Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
-1 o d d D60 a iry\ p parvL t - CITY OF TIGARD MASTER PERMIT a . COMMUNITY DEVELOPMENT Permit #: MST2008 -00071 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/20/2008 Parcel: 1 S 134CB00700 Jurisdiction: TIG Site address: 12245 SW SUMMER ST Subdivision: Lot: Project: DEFFERDING Project Description: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker.6 /12/09 ADDED 200 amp sub panel. BUILDING • Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: 161 sf Basement: sf Left: 5 Parking Spaces: Height: 11 Bathrooms: Second: sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: sf Value: $30,000.00 Rear: 15 PLUMBING Sinks: 2 Water Closets: Washing Mach: Laundry Trays: Rain Drain: 100 Catch Basins: Lavatories: Dishwashers: 1 Floor Drains: Sewer Lines: 0 SF Rain Other Fixtures: 2 Tubs /Showers: Garbage Disp: 1 Water Heaters: Water Lines: 0 Drains: 1 Bckflw Prevntr: MECHANICAL • Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: NAT Heat Pump: N Hoods: 1 Other Units: 1 Fum <100K: Vents: Woodstoves: Gas Outlets: 1 Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 0 -200 amp: W/ Svc or Fdr: Ea add'I 500 sf: 20 1 -400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: 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) CHRIS & VICTORIA DEFFERDING 12245 SW SUMMER ST TIGARD, OR 97223 PHONE: 503 - 781 -8287 PHONE: FAX: Total Fees: $1,223.06 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 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. (1J ilf ,1 ` ( Issued By: �� Z l A C �� y/ % `-' Permittee Signature: Q 9, o� � '1 II n CITY OF TI A R D MASTER PERMIT COMMUNITY DEV OPMENT PERMIT #: MST2008 -00071 [ ISSUED: 6/20/2008 TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB-00700 SITE ADDRESS: 12245 SW SUMMER ST ZONING: R -4.5 SUBDIVISION: SUMMER HILLS PARK LOT: 005 JURISDICTION: TIG PROJECT: DEFFERDING Project Description: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 11 FIRST: 161 sl BASEMENT: sl LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sl GARAGE: sl FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 DORM: BATH: TOTAL: 161 sf 30,000.00 REAR: 15 PLUMBING SINKS: 2 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: - GARBAGE DISP: 1 WATER HEATERS: - WATER LINES: 0 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 2 FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: NAT FURN > =100K: UNIT HEATERS: - HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 'ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADDL INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: . 201 - 400 amp: 1st W/O SVC /FDR: I SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 SIGNAL/PANEL: IN PLANT: MANU HM /SVCIFDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: 1000• amp /volt : tilt! PLAN REVIEW SECTION O Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: C ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL . B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: O BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: 0 . GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: ..t.... This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable CHRIS & VICTORIA DEFFERDING OWNER laws. All work will be done in accordance with approved plans. This 12245 SW SUMMER ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 . if the work is suspended for more than 180 days. ATTENTION; Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 781 - 8287 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: - TOTAL FEES: $ 1,133.12 REQUIRED ITEMS AND REPORTS i - �Q / /] a— Issue By : (t/f1.-001 Perm Cigna - ! ' •. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/200F4 Phone: (503) 639 -4171 ill' I�l Inspection Requests (24 Hrs.): (503) 639 -4175 �_ INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503-781 -8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 210 Foundation wails 074664 -01 503-781-8287 N Corrections /Comments /Instructions: � ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED AA Inspector: Date: --�6-ei-a. Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST2008-00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8126/2008 TIME: 7:00AM PAGE: 9 • SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 006 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503781 -8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 074664 -02 503.781 -8287 N Corrections /Comments /Instructions: La AO, `s py ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5— 2-0e- S Phone #: (503) 718 - 1*-4 6 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/200Ft Phone: (503) 639 -4171 Ak Inspection Requests (24 Hrs.): (503) 639 -4175 ,_•41! I I.. INSPECTION WORKSHEET FOR DATE: 8/1/2008 TIME: 7 :00AM PAGE: 14 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503,781 -8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 8/1/2008 Pour Time: - Code # Inspection Description Confirm # Contact # Message 4' 205 Footing 073603.01 503.59()-3735 Y Corrections/Comments/Instructions: /161 cl� As ` l 6 C Ga --) 13 0_' cis , ► t,.. f e ay — vev-l Cs - 4 Qlcr.