for installation after electrical final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical final for ac on separate mechanical permit. Plumber to fix excess water pressure at hose bibs and provide thermal expansion tank at water heater if pry does not have internal provision for thermal expansion. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9552 SW ANNA BELLE CT, TIGARD, OR, 97223 May 29, 2018 at 1 :42:07 PM Record Type: Record ID: Residential - Master Permit MST2018-00016 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Previous corrections completed. Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures FOR OFFICE FSE OyLI Received 7 d53^/ /� tit: ThCJl /fp 11114 City of Tigard J U L 2 (3 161 Date/By: a Permt/�'` • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.196C': - iDate/By d: Other Permit No.: t Inspection Line: 503.639.4175 tl , . , Date Ready/By: Juris: See Page 2 for Supplemental Information I . \K I Internet: www.tigard-orgov Notfid/Metho to ..,' (at.la ®New construction ElDemolition r.l For special information use checklist 7 /-. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) "4t .... `t ls I• '( � I�, �t SFR(1)bath 312.70 .ten a'r � „sty rw '� r' t; '^t 437 78 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath SFR(3)bath 11 32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25 02 ❑Master builder Other: m Fire sprinkler( sq.ft.) I Page &ft i'.: ,t 1t,', € Site utilities: Job site address:9552 SW Anna Belle Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,Oregon Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Ash Creek Village Manufactured home utilities 50.03 Cross street/directions to job site:SW 95th Avenue 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:Ash Creek Village I Lot: 13 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 r . ' ..;111.M.1...' � `" Backwater valvee : � cv t 12.51rr ; I eg Clothes washer 25.02 New residential construction/Plumbing contractor revision Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 +t iti. r ! 1-'4-`7,":" E Expansion tank 12.51 Name:Sage Built Homes,LLC. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1815 NW 169th Place,Suite 1040 Garbage disposal 25.02 City/State/ZIP:Beaverton,Oregon Hose bib 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 'ia `t.4:%, ` '.' t1 LLCT ),f 6 Interceptor/grease trap 25.02 Business name:Sage Built Homes,LLC. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Ben Cooper Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(971)258-6658 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:planning@sagebuilthomesllc.com Urinal 25.02 :* �• D ,�-" ,i,.. Water closet 25.02 Water heater 37.52 Business name:Max Plumbing Service Inc Water piping/DWV 56.29 Address:PO BOX 230674 97281 Other: 25.02 City/State/ZIP: Tigard,OR 97281 Subtotal Phone:(971)-275-0198 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 205392 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Ben Cooper Date:7/23/2018 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board. I:\Building\Permits\PLMU-PernotApp.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• s ression S stems: FX t�' W`Ilt ash• t t •1 aM¢ It • > 'a4 e , -•�"t Footing drain-Pt 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 `•",•:67":"..0%:4, Situ., r . 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 rirV ',I l ''J each additional$100.00 or fraction thereof,to ' .' 1 `� 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 char:e-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 char:e-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 char:eminimum -1/2 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*. Quantity by Fixture Type x i , i?YlieWg"" $ Fixture Type for ,; Itepiace, Work Performed: CappedAdded Jtelecaa Plan review is required for any of the following. ' Baptistry/Font Please check all that apply. Bath Tub/Shower 1=1 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Car Wash Drain is ►>inet�e� r ',Diagram Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\kylie\Downloads\PLMF PermitApp.doc 2