The URL can be used to link to this page

Home My WebLink AboutRES2025-0041 BLDGPER5-25PDF Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard > ii.Nu- t 3125 SW Hall End-Tigard,OR vr13 nu.Review • : Plane: 503.711 2439 Fax 503.59g.1960 newsy- Cabo hash. T 1 co.F. Li ne:ne: 50.1639.4175 Deb Ready'By- —le i. IT See the a'sr Internet www.tiga d-cr.(ov No ::eduan.xt Ihopplantatat easrm'nm TYPE OF WORK REQUIRED DATA:1-.AND 2-I t MILY DWl11.LN(: ❑New eanstrucna, ❑Derr. txc -Perm:fees'are based on the..slue of the weak.pc utmal. indicate the N'aLc i rounded to the nearest dollar)of all 141 Addition'alterationrept ement 0 03c. rquipmecL maltasals,labor,uvabead.and the profit rot the —I work ctditated on this applicamoa CATEGORY OF CONSTRUCTION - pl1 and 2 family dwelling 0 Comesmial.'mduitnal aluatxm S Cjp O ❑Aezassory building 0 Multi-Gully Nutnr,er of bc+ctoecsu: its ❑Master builder O Other. Number of bathrooms: Z. I i JO SITE LNFORMAT101y AND LOCATION Total rrnbee of 2. ' lob site aij±ess: .{ 1 V.1 4 /-'-V Ncw dwelling arra: Q egoism`ay CityrStnserZIP: 1 l((MD C�(2, Ctl LZj caragrritiapoct arts: q8 3 'Warr rust (e Soitafbidglapt.no.: Pr tuo.T,.►.-nc- $Lid. DeTcco /-16.0 1.-t , Cv.en am.t p r h,r : q rc tea Crows Cro stt,wet'daectians to job site 5 1,.. p r ye Dvvl.a:ta: Go square are fees ( ) _ Other r1'��r.rc*rest' mare feet REQUIRED DATE.:COM Ra u USE CHECKLIST Subdivision fir ? f p EL 6 LQ /-14.c. lac no.: L Z Permit Ices*are bused on the value of the work performed. Indicate the value(ruundotl Mz tnarp sarvd e no.: — — equipm re,materiels.labor,to overhead,and the profit for the ORSCRTPTION Or WORK wyrk indicased ms Oita appiiauson. Yalaalipn: $ Earshot hnilding arm: ;quoit°eet New building atm squire'set -a,PROPIRTl OWNER 0 IIT:.NANT Number o!tanner `Ntrwte _{ e ko be E 'i D Type of construction_ Cilrlttl ?Jr _-11. P CA-- G;7 2-Z-3 Existing: - Phony:( ) I-a 1: 1 ,ue•,r t CS-APPLICANT 0 CONTACT PERSON IBUILDIMPERMIT paS• RUS 1MrN ve$,6�• Struentralplanretieefee(ordepo* _. Contact name_ M tC i Jv 3 e L i4 T' FLS phm review fee(if appbcablak AddrtniE Z7 3 ' €(._4 orr AL- — ---- - (iey/SgrditP: �--, G Total gees due upon appliKatiarr c( t. a- r ' �� g 6, Fax =( ! Azaastt tectivod MimicF-mail- l- �cnd PHOTOVOLTAIC SOLAR PANEL SYSTEM VMS' Cv and maidential petaaiptnr inetallativrt or mnf-rqt mounted PhorM Artie Solar Parcel System. Horsiness name: IIIA.4-J V U 1 j .-P Submit two(2)acts of roof plum with wmratiun'kWh'p ------ 1and fire department access.along with tle2010 Oregon Addre+s b Z.l4( 5 a7e P2 gC 4A-0D Sekar h uarJarb m Sreviake C•vrk-ettodnist_ P*trat Fee(includes plan review City.Staoe7.IP: D R,Na-s cos o1- ' 7 G Sf - had administrative fix sl�o 00 Ilit :(5A L ...341L0 rag( ) State surcharge(12%ofp®it fee)_ 521.60 CCH lie: ZO ( g Total fee due upon application: S201,60 Authorized signets/me L. ?bit permit appieat>,ses expires If a permit Is not alsta coed L, lomat ma days after It has been steepled as eanipage. IPea"nsm:- per lLi4iZeL groeu 51.r� 5 `� �S r Fee meth odolosor Service Ism ra so b<7r_Ccemri Dtrildmt;Industry 14tuiL1'asg.A.-:a...131.41-RINPermitApp_doe 0L71.21123 MO-4613T(IL1 'WEHi Electrical Permit A lication FOR OFFICE I S1:0\11 City Tigard Received • 13125 SWW Hall Blvd.,Tigard,OR 97223 Date/B il Phone: 503,718.2439 Fax:503.598.1960 Plan Review TIGARD Inspection Line; 503.639.4175 Dates' 0 See Page 2for Ready DatefEir !orb: Internet: www.ttgard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement — Please check a l that apply(subm t 2 sets of plans w/rieras checked): ❑Demolition 0 other: ❑Service or feeder 400 amps or more ❑Building over three tnes. _ where the available fault current ❑ Marinas arid boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Heating buildings. ❑1-and 2-family dwelling 0 Commercial/industrial - less to ground,or exceeds 14,000 0 commercial-use agricuharal ©Accessory building buildings. 0 Multi-family ❑Master builder amps for all other installations. 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 11179 SW 81st Ave, DAdthtion of new motor toed of system. fix or or more. occupancy City/State/ZIP: Portland,Or 97223 ❑Six or more resi dies.t units. ❑Recreational vehicle perks. Suite/bldgJapt.