—, INA Sea (4i crl C' k )C fa i r ,; A - � 0 :7 - 1 - ;;;ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'ZS Date: /Al o$ Phone #: (503) 718 - 2(/23 CITY OF TIGARD BUILDING DIVISION PERMIT #: MSr20t)a -00071 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/200a Phone: (503) 639 -4171 Ase .1 g Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� F 'I � . . INSPECTION WORKSHEET FOR DATE: 11/13/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 12245 SW SUMMER SF CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503 - 781 -8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 310 Crawl drain 078041 -01 503 781 -8287 Y Corrections /Comments /Instructions: st/ 1 Q £4 /°• > 7- Lc.� / 4 L O F C,-'.t r ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: /1— /..1--e Phone #: (503) 718 - ¢4 7.9: cL 'f5 5'W, S Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Da e/B : ,5 oZ 9 OS , r Permit No.: iyt���ff 7 / RECEIVED 13125 SW Hall Blvd., Tigard Plan Revie C . Phone: 503.639.4171 Fax: 503.598.1960 Date /By: ( , „.5. / nog Other Permit: T I G n R D Inspection Line: 503.639 MAY 2 g 2008 Date Ready /By: �Jur ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: /t/i (� 6� / 10 Supplemental Information ITV Vt i 171 FGf � �'` t I 1 1 ° ION REQUIRED DATA: 1- 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 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. G' 1- and 2- family dwelling 0 Commercial/industrial ❑ Multi - family Valuation: $ '5'4 ❑Accessory building Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: ) Job site address: )Z24S ry New dwelling area: square feet City /State /ZIP: — � I 2 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: J 1"�_ `� 1' Covered porch area: square feet Cross street/directions to job site: Sly-' (� l " Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. �L>; rno ro — IL,�4 Valuation: $ `'!� • /6400 V1 ` Y `v Existing building area: square feet New building area: - square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: /" j IS Q 1:71 ' ∎Iq Type of construction: Address: ��m • J Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT CONTACT PERSON NOTICE Business name: / _ All contractors and subcontractors are required to be Contact name: G.u•12,1..„‹ A c licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: t ) 1 B26 Fax:: ( ) E -mail: CONTRACTOR Business name: 0 7 4 /eg— BUILDING PERMIT FEES* Address: (�� NNN 1 (Please refer to fee schedule q Structural plan review fee (or deposit): as?/O f City /State /ZIP: / Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): `- CCB lie.: Total fees due upon application: }c)r al Amount received: 01-1_ 0,141 Authorized signature: ��/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / j v \ c -t-tt� ��-- f� iq �Cl Dater /aD� * Fee methodology set by Tri -County Building Industry r�.�� u01 ° -+�T+' 1 ��1'1 � Service Board. I:\Building\Permits'BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) Building Permit Application Checklist , ' s F0 it O USE: :ONL 4 k One- and Two- Family Dwelling Y x4 -t 4� * : ;4 �... � 7 -•f44 .' Received - ipl d w� „ City of Ti gar d Date/By: Permit No ": a a 13125 SW Hall Blvd., Tigard, OR 97223 a Associated permits: t. Phone: 503.639.4171 Fax: 503.598.1960 0 TI El 0 Plumbing GARtY 24- Hour Inspection Line: 503.639.4175 g ID Mechanical Internet: www.tigard-or.gov ❑ Other: �, ``2 T +H EPF FORYPLt REVIEW ,, "`�" �,,,s j. ,° ;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 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 Oregon and shall be shown to be a s • licable to the iro•ect under review. , kaf rrF:`jJURISDIC:1IONAL SPECIFICS ,. 23 Five (5) 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 accompanied by 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. 1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02 /COM/WEB) J 'S , F , Y e rr Mechanical Permit Application .. , � y 5 r '' ` '� ' - 'x ,i . �" ? n0�► F O ►CE USE ONLY f '" 4 §�_, ,Itgit� : �' � e - - Received City of Tigard f a EIV E�} Date/By: �Q Plan Review Permit No.: �j� /�I • - , . 13125 SW Hall Blvd., Tigard, O: I ! li, II Phone: 503.639.4171 Fax: 503.5981960 Date/By: Other Permit: T I G A R ► Inspection Line: 503.639.417 MAY 2 d 2008 Date Ready /By: Juris. ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information CITY TIGIC RD DIVISION . COMMERCIAL FEE* SCHEDULE - USECHECKCIST' ro /�p� aI !" `/; DIVISI Mechanical permit fees* are based on the value of the work ❑ New construction TYPE Addition /alteration /replacemenC performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. " CATