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Permit CITY OF TIGARD MASTER PERMIT ii '"� 2 . COMMUNITY DEVELOPMENT Permit#: MST2022-00055 Date Issued: 04/18/2022 T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AB08000 Jurisdiction: Tigard Site address: 14435 SW 93RD AVE Subdivision: PENROSE TERRACE Lot: 25 Project: Palmer Project Description: Remodel kitchen &mudroom adding 1/2 bath 14sf of living space. Replace front door, infill a kitchen bay window&add new windows on west side of the house. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 14 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 14 sf Value: $36,000.00 Rear: 0 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 Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: DWV 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: 1 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: 5 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 R-3 14 Owner: Contractor: PALMER,MATTHEW G&KIMBERLY H CODA CONSTRUCTION Required Items and Reports(Conditions) 14435 SW 93RD AVE 4207 SE WOODSTOCK BLVD TIGARD,OR 97224 PORTLAND,OR 97206 PHONE: PHONE: 503-407-2579 FAX: Total Fees: $1,539.24 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 req s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9-nni11n1n rhrno inh nA 9_nn1-n Vni av nht ' a i of thn r I nr riirarr ni nactlnnc to n1 INC by Tallinn Sn1 919 1QA7 nr'I Ann 119 9114 A Issued By: p , ��� Permittee Signature: -( , � �[,per�,c [„ . 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. Building Permit Application P3- z117 r 2 Residential f [ECEIVE , IOi1 O1.flt l 1 tii.o.,I,, City of Tigard Received S3 61 20 � Pero.:MST2 -06055 `� �� 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 7 2022 Plan Review * Phone: 503.718.2439 Fax 503.598.1960 Plan : , 5//,5 2i7i ' Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By�/ 7wu' j 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION extnvtetlwd7J ��''' Supplemental`°'forma,;on ii T TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New constriction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the rofit for the CATEGORY OF CONSTRUCTION work indicated on this application. Ea1-and 2-family dwelling 0 Commercial/industrialValuation: $36 pQQ 0 Accessory building 0 Multi-family :Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms. JOB SITE INFORMATION AND LOCATION Total number of floors' (spli - Oa -- Job site address: 14435 SW 93rd Ave.ly th New dwelling area: square feet / If 1 City/State/ZIP:Tigard, OR 97224 Garageicarport area: ;"square feet 4 Suitelbldg./apt.no.: i. Project name:Palmer Residence Covered porch area: ),` square feet Cross street/directions to job site: Deck area: X square feed SW Inez Street Other structure area: square feet V I.A REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: NJ Jt-1 5 _� , Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2S 111 AB08000 ��jjr ���� —. Indicate the value(rounded to the nearest dollar)of all iY�S h equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WOR .. work indicated on this application. Remodel (e) kitchen & mudroom. Replace the front door. Infiil a kitchen Valuation: $ bay window&add 2 new windows on the west side of the house. Existing building area: square feet i i I/Z Ekk *0 ky, 'mom •New building area: square feet 0 IIR6PERTY OWNER 0 TENANT Number of stories: Name:Matthew and Kim Palmer Type of construction: — Address:14435 SW 93rd Ave Occupancy groups: City/State/ZIP:Tigard, OR 97224 Existing: Phone:( 208) 283-3968 I Fax:( 1 New ® APPLICANT 0 CONTACT PERSON — BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Gusto Design LLC - Structural