Permit
n CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2010-00001
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/28/2010
Parcel: 1 S135DB06600
Jurisdiction: Tigard
Site address: 9430 SW NORTH DAKOTA ST
Subdivision: O NEEL ACRES Lot: 6
Project: Estes
Project Description: Enclose existing front porch and add 168 sq ft to rear of residence.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 376 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes
Total: sf Value: $71,353.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: Y Hoods: 0 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'I 500 sf: 0 20 1-400 amp: 0 201-400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401-600 amp: 0 401-600 amp: 0 Ea add'I Br Cir:
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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
ESTES, ALICE L BRUNEAU CONSTRUCTION INC
PO BOX 230299 6045 SW HAINES ST
TIGARD, OR 97281 PORTLAND, OR 71746
PHONE: 503-620-5006 PHONE: 503-892-1186
FAX: 503-245-4879
Total Fees: $2,209.30
This permit d subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don n accordance ith 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: Oreg w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through OAR -001- 100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: Permittee Signature:
Building Permit Application
Residential REC6/1II/ Received FOR OFFICE USE ONLY
City of Tigard //nn Date/B : Permit No.:
° 13125 SW Hall Blvd. Tigard OR 9722A
Plan Review
D tJ
Phone: 503.639.4171 Fax: 503.59 960 2010 Date/B : Other Permit:
l 2
Inspection Line: 503.639.4175 e ~/OF Date Ready/By: 11 See Page 2 for
Supplementallnfarma6on
Internet: www.tigard-or.gov pUICQIAt tIGARQ Notified/Method:
b0 I L-Zta- 10
GQ "UJUN TYPE OF WORK REQUIRED DATA: I- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Adc ition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I- and 2-family dwelling ❑ Commercial/industrial Valuation: $ 3<3
❑ Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms: Af/
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 941-30 .5-. td. OP- r f D,467r/} New dwelling area: square feet 7L
(9 T=
City/State/ZIP: D e Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: s (J ~oe~ u b Deck area: square feet
s /J S . • % 'DA A:fc7:A Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Q llO Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: I S 3 D V equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
l~'O5~ E TS i /J rao tJ D Pec Valuation: $
n Ati.S f r eA 42-14 Existing building area: square feet
l0 New building area: square feet
91PROPERTY OWNER ❑ TENANT Number of stories:
Name: AL-, ec- E!FT I-, S Type of construction:
Address: D X. 10 - A10 pr N ,q 7-A Occupancy groups: ep~
City/State/'LIP: Existing:
Phone: (rj~.3) zo ,moo So Fax: ( ) New:
f APPLICANT 'CONTACT PERSON NOTICE
Business name: aAl ell ez j ~A/c All contractors and subcontractors are required to be
Contact name: e0 C C/✓eiq C~~ licensed with the Oregon Construction Contractors Board
_ under ORS 701 and may be required to be licensed in the
Address: 60 ~s r 10 _ % , jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: 7 Fax:: a ) 02- - g~f 9
E-mail: ~pra JeA C-D /A-
CONTRACTOR
Business name: ttWe,4tA.. ~N t,LGiT/O IJ _:2~ /VC . BUILDING PERMIT FEES*
Address: Q s S t Please refer to fee schedule
City/State/ZIP: t L N a Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (~O Fax: (_-5-D3) !Y&72
/
CCB lic.: t~ Total fees due upon application:
Amount received: '(5"81. 2
Authorized signat This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name-~e_,e BS A , e A,&4 , Date: / Z d iQ * Fee methodology set by Tri-County Building Industry
Service Board. /
L\Building\Permits\BUP-RES PermitApp.doc 11/6/07 440-4613T(I 1/02/COM/WEB)
Fm:MyFax - Kevin Cameron To:City of Tigard (15035981960) 09:21 01127/1OGMT-05 Pg 01-01
Electrical Permit Application
City of Tigard
.
