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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00154 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05l0312021 Parcel: 2S114BC04600 Jurisdiction: Tigard Site address: 10483 SW BONANZA WAY Subdivision: RIVERVIEW ESTATES NO.2 Lot: 83 Project: Bouer Project Description: Kitchen remodel, remove nonbearing partition wall, replace 6ft window with Eft slider BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $35,000.00 Rear: 10 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 BckBw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 12 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 N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB Owner: Contractor: BAUER,ERICH R& NORTHLAND DESIGN&BUILD Required Items and Reports(Conditions) BAUER,TAMARA L 20000 SW CAPPOEN RD 10483 SW BONANZA WAY SHERWOOD,OR 97140 TIGARD,OR 97224 PHONE: PHONE: 503-380-6251 FAX: 503-625-4838 Total Fees: $1,321.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Holly OvLA licatfo Issued By: Van/1��lVe�e Permittee Signature: rr vt Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: M 5T 2021 -00 i Gja, Site Address: 1 Oy g 3 $W Son A•r z.A► wAY Project Name: V _ Lot #: Planning Review st.> l Proposal: K1Tz�tt-r� ReXhoP GL (I ur+e�21o2� No( p CPrAvue e To 'F"-onTf-'fl m— XI-Verify address/suite #active in Accela. ❑ In River Terrace: .YJ -No D Yes, River Terrace Review Addendum Site 1an Elements: Erosion Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures 0D awn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE lig�North arrow Utility locations&easements(required for new and additions) C,�JSite address,project or subdivision name and lot number Sidewalk/driveway approach V r.pplicant information(name and phone number) Location of wells/septic systems Lot dimensions and building setback dimensions Street tree size,type and location Square footage of buildings to be demolished Street names Existing structures on site Corner elevations(2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes ENo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ❑No 0- .l�J Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified , "'No Received: ❑ Yes ❑ No D Water Meter Fjxture Unit Worksheet—Additions,Remodels and ADUs Required: , Yes,applicant was notified XNo R,.e.,iv N ❑ SDC Exemption for ADU applied for: ❑ Yes J�o -- d Y• ❑ es ❑ No b,� ZrPublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ,ENo Applied For: ❑ Yes ❑ No,stop intake $ Land Use Case#: w Aa ❑ Zoning: ❑ Required Setbacks: Front: 115— Rear: 10 Side: ' Street Side: If Garage: ?AS ❑ Building Height: Max. Height: 3 S' Actual He' ht: Ili/t4 Cif Landscape Area: IJA °A Lot Coverage Max: N/A Entrance ❑,_.,/Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows JMinimum 12%of area of all street-facing facades*. Garage a door is behind widest street-facing wall ❑ Y No,one of the following is met: ❑ Door exten than 5'from wall and there' overed porch extending beyond garage. ❑ Door extends no more than 5' om ere is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12' s ❑ 50%or less of aca 60%or less and includes 7 of following: ❑ Covered porch ecessed entrance ❑ Wall offset ❑ 1'Roo eav ❑ Roof offset ❑ Fire es ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof r �- Accent siding 0 Window trim ❑ Window recess ❑ Window projection ❑ Balcony j Visual Clearance kw Ip Urban Forestry Plan 115iti Sensitive Lands: �11t ❑ Yes 0 No Type: ❑ Conditions met prior to issuance of building permit No s:'� Exl s nn� 1&tfl O�I ON.-1 �J wAu.-Z`Di wine,Alma-) it, Reir+ait-1 Ur1U'hanGvEl yrtf Approved By Planning: Date: Revisions (after Building Submittal onl ) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Ql///S/Ll/2/ Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering LI'ermit Coordinator wilding Workflow Sign-off I /Sign-off for Planning(include notes from planning review) Route Application Documents: II/Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ltd'Building. original permit application,site plans,building plans,engineer and beam calculations an. t details,if applicable,etc. Notes: By Permit Technician: '/ � Date: d It CIZJ _ Engineering Review Ni-Slope at building pad: 2/ ''...-Conditions "Met"prior to issuance of building permit n l asements (encroachments)per engineering conditions of approval and plat N JN- ©/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Q�No Assess Water Quantity Fee in-lieu: ❑ Yes Gd -No LIDA Facility on lot: El Yes G2r'No <'Final Plat Recorded: n ❑ NOT Approved by Engineering: Date: Notes: te L�1 Approved by Engineering: ,Qyl/c,r,,,, Date: •q/2b/2C24 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review }.; Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received A Does not apply ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 12' N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes 121 N/A LIDA ❑ Yes N/A • g OK to Issue Permit Approved by Permit Coordinator: fy^ Date: 4I 20 I:\Building\Forms\BldgPermitRvw_RES_122419.docx * Building Permit Application '€3-415121 Residential RECEIVE'L.• FOR OFFICE USE ONLY City of Tigard Date/By:6/ ` G �2/ �" Permit No.: 31 /—CO I go:Plan — III 4 13125 SW Hall Blvd.,Tigard,OR 97223 Rview l APR 0 5 Y02 E �/�21) Other Permit Phone: 503.718.2439 Fax: 503.598.1960 DatelBey: u�6/ TIGARD Inspection Line: 503.639.4175 Date R ady/By: orris. El See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARU Nd Ivle ho . ��� Supplemental Information y ,r TYPE OF WORK R'„ :I-AND 2-FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)or all Addition/alteration/replacemcnl ❑Other. equipment,materials,labor,overhead,and the profit for the CATEGORY OFCONSTRUCTTON ' ," work indicated on this application. j Valuation: $ I-and 2-family dwelling ❑Commerctabmdustrial l DOCK 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 0 it 2 3 s L! .g a Izt G f t"Z Gr, kit), New dwelling area: square feet City/State/ZIP: "r'I aar� r o 2 g o a a 3 I Garage/carport area: square feet Suite/bldg./apt.no.: d Project name: 8 q c f Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 1 'as t ,t > A:COMMERCIAL- --`. : i I W Subdivision: 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 � ppDESCRIPTION OF WORK work indicated on this application. K(IC,k,/6L ( e twci.,e I r It,Q U1 d�� 1'vtrti 4a(,. l� / Valuation: $ 10 or bile) Wol.� l�/l� c,C_ (� t.,r,u r� -,-A. �/ Existing building area: square feet CA CIL ff _ C I \Jl ( New building area: square feet ,12 PROPERTY OWNER 0 TENANT re Number of stories: Name: 7"-c4 IAA; E G tot r— Type of construction: Address: (t) ' 8 3 SL) Eo piu,.t2-c( e / Occupancy groups: (City/State/ZIP: 1 6 a rok t £ 9 . ?9 3 Existing: Phone:( ) Fax:( ) Nev: ----- PI ICANT 0 CONTACT PERSON l „ :,, BUILDING PERMIT FEES* 4/0 _ _ Please. refer to fee schedule) Business name: r 1-4/4,� � IA41-("ct)ot-t a"& 4)Pd! h IHC. ��/ �JU k(�� y I Structural plan review fee(or deposit): ` Contact name: r l q FLS plan review fee(if applicable): Address: c9;cosw Cq f d e k LetTotal fees due upon application: City/State/ZIP: Stu rwoo t t O. 9'71 9 0 p a Amount received: Phone:(60?) Oa7 — C(d [ Ct Fax::( ) / n / / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: �jfiuwlp /T�00rill it,r4cplt etc ctk' t4ilcl. rowt Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:�p t f-�jIu J e„gfr,du�t Gve-' De.Cl�. . ruff, and Submit two(2)sets of roof plan with connection details �7 fire depmtutent access,along with the 2010 Oregon Address: a6OC>6 S LI C-a W.rt1 Solar Installation Specialty Code checklist. City/State/ZIP: S�fWC9od 10(Z g?('(p PermitFandaee cluddminesstrative lan view $180.00 Phone:(fob)) 01)) —4.D't q Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: i na <-( 2 1� Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. r,) , *Fee methodology set by Tri-County Building Industry Print name: r a r t- Date: tql a �a I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Building Permit Application Checklist , One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received II Perini[NoDate/ . q 13125 SW Hall Blvd.,Tigard,OR 97223 Associated led permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line' 503.639.4175 El Electrical ❑ Plumbing 0 Mechanical TIGAR❑ Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW . Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. _ 0 ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils desi. ation,historic district,etc. _ 0 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ CI 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ 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- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 0 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 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 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. ❑ ❑ ❑ 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 ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 El 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. 20 Manufactured floor/roof truss design details. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 0 architect licensed in Ore.on and shall be shown to be ap plicable to the Iro'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 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑ 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. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,. ❑ 0 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, ❑ ❑ 0 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. 1:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY �/� /I City of Tigard RECEIVE Date/By. PermitNo.:N5T202!--0015c . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review vv Phone: 503.718.2439 Fax: 503.598.1960II APR 0 5 20Z3 Date By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: dues: El See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: n Supplemental Information TYPE OF WORK COMMERCIAL FEE* SC 1 Ii USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑ New, construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ I sew CATEGORY OF CONSTRUCTION ION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* [ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special infor,uarion Ilse checklist. ❑'Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1 4 Ro Inv A 2,ci L,/a. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Missiar 6 4?,9 r�3 Furnace 100,000+BTU(ducts/vents) 54.91 1 Heat pump 61.06 Suite/bldg./apt.no.: Project name: g Q IiLR f 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas KILL_ fGwto •( I G ct ra� i ni , Vt` ✓.6,-4 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 / „w. ,.,,-r Other: 23.32 PROPERTY OWNER ❑ TEIShI Environmental exhaust and ventilation: Name: QiMI Range hood other kitchen equipment 33.39 33.3q Address: Q C(2 3 O ti a A R t4.1 G Clothes dryer exhaust 33.39 City/State/ZIP: '� I. � Single-duct exhaust(bathrooms, I�a I d / (] aa toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON - Other: 23.32 q� /J Fuel piping: Business name:!✓D ..i/C(b d US rt1( OI-1 U u� AS7�H 1^i_h C. $14.15 for first four;$4.03 for each additional Contact name: re G r t PGA: Furnace,etc. `� Gas heat pump Address: aO6da ..l,J Care:,Cr'l /C� Wall/suspended/unit heater City/State/ZIP: .l�.r r^W0 v d 1 Q(? 9-(tf Q Water heater Phone:((x ?) a a p- (o?q q dal ( ) Fireplace //lJ Range 1 14,l.f- E-mail: /]/Ia„i pe-tli�e_401-4/ou alIl/ " N 4r-tcfbw O ./avv.1 Barbecue Clothes dryer(gas) Other Business name: „f �! dd e- .S { "' d `�� MECHANICAL PERMIT FEES* Address: as y , S t .._ r I ( - Subtotal (7, 5'Li. p 7 Minimum permit fee($90.00) City/State/ZIP: } LI✓t K I 0/ 2 L [ 6 Plan review(25%of permit fee) Phone:(5 63) ''g- 7 - 41 (P 3 .. Fax:( ) State surcharge(12%of permit fee) CCB lie.: Cl I.t i 3 a TOTAL PERMIT FEE /2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ( * Fee methodology set by Tri-County Building Industry Service Board V Print name: 13,r � Pail, \J Date: Lrlal 1 I 103oilding\Permits\MEC_PermitApp_040113.doe 440-4617T(I 1/02/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. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE USE ONLY RECEIVE MsT �-ooc5� City of Tigard Date/By: Permit 4: 13125 SW Hall Blvd.,Tigard,OR 97223 APR 0 5 2011 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit;*: Inspection Line: 503.639.4175 Ready Date/By: leri�s-tI gi See Page 2 for I I0,ARD CITY OF TIQARd Notified/Method: ,o, Supplemental Information e Internet: www.tigard-oi gov .lit pP TYPE t7F W(7RC ���' ''„ PLAN'REVIEW " ❑New construction Addition/alto rat ion/replacement Please check all that apply(submit_sets of plank n items checked): ❑Service or feeder 400 amps or more ❑Building over three stones. ❑Demolition E Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings. I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-famih ❑ Master builder ❑Other: ❑Fire pump_ ❑Installation of 150 KVA or JOB SITE INFORly~AND LOCATION 0 Emergency system. larger separately derived " 0 Addition of new motor load of system. Job If: Job site address: lb 4 Li- 3o,,„„t act, �0 y 100HP or more. ❑"A" "E'° °'t-2° "1-3" "�'''• ( ❑Six or more residential units. occupancy. City/State/ZIP: i I&rd i 6 2. 9? a J. 3 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 1 A u c - 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 Oty, I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 16854 4 Tax map/parcel#: y Ea-add'1500 sq.ft.or portion 33.92 I DE`', 'tt�(t.IIION OF;r / Limited energy,residential K �• /'t 11 L I a bru,a-4, C-J,(:U (with above sq.ft' 75.00 2 t Ct re(tit J Limited energy,multi-family 06 S P J✓i K Gr residential(with above sq.ft.) 75.00 2 ,r ,k ,° ,ROPERTY OWNER ,✓ r/ Renewable Energy ❑ See Page 2 . Services or feeders installation,alteration,and/or relocation Name: "ram i‘ 86[.lf F- 200 amps or less 100.70 2 Address: 2 t ]� 201 amps to 400 amps 133.56 2 D 9 `� `y w jar �'L� (jay 401 amps to 600 amps 200.34 2 City/State/ZIP: j q or 4 , C)f. 9'7aa 3 / 601 amps to 1,000 amps 301.04 2 Phone: ( ) V 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 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 signat re: Date: 401 amps to 599 amps 168.54 2 ' ' (x; :ANT t- FACT PERSON Branch circuits-new,alteration,or extension,per panel / A.Fee for branch circuits with Business name: D f-`- /ti u lrl (/ ,,N.""' u�u, p� I e .1 NC' above service or feeder fee. Q B each branch circuit 7.42 2 Contact name: !J f,u LA. F . (/" B.Fee for branch circuits wirhotet Address: service or feeder fee,first 1 56.18 S t,/l 2 a0000 SW LaWO'1,v IZ� branch circuit City/State/ZIP: S ha2{Woad 1 v 12 9 7( cE 0 Each add'l branch circuit if 7.42 $j,G a, 2 Miscellaneous(service or feeder not included) Phone:(60?) )0)7 - CIRolVi. Fax: :( ) Each manufactured or modular 67.84 2 (i a e 1 dwelling,service and/or feeder �j -1T,��// @-no , -1, l,-J St y.-t uv�d �U ri Email: d CO 0-- Reconnect only 67.84 2 H CO /�CTOR " Pump or irrigation circle 67.84 2 ' Business name: Ca - vl L f e Clli L Sign or outline lighting 67.84 2 Signal circuit(s)or limited-cnergy 0 See Page 2 2 Address: Po eo)( g(,0 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: A pA CI y t 0 tc 9?t O r Additional inspection(I hr min) 66.25/hr Phone:(503) Lf'.1"-_ l(000 Fax:( ) Investigation(1 hr min) 90.00/hr E Industrial plant(1 hr min) 78.18/hr Email: �aufoAelc-C.11t_ � 4-6 (r.CD0.4 CU��/ - Inspections for which no fee is 90.00/hr CCB Lie.: r Ell 7/3 Electrical Lic.:pe_rat)c Suprv.Lico75-9 specifically listed(Yr hr mn) /�/l� � ® ELECTRI , ' ` Suprv. Electrician signature,required: 4 Subtotal: III,PO Print name: V taci CA i� Date: y-/5/, I 0 Plan Review Required(25%of permit fee): 6.---------- State surcharge(12%of permit fee): Authorized signature: t /// TOTAL PERMiT FEE: This permtit application expires if a permit is not obtained within 180 2 �G� Print name: tVr rllL-�t{. Date:-It a/a( days after it has been accepted as complete. I * Number of inspections allowed per permit) 1\Budding'Permits\6LC_PermirApp_Et.R_ERF.doe Rev 06/17/2015 440-46I5T(I I/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONIJ . *iligN,E Ucwnplinn Qty. Eat Total j Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25 01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 65.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed('/hr mini `' t:.3 WORK ONLY: Kr ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\Building\Permits\ELC_PermitApp_ELR_ERE_doc Rev 06/172015 Plumbing Permit Application Building Fixtures RECEIVE I FOR OFFICE USE ONLY Received City Tigard APR 0 5 2D21 Permit N r(S j ZOu 60 91 13125 SW Hall Blvd.,Tigard,OR 97223 plan Reviewy Phone: 503.718.2439 Fax: 503.598.1960 Plan : S Date/B Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIGARD Y T[CARD Date Ready/By 1;445 RI See Page 2 for Internet www Tigard-orgov 1 I i,NotifiedlMethod i I,� Supplemental Information '. TYPE OF WORK .AlittFEE* SCHEDULE For special information use checklist. ❑New construction Demolition Description I Qty. I ha. rota! ►" Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) - F Y OF CONSTRUCTION SFR(1)bath 312.70 ►, 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 D Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE LNFORMATION AND LOCATION Site utilities: . Job site address: l b $- S(,f � 2 a (�Jtu / Catch basin or area drain 18.76 "go qK / Drywell,leach line,or trench drain 18.76 City/State/ZIP: "i t Q I-d 6� ci 7 ad 3 � p Footing drain(no.linear ft.. ) Page 2 Suite/bldg./apt.no.: Project name: t�l,,uaP r- 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 I i]1 $ DESCRIPTION OF WORK Backwater valve 12.51 ., '�' Clothes washer 25.02 Krf Ul PC M c:LA � I ItlOt S(J( i (7l✓ Dishwasher I 25.02 as-.o a Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTYLOWNER I ElI' ,24 TENAN ,, Expansion tank 12.51 Fixture/sewer cap 25.02 Name: t wt.t (3ot,t r Floor drain/floor sink/hub 25.02 Address: (D Li S 3 ,c(_./ a via K e ct, 1+./0Y Garbage disposal I 25.02 ,),-1-, if 1 City/State/Z1P: i lq rd , 012_ i?as 3 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker I 12.51 p „VI APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: N -I-'A d L- "� Hr J, Medical gas(value:$ ) Page 2 �r a ��, r�� ati U � yn �"• Primer 12.51 Contact name: g r iv s.. P.� l Roof drain(commercial) 12.51 Address: 3,6066SL,/ Ca!/pe0-, 4 Sink/basin/lavatory I 25.02 aJ,Oa City/State/ZIP: SInP r 4Jo e oft f(Q 2_ Q'2 <(0 Solar units(potable water) 62.54 Phone: Fax:: Tub/shower/shower pan 12.51 (ram> ) a�� �a�� ( ) / / Urinal 25.02 E-mail: brig✓110474Q.VlorTk/e/1441nl/AclCet-fettt,ld.rotr-t Water closet 25.02 CONTRACTOR f Water heater 37.52 Business name: ,fa -Wet Ls Ph(WLO(.-t J Water piping/DWV 56.29 Address: 7 7,3 Y SL C I i r U,c D f Other: 25.02 City/State/ZIP: eRu-er'Int'l O . 9?Oo Subtotal ➢2,5'D �6 CC p� Minimum permit fee: $72.50 Phone:(S 03) 67 6( Fax:( ) Plan review (25%of permit fee) CCB Lic.: Z 9ke(y J/j t Plumbing Lic.no.:a p-/t('p State surcharge(12%of permit fee) Authorized signature: /\ ) TOTAL PERMIT FEE / / This permit application expires if a permit is not obtained within 180 days Print name: t,t'� n Date: I{/ a[ a f after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pernrits\PLMU-PermitApp.doe 10/01/09 440-46t6T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sur r ression S stems: Site Utilities Qty. Fee teal Total k rv.. uravurouu Footing drain-I"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 S5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to 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-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*. Plan Review f umbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower - -Jacuzzi/Whirlpool - engineer. Car Wash Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food - Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) -Shower. Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related _ -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: L\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Lina Smith From: Lina Smith Sent: Wednesday, April 7, 2021 3:27 PM To: brianpettit@northlanddesignandbuild.com Cc: Agnes Lindor; Nikki Tuason; #Building Permit Technicians Subject: Bauer Remodel - 10483 SW Bonanza Way Hi Brian, I started the Planning/Zoning check for this building permit.Your plans show that the new window on the north side of the house (dining room side) will be shorter than the existing window. Please submit 3 copies of an elevation drawing that shows you'll still maintain at least 12%window coverage on the northern house façade: http://qcode.us/codes/tigard/view.php?topic=18-18 200-18 290-18 290 040&frames=on Please drop of the 3 copies in the Permit Center lobby anytime from Mondays to Thursdays, 8 a.m. to 5 p.m. Make sure to include a transmittal letter: https://www.tigard-or.gov/document center/Building/Transmitta lLetter.pdf Thank you, Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard,OR 97223 E-mail: LinaCS@tigard-or.gov 1 Nikki Tuason From: Nikki Tuason Sent: Monday, April 19, 2021 12:25 PM To: brianpettit@northlanddesignandbuild.com Cc: #Building Permit Technicians Subject: 10483 Bonanza Way Attachments: WaterMeters_070119_New.pdf Hi Brian, I signed off on the planning review permit for the kitchen remodel at 10483 SW Bonanza Way, the windows on the North facing wall in the dining area will remain unchanged and the plans have been marked to reflect this as discussed to maintain the street facing facade 12%window requirement. Please expect an email shortly from the building department requesting for permit fee payment. The following item/s will be required prior to the issuance of the building permit. Please be advised that we may not issue the building permit until the following items are received: • If you are adding to the number of existing fixtures, please complete the Water Meter Fixture Unit Worksheet (attached to this email). Thank you, Nikki Nikki Tuason Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd. Tigard, OR 97223 nikkit@tigard-orgov 1