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HomeMy WebLinkAboutPermit (2) CITY OF TIGARD BUILDING PERMIT `"1 �. COMMUNITY DEVELOPMENT BUILDING MST2022-00253 Date Issued: 9/15/2022 TIGARD, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BCO2000 Jurisdiction: Tigard Site address: 10690 SW FONNER ST Project: COSENZA Subdivision: NORTH TIGARDVILLE ADDITION Lot: 24 Project Description: Remodel existing home plus 1,500 sq.ft.addition.WATER METER UPGRADE REQUIRED to 1". Contractor: Owner: COSENZA, JENNIFER LYNN 10690 SW FONNER ST TIGARD, OR 97223 PHONE: PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: ADD Type of Const: VB Building Permit-Additions,Alterations, 09/15/2022 $1,909.27 Occupancy Grp: R-3 Occupancy Load: Demolition Plan Review 08/04/2022 $1,032.95 Dwelling Units: 0 12%State Surcharge-Building 09/15/2022 $229.11 Stories: 1 Height: 20 ft DC Provision Review,SF-Ping 09/15/2022 $110.00 Bedrooms: 2 Bathrooms: 3 Info Process/Archiving-Lg$2.00(over 09/15/2022 $38.00 Value: $232,957 11x17) Info Process/Archiving-Sm$0.50(up to 09/15/2022 $24.50 11x17) Floor Areas: Metro CET 09/15/2022 $279.55 Total Area: Tig-Tual School CET-Residential 09/15/2022 $2,440.71 Accessory Struct: 0 Tigard CET-Residential-Admin 09/15/2022 $93.18 Basement: Tigard CET-Residential-ODHCS 09/15/2022 $335.46 Carport: 0 Tigard CET-Residential-AH 09/15/2022 $1,900.93 Covered Porch: 0 Services or Feeders-200 amps or less 09/15/2022 $100.70 Deck: Branch Circuits w/Purchase Service or 09/15/2022 $148.40 Feeder 12%State Surcharge-Electrical 09/15/2022 $29.89 Garage: Air Conditioning 09/15/2022 $46.75 Mezzanine: Total $10,409.51 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1. 332.2344. 7, f, Issued By: .. -'— . 1 Permittee Signature: ��f - y 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 Residential I�ECEIV � pf ""12O""lcH; usH;olvl.v Ci of Ti and re ivedgDateBy: 5 `t Permit No.: T bo5-1iii 13125 SW Hall Blvd.,Tigard,OR 972231111 rqryPlanReview nm � } = Phone: 503.718.2439 Fax: 503.598.1960 AUG 4 2022 Date/By: Q/3 2Z , - Other Permit: Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: a. Li�]'� Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARDsotified/Method: J✓ 116 "�-^p_ Supplemental Information f� BUILDING DIVISION V/ ;WO' 9/t5 � �`�' TYPE O 1 4 ,`7' t ® 't s i! i-Ara aFE s,i19 ❑New construction ❑Demolition Permit fees*are 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,overhead and the pro1,45gi the ..,z3 :r�_ work indicated on this application. CATEGORY OF CONSTRUC,.„ pp -��I ( I ❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ / ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: 2.�( 1 �Z- 1.* , `S s JOB SITE INFORMATION AND l `g" 3 Total number of floors: 2-- Job site address: 1 (j(p 9 O S W �j n n-e V 5 New dwelling area: (`-73 1-- square feet (01 ip City/State/ZIP: "Ti pLI 41 1 27,3 Garage/carport area: square feet,p2S-.' Suite/bldg./apt.no.: Project name: SF,mz,,,,, Covered area: o/� �,'"L t5 square feet Cross street/directions to job site: Fdm,,C,r / r r r.0 ( Deck area: square feet ODti./Q_,,,Je -f ASS C/v7..t e-d,11 a -,ai ) ( Other structure area: square feet t s , �y/Lt-r Asyksj,j, b r t -47,w r )7111r31- 85, REQUIRED DATA.COMMERCIAL-USE CHE � !i A Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 11/4"---6 47 � 4/ — Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the . � } 43 w ;: 4 work indicated on this application. A • t •4 015 Valuation:� � $ - O 1,---- x ' - • ' ����` Existing building area: /� are feet 4",)l � New building area: L square feet lifirglAir iV •% '1 � i r1'9 -I ENANT ',•,' ' : Number of stories: Name: t �`�] i �eil A , T C,r f-eeel Z�.