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Permit
CITY OF TIGARD MASTER PERMIT t 13S I 1 ' COMMUNITY DEVELOPMENT Z\ \N y Permit#: MST2021-00188 i l t;A l:17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2021 Parcel: 1 S 134CD04400 Jurisdiction: Tigard Site address: 11650 SW 121ST AVE Subdivision: BURLWOOD Lot: 4 Project: Larios Project Description: 348.5 sqft addition to back of the house to expand master bedroom and kitchen and add a master bathroom. • BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 349 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 349 sf Value: $42,738.54 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1 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: ADD SF VB R-3 349 Owner: Contractor: VIVEROS,JAIME LARIOS CA REMODELING AND CONSTRUCTION Required Items and Reports(Conditions) AMADOR,BLANCA E MARTINEZ PO BOX 31 11650 SW 121 ST AVE GRESHAM,OR 97030 TIGARD,OR 97223 PHONE: PHONE: 503-754-7737 FAX: Total Fees: $2,123.91 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 QS9-nn1-nnin tarn,inh f AP oc\7-nM-nnon Vro,maw,nhtain a,,.nu of the rnlac nr riirort nnnctinnc to rll ink-hw,rauinn gm 919 10R7 nr 1 RM'TO91dd Issued By: �\ \/G� 'e\vvC Permittee Signature: CO C%�Y '.k C-et kL_m Call 503.63 4175 by 7:00 a.m.for the next available inspection date. �J 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. RECEIVED Plumbin;; Permit Applicationfin 1 12O21 Building Fixtures CITY OF TIGARD FOR OFFICE USE ONLY 31 of Tigard B ING DIVISION namit t� Z\ tMStZOZ1-OokY3�d YPrnrn xo.: nill 13125 SW Hall Blvd.,Tigard,UR 9722� y' * Phone: 503.718.2.139 Fax: 503.595.1960 pun ltesiew Other Pcmr.t Ko Dare•Dy: ._ , Inspection Line: SOI.b)9.4175 y } Ati`u t ' _ TIGARD Dare Rat.D . ry l+.o: 0 Ste rage 2 far Internet: a xw•ngard.or.gov Not.Ikd�httthod. Supplemental latormrnon TYPE OF WORK FEE* SCHEDULE ❑"ew•construction 0 Demolition For special information use checklist Dcccri non • Qty._ Ea. local 1(AdJition'alteration/replacement 0 Other. New 1-2•famlly dwellings(includes 100 it.for each utility connection) CATEGORY OF CONSTRUCTION , SFR(I I bath 312.70 I-and 2-family dwelling ❑Contmetciatrndustrial SFR(2)bath 437.78 .�_ . SFR(3)bath 500.32 ❑Accessory building 0 Multi-family •• - ---- Each additional bathlkitcben 25.02 ❑Master buIldee ❑Other . _�� — .Fier sprinkler sq.II) Page 2 JOB SITE INFORMATION AND LOCATION She utilities Job site address: 11660 5 i1u L2.15. . . AUL Catch basin or area drain I S 76 Cit):'State'LIP: —p.)CI'AQ oR Q Z Foal,,ns h,leach line,or trench drain 15.76 Fuming drain(no.linear ft.:J Page 2 Suitebldg./opt.no.: P%ect name: r r _. _._ Li ��� A���� tJ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes ill 76 Rain drain connector t 18 76 Sanitary sewer(rn.linear ft.:_) Page 2 .Swan.sewer(no.linear fl:_) Page 2 -_ -- a Water rvicc(no.linear it.:_) , Page 2 Subdivision: l.otno.: F'ixtureorItem: Tax maprparcel rani; Beck now pre%enter 3l.27 DESCRIPTION OF WORK Backwater valve 12.51 • • Paola- Clothes washer 25.02 ADO COO( 335.12.i}lU DRAM Q Dwasher • 25.02 All s'7'"2021 - DO 18$ f3t„d::ing fountain . 25.02 Ejectors/sump 25 02 • a PROPERTY OWNER 0 TENANT L•tpension link 12 51 Xame; Fia:arc sewer cap 25 02 J�iM LaR l0 S • F:rwr draft:floor sit:lrl:ub 25.02 Address: i I.5 b _.,`V I?t 54 A(Ai- Gaibage disposal • 25.02 CityrS:ate/ZIP: —t—',G A Q> OR. cll. L Z 3 Huse bib 25.02 Phone,(503 . ergs-70I.I.L.. Fax:( ) Ice maker 12.51 0 APPLICANT j 0 CONTACT PERSON I:tcrccptorlgrcasc trap 25.02 !. n� � �+_ htedleal gas(s slue:S ) Page 2 Business name: Ckt 6G11�at Cl . w►./ V Primer 12.51 Contact name: 1,(I• • �v�a\ �� Roof drain(commercial) 12 51 Address: po l • Sintrbasir-9asatory 25.02 • City/State:Z1P: C•.- G \1�\�p 0,Z),... (A' cf? Solar units(potable water) 6I.S. Phone:f J?j 1-Ira _-•7-) '•.4. `�Far::( ) Tua'showe:'shower pan • 12.51 E-mail: " r� czw r.f\ ,�C Urinal, 2 .02 tf�roL LU •- • � • weer claret 25.02 CONTRACTOR • Water heater 37.52 Business name: `4VS3 P i A Water tPin rDWV 56.29 Address: 1GJ 330 � TrLk other: 2502 City:State ZIP: C�QCK�m O� iO t 5 Subtotal ) �J " Phone:✓ 3 0G 1 „ y�GG f 11 t Fax:( ) Minimum pennit fee. 372.50 CCD 1.c.'Crb-Cbt C Plumbing Lic.noi: OOQ_ Plan review (25Y,of pernii:fee) State surcharge(12'.of permit fire) Authorized signature:„xc _L:, " TOTAL1'EILMIT FEE Prior name: &tiA tfI Q �r ii l�0' Date: This permit application',spires If a permh h not eblNntd ithin lbS day r V w 1 V1 V 1 1! after n has been accepted as complete. •re:reetb.aJotosy set by To.Coanty Dui:ding InJus:ry Sct-see D.•at cur.,u_rr.....s.rtui:•:.+.t..%; ..