#: Project name: 0 H� dons 0 Supply voltage for more then 8lst ADU 600 volts nominal. Cross0 Service orfeeder 600 amps or more. street/directions to job site: FEE SCIi1,DULE Total 1 ` Dmo,ptioo Orr. I Eau New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft 1 168.54 4 .or less _ I Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 DESCRIPTION OF WORK Limited enerresidential 75.00 2 Install electrical to story ADU with standard wiring to code. (w m above sq.ft) Power teed location to be determined bypower company Limited energy,muffi-family. 75.00 2 P Y residential(with above�l.ft.) Renewable Energy ❑See Page 2 ® PROPERTY OWNER I ❑TENANT Services or feeders installation,alteration,and/or relocation Name: MELODEE BRAY 200 amps or less 1 100.70 2 Address: 11181 SW 81ST AVE. 201 amps to 400 amps 153.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: PORTLAND OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503. 77-9911 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Finail: belle999@comcast.net relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 5936 I I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 401 amps to 599 amps 168.54 2 Owner signature;® APPLICANT I ❑ CONTACT PERSON Branch circuits- per panel alteration,or extension, anal A.Fee for branch circuits with - Business name: MIN DESIGN above service or feeder fee, g each branch circuit 7.42 2 Contact name: MIKE NEDELISKY B.Fee for branch circuits without ' - service or feeder fee,first I Address: 2758 SE ELLIOTT DR b anch c cult 56.18 2 City/State/ZIP: GRESHAM OR 97080 Each add'l branch circuit Miscelkroeoos service or feeder not included42 2 Phone:( 503 036-5586 Fax::( ) Each manufactured modular dwellin service anord/or feeder 1 67.84 Email: mike@amjnbuilder.com Reconnect only 67,84 2 CONTRACTOR Pump or itrigafion cycle Sign or ou«ine ligbting 67.84 2 Business name: RIVER CITY FJ FCTRIC 67 84 - Signal circuits)or limited-energy 2 Address: 3675 NE PIONEER ST anal akera«o or extension. Li Page 2 City/State/ZIP: CAMAS W A 98607 Each a of inspection ins ectiou over aBowab Additional inspection(1 Iv min) let°8° of the above Phone:( 503)508-3828 Fax:( ) Inver«gmioe(1 hrmin) 6625/hr ]ndusnial plant(I hr min) 90.00/hr Email: rivercityelechricinc@gmail.com Inspections for which no fee is 78.18/fm CCB Lic,: 203604 Electrical Lie.: C1071 Suprv.Lie.: 1287S s •aficall listed v,hr min 90,00/lu Suprv.Electrician sign re,requi d: Elf-TRfCAL PERMIT' PEFS Print name; Date: 7-20-25 ❑Plan Review R Subtotal: equired(25%of Permit fee):State surcharge(12%of Pemnit f Authorized signs[ TOTgL pgRM7_I, �)" Ai iC-114,�s,, W g icy Date: 7. �-,..Z� This permit application ezpirea If a PEE. Print name; days after It has been°Permit is oat obtain El.a_04E.doc Roy 06,172015 47046157 I I/OS/COM/WEB Number of irrspec«ons allowed r:cepted as cote I ed within 180 Lusu1WagUttma4iELCpermaApp_ 1 per Permit Pete. Mechanical Permit Application volt orru E I a.OM l UPICity of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit'. T I G A IiDate/By:D Inspection Line: 503.639.4175 Date ReadyBy: ®S lemental In Page 2 formation Internet: www.tigard-orgov illi Supp Notified/Method: TYPE OF WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST Mechanical permit fees"are based on the value of the work of all ®New construction ❑Addition/alteration replacement performed.Indicate the value(rounded to the nearest dollar) 0 Demolition ❑Other mechanical materials. •ui.rcen labor,overhead,mid Value:$ fiL CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES" El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist Total ❑Multi-family ❑Master builder 0 Other: Description JOB SITE INFORMATION AND LOCATION Hestia._cooku:- 46.75 Air conditionin: 46.75 Job site address: 11179 SW 81ST AVE Furnace 100,000 BTU ducts/vents) PORLTAND OR 97223 Furnace 100,000+Bill ducts/vents 54.91 City/State/ZIP: 61 06 Suite/bldg./apt.no.: Project name: 81ST ADU Heat.me' 23.32Duct work Cross street/directions to job site: H drone hot water stem 23.32 Residential bailer(radiator or 23.32 h dronic Unit heaters(fuel-type,not electric), 46.75 in-wall,in-duct,suspended,etc. Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.. Other fuel appliances: Water heater 1 23.32 Tax map/parcel no.: Gas fireplace/insert 33.39 DESCRIPTION OF WORK Flue vent for water heater or gas VENTING FOR KITCHEN HOOD VENT„VENTING fireplace 23.32VENTING ALL Log lighter(gas) 23.32 1BAllS FANS 10 CXIEIUUR Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ® PROPERTY OWNER I 0 TENANT Environmental exhaust and ventilation: Range hood/other kitchen Name: MELODEE BRAY equipment 1 33.39 Address: 11181 SW 81ST AVE Clothes d er exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: PORTLAND,OR 97223 toilet compartments,utility rooms) 4 23.32 971-77-99I1 Fax:( ) Attic/crawls.ace fans 23.32 Phone:( Other: APPLICANT ❑ CONTACT PERSON 23.32 Fuel piOng: Business name: MJN DESIGN S14.15 for first four,S4.03 for each additional MIKE NEDELISKY Furnace,etc. Contact name: Gas heat.um. Address: 2758 SE ELLIOTT DR Wall/sus ended/unit heater 4 City/State2lP: GRESHAM OR 97080 Water heater Phone:( 503-936-5586 Fax::( ) Fire.lare Ran ge I E-mail: mike@mjnbuilder.com Barbecue CONTRACTOR Clothes er •,$) Other- Business name: E&L HEATING&AC _ MECI�NIC AL PERM1'H'P FEES• Address: I4784NW SETHRICH Minimum Subtotal City/StatelZlP: PORTLAND OR 97229 _ Parinit fee Pax:( ) Plan re rmit 0) l Phone:( 503-803-1831 _ wt°w(25 oPPermitfee Slate surcharge(12%oOfpennitfee CCB tic.: 21940 TOTAL PER )This permit ap y.after It t�.astrhoe,,aeceptMyno ained'Albin 180 da Authorized signature. • Fee methodology ut �M"" y by Tri-County Baildiap Ind ate. �1 N� S�� Date: .'t .Z "may Print name: Severe Board Fll3aad,,,BPem,eo,Mac_Fem.envv_ oaotl3 Doc 440-16ITr(I 1/02/COM/WEa) rriumbinitApplication Building Fixtures FOR OFFICE 1 SE ONLY City of Tigard Received Permit No. II • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: R Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No Date/By: T 1 G ARD inspection Line: 503.639.4175 Date Ready/By: duns: H See Page 2 for Internet: www.tigard-or,gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special in ormalion use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ©Accessory building El Multi-family Each additional bath/kitchen 2 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: 11179 SW 81st AVE Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: PORTLAND,OR 97223 Footing drain(no.linear it.:______) Page 2 Suite/bldg./apt,no.: I Project name: 81ST ADU Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft:_____) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Backflow preventer I 31.27 Tax map/parcel no.: DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 PROPOSAL TO ADD DETACHED ADU.PLAN TO Dishwasher I 25.02 HAVE 1 KITCHEN AND 4 BATHROOMS. Drinking fountain 25.02 WATER/SEWER SUPPLIED FROM EXISITNISi- RESIDENCE Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: MELODEE BRAY Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11181 SW 81ST AVE Garbage disposal 1 25.02 City/State/ZIP: PORTLAND OR 97223 E:BELLE999QCOMCAST.NET Hose bib 2 25.02 Phone:(971-) 377-9911 Fax:( ) lee maker I 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: MJN DESIGN Medical gas(value:$_) Page 2 Primer 12.51 Contact name: MIKE NEDELISKY Roof drain(commercial) 12.51 Address: 2758 SE ELLIOTT DR Sink/basin/lavatory 4 25.02 City/State/ZIP: GRESHAM,OR 97080 Solar units(potable water) 62.54 i Phone:( 503 ) 936-5586 Fax::( ) Tub/shower/shower pan 4 12.51 Urinal 25.02 E-mail: nrike@mjnbuilder.com Water closet 4 25.02 CONTRACTOR Water heater 1 37.52 Business name: RAZERBLADE PLUMBING Water piping/DWV 56.29 Address: 18045 SE MAIN ST Other: I 25.02 I City/State/ZIP: PORTLAND OR 97233 Subtotal Phone:( 503 )550-62:1 0 x:( ) Minimum permit fee: $72.50 CCB Lic.: Plan review (25%of permit fee) 213989 tmbi • ic.no.: _ I State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: aitixerwtmititS Date: JULY 12,25 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. M il`7 C ,1L�f 1��Ny •�7 1i *Pee methodology set by Tri-County Building Industry Service Board. I:1BulldingweimllelPLMu.permittAAppp,dos 11`0/0011//0-9/M 440 67(10/07JCOM/WEa)