13125 SW Hall Blvd., Tigi1 dOR 97
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QNewcoastraction ddititmialteratnnreplaeelxent Mrnmchock ail thatmMiy(aubnitluoof9lamwlitemsobcdiedbclow
❑ DemolitionCITY OF TWA: A S~Ce artvaam 40fault c rt 0 MiRinrfa nd three ols. 4.
where tl)c available cvtrctn Mtetirtae and bomyard
ILDIN - ~;.}~~i~. • oz coda 16,000 mpa at 110 wits or ❑PlontrngMildings,
Iecs to grormd, or cxteeda 14.1100 ❑ Cemteereial-um agticultutal
• and 2-family dwelling ❑ Commercial/industrial ❑ Aceemsory building nmpg for nu athcrinatnnad mp• tmildiast.
Muld-family Q Mesta builder ❑ Other: ❑ Fitt pump. Q hntanation of 75 XVA or
~B i Q 6energaacy system larger scvarattty dcrisxd sywtan.
~`C '1 1kA 1'aC tL ❑ Additlrm of mu, r%Mor land ni ❑ "A•' "V', "1-1" 1-3"
I(Intip or more. occupancy.
Job nq. Job site address:
❑ Six or more resiidrntial unite. Q Rcc.entional rek;ok pork..
City/State/ZiP -40- ❑Haehh-cam fbcilitics. ❑ Sawly volrage far mmt than
❑ Hazardous locations. 600 volts noininai,
Suite/bldg./apt, n0_' Project name: 139orvee er larder 600 amps or mom.
Cross streeddirections to job site: c` fMR Fm TNd
t New resfdtatisl slooe- or multi-family dmiling unit.
Lv l~ ,4 Includes attached gstragc
Subdivision: Lot no : 1,000 sq. 11, or less 168,54 4
FA add'1 SOn sq, ft, nr pprtiim 33.92 1
Tax maplparcel no., 11511 13 5:D 09 Q t°,j p
Limited energy, tesidcntial
with above k 67.84 2
Limited energy, multi-fsmily
rcsidcnt;al with above s q, fl. 67.94 2
Services or feeders installation alteration aadlirr relocation
c 'Lr*•{ { f# 200 amps or lem 100,70 2
bCVNiIa; : ~'lVNC}~1tPT" 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 mnps 100.34 2
s
Address: 601 amps 10 i,OMI amps 301.04 2
e Q A-r Ko-r& Over 1,000 amps or volts 552.26 ' 2
Ciry/Stawzl rr ~ Temporary servicr-v or feeders installation, alteration, and/or
relocaldon
Phone: ( ) O Fax. ( ) 200 amps or less 59.36 1
Owner installation: This installation is Milig mode on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale- lease, rent. or exchange, wording to ORS 447, 449, 670. and 701. 401 amps to 599 amps 168.54 2
t3rancb circuits - new, alteraton or ixtensionW per Panel
Owner signature: Tate: A. Fee for branoh circuits with
AftIC.A11~1>1 Q. Cm>t'Ac r 1!6111 N eaabove ch sm iccc or feeder zee 7,42 2
Business name:
B, Fee forbranch circuits
wtrhoul service or fader fee. Contact name; first branch circuit 56.18 2
Address: Each add'i branch circuit 11.4 7.42 -Z 2
Mirecllaumas service er feeder not iedaded
City/Statc/zip: Each manufactured or modular 67.84 2
dwellin service and/or feeder
Phone: ( ) Fax; : ( ) Reconnect only 67.84 2
E-mail: Pump or dredger vn circle 67.84 2
Ci»iE>iWiCFOtt; Sign or Outline lighting 6284 2
Busing name; ~'J~ Signal circuit(s) or limited-
encrgy panel, alteration. or
Address: -&In, extension. Describe; Page 2 2
City/state'vp; L-C~ A C i y'700 6 Each additional ins ectinn over allowable In an or the above
Phone: LdGDS) 00 sax: ( ) ~t/ Perin. ectivn 66.26
V 10 investigation per hour (t Iv tt»n) 56.25
CCB Lic.: Electrical Lic,: Suprv, iic.: Industrial plant pcrhour 78.18
r
Vii:.';
TRIM
Suprv. -tc 1t 'M1 slgnatITC,required: r Subtotal:
Print netrit: Dote: Plan review (25% ofp~cmttt tic):
State surcharge (1 21A of pcimit fec) t ~ }
Authorized signature TOTAL PERMIT FEE;
Print name: Date: This permit app6metm exphnro Ira permit is nn1 ntrimi-A Within, ISO
days alkr it ha barn accepted as mitiplete
t Nvmbernfinppeorioavallowedper pertntt.
t,IBniltlinaU'crmiq~eLL•PcrmrtApp.dee inrbircq d40-4d15T(rtrosl~OMlWfitl
Mechanical Permit ApplicaticlM ~ a~ V OR OFFICE USE O NLY
Received ate/By:
City of Tigard D
it No.: /D D
13125 SW Hall Blvd., Tigard, OR 97223 r Plan Review Perm
Phone: 503.639.4171 Fax: 503.598.1960 JAN - 5 "2010 Date(By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
mqaInternet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING TYPE OF WORK COMMERCIAL TEE* 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.
CATEGORY OF CONSTRUCTION Value: $
*
1-and 2-family dwelling ❑ Commercial/industrial El Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning
Q .S: 0 o k # A q'14 (requires site plan showing placement) 46.75
City/State/ZIP. ~r Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat um 61.06
Cross street/directions to job site: Duct work 23.32
H dronic hot waters stem 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent foranof above 23.32
Subdivision: Lot no.: Other: 23.32 Z
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
p Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Lo lighter (gas) 23.32
Wood/ pellet stove 33.39
Wood fire lace/insert 23.32
Chimney/] iner/flue/vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Name: C C-S Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawls ace fans 23.32
Other: 23.32
Business name: Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat um
City/State/ZIP: Wall/sus ended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: B 3,9, Cay SL~r ~Ct~t MECHANICAL PERMIT FEES*
City/State/ZIP: •Ci~~~5 e2 r / Q /S Subtotal
Minimum permit fee ($90.00) (per
Phone: O Fax: plan review (25% of permit fee)
CCB lic.: 7 State surcharge (12% of permit fee) 10. ~a
Y _T TOTAL PERMIT FEE CO t Q
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:
1:\13uilding\Permits\MEC-PermitApp.doc 10/01/09 440-4617T (I 1/02/COM/WEB)
Building Permit Application Checklist '
One- and Two - Family Dwelling FOR OFFICE USE ONLY
Received
ipl City of Tigard D Permit No.:
V 1 3125 SW Hall Blvd., Tigard, OR 97223 Assoc permits:
C Phone: 503.639.4171 Fax: 503.598.1960
1'I CI ARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
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 ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
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- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be ar •licable to the 'ro 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 ". ❑ ❑ ❑
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. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
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, ❑ ❑ ❑
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.
IABuilding \Permits\BUP- RES- PermitApp.doc 0321/06 440- 4613T( I I /02/COM/WEB)
77
7----RECF
g CITY OF TIGARD-- SITE PLAN REVIEW
BUILDING PERMIT NO:: - cccoo
PLANNING DIVISION: JAN 5 zoio
Required SetoXks: Approved s [3 Not Approved CITY OF TIGARQ-
Side: Street Side: BUILDING DIVISION
, Front. Garage: C92 Rear: Is
Visual Clearance: ❑ Approved ❑ Not Approved
Maximum Building Height- .~L feet
CWS Service Provider Letter Required; ❑ Yes ❑ No
❑ Received C
B : A:~~ o~L@ CJ Date: i I LP I I c~ d ~ _ur-
ENGINEERIN_C~'DEPARTMENT:
n y
Actua Slope• % Approved ❑ Not Approved ~y
Site ! n: Approved N Approved
B : Date: I 7'2110
Notes: cL,p pA- P" M, ~cv~ 0
IS! O
/
a
74- A
pvom_
y0 S OR 9,1 19 a a
2-t l ~ rb 3 "
06
O
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7~
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, ~a ,CA/,S JOS e ,
-'Po 14 .
q
~5~,60
Mechanical Permit Application - City of Tigard ,
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits\MEC - PermitApp.doc 10/01/09 2