— t ! ,�� ji� c -i i. Type of construction: Address: 10690 5 W (-el ,`, ,r• '4, Occupancy groups: City/State/Z1P: —1--; 3 4 6 (Z c%"'1 ZZ 'N Existing: Phone:(50, 451. - /I/0iel Fax ( ) New: } APPLICANT ❑,CONTACT PERSON ''"' .> ... .," „ ._,., ,, .,x $ �a t O. G PERMIT FEES :r t .,, N:„ r ,efer to fee schedule) . { .t h a Business name: Contact name: PI O,-r L B O ii Ml S' C A T l Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: ) 6 &c/ Q 5sIAr 7$ n n.� e• i- / C(A. 6 PR 9,� Total fees due upon application: City/StatelZIP: ' 22.3 Phone:(5b'Jf- 2.7 0 / qe f I Fax: :( ) Amount received: E-mail: �O i ,,,-4,0¢ 9 9 ti'i :ftl1 i . V Z:::,i. , € i s TOR Commercial and residential prescriptive installation of r roof-top mounted Photo Voltaic Solar Panel System. Business name: e Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon N, Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: •� This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. �� k -gb 5 )I. Date: ( l/5 i Z'L *Fee methodology set by Tri-County Building Industry M Print name: �+ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44011613T(1 I/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ReceiveED Date/By: Permit No.: f7-� `cci 53 ° 13125 SW Hall Blvd.,Tigard,OR 9722 (�I J 1 C V Plan Review Phone: 503.718.2439 Fax: 503.598.19 ill Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov AUG 4 2022 Notified/Method: Supplemental Information toe e i L11 i i( AHLII COMMERCIAL FEE* SCHEDULE - USE CHECKLIST TYPE OF WeRh O ;T)toc•lew Mechanical permit fees*are based on the value of the work O New construction 1_, Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all O Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* fil 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning t 46.75 Job site address: 0 c v '� 1 b Y o 5 f'—d r„+/1-t / 5 Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP: -- n u c„, ,t 6 jZ 9 7'�Z-s Furnace 100,000+BTU(ducts/vents) 54.91 J �s n ,J 4-1. Dut pump 61.06 Suite/bldg./apt.no.: Project name: Ctn2� ,��j v .- Duct work 23.32 Cross street/directions to job site: g,.,. O I / 0 h-t Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater i 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 1 s Flue vent for water heater or gas GIN e ..L . � rC ai. � e vH ei: l t a—i -.,. fireplace 23.32 JA t Log lighter(gas) 23.32 '- s a C-e. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 lilt PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: V e /A h's Ye r CV S Q t^Z a. Range hood/other kitchen r-- equipment 33.39 Address: 1 O 9 0 $ f o ,,. if.- r ck- Clothes dryer exhaust 2..... 33.39 City/State/ZIP: -�{�� 6 --T Z 2'3 Single-duct exhaust(bathrooms, I toilet compartments,utility rooms) 23.32 Phone:(4 9 et S 7 /1 00 r Fax:( ) Attic/crawlspace fans .'') 23.32 0 APPLICANT `7 CA CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: r\ 04-f` V.. f 6 k f‘c,,I--G J— Furnace,etc. Gas heat pump Address: I 0 9 0 lY�5 �J "N .. t Wall/suspended/unit heater City/State/ZIP: ----'T* 6 _7 2Z'� Water heater Phone:(co ) 270 . 7 q Fax: :( ) Fireplace 111 / Range I E-mail: pi a r. , 30 Lt., $ a e l% QNi ( , c 0 Barbecue CONTRACTOR Clothes dryer(gas) Business name: l�l R�,.I I Other: MECHANICAL PERMIT FEES* Address: 127.2-. 0 Sly C y ct, .4 „_ Subtotal L City/State/ZIP: I t� ..... O 2 (�72Z'7 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( O'?) 