•. teatm) +1:-4147:'A0.'CUN,w131i Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: i Site Utilities Qty. Fee(ea) ' Total Square Footage: _ Permit Fee: LFoo:ing drain•I'100' '��I 50.03 0 to 2,000 5121.90 each t , Lam in 3,lao $In9b9 Panting drain-web additional 100' 37 5- --- _ 1 } 3,101 to 7,200 5233 20 Server-1st l00' b2 54 ----- Sewer 7,201 and intro � 5327,54 each additional 100' 1 37.52 I Seater Service•1st 100' 62.54 i Medical Gas Ss stems: Water Service-each additional 100' ' 37.52 t— - -- Valuation: Permit Fee: Storm do Rain train•lst 100' 62.54 1 .._ _ S 1.00 to 55.000.00 Minimum fee S72.50 -Strum&Rain Drain-each additional 100' 37.52 t S 5,001.00 to S 10,000.00 572.50 for the first SS.000.00 and S 1.52 for Other Inspections or Fees I Qty• T Fee Total each additional 5100.00 or fraction thereof,to 1 and including S10.000,00. Inspection of existing plumbing or for I S 10.001 00 to S25,000.00 ' S 14&$0 for the feat S 10.000.00 and 51.34 for much no fee is specifically indicated 1 90.004u each additional S 100.00 or fraction thereof,to (minimum clove-1/2 hour) l and includin;$25,000.00. Inspections outside of no:m:1 business 90.004tr S25,001.00 to S50,000.00 5379.50 fur the first S2S,000.00 and 51.45 for hours(minimum char.c-2 hours) each additional 5100.00 or fraction thereof,to Reinspection Fees i 90 004tr and includin,S50,000,00. ----Additional plan review for revisions i 90 00'hr S50,001.00 end up S742.00 for the first SS11,000.0u and sl 0 fur � (minimum charge-1/2 hour) It each additional 5100.00 or fraction thereof. Subtotal: ,__. Commercial hixture Work: Arc you capping,adding or replacing fixtures? If"yes", please Indicate work performed by fixture. Failure to _ _ accurately report fixtures could result in Increased sewer fees*. r^ Plan Review for Plumbing Installations i _midis bi Fixture Tv+e , Plan review is required for any of the following- , Fixture Type for Replied ; Please check all that apply, 'Work Performed: capped Added Relocate 0 Any new commercial building with water service 2"and Ili nsi'/Font T greater,except systems designed and stamped by licensed Bath: Tub/Shower __—•Jscuasi/tYhirl vol -' engineer. 1 Car wash: —-Each Stall _ _ ❑ New exterior plumbing site utilities for any complex structure , -Drive Thu as defined in OAR918-780-0040. : Cuspidor Water irator I w 0 Medical gas and vacuum systems for health cure facilities. , i Drshwmsher. -Commercial I•"" - ❑ Any multipurpose fire sprinkler system. -Domestic 0 Any complex structure us defined in OAR918.780.0040. aWas I Drinking rouataio _Eye1\a - Submit 1,sets of plans with any of the above. � Finer Drain'sink• -2 __�.____.__. -4" , 1 Isometric or Riser Diagram -Car Wash Darin f j_ ❑ isometric or riser diagram is required for new buildings Garbage -Domestic nein•food 4- that MCC!the juaiifications above. Disposal: -Domestic food related __ -Commercial food related }_ •Induurial food related j� I Comments regarding fixture work: Ire blachJRcGig.Drains i ___...__. 7 g' R Oil Se a-atar 03as Station) _.._____,_... ._ nee.Vehicle Dom. Station �_1 i _ Shown: •Gan$ -Stan Sink' -Las'ilia non•food related _.. __ •fradicy -Can Srn-R it food related �_.__ _ t ,�_ "note: If the fixture work under this permit results in an 5n•immtn_Poa1th,ccr t Increase of sewer EI)Uc,a sewer permit will be issued and Washer•Clothes __ - - - i 7 ices assessed for the sewer increase must he paid before the Water i•�rrutur 1 . -- "-`-'-- plumbing permit can be issued. t�.arr Close•fodet p n linnet 1 Q:her ltititure): ; 1 13uiiding•Pcnnitx\Pt-MMF_PerntitApp.doc 08!04i2011 2 CITY OF TIGARD MASTER PERMIT .II = COMMUNITY DEVELOPMENT Permit#: MST2021-00188 Date Issued: 06/10/2021 T I G A R T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134CD04400 Jurisdiction: Tigard Site address: 11650 SW 121ST AVE Subdivision: BURLWOOD Lot: 4 Project: Larios Project Description: 348.5 sqft addition to back of the house to expand master bedroom and kitchen and add a master bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 349 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 349 sf Value: $42,738.54 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 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 SvdFdr: 1 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: ADD SF VB R-3 349 Owner: Contractor: VIVEROS,JAIME LARIOS CA REMODELING AND CONSTRUCTION Required Items and Reports(Conditions) AMADOR,BLANCA E MARTINEZ PO BOX 31 11650 SW 121ST AVE GRESHAM,OR 97030 TIGARD,OR 97223 PHONE: PHONE: 503-754-7737 FAX: Total Fees: $2,102.90 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-001-0090. You ay obtain a co of the r s or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344. ` c6� C� Issued By: 7 Permittee Signature: / • /�'��/J jam" Call 503.639.4175 by 7:00 a.m.for the next available inspection date. i/ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 Building'Permit Application 5 10 21 Residential RECEIVE I FOR OFFICE USE ONLY City of Tigard S �t, Q' U (A D5�3/�02/ Permit.� 1, �4�f Received Date/By: ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / �/ M Phone: 503.718.2439 Fax: 503.598.1960 Date/By: S 'jam( Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD) Date Read/a` TIGARD p I Y Y / BI See Page 2 for Internet: www.tigard-or.gov 9,iiil. INJ(? 1)l1(Icln,, Nati d/Method �.�/Jf Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILYDWELLING ❑LIM ew construction ❑Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhea n the profi forte L work indicated on this application. 41i CATEGORY OF CONSTRUCTION - �j$r 7 Valuation: $ j1-and 2-family dwelling ❑Commercial/industrial t�0 D Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: i JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: t'6 o ' W Z15f 14I/(. New dwelling area: 3(19 square feet City/State/ZIP: --r I G A IQ,O 0 0- ell- 22.5 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ilv5r AohterCoo,1ergd porch area: square feet Cross street/directions to job site:te /f zi .1- 4Nb 5 ,M t 'Ckfl {Dt\C tek'area: square feet *,50"N{!.� esv��s t/LAG r ` L-, / Wait�i U ther structure area: square feet /Ktc�4f G err ke ti A / C I a /�LfN't.6 'QUIRED DATA:COMMERCIAL-USE CHECKLIST ; r'j c' A,/ em t, jLFirr Mfg yrepelf ifif it fees*are based on the value of the work performed. � 'cate the value(rounded to the nearest dollar)of all rc {n • ter 3e , 5, r. e !n,.. +f)•G t Cu • equipment,materials,labor,overhead,and the profit for the J 'DESCRIPTION OF WORK work indicated on this application. Rvb .4,0'ITiod j® TNC RotA6 o(t_ I-'OOL' izootA _Valuation: $ �p(L -r•He. -FAIA1 h'( , .>,�� ® 1 ,� Existing building area: square£�et �60 ' Ham!/ kr/r ,�,�,a /.-,f`liew u 444,/l /'J .Z7av _New building area: square feet PROPERTY OWNER (Dr TENANTV Number of stories: I Name: A( ,(: 1A- -10cD Type of construction: Address: I I 650 .3tit.i t tt5-1- Aoe Occupancy groups: City/State/ZIP: -i^I G RR,p ©(Z, O(I-2 2 Existing: Phone:(501 qq$ - 401 Fax:( ) New: t APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Contact name: �h(MC, LRO-(oS Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: "" Mike,. A� Ati< Total fees due upon application: City/State/ZIP: ! Phone:( ) Fax::( ) Amount received: E-mail: J 1,AR10S kcI pI'-�{�C-t MAIL - cop haw-, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: C,4 ( -c InDDL LI/JG C..0) 720r Oki Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 5 62,k Sc 1 GHp 4` Solar Installation Specialty Code checklist. City/State/ZIP: ?Orr LA/JD 0/.. G11 23 6 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(50 5 LI- 7 3 . / Fax:( ) State surcharge(12%of permit fee): $21.60 ! ` /.i L CCB lie.: 23 23 3 1 Total fee due upon application: $201.60 Authorized signature:,kyl,,, 2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: PAIN[; 144,405 Date: (;f-2 3 _ Z I "Fee methodology set by Tr County Building Industry Service Board. I:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associat Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-oegov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. U L ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 1 3 Verification of approved plat/lot. i ❑ 4 Fire district approval required. Name of district: • ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 6 Sewer permit. E ❑ 7 Water district approval. ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 21 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state &if ❑ 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 A ❑ 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 i 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, g ❑ ❑ 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- EJ ❑ ❑ 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. Ti ❑ 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- id ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. I 0 ❑ 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 ❑ ❑ systems,see item 22,"Engineer's calculations." r� 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists hI ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. ❑ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ li1 ❑ 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 d 0 ❑ architect licensed in Oregon and shall be shown to be applicable to the .roSect 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. ❑ ❑ ❑ 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 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 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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 0 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/201 I 440-4613T(11/02/COM/WEB) r Mechanical Permit Applicatio (� FOR OFFICE USE ONLY City of Tigard ��"���� � Received Permit No.: HsT"yQ2(-o01S'" • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i J. 0 art" Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: t_ G R U Inspection Line: 503.639.4175 CITY 0 F TIGARD Date ReadyBy: Juris: ® See Page 2 for Interne[: www.tigard-O[.goV Nolited/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - 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:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* UA 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family El Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: (16C,b SW 121s+ ,QUA Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1-(G4Er) O2 ql,7 /L 0 2 Furnace 100,000+BTU(ducts/vents) 54.91 r Heat pump 61.06 Suite/bldg./apt.no.: Project name: L44105 FAY►!L'I 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 Other: 23.32 Subdivision: Lot no.: 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 4t D(TioU T'Q twe Woose- fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 3-.Awe- m.etos Range hood/other kitchen equipment ' 33.39 Address:i l 65 0 rJW )2(5k- mi.:-. Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: �1 p 2n 0� t^��i.2 7J toilet compartments,utility rooms) I 23.32 Phone:(503 9'q8- p/� Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 /� /�, Fuel piping: Business name: 5/1 u`& 45 �4P 0 UCH $14.15 for first four;$4.03 for each additional Contact name: 3AIAA C / Lii(((p5 Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range L-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: CA. 2C A4oD 'Ll u6 ft (10 oriz ucsrf0 / Other: MECHANICAL PERMIT FEES* Address: /fi 6 Z I 56 /6 f A Az- Subtotal City/State/ZIP: �0 Q -to u'J 0 2 q 1 23 6 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(Gap (f 9e?.8 30g Fax:( ) State surcharge(12%of permit fee) CCB lie.: 2.3 z 2 3� 1 TOTAL PERMIT FEE ✓ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: /fyyv * Fee methodology set by Tri-County Building Industry Service Board ../_ ,.. Print name: 34046- t,-Rl&5 Date: 5 —/0 "2 I I:1Building\Permits\MEC_PermitApp_040113.doc 440-4617r(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. 1:\Building\'ermits\MEC_PermitApp_040113.doc 2 l RECEIVED Electrical Permit Application JUN - 9 "Ci 23oHTi and Cd Permit a: w131SWtl Blvd.,Tigard,OR 97223 CITY OF TIC icw - • = Phone: 503.718.2439 Fax: 503.598.1960 LRelated remit a: II�I inspection line: 503 619A 175 /0r -i rum: ®See Page 2 for TtcnRn Internet: www.tigard-or.gav - NoIificd/Mettwd: _..-� ,,,,.._ Supplemental lafermHlon YPE OF WORK PLAN REVIEW 0 New construction Addition/alteration/replacement Please check all that apply(submit 2 scu of plans*Menu deceived): ❑Service or feeder 400 amps or more 0 Building over three florin ❑_Demolition 0 Other: _____ where the available fault current 0 Marinas and bostyuds. — CATEGORY OF CONSTRUCTION P exceeds IO,OEO amp at ISO soha or ❑Floating building. lc(I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building i toss to ground.or exceeds 14.000 ❑Comment—use agricultural arms for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of ISO KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system larger separately derived -- -- ---- — --- - ❑Addition of new motor load of system Jab St:: 1 Job site address: 116,rj4 --5_'AL_i_Z1.5± It V(%_ 100HP ar more. ❑"A''."E "1-2 "14" CI State/ZIP: T n {j oil -y 7� ❑Six or morn residential cum. ❑Reunanccy. ul vehicle parks. 1 G.!*Z� --- �S�_ =J_L_C..�/ ❑Health-me facilities. Suite/bldg./apt.N: Project name: Q I c n- n� 0 tluantom locanau. Sup Supply y%%Mar for om pal.mere t n 5.-11Di) IQ_ ❑S.erva:o or feedr 6c0 amps or more. -.i Crass street/directions to job site: FEE SCHEDULE i nnsn lion -. T-.. Each t Tad .. -_ ____.__.___ . less residential single-or multi-family dwelling unit. Subdivision: Lot 0: Includes attached garage. ' 1000 sq.ft.or less 16954 ' 4 Tax map/parcel K: .- F:i..1.1.1 500 N 0.or punirn • 33.92 ! I 1 DESCRIPTION OF WORK Limited energy,residential ` - - _. ._____ .,... __- jwith above sq.0.) -.. 75.00 2 _490 ILI01ll T4 .Tµe' /ThU5( ` Limited comp.multi family If -- ---___.. 75.00 I 2 residentid(with above sq.fil Renewable Energ)_ Fa Sec Pace 2 IF PROPERTY OWNER 0 TENANT _. - - - • - _.� Senlcesorfetderslastaitatiolyalbratioa and/or Name: a—/AME LMZ.%OS 200 amps orleas 100.70 2 -- --._ -------- p p.- ---- . I i f� 01 amps to 400 amps 177.56 Address: �!�_. -ate^ /----1L!_L_- - -Au-�'.. 40I mps1.stto600aatnps I _325226 2 C(rylStaleZIP: -7 1�� _ oR- �f. 3. . 601 amps t.o00 3gt.oa 2 s or volts Phone:(>jfy� C�CtB 4LIi0) Fax:( ) i Temporaryservknor feeders installation,alteration,and/or 13 Owner ir�alvllaation:is�Install�on isbein AIL g made on property that I own which is not�I �i1 200 amps Or lets:puss -I_ 54 36 1 Owner signature:--_ _ CONTACC PERSON -L t Branch circuits-new,alterati�,or estenalon,_er pool 2 intended for sale,lease n or exchange,accordingto ORS 447 449 670 and 701. 201 am l0400 125 08 2 0 A.Fee for branch circuits with I Business name: .. above service aaeb branch circuit feeder fee. 7.42 I 2 �?.errlo(9�_ a(1Q�Cc�+Bl1110�n Contact note: Ace` us^ ( J \a B.Fee for branch circuits without -_. . t -- - -- --- - ! service or feeder fee.first 56.18 2 Address: �Q � _3` j breneheirtu• j City/State/ZIP: ,.t-Re Ic 7� Each eddlbraucharrcuit ` 742 I 2 —_.-a-�1t5h 0..IL1'L-.- �-! ��1-/ _-. -- _ + Miscellaneous(service or feeder not ineladedl . Phone:( / _ 2 Fax::( ) Each manufactured or modular i_—- 67.84 2 J�i— dr/elhor,service andlor fader Ptnail: ies-.0Q(Q NO" — .s Reconnect only —' 67s4 � a CONTRACTOR Pump or irrigation circle 67.84 12 Business name_ 1�-- 0Ot„J e.(\ ,s„e) C• _Signor outline lighting 67.84 2 --- --- - c -- ' Sigoaldreuf(s)orliroiledtnergy Address, 11��' , SL JtAYllf\ — _ rand.atteradonoroxtnaioa ❑ SeePogeE 12 Each additional Inspection over allowable In any of the above City/Slate/ZIP: C10 e ko(,rh 011015 I Addltio nl inspection(1 hr min) 1 66.251 kr ' Phone:ft )1e,(p%, —10CIA Fax:( ). • Investigation(I hrmin) _ ---__ I 90.00/hr . 17/f. .- - ----- Industrial plant(Ihr min! I 78181ir Email e. c ul ak,.101 Y� Inspections for which no fee is �. G 5 Q `j a irscau,hued t h be min, 1 90.0N br CCB Lu.:'g3�� I Electrical Lic— Suprv.Lic u ELECTRICAL mini AT PERMIT FEES Suprv.Electrician signature,required: Subtotal: 'r_ Print name: --_-___Date: J CI Plan Review Requited(25%of permit feel — - -- --- ------ Stale surcharge(12%of pcimit fee). Authorized signature> TOTAL PERMIT FEE.— -- -___ _ s permit application expires if a permit is not obtained within MO Print name: t'Atti11 sC Date: day,open lib.,been ace-pled as complete. _�,Q,_rs _— U ___ ____.. a Number of impecnors allowed pee permit L,BuldnvePttamOELC-Mmi/yp-FJAt FAf!Aee Rey d11'/101S 4404615TO I,OS'COM'WEB Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE nrari,r t Each Toll • Fee for all residential systems combined: S75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva ur l IIX.70 5.01 to 15 kva 113.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind.teneratton s•stews in excess of 25 kva: ❑ Burglar Alarm 25.01 to 30 kva 301.04 2 ❑ Garage Door Opener* 50.01 to lookva 552.26 . 2 >loa ksa(fee in accordance 552.26 2 with OAR 918.309d040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems In excess of 25 kva: System* • Each additional kva aver 25 7,42 3 ❑ Vacuum Systems* >100 kva-noadditicnatcharge 0.0 3 Each additional inspection over allowable in anv of the above: ❑ Other: Each additional incpccticn is ' 60.257 hr 1 charged at an hourly(1 hr min) IL Inspections for which no fee it 90.00+br . sprcifically listed(Ys hr min) COMMERCIAL WORK ONLY: • ELECTRICAL PERMIT FEES • Fee for each commercial system: S75.00 • Subtotal(Enter on Page I). y • Nun bet or irapcctium allowed per Perna. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems 0 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 I H Jta1hmud{ELC Per4App LLa ERE doe ara OW17R013 . RECENE Plumbing Permit Application Building Fixtures JUN - 9 20 CIty of Tigard CITY OF 71G Pero.i No.. II n 13125 SW Hall blvd.,Tigard,OR 97223D+ia'Hy. • BUILDING D +iw __.- No.' SOJ.7I82439 Fax: 503.598.1960 O:her Patina Kn.; Inspection Line: 503.639.4175 Da.ti2ty. T IGAILU . D set Page 2 far Internet: x'ww.tigard-or.gov NoteOeddet<g lyo hod S p kment IiafornrWan TYPE OF WORK _� FEE• SCIIEDULE ❑ eweenstnleli0n 0 Demolition For aprrial h.formarion use checklist --- • - ---- D.rcri :inn Qty. Ca. Total Additionlalterationircplacement 0 Other Newt-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF COI 0 Ca CONSTRUCTION SFR(I)bath 312.70 1•end 2-family dwellingtnmcrcial/indusirial SFR(2)bath 437.78 - __ SFR(3)bath ' 500.32 ❑Accessory building i ❑Muhl-family — Each additional batiikitcben 25.02 ❑Master builder ❑Other. -__ FRC sprinkler(_sq.ft.) Page t JOB SITE INFORMATION AND LOCATION Site utilities_. Job site address: 1111650. .._..'=5W 11151__A i _. -.-_ - - Catch basin arce.or 18 76 p 2 Drywall,leach line,or trench drain 18.76 City/State/ZIP: 1 GAR,0 O q7 ZZ3--._ Footing drain(no,linear ft.:_) Page 2 Suitebldg/apr,no: Project name: G A1SrSr� -- _.. �1 __ALla1.l t. ( �t Manufactured home utilities 50.03 Cross streeddireetioos to job site: Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no,linear ft.: 1 Page 2 _ -- , Storm sewer(no linear B _) Page 2 __...._. . -... - - Water service(no.linear II.: Paget Subdivision: Lot no.: Fixture or Item: — 31 27 Tax nuptpucel nu.. Back(lowprcsemer � Backwater valve 1_2,51 DESCRIPTION OF WORK (�r� I`e,���� Clothes washer 25.02 i400a-to l__.".AJtw-]L__.-__ 3A-Tg :.QO _ Dishwasher __.. { 25.02 Drinking fountain l 25.02 Ejectors/sump 25 02 1X PROPERTY OWNER 1— 0 TENANT Expansion tank 12.51 - _. Fixturelewercap 25.02 Name: • I ^_ Lfit u)S - -. __ . _ Floor drain/floor sirdvhb 25.02 Address. It6ASvI 71 AA re Garbage disposal 25.02 City/State/7.1P: q �Q�tZoQtt-____��ZI. Hosobib 25.0_2 Phone:(50 Ctgg.7.012 I Fax:( ) Ieo maker I t 2 51 /� trap LK f U ���— . _ �I Interceptor/grease i 25 02 0 APPLICANT ❑ CONTACT PERSON � Mcdirnl gas(value:S_) i -t Page T Business name: — ..__. .__.. _ Prinser I 12.51 4 Contact name_ Mr t.1j,1 _ -.-.. _._. —_ Roof drain(commercial) -- - --__. i2.51 Address: V1 5ink/basitavatory 25.02 City/State/ZIP: 1 Sots units C- 'p ,,,l,(_._ �" (potable water) 62.5< E-mail: 7� 1 7]{(, Q�.r ( )._ _.- -- Water shower pan ; - 25.02- � 25.02 : I1 CONTRACTOR Water heater 37.52 Business name: s � ©_ � �1� --._ WatcrpipiaglDlW 5629 Ci /StateZIP: k f. e( O``__ O i� //L Other: 25.02 0al Address: `xA ilk VA/ Zr Subtotal Phone )�p�5_-_a"° $ ( ) a�(7^r� Minimum permit fee: 572.50 CCU Lic.: ' Fiunbmg Lie.no.:210 Plan review (25%of permit fee) -- —---— State surcharge(12%of permit fee) Authorized signature:. - TOTAL PERMIT FEE I Print name: i e iDete This permit appikatIoneapkee If permit is not obtained edleln led days Pr '. p s after It Inn bean accepted as complete.n'a�1 Ul (0"-- fr 'Fes Inetbodoloay set by Trt-County Building Industry Seniw Dowd. (.'auiWwrPnn 'PLML'•l4nuitApp.doc Ibarga 4404616r(I0112/C MALTA) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q'>' Fes(°'► '"''' Square Footage: Permit Fee: Footing drain-I"100' 50.03 0to2,000 5121AO Footing drain-each additional 100' 37.52 2,001 to 3,6n0 ._._ 5160.69 Sewer-Ist 100' 62.54 3,601 to7,200 ,_. 5233.20 7,201 and roil 5327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas St stems: Water Service-each additional IOD' 37.52 ___ sto Rain Drain-Ist 100' 62.54 Valuation: Permit FCC: rm& S 1.00 to 55,000.00 Minimum fcc S72 SO Storm&Rain Drain-each additional 100' 37.52 S5,001.00 to 510,000.00 572.50 for the first S5,000.09 and 51 52 for Other Inspections or Fees Qty. Fee(es) Total each additional S I60.00 or fraction thereof,to and including 510,000.00. Inspection of existing plumbing or for S 10,001.00 w S25,000.00 i S 140.50 for the fast$10,000.00 and 51.54 for which no fee is specifically indicated 90.00/hr each additional S 100.00 or fraction thereof,to (minimum chance-la hour) and includin-S25,000.00. Inspections outside of normal business 90.004u S25,00100 to 550,1000.00 5379.50 for the first 525,000.00 and 51.45 for hours(minimum char_c-2 hours) each additional 5100.00 or fraction thereof,to Reinspection Fees 90.O041r _ and includin•S50,000.00. Additional plan review for revisions 90.00/hr j S50.001 00 and up i S742 00 for the first 550,000.00 and S 1.20 fur (mir.imum charges=112 hour) each additional 5100.00 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 for Plumbing Installations Quaotlt.b)Fixture T2 pe Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistn/Fow El Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Baal: -Tub/Shower Jacuni/Whidrml engineer. Cu Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure OriveThru as defined in OAR918-780-0040. CuspidorAVater Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher. -Commercial 0 Any multipurpose fire sprinkler system. -Domestic ❑ Any complex structure as defined in OAR918.780.0040. Drinking Fountain - Eye Wash i Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Isometric or Riser Diagram •4" Wash Drain -- 0 isometric or riser diagram is required for new buildings -Cuthat meet the L ualilications above. Garbago -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice MachiRefrig.Drains Comments regarding fixture work: on Separator(Gas Station) _- .. _ Rec.Vehicle Dump Station Shower. -Gang --__ stall Sink: -Lav/Bar non-food related -Bradley -CoeUScrv/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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet -- plumbing permit can be issued. Urinal Other Fixtures: 1:lBuilding\PermitsMPLMF PennitApp,doc 08/04/2011 2 Plumbing Permit Application EC El VE Building Fixtures City of Tigard Received Permit No.:Mswat- 00 Date/By: 11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Il ' Phone: 503.718.2439 Fax: 503.598.1960ITY OF TIGARD DateBBy: Other Permit No.: Inspection Line: 503.639.4175 BUILDING DIVISION Date Read /R kris: ® See Page 2 for IIGARD Internet: www.ti and-or. ov a Y Y g g g Notified/Method: i Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition _ _For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 511-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen �( 25.02 ❑Master builder El Other: Fire sprinkler(_sq.ft.) \ Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11 i 5n s uj 'z Is kiL Catch basin or area drain 18.76 t0 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1-)pi l0 ©Q o(1- 2 Z 3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: GA(tto S -FA M I Ly Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector \ 18.76 _ Sanitary sewer(no.linear ft.:t� `� 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 DESCRIPTION OF WORK Backwater valve 12.51 ��//�� Clothes washer 25.02 AJC*J AO ITlp U To r1-i-GT 41005CV Dishwasher ' 25.02 A)btA, 'P,ATl4R 000 5I A16) " OILi r l 51101Ai`� Drinking fountain 25.02 �// Ejectors/sump 25.02 pt7 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: �)i�e Gh' jo�j \. Floor drain/floor sink/hub `{ 25.02 Address: 1105 0 fJ v./ /215,L A„/6. Garbage disposal \ 25.02 City/State/ZIP: 7'G4R.t of . oJ7-Z23 hose bib 1 25.02 Phone:(So3398 - .0/L Fax:( ) Ice maker 12.51 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Primer 12.51 Contact name: SAAIte' /¢'S /4'819 UC` Roof drain(commercial) 12.51 Address: Sink/basin/lavatory .)-i, 25.02 I City/State/ZIP: Solar units(potable water) 62.54 Phone:(503) 998 _7.0/2.... Fax::( ) Tub/shower/shower pan I 12.51 E-mail: Urinal 25.02 Water closet - , 25.02 CONTRACTOR Water heater 37.52 n Business name: CA ) MOD(,LL uh fl CO)J5YZUC'TiO J Water piping/DWV ,I 456.29 L Address:36 el i 5L //9711 pi.„ Other: 25.02 City/State/ZIP: 'Po R.T LAUD 9 1.54 I Subtotal Phone:(5141) yq q $3 0 Q Q ax:( ) Minimum permit fee: $72.50 CCB Lic.: 2 3 2 3 3 ' Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: i fen., TOTAL PERMIT FEE Print name: A fMe.- 6A R/oS Date: 540 - 21 ' 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. 1:\Building\Pennits\PLMUI-PermitApp.doc 10/01/09 440-4616TO0/02/COMN✓EB) 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- l"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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 Other ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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/lu 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 for Plumbing 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 Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator ElMedical 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 4,. ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) IVCW cS1136 kir-ul Tn1IkT A1JD IJCuJ Rec.Vehicle Dump Station S h 011'fFi� Shower: -Gang -Stall Sink: -Lav/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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T I G A R ll Building Permit Review — Residential Building Permit #: ivtg2021 -00btiS ; Site Address: 11650 SW 121st Ave Project Name: Larios Addition Lot #: fling Review Pin posal: Addition on rear of house Verify address/suite# active in Accela. 19. River Terrace: 12 No ❑ Yes, River Terrace Review Addendum Sit Plan Elements: yFrosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper awn to scale(standard architect or engineer scale) ,detained trees with drip line and tree protection measures ��� ootprint of new structure (including decks)and FFE th arrow �� tility locations&easements(required for new and additions) V/' e address,project or subdivision name and lot number ,idewalk/driveway approach .plicant information(name and phone number) .�ocation of wells/septic systems `4• dimensions and building setback dimensions l xeet tree size,type and location t.are footage of buildings to be demolished eet names V/'q'xr g structures on site ` �-'oxner elevations (2'contours if more than 4'differentials t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? es NCO impervious area (a plicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown. es VVV// o l❑ lean Water rvices—Service Provider Letter (lot platted prior to 9/10/1995): quixed: es,applicant was notified ❑ No Received: ❑Y s dp Water Meter ixture Unit Worksheet—Additions,Remodels and ADUs IRequired: Yes,applicant was notified ❑ No Received: Yes No SDC Exemption for ADU applied for: 0 Yes ❑ No Received: Yes LJ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No : plied For: ❑Yes ❑ No,stop intake .. Case Zonin :Use #: g h- pd 'equired Setbacks: Front: .20 Rear: ic- Side: Street Side: Garage: Building Height: Max. Height: 30 Actual Height: 1 Landscape Area: % ❑ Lot Coverage Max: Entran ! Set back no more than 8'from street-facing wall • P 'arallel to street or offset 45 degrees or less Windows urn 12%of area of all street-facing facades Garage 1Gara e .o. behind widest street-facing wall ElYes ElNo,one of the following is met: ❑gDoor exten.s : . ore than 5' fro . ' all and there is a covered porch extending beyond garage. uuDoor extends no more . s. .' rom wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door width is I - or less 1 50%or less of facade 60%or less and includes 7 of following: Covered port. I Recessed entrance I Wall offset 1'Roof eave Roof offset Fire s .: es I Lap Siding ❑ Roof itc Gable,hi or gambrel roof Dormer cent siding Window trim Window rec Window projection ❑ Balcony ❑ Visual Cle. ce ❑ Urban Forestry Plan ❑ Sen ': 'e Lands: ❑ Yes ❑ No Type: ditions met prior to issuance of building permit No s: Approved By Planning: Date: 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\B IdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Q.S//%24 Site Plans: # 3 Building Plans: # 5 Building Permit#: Enter buildin permit#above. Workflow Routing: ❑--Planning ngineering Filermit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. liB/uilding: original permit application, site plans,building plans,engineer and beam calculations trust details,if applicable,etc. Notes: • By Permit Technician: Date: . V3/24921 Engineering7 Review U Slope at building pad: 2 E/CrEonditions "Met"prior to issuance of building permit 11(a �L- asements (encroachments) per engineering conditions of approval and plat 'i1' LI Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes allo Q Final Plat Recorded: rl ❑ NOT Approved by Engineering: Date: Notes: E-Approved by Engineering: 7T'se"f sem2.14-1-y Date: 4-1 t/EoZf Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review OrConditions "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: �y SDC Exemption: El1C Received Er Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1 N/A Tigard Trans SDC: ElYes gr N/A Parks SDC: ElYes .N/A LIDA ❑ Yes N/A aOK to Issue Permit Approved by Permit Coordinator: " Date: '111 IZa� 1:1Building\Forms\Bl dgPermitRvw_RES_122419.docx RECEIVED Clean Water Services -Service Provider Letter JUN - 8 Z021 CITY OF TIGARD BUILDING DMSION Submission Date: 6/8/2021 Confirmation#: 584 Applicant Name: Jaime Larios Review Type: Partner City Plan Review Contact Email: jlarious1984@gmail.com Ground Disturbance: 384 Sq. Ft. Contact Phone: 503-998-7012 New Impervious Area: 384 Sq. Ft. Primary Address: 11650 SW 121ST AVE Mod. Impervious Area: 0 Sq. Ft. Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Addition Affected Tax Lots: 15134CD04400 INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Permit or Review Required Next Steps Environmental Site Assessment No Review Water Quality Treatment Review and TBD Contact city(primary jurisdiction)responsible for land use review and permit Stormwater Inspection issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit with Site Plan issuance. Line Tap Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Disconnection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit Plan issuance. Easement Review TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/perm its-development Julie Drinkwater From: Jill Bentley Sent: Thursday, June 10, 2021 9:08 AM To: Julie Drinkwater Cc: #Building Permit Technicians �o Subject: FW:water meter worksheet for Larios addition G°v Attachments: 11650 SW 121st Ave 060321.pdf 31p11 Below is the email I sent to both Jaime and you guys on June 3. OD( 0)ICPAS\ Kind Regards, Jill (she/her/hers) ,.• A WE+,.. Jill ViN...ovo CRN EF Akrr k6 ; .i• City of Tigard-Utility Billing Senior Accounting Asst NM:` TiGAKIT ' (888)826-7211 Payments [503)718-2460 UB plbtEttigard-ongov (503)718-2494 13125 SW Hall Blvd. .7 (. ... Tigard,OR 97223 From: UB Online Sent:Thursday,June 3, 2021 7:55 AM To:Jaime Larios<jlarios1984@gmail.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: water meter worksheet for Larios addition Good Morning, Attached is the corrected and signed form.The meter will not require an increase in size. Kind Regards, Jill (she/her/hers) 1 AWOL,. Jill 44. R louUNBEAArr, . i 'e SeniorAccountntgit Billing 1 L L A KD Asst (888)826 7211 Payments J�' (503)718-2460 UB Main jillb©tigard-or gov (503)718-2494 13125 SW Hall Blvd. LE �a[r t■\�s ' Tigard, OR 97223 1 From:Jaime Larios<llarios1984@gmail.com> Sent:Wednesday,June 2, 2021 7:27 PM To: UB Online<UBOnlinepay@tigard-or.gov> Subject:water meter worksheet for Larios addition Caution!This message was sent from outside your organization. Sent via the Samsung Galaxy Note10+,an AT&T 5G Evolution capable smartphone DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: Z"A l ML L4.Z105 Service Address: Street/Suite#: I I C 50 5w t 215f A0(7 CityT16AO) State: fl'(Z. Zip: q-4ZZ3 Phone Number: 507) Cie'?$ - I2 Email: MOW> .Z—LA-R105198y96pA1L.COr Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total• the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer . x 4 = x 4 = Dishwasher { x 1.5 = 1 °S' x 1.5 = 1°'Outside Water Spigot ' 1 x 2.5 = VT2.5 x 2.5 = Water Spigot,each add'1 1 x 1 = 1 x 1 = Kitchen sink / x 1.5 = J, x 1.5 = Laundry sink / x 1.5 = I . x 1,5 = Lavatory(bathroom sink) J- X 1 = J J X 1 = Water closet,1.6 GPF(toilet) J x 2.5 = 2 r x 2.5 = 2,,T Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = 1 x 2 = 2. Bath/shower combo J x 4 = x 4 = Current Points: 19.5 z,4Qt Proposed Increase: 5' nix G / Current Points+Proposed Increase= 2 New Total Points =Required Meter Size `S/Q Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=%" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: S (see page 1) Current Meter Size per Utility Billing: Cost: S (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) FOR OFFICE USE ONLY Current Meter Size Confirmed with UB J Bentley (no change in meter size) 06/03/2021 Signature of UB Representative Date 1,/Building/Forms/WaterMeters_070120_Add.docx Page 2 ('1 ' — ��"1 Policy Number: Date Entered: 7/30/2020 '`� L® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) e/27/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of su h endorsement(s). PRODUCER CONTACT BCE'', Insurance Services NAME. PHONE ,Em (844)520-0690 SW Cedar Hills Blvd. Ste 230 a� : (B77)888-5377 iAAc, 4 ADDRESS:MWfi•Norkcompforless.com Beaverton, OR 97005 INSURER(S)AFFORDING COVERAGE NAIL B INSURER A;US Specialty Insurance Company 29599 INSURED CA Remodeling And Construction, LLC INSURERS: Mr. Adrian Calvillo INSURER C: • P.O. Box 31 INSURER D: Gresham, OR 97030 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: f REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.WITS SHOWN MAY HAVE BEEN REDUCED BY°AID CLAIMS. ISR TYPE OF INSURANCE AID).SIRE POLICY EFf POLICY EXP LTR INS° WVDQ POLICY NUMBER IMM/DDIYYYY) (LIM/DDIVYVYI LIMIT A X COINIERCIAL GENE L LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS•MADE �x OCCUR U20AC127451-00 07/30/2020 07/30/2021 P EMI E9(Ee Nvence) S 100,000 MED EXP(Any one person) $ 5,000 • PERSONAL X AOVINJURY S 1,000,000 GE 'LAGGR T URRMITAFpLIS1^�PER: GENERAL AGGREGATE $ 2,000,000 POLICY E T I f LOC PRODUCTS-COMP/OP AGG OTHER II S 2,000r000 $ AU OMOBILE LIABILITY LUMHINtU SINb s L),LIMIT —T ANY AUTO (Eaartidenti BODILY INJURY(Per person) S OWNED -SCHEDULED AUTOS ONLY I AUTOS BODILY INJURY(Per accident) 5 (AUTOS ONLY HIRED NON-OWNED AUTOS ONLY (Per a tide UAMAI�t S (Per accident) 1 S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB ,CLAIMS-MADE AGGREGATE S DEO I RETENTION S S WORKERS COMPENSATION PLR UIH- ANC,EMPLOYERS'LIABILITY Y/N (STATUTE1I IER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIOEFI, $ OFFICER'MEM 3ER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below EL.DISEASE•POLICY LIMIT $ DES,RIPTION OF OPERATIONS I LOCATIONS I VEHICLAS(ACORO till,Additional Remarks Schedule,may be Rua child limo,,space is required) Oregon CCB is named as additional insured. CERTIFICATE HOLDER CANCELLATION Oregon CCB PO Box 14140 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem OR 97309 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CA Remodeling&Construction CCB#232331 3621 SE 169th PI Portland, OR 97236-1268 US `a +1 RECEIVED �r a, infofo@cap@capdx.net capdx.net REMODELING (- CITY OF TIGARL BUILDING DIVISION ADDRESS Estimate 1270 Jaime& Blanca Larios DATE 04/22/2021 DATE DESCRIPTION QTY RATE AMOUNT HOUSE EXSPANSION BACK In order for us to complete this job we need to do excavation and add concrete foundation. We need to form the foundation the same as the house has All dirt and grass will be hauled away by CA REMODELING AND CONSTRUCTION The foundation will be 18x8. In total concrete of yards is#11 PLUMBING Cold and hot water pipes will be extended to the new sink location Sewer line will be extended for the new bathroom location. The new kitchen sink location will be adjusted to the new sewer line. The cold and hot lines will be adjusted FRAMING DATE DESCRIPTION QTY RATE AMOU In order to complete the job,we need. PTE 4x6 by 20. #1 2x6 by 20. #4 2x6 by 10. #4 Pine wood 2x4 by 10. #23 2x4 by 20. #6 2x8 by 8. #34 2x2 by 20. #8 Plywood 3\4 interior. #6 flooring 1\2 plywood. #22 sheets for exterior walls and roof. METALS PLATES CITY REQUIRES PRE ENGINERRED TRUESSES #10 Screws Nails Liquid nails Caulking Insulation Wrapping paper ELECTRICAL In order for us to complete this job Add new wire Add new boxes/outlets Add GFCI to wet areas Add light switches for interior and exterior DRYWALL In order to complete this job, we need 10 sheets of drywall Texture Tape Prime Paint All trashed will be hauled away by CA REMODELING CONSTRUCTION Sales All material and labor is$35,000 in 35,000.00 total Job will be completed in two weeks Upon approval of this bid,we will require a 35%down payment and the remaining upon project completion. All Material will be Supplied by CA Remodeling &Construction Any additional work will be billed at $35.00 per hour. All work will be GUARANTEED for 1 year. Customer is handing us a check for$15,000 now to start the project. The remaining $20,000 will be paid after job is complete. TOTAL $35,000.00 Accepted By Accepted Date