plan review fee(or deposit): 373.84. Contact name:Geno Salimena -- FLS plan review fee(if applicable): Address:7637 SE 13th Ave Total fees due upon application: City/State/ZIP:Portland, OR 97202 _ Phone:(503) 200-0310 Fax: :( ) Amount received: E-mail:geno@gUStodeSignstUdlO.CUm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Coda Construction LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:420'7 SE Woodstock Blvd, PMB 582 Solar Installation Specialty Code checklist. City/State/ZIP:Portland, OR 97206 Permit Fee(includes plan review $180.00 — and administrative fees): LPhone:( 503) 407-2579 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:205084 li 7Authorized signature: �� Total fee clue upon application: $201.60 - i This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: X Geno Salimena Date:2-16-22 Service Board. ( ( I I.\Bullding\Perruits\BU /�P-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) 1 ),\V� -� Building Permit Application Checklist One- and: Two-Family Dwelling 1 t)lt MI It 1 1 •1 0\1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Dot Permit No.: ' a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 1 1 C '101 Internet: www.tigard-or.gov 0 Other: Jill': V OLI.O1\ I\(; I I'I \IS XRE RI:Qt IlZ1:1) FOR 11. \\ RI \ II:" 1e No k I Land use actions completed. See jurisdiction criteria for concurrent reviews. _ ❑ • r' 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. _ ❑ 0 rZr 3 Verification of approved plat/lot. --❑ 0 4 Fire district approval required. Name of district: • 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 6 Sewer permit. - —'❑ ❑ 7 Water district approval. ❑ 0 gr 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ._ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection.silt fence design and location of catch- ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and slate -'Sal 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. I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 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 0 0 gi' 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- IV ❑ 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. ri5 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable, 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ^❑ 0 gi prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 rif locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ I 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 V over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 gr 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 1 architect licensed in Ore:on and shall be shown to be ...licable to the ro'ect under review. ,lf'Rt:`+I)I(- CIo\ 11. •;1'l:('IFI('S 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". II f 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. I❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored'building plans will not be accepted. 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. {❑ 0 L 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 E28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard j❑ ❑ 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 ❑ 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. I:\Building\Permit\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COMJWEB) N k,fj.,WYF.tt[�'i v9v aM Niccllanical I'ern•1it Application 1(JROFt1'cf:I OAR . 22 tta9 ist=) C it of Tigard iris it, 1��r u�. t,1 z'a 14 t tt!tow 1 l l;ttrd (7t2 9?223 - .....,._ __.. 7.,, .l . ; j91114 ( .1P'1..�Ls' t t tc fi r LNlurl s;trsi.2 Mimic; rill 718,209 snv. 403 MM..I9613 pg�t�-++ 7^yy ��++ pp�-�yy IhnelaTr(;4R1y intv.r.'tuinlma S03.639(I115 �''' Hk�.OI1`dG ,AIV'SI � 11 x,aly i i St[ ectn ;.