0 J 2 5 1 '7 Fax:( ) State surcharge(12%of permit fee) CCB lic.: DQf C3 7�U 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: ✓� * Fee methodology set by Tri-County Building Industry Service Board V/e Print name: M o-i k Bo( n 5 A-c d a- Date: ''/3 / 2 1:\Building\Permits\MEC_PernutApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 ▪ Electrical Permit Application FOR OFFICE USE ONLY ` EriCity of Tigard RECEIVE IDate/BY: Permit#: msF` �ae-^Z l 13125 SW Hall Blvd.,Tigard,OR 9722 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: TIGARD Inspection Line: 503.639.4175 AUG 1 9f)77 Ready Date/By: Saris: fa See Page 2 for an Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK )T '' . - ,: F: 1- ❑New construction Addition/alteration/replacement Please cheek all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 154,1-and 2-familydwelling0 Accessory building Tess to ground,or exceeds 14,000 ❑Commercial-use agricultural Elamps for all other installations. buildings. ❑Multi-family E Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or V.a 0 e fil'.. JOB SITE INFORMATION AND LOCATION All 1t ❑Emergency system, larger separately derived ❑Addition of new motor load of system. Job#: Job site address: k 0Co CI 0 5 v.., •O^Mrcir 5 I00HP or more. ❑"A","E"."l-2","I-3 City/State/ZIP: —'T'1 —t ❑Six or more residential units. occupancy. .G[ 8 OR G 1-2 20 Recreational vehicle parks. C-) L ❑Health-care facilities. Suite/bldg./apt.#: Project name: C e,�M?..L J te.yi b ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: /, Anrc„ I ' t1 ;u° z a ¢ Description Qty. Each Total 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 ,- r Limited energy,residential `-kp14' b l . 1 �) <� � (with above sq.ft.) 75.00 2 ---e-- Pe, '-Vv/. r^ {� 1 O�'L V Gr Limited energy,multi-family 75.00 2 hE 1 .`I.o ✓..% l 0 D ar,w� -i-0 zoo 4�✓ residential(with above sq.ft.) L�� Renewable Energy 0 See Page 2 I PROPERTY OWNER Co0 TENANT Services or feeders installation,alteration,and/or relocation Name: "Tev‘y% 0 .G C ` t� 5 ehz-a 200 amps or less f 100.70 2 Address: 1 0 3, G b 5 t/V f- K-t r 4. T 201 amps to 400 amps 133.56 2 �� 401 amps to 600 amps 200.34 2 City/State/ZIP: " 1 tw.`a v c1 zz 1. 601 amps to 1,000 amps 301.04 2 Phone:(9b�j - l s 7- 0 , — Fax: ( ) Over 1,000 amps or volts 552.26 2 ((��� //��/� Temporary services or feeders installation,alteration,and/or Email: C b SG�2 a- 1 �-_vvi% h-Cr' 'V' t . • Cbw relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 . , , : L 4 Branch circuits-new,alteration,or extension,per panel ' _ "� PERSON` A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit �� 7.42 2 Contact name: M cA.,Lk ' b ii it 5 JA- B.Fee for branch circuits without service or feeder fee,first Address: ) d (p Ct p 5-(/`,. 4n-e r `74 branch circuit 56.18 2 City/State/ZIP: 0Q ��F-t—'�l�� Each add'I branch circuit 7.42 2 �" Miscellaneous(service or feeder not included) Phone:(io3) 270% !A�-� 74. /9 Fax: :( ) Each manufactured or modular 67.84 2 Email: 0,,i�. �0�4 S�4 4- e& : I a Coe% dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR f Pump or irrigation circle y 67.84 y 2 Business name: 4.1 ( �be ($ ©.k 5 ' (�G„,_, -G l.C1.r,i I v-(y C, Sign or outline lighting 67.84 , 2 t Address: Signal circuit(s)or limited-energy See Page 2 2 panel,alteration,or extension. 0 r� !: Each additional inspection over allowable in any of the above City/State/ZIP: G YL.2 S In a OR -ll 04 6 Additional inspection(1 hr min) 66.25/hr Phone:(%3 y 91 3 Lt c i Fax:( ) Investigation(1 hr min) 90.00/hr • Industrial plant(1 hr min) 78.18/hr Email: -Tr; a14 Skrv'.2 g TO o ,a• con" MiInspections for which no f'ee is 90.00/hr CCB Lic.#71 ll 1 ti(eq. Electrical Lic.C.)2.-2-( Suprv.Liu.: Co kI r S specifically listed CA, hrmin) E RICAL PERMIT FED Suprv.Electrician signature,required: 111516 - - Subtotal: Print name: 5ve,Tr ,G'1 KI t Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: 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(It/05/COM/WEB _ Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: t21 SIDEST'TIA1G WORK ONL » ' l i sxnv Description Qty. 1 Each [ Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or to 100.70 2 5.01 to 15 kva 133.56 2 E Audio and Stereo Systems* 1 5.0 1 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ B• urglar Alarm 25.01 to 50 kva 301.04 2 7 Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(tee in accordance 552.26 2 with OAR 918-309-0040) Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ O• ther: Each additional inspection is 66.25/hr I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/a hr min) },���.,rr ELECT1J I PER 31T5tt'tS .t'd��3 4 t Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: E Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation E Fire Alarm Installation ❑ HVAC ❑ Instrumentation E Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls E Outdoor Landscape Lighting* ❑ Protective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_Penni1App_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application BuildingFixtures FOR OFFICE USE ONLY I�ECEIV:�.ilrCity of Tigard D B a Permit No.: �z$ Eri e 13125 SW Hall Blvd.,Tigard,OR 97223 A I 1 f' 202'�plan Review Phone: 503.718.2439 Fax: 503.598.1960 H lJ U Date/By: Other Permit No.: Inspection Line: 503 639.4175 ate Read/B Juris: ® See Page 2 for TIGARD Internet: www.ti and-or. ov CITY OF TIGAR[, y yK g € { pohficl/Method: Supplemental Information 131j�- r TYPE OF WORK ILn l Distils, ' - FEE* SCHEDULJ 0 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) CATEGs . -- 9 CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOC Site utilities: Job site address: ( O&90 S w 'Fan.t. ,r 54. Catch basin or area drain 18.76 City/State/ZIP: -T; � ©�'] ,Z.Z•3 Drywell,leach line,or trench drain ` 18.76 JG 4� Footing drain(no.linear ft.:_I Page 2 Suite/bldg./apt.no.: V Project name: �c r_A ;c-i e„ Manufactured home utilities 50.03 Cross street/directions to job site: ii-t)il h / &-:-..r✓„0 ' Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:____) Page 2 Storm sewer(no.linear It.: ) � Page 2 Water service(no.linear ft.: I Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WOR• rt s'. Backwater valve 12.51 "` ' Clothes washer Z 25.02 2e? PI rtr - 1 y k b nth' , ABC/t -• t 3 h4 '.r Dishwasher i 25.02 a H Q. 1( -./ i IN v r;^ iZ oo,,.J* ti o. - Drinking fountain 25.02 i C Lk , Ejectors/sump 25.02 -r - 4 ° ' ti3OWNER 0 TENANT Expansion tank 12.51 Name ( Fixture/sewer cap4 25.02 �i�h/►%1"-C.V C 6 S-e 1t?�-- Floor drain/floor ink hub 25.02 Address: (b 60(w 0 5vv O✓l,,w r - Garbage disposal i 25.02 City/State/ZIP: ".1 q tom- d b g 5'72Z'> Hose bib .2 25.02 Phone:( d'>) . 4 C7 0 Fax:( ) Ice maker t 12.51 !tea t ERSON 1 Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 I 1 Primer 12.51 Contact name: a,/ tc.. 36 1,114 t-i'L G" Roof drain(commercial) 12.51 Address: G Q e- ( (/n �0 /0 J � r-G K In--C✓' c Sink/basin/lavatory 5. 25.02 City/State/ZIP: r 7`J 4 K 6 CI--1-Z2Z 3 Solar units(potable water) 62.54 Phone:(ro3 zip `- 7c 9 C1 Fax::1( ) /' Tub/shower/shower pan L. 12.51 E-mail: (' IG. B o il/1 ' ..i... t�G--i�l a t I b cc.' Urinal I 25.02 - Water closet 5. 25.02 CONTRACTOR Water heater t 37.52 Business name: Cc , N) . Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Permits\PLMU-PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • ' Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: .Site 1Xtil hest Qt . Feet a) l moral Square Footage: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 vatuat><on: Permal Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Stone&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000,00 $72.50 for the first$5,000.00 and$1.52 for ' Qty.= Feetei Total each additional$100.00 or fraction thereof,to OtherJnsPP01ons or '?ees and including$10,000.00. Inspection of existing plumbing or for S 10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. .P[ `Review,.for PIumbin ]Sf 11� ions Quantity by Fixture Type Plan review is required for any of the following. Fixture,`ypefor Replace/ Please check all that apply. WorkJerfortmed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ 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" Isometri or is'erDiag ❑ 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) Rec.Vehicle Dump Station 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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIIWater Meter Fixture Unit Worksheet T I G A R D For Additions /Remodels /ADUs 13125 SW Hall Blvd. • Tigard,Oregon 97223 • 503.718.2439• www.tigard-or.gov LOCATION: City of Tigard-City Hall WATER METER SALES: Utility Billing By Email Only.Please contact 13125 SW Hall Blvd. ubonlinepay@tigard-or.gov Tigard, OR 97223 to discuss sending documents and payment METER: SIZE: FEE: Pricing effective 07/01/2021 5/8" $9,495.00 - Fee includes: 3/4" $13,554.00 water system development charge, 1" $24,886.00 water meter, and 1-1/2" $73,689.00 meter installation fee. 2" $119,333.00 DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the variety of home sizes built in the Tigard area,we count the fixture units of all homes to determine the appropriate meter size. Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed increased number of fixture units,which will determine whether an increased meter size will be required. Submit this signed worksheet with your building or plumbing permit application submittal. DOCUMENTATION Once you are ready to purchase the new meter,please provide the following items to the Utility Billing counter: • Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Once the upgraded meter size has been purchased, most meters are installed within 10-14 business days. I:JBuilding/Forms/WaterMeters_070121 Add.dOCX Page 1 Water Meter Fixture Unit Worksheet for Additions/RetroADU. Please complete the following information: t AUG 4 2022 Customer Name: 52r r- Cex C6Sc 1.... Z.a , -iTy OF 1 t+ AFili ( Ufa c't v 5W Footrt.-tit LOINC ''SIQN Service Address: Street/Suite#: �'' ` City: IT��o-1► State: QiZ Zip: Ct?ZZ3 Phone Number: 6O3 •a S'7- y 005-Email: COS em-z0- . 3-ev4.n. C.-cr. a CAAd' + • cc.... 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 J x 4 = i x 4 = 4 Dishwasher t x 1.5 = x 1.5 = 1"Outside Water Spigot • 1 x 2.5 = Z,S x 2.5 = Water Spigot,each add'l ( x 1 = x 1 = Kitchen sink f x 1.5 = (,c x 1.5 = Laundry sink x 1.5 = 1 x 1.5 = 1 , (- Lavatory(bathroom sink) 2 x 1 = 2 3 x 1 = 3 ram-....._ Water closet,1.6 GPF(toilet) 2, x 2.5 = Cj 3 x 2.5 = 7t' ._ Bathtub/whirlpool ,1 x 4 = x 4 = — Shower stall x 2 = _ x 2 = Bath/shower combo t x 4 = il I x 4 = '" `l Current Points: 2 R .w 5 Proposed Increase: gO t Current Points+Proposed Increase= �' /.rI. =New Total Points =Required Meter Size ( Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points='/" 37.5 and over points= 1" i 29,588.00 1" �(�( X New Meter Size Needed for New Total Points: Cost: $ �f'"Z, (see page 1) Current Meter Size per Utility Billing: Cost: $ $11,25800 (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture ni s ************************************************************************************* FOR OFFICE USE ONLY Meter will require to be upsized to one (1) inch. Updated meter costs since this is last year's form. Current Meter Size Confirmed with UB J Bentley 08/30/22 Signature of UB Representative Date I:/Building/Forms/WaterMeters_070121_Add.dOCX Page 2 Karen Abdill From: Brady Bullinger Sent: Wednesday, September 14, 2022 7:07 PM To: Karen Abdill Subject: Re: question about the Fonner Street Hi! Yes, absolutely! Brady Bollinger Engineering Technician II City of Tigard I PUBLIC WORKS 13125 SW Hall Boulevard Tigard,Oregon 97223 www.tigard-or.gov Phone I 503.718.8200 Email I Bradv@tigard-or.gov From: Karen Abdill<karen.abdill@tigard-or.gov> Sent: Wednesday, September 14, 2022 6:57:27 PM To: Brady Bullinger<Brady@tigard-or.gov> Subject: question about the Fonner Street Hey there. I have a quick question..... You approved the Fonner st remodel and addition but then put a note that says he'll need a PFI permit for the water/sewer/storm connections. Can I issued the MST permit now and just tell him he'll need to get the PFI permit before he starts that work? Thanks, Karen Karen Abdill City of Tigard Building Division Services Supervisor 503-718-2718 Karen.abdill@tigard-or.gov wF 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." 1 , RECEIVED Property OwnerStatement AUG i7 AG CITY OF TIGARD Regarding Construction es onsi [Uiti t. DING DIVISION Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the pefmit. Please check the appropriate box: ti , I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or A/ I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. ,� j d y 44 n Print Name of Permit Applicant D S'i t t 1 7, 2�°' Signature of rmitAppllo Date Permit#: fictua,.--- CIC.A. j3 Address: 1 C.) (D' J p ThL c-0R ,e) �V 1 `m�1i`0`p to -0-ycd c �[ p l �-1', �i Issued by: 0 Date: (V{5/a C— Ci-v This Copy for Permit Offices. 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 = Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 6 DATE RECEIVED: DEFT: BUILDI DIVISION RECEIVED FROM: 1 /1 �� I�'� ' t n S AUG 3 U 2022 COMPANY: CITY OF TIGARD BUILDING DIVISIONBy., PHONE: " 2- d 99 EMAIL: a-v\ V .1''(S mA-ckl ' c C,--- RE: - -Y .� r'``- ( �\'`"'",^ — MST? --QL72S3 (Site 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. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other :ex lain ( p ) REMARKS: 5 c,--71✓ 2 �1 '7�7c- r 7 ► , FO OF ICE USE ONLY Routed to Permit Technici : Date: ` . ? ( �2'Z� Initials: AIV Fees Due: ❑ Yes No Fee Desc ption: Amount Due: / J $ Special Instructions: Reprint Permit(per PE): ❑ Yes EtNo ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_073120.doc City of f Tigard IIIv COMMUNITY DEVELOPMENT DEPARTMENT C - TIGARD Small Form Residential Supplemental (Non -RT) Building Permit #: Project Name: ,se"Y7 zf- Site Address: (d�qo c w FfsiuNc12 Lot #: Total Existing Units: Er One 0 Two ❑ Three New Configuration: .e--SFeDetached — upiex-- --T-riplex._ ❑ +ADU Small Form Residential Standards Setbacks ❑ Front: l5- Rear: Side: Street Side: Garage: Height ❑ Max. Height: A7' Actual Height: ' Landscape ❑ Landscape Area: z- % Lot Coverage Max: 0/0 Entrance ❑ Set back no more than 8' from street-facing wall ❑Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12% of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑ Yes ❑ No, and one of the following is met: ❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5' from wall and there is a 12 sq ft. window above garag on 2nd floor. Garage door width is: ❑ 12' or less ❑ 50% or less of facade ❑ 60% or less and includes 7 of following: ❑ Covered porch ❑ Recessed enfra ce ❑ Wall offset ❑ 1' Roof eave ❑ Roof offset '`� ❑ Fire shingles ❑ Lap Siding ❑ Gable, hip, gambrel roof ❑ Dormer ❑ Roof pitch ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Approved By Planning: '. Date: l/`//2Z 1 V I-\Buikling\Fornn\BldePenni R:n_SFR Supplemental070722 • City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT I AR Building Permit Review - Residential Building Permit #: /0.S7-0C)2 - 2i72 �.j Site Address: 1 0 &, cl 0 S W co-'- < v- SN-r c 4- Project Name: CtJS-cvt zGA i4- A-v-e. t1/4-4 A t 4-,--,, ,^ Lot #: Proposal: Avc'it (N1 Land Use Case: Zone: f2&,4 Required Submittal Elements • 3 copies of site plan Square footage of buildings to be demolished It Drawn to standard scale Footprint of new structure and FFE O North arrow Retained trees, drip line / tree protection g Site address, project name, lot # Street trees shown / labelled 1 Street names VI Sidewalk / driveway shown and dimensioned IX Applicant name and phone # 171 Utility locations & easements (new / additions) 1$Lot and setback dimensions 0 Location of wells / septic systems lii Existing structures on site 1 EJ Lot area and lot coverage percentage Erosion control Corner elevations (2' contours if > 4' differential) Vision clearance triangle shown Ground slope at building pad calculated / shown Planning Review VV rify address / suite # active in Accela. gClean Water Services - Service ProvidepLetter (lot platted prior to 9/10/1995) Required: ❑ Yes NR No Received: ❑ Yes ❑ No l Public Facilities Improvement (PFI) Per Required: ❑ Yes ErNo Applied For: ❑ Yes ❑ No, stop intake Sensitive Lands: ❑ Yes ❑ No Type: ri Housing Supplemental Sheets Completed ' v ❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad ❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rgwhouse ❑ Cottage Cluster Type II (1 per unit) ( mall Form Residential / ADU -\ ❑ Courtyard Units Type II (1 per building) ❑ River Terrace Addendum ❑ Conditions met prior to issuance of building permit i_q,icj (-i (bt 4- ° - Approved By Planning: _--T' — _- Date: FAt/u Notes Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: 1:\Buildiug\Forms\BldgPermitRs w_Res_070722.docx Building Permit Submittal Original Submittal Date: 7 '7L2- Site Plans #: 3 Building Plans #: 3 Building Permit #: cl-Building permit # entered on page 1 Workflow Routing: k Planning E Engineering Permit Coordinator 12 Building Workflow Sign-off: ❑-Sign-off for Planning (include notes from planning review) Route Documents: e'€_ngineering: (1) copy of permit application, (1) site plan, (1 _building plan and original plan review routing form. 'building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: 51i w ' 16 k.6 �.ri Date: Notes ,' _A Engineering Review J Slope at building pad verified Slope: 4, 7 a nditions metprior to issuance of permit 1 �Co Er Easements (encroachments) per engineering conditions of approval and plat CIWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes C'No Assess Water Quantity Fee in-lieu: ❑ Yes I o LIDA Facility on lot: ❑ Yes R'No Add Fee: ❑ Yes ❑ No ❑ Final Plat Recorded ❑ NOT Approved Date: Notes Approved By Engineering: 64- Date: 9'c7' ZOZ Z Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review 'r# Conditions met prior to issuance of permit ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: iv .DC Exemption: ❑ Received i' Does not apply ki SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A '4-`OK to Issue/Approved by Permit Coordinator: yvavd, Date: I"r2_7 —- Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: I