�.(nit,¢ ta r.;w tt;�S ip;;,�o t tt�t,hc N4Iln€. Salon-n n 1 ( , , (OMSDRtlti ttt1"S111)17it1t 11 ,. 1"t Fak. ��'WORK': """'"'^'. .` McchdnKal perrnn ILLS°�u Kenai on the x iluL n e+nti`' i ,"c t+ t 1 „ ai s "AdditiOnt'zlllerAtiOrdrerdaut anerl( I perinrmed huheate the t eta{rounded to the ne o I dt ili' J ( ' i ti .ai ii -1 OitiLr uech rnical materials.et ui mcni.l.thoi taserhs xd urd�>r fi I ., __.-... ... M 'tttt it+fErtk�r"+ (.,1 t(t)k1 OF (Q rh n11(.10.1!ti •;r� i .,1f ,iu stc r o lug 0 C':ommer, il+itn-Iustri.;l 0 ACCessory builx1it,.-, Forxiteiirirnfiat toti`ucrthe ` /. :r {, t 1 , Description ...,_..,............,...,._ ,„.w.� rY"¢".Y'4 ,,mj fain 1,;11th pat�i,.t .trti(� t t iher: p _ ti j ,J(91► 111 1N1tik'4111lON 4'ti111♦(iUt1-iOt4 Il---,—in cindiu ...y _ �-+ -,. flit Londntontn td 4 nl dirt j) sc .._._, *"tf" �J k`utrlitrc il� th t111(t t,+i 7 a,t ire r I It, ``. , l f o'"1. t"i " ,� i urntu 100.000t fi tl . er c,c) '71 d ._g. �r t 1e at lsunt�t I(ii r, �u ic1(atoi+f ipt no T`tat�E Lt name. ABM t+ }IvdronttL hot water system _.„ ''... f �X ` 1 1. 3 rLu 11, iOnv to!Mt silt:- ... ....... ....._ . . ... ... .. , ..-... .._. .. _. ,__.._... ...._., ,...r.. Res dcout boiler(radiator or ii itdron_ie _ y1 ...._..., .,....,...._...,...._..,.. . -,..._._...____ _ _ 1 Unit healers iclf type,not elecirtt). in-v,all.in-duct sus ^nded etc. 4fi r t t ilo&yent for any of abosr_.._...._ ___.. _21 s' „ Other ').l2 l I t c r, ! dot th,. ._.- _ _,_.. .. ._ .. _._ , .... ..... L.,_ _....__...-..._____ Othrr{uci appliances I t p l I In.. Water heater Ilt'*C1t1)'1I()N 1)t WORK: Cos)irtplax s .`Lrt 3119 ; d,7 __ l hie vent for ssuler hcnlcr or gas s «r T! .. fireplace 3 li _.. Log lighter(gad) _ 23.32 1, 1. .Peti)el. _.__..r. _......, . ._. _._ __. wrtcidrpclkL4 stc is 11 1n Wood flrr lucc'utsLr7 0.12 72 Chmrms linerillucistnt t 1 s2 _..._ r Environmental exhaust and t ratiiatinn. �.._ En, �✓ y, Range hOr i Qther i.itehen r fA fidrr Clothes dryer eahauSt ("1t4 j Ie� ` Single-duct exhaust thoth toots q - ' s fit ill 9 todd emit. meaty utnits rooms} +' b s tt j Fax Ainucrtwis u e PAr . � '3 1* L I i et1� 4 ) ! C71tAt 1 Pt114(t! Other;____ ____ _L i 21 3"- 1 l,o sit --s n and• t to tit '0 10{4,.., f, ,rR" 514 SS f it tied tear St n3[ar e�re11 addtt+tmal tdtLrm _ _ ;�r (ii<tat�at rst I ciIt ¢ ..` . b"'"6, t,ti° , k ,___ w! _. t4aJJ,uiix ndtai unst(rent r f r /� 1 ar'sitlh 1 tle ,f rt ,/ ,�,e Water heater i .}F .. {{��-*�.^ 1 t r i l Fire slate ---- ' I/7*er - --,-;„,„.. 1., I. _ , , , f CO,t1kt.0 0. , , , .„,„ u3d er{„.,, „ , , . t)thes_ y _ t iltk Eit 4 rtarttc _p,✓ i., fi G. , �" -1� ' 't7Nd2(:1'Yi<�lt,.�"Et1M11 M4:k� is#cla v " ,uhtotal - Ma mtuntperrriU let.11.24r 3it1 1t. €�,�p t .,.tit} ti ttLr ll' . .1t" .. sl ,__:..._ t ^" Plan f 4Sti.4 t ' ( gh add:for') 1' ttl t 1 1 Fax { ) .' State sort bar barge, ,,q 0 nl ,L t __. 101AI 11 t\tlI IIt " ,"p�jy 1 rr.�i i}i '.. .,,i.d.. ."..« •. 44).,*tlKs a hax meta isyas uftsi If ofungit rt, 'of t ift d qt Yr rttlr , t i.for ,.iii l iil WI its i ri t.-.a€ntv drnh it g, ;,t, r•t rsi'itan9 1' 11 nm �� r l: wV,,,. 4,. #'� lid 1,11 0 �*�. ..�»i ��., U ,<,, i ,.,'MI i=_rmi.'na p 'iL. i n . , ' Electrical Permit Application' CEIVE Ftilt OI E It I: I tiI1 t)\l l City of Tigard ReceivDate/Bed Permit#: Il -" 13125 SW Hall Blvd.,Tigard,OR 97223 AAR 9 2022 Plan Review Related Permit#. m Phone: 503.718.2439 Fax: 503.598.1960 Date/B Inspection Line: 503.639.4175 of l Y OF TIGARD Ready Date/By: lib WI See Page 2 for T I G A R D Notified/Method: Supplemental information . Internet: www.tigard-or.gov iUILDI n CnUiSlnhl TYPE OF WORK PLAN REVIEW 0 New construction ®Addition/alteration/replacement Please check all that apply(submit/sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 21-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 14435 SW 93rd Ave. 100HP or more. ❑"A "E "l-2","t-3 ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97224 0 Recreational vehicle parks. 0 Health-care facilities. Suite/bld /a t.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than g• p J 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Kitchen remodel Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy I 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Kim and Matt Palmer 200 amps or less 100.70 2 Address: 14435 SW 93rd Ave. 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97224 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 i Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: swich Electric above service or feeder fee, 7.42 2 each branch circuit Contact name: Frank Diodone B.Fee for branch circuits without service or feeder fee,first 1 56.18 56.18 2 Address: 4130 SW 117th Ave.,#A324 branch circuit City/State/ZIP: Beaverton OR 97005 Each add'l branch circuit 4 7.42 29.68 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 913 3192 �cix: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: frank@swichelectric.eom Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: swich Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 4130 SW 117th Ave.,#A324 panel,alteration,or extension. City/State/ZIP: Beaverton OR 97005 Each additional inspection over allowable in any of the above tY Additional inspection(1 hr min) 66.25/hr Phone:( 503 ) 913 3192 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: frank@swichelectric.com Inspections for which no fee is 90A0/hr CCB Lie.: 187598 Electrical Lic.: C525 Suprv.Lic.: 5481S specifically listed('/z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ri/G ' Subtotal: 85.86 Print name: Haedinger Date: 3.7.2022 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee)_ 10.30 TOTAL PERMIT FEE: 96.16 Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: �Zace...;(,14,1, Date: 3.7.2022 days after it has been accepted as complete. * Number of inspections allowed per permit. i:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/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 Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total j y 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: El 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 552.26 2 with OAR 918-309-0040) ❑ H• eating, 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: C Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter Page 1): 3r ' Number of inspections alllowedowed it.per perm . (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems E Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ H• VAC ❑ Instrumentation El Intercom and Paging Systems (l L• andscape Irrigation Control* ❑ Medical El Nurse Calls ❑ Outdoor Landscape Lighting* ❑ P• rotective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_Permitlpp_ELR_ERE.doc Rev 06/17/2015 1 ,., 1 VED Plumbing Permit Application, AP 2022FOR oFrl( F. 1 SF c1Nl.t Building Fixtures City K of Tigard vd 3�'UI- I i' NL Rcver,nd PermitPermitN„ rhne:81 at 13125 SW Ifall Bhd.,Tig:ud,ORI Plan Resrc» I 1 s: Phone. 503 718.2439 Par' 503.39 IG DIVISIOti (Melly yY Other Permit Nn: T I G A R D inspection Line 503 639.4175 [}ate Rardditr i„d. 0 See Page 2 for ',. interncl' www.tigard-or gins Notified Method _ Supplemental Information TYPE OF WORK FEE" SCHEDULE For special information use checklist ❑::\cvs construction ❑Uemalilton Ikscription r (/ty, Fa----Total (pr Addition/alteration replacement ❑Other: New I-2-family dwellings(includes 100 R.tiir each utililLconnection) CATEGORY OF CONSTRUCTION SFR(I)bath 312,70 ` SI'R(2)bath 437 78 �y I-and 2-farnil dwelling ❑(ommercial/industrial 5(0.32 -, ❑Acccsson building -_ 0 Multifamily SPR(3)bath ------------ Each additional bath/kitchen 25 02 ❑Master builder 0 Other:_ Fire sprinkler(_sq.11) Page 2 JOB SITE i.NFORMLATlON AND LOCATION Site utilities: ._ Jab site address: -(LI 3 -J. Lam'.+� /r _Y Catch basin or area drain .� 18.76 - Drywcll,leach line,or trench drain 18.76 C:it/Stalc/T.IP: /t Tooting drain(no.linear It.: ) Page 2 Suitctbidgrapt,no.: Project nune: Per-Lx_"1.e Manufactured home utilities 50 03 -- Cross streetrdirections to job site:T Manholes 18.76 Rain drain connector 18.76 �.__._ Sanitary sewer(no linear I).:�)__._. _- Storm sewer(no.linear tl. Page 2: ) Page 2 1. Water service(no.linear II: _ ) Page 2 Subdivisam: Lot no,: Fixture or item: Baekllass presenter 31.27 -1II Backwater valve 12.51 t)I M(iifl'ItOti ()I WORK R ,s- '1 -- Clothes washer 25.02 '' r'F 10 - . 1..1 .L ;'--- .._t�'` '��~ _._._'' Dishwasher 25 02 -4- 0t"'j Drinking fountain 25.02 ~- j Ejectors/sump 25.02 t !x atsitm tank 12.51 1777 -�,��''�"RShPf R7`7J t;"1J4�`�lit M�--- -� CI TENANT P ; ); nt 1cs t y t ) <t i l } " (§ r1t"2. Fixture/sewer cap25.02 i l _ r^q Floor dram/Iloor sink/hub 25.02 1 ( 1.._..i � Iv 4J, � i _ Garbage disposal I 25.02 {$. t itySta YIP: 7 j .f } l2 J i,. .2.4Ilou bib 25.02 I Phone,( ) <.. L -» IL.' 2 d,%d j I _,... let.maker ` 12.5I ?f` . APPI i(ATMi I " ,, .v Interceptor/grease trap 25.02 , Business name- Medical gas(value:S ) Page 2 J ✓t J�t.c'r ! ,,�,., l s��f1 �f 4 k % � , ,.._,_ _ Primer I2.51 I unt a.t nun+ J s, 2•^' (r f1'd J IrSr z °` y� Rnnfdrain(commercial) I2.51 1 r, ) t� � L : �"Cl Sink/basin/lavatory 25 02 % -..._ € t . it rJ 16 {t om) ,t2 E ' t/ Solar units(potable water) 62.5 I 3 1 Pt,ins r .,5) s .. rr`f✓ / Pax: 1 ) Tub/shower/shower pan 12.51 7 z , ( �' IJrara! 25.02 1 ( nt.i i: ,i',' In l tl.4.,,... ..,.,'...da<`1)'4` ,.!...:C'I'd_..Di:.......7/'f,i�.. {r'' w I)IN IRACl OR Water closet 2S 02 • Water aut err pheipaitneri.Dwv 37,52 i Itt Et-, f a 564) _ _ Add c5 1'�}3 hillt(Ir(Clt� / VG _ _ d)th r __L_ 25... ...._ city,Staff r/1P pot and n {P 7,117 Subtotal 1 €hr t=.° (503''"" 8 4i1 !, ,:( Minimum Ixrmn to $7 0 ....... , : t tan ro tow t25% .t permit lee) t r l3 1.ic 90566 )i tat ti I t,. PB858 ._...�..__.-,..-_._ ___ a , L i AR nit vsignature: _._. State surcharge(12'�m of permit feel� . I()IAI.illl.\ItlFEE, �f z Print name,: I Mtc 03/04/22 , this v i a fldicatron unpin.,if a permit if not obtained within MG a t i.._.,..... _......,,'i Jsa -.. . ..-._....._ ....,..._ _.,.,. .__._ ...,,_, maft r d has been accepted as complete > ' "1 is to<tirrid,lLV, it,,in-Cv-turr.Nor a.tndw9ry Serve.Ite t' j 1.4.�iaat,.lhrxrxt,f9,.Rft?.rotod.t.."h,)ai irwntiII 4rn•wt,til-r.,1`de''I i ti• " *.,tat" e'''471Prx +a[xua .. City of Tigard 11111 r COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential' TIGARD -... i ifm tilt}Pai:^'lii?''..'fi':41ht'+7,:rit&E1t.;:akra.im,.Nl ii'[, '+:xat:?fit'; ai;u-'-9-swim ilato ivaimmtTF•r+ .;x. s: a e,... ',I' i 1 RPM: Building Permit #: M ST2022-00055 Site Address: !N43g- SW 9. AVE Project Name: PALMcI:a. Lot #: Planning Review Proposal:� -iyep p� l''A-nttr¢y, $ k'r-t-rten) E Verify address/suite#active in Accela. ❑ In River Terrace: I2 Flo ❑ Yes,River Terrace Review Addendum Sitlan Elements: a Erosion Control 21' copies of site plan on 8-1/2"x 11" or 11 x 17"paper t ' Retained trees with drip line and tree protection measures I/ wn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE L North arrow Utility locations&easements (required for new and additions) Ogite address,project or subdivision name and lot number l idewalk/driveway approach Applicant information(name and phone number) 5..r. Location of wells/septic systems , p Lot dimensions and building setback dimensions S eet tree size,type and location Square footage of buildings to be demolished Street names �Existing structures on site LComer elevations (2'contours if more than 4'differential) Et1Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes cjPd'o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes 21Go .2 Clean Water Services -Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified krNo Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: s,applicant was notified ❑ No �� Received: ❑ Yes ❑ No DC Exemption for ADU applied for: ❑ Yes 1/1 No Received: CI Yes ❑ No Public Facilities Improvement (PFI) Permit:/ Required: ❑ Yes,applicant was notified L7 No Applied For: ❑ Yes ❑ No,stop intake El Land Use Case#: G R-'(s ontng: ,12iiequired Setbacks: Front Rear: I Side: J Street Side: /s Garage: 20 ❑ Building Height Max. Height: XIA- Actual Height it/A-- I El Landscape Area: WA' % El Lot Coverage Max: N� % trance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ' 'mum 12%of area of all street-facing facades Garage ❑ Garage door' • d widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no mor 'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from d there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less ❑ 50%or less de ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ' of eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam of ❑ Dormer —/ ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection alcony SL�" isual Clearance ID Urban Forestry Plan ensitive Lands: ❑ Yes El No Type: ❑ Conditions met prior to issuance of building permit Notes: ❑ Approved By Planning: ,, "---- -. Date: 2/Zy/Z2 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPernutRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: , 2//7/4ZZ Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit#above. / Workflow Routing [Planning Engineering EPermit Coordinator El Building Workflow Sign-off: l 'Sign-off for Planning(include notes from planning review) Route Application Documents: [tvEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. E i Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 03/01 72022-- Engineering Review El Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ N Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No ❑ Final Plat Recorded ❑ NOT Approved by Engineering: Date: Notes: El Approved by En eering: Date: Revisions (after ilding 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 Ap. ' t: ❑ SDC Exemption: ❑ Rece' -• ❑ Does not apply ❑ SDC Fees Entered: W.: Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A LIDA ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fomis\BldgPernutRvw_RES_1208021.docx . ; tee. . `A,I Sk4t..f V elk._ AV.A $O1 t.t1 t34.% S kl')wm. 2 , Zs• 22. Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUsr Please complete the following information: R E`"'E I V E D Customer Name: IAq 1 K,\ 1)A54m,1 L APR 5 ZOZZ Service Address: Street/Suite#: 1435 514 9 3" i k_ CITY®F MARL. lUILDING DIVISIQI` City: r4 COLD State: oft.-- Zip: q 7 2 op Phone Number: k 25`)- Zg - 39 6 Email: Hycr2..S5 cr y I . ce"A„ Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer \ x 4 = 41. x 4 = Dishwasher 1 x 1.5 = k ,S x 1.5 = Hose bib ` x 2.5 = 2,5 x 2.5 = Hose bib,each - x 1 = x 1 = Kitchen sink \ x 1.5 = ( , x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory 2. x 1 = 2, ' x 1 = I Water closet, 1.6 GPF . Z x 2.5 = 5 1 x 2.5 = 2 , e- Bathtub/whirlpool x 4 = x 4 = Shower stall 1 x 2 = 2_ x 2 = Bath/shower combo 1 x 4 = Ak. x 4 = Current Points: Z2•C Proposed Increase: 3 r 5 Current Points+Proposed Increase= 2.( =New Total Points =Required Meter Size Sig Meter Sizes: to 30 points=3T$s 30.5 to 37 points='/," 37.5 and over points= 1" �&G,._ S't� l r wS 572 a 0.. 1 `3/ u ? New Meter Size Needed for New Total Points: ` Cost: $ (see page 1) Current Meter Size per Utility Billing: Cost: $ (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 No Meter Size increase will be required. Current Meter Size Confirmed with UB J. Bentley 04/05/2022 Signature of UB Representative Date I:/Building/Forms/WaterMeters_070119_Add.dOCxt� Page 2 Julie Drinkwater From: UB Online Sent: Tuesday, April 5, 2022 10:25 AM To: Geno Salimena Cc: #Building Permit Technicians Subject: RE: Water Meter Fixture Worksheet for 14435 SW 93rd Attachments: 14435 SW 93rd Ave 040522.pdf Categories: Julie Good Morning, My apologies for the delayed response. I was out of the office. Attached is the signed form stating that this location will not require a meter upsize. Please let us know if you need anything else. Kind Regards, Jill (she/her/hers) A W[>„. Jill �EREVOU CAN BE ANyr,„ ' City of Tigard-Utility Billing '., Senior Accounting Asst st Tdb.f (888)826.7211Payments (5031718-2460 UB Main jiRb@tigard-or.gov (5031 718-2494 LI i25 T gard,SO�RH9726 Blvd.all 3 From: Geno Salimena <geno@gustodesignstudio.com> Sent: Friday, April 1, 2022 9:30 AM To: UB Online<UBOnlinepay@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: Water Meter Fixture Worksheet for 14435 SW 93rd You don't often get email from denoPgustodesignstudio.com. Learn why this is important Caution!This message was sent from outside your organization. Hello, I am following up to make sure this fixture count worksheet was received for 14435 SW 93rd Ave. I left a voice message a couple of days ago with one of the staff members. Could you also let me know when this might be completed. I received an email from the building department that the building permit MST2022-00055 is completed and ready to be paid for but that this document is holding up issuance of the permit. Thanks geno salimena gusto! design studio www.qustodesignstudio.com 503-200-0310 On Fri, Mar 25, 2022 at 3:36 PM Geno Salimena<geno@gustodesignstudio.com>wrote: Hello Tigard Utility Billing, I have submitted for a building permit to remodel a SFR at 14435 SW 93rd Ave. The permit number is MST2022-00055. The addition of the water closet to the home doesn't trigger a meter upgrade. See the attached worksheet. geno salimena gusto! design studio www.qustodesignstudio.com 503-200-0310 xrt# i Virus-free. www.avast.com 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 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT u Transmittal Letter t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: i ' 1 _ S tne.t-, MAR ` 2022 COMPANY: al%t o► c4ks�► \��►--�C.• ;ITY OF 'IGADV PHONE: ° " - b tUILDING DIVISION By: EMAIL: DJ Q tSt cr.%toc c RE: � 3� SNl � � �1 , _ ST 2.022. - ot3 ss- (Siitee Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. j Revisions: ci.taeit.9t..454, � t Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. k Other(explain): TQ t t L\c..**P ' ► ( 44 ftS REMARKS: �©�.D 1�ra' t Te, S! .'C 2� 't.a ktet." -,5 2-, , * o N ` tivAkA g\, atickx.sts4u4 ata stk FO O CE USE ONLY Routed to Permit Technici D ��!C� 2=7 Initials: ; --- Fees Due: 0Yes [ To - Fee Description: _ Amount Due: b C- Special /67 Instructions: Reprint Permit(per PE): [J Yes No ❑ Done Applicant Notified: ` j Date: 3 /L 2_ �_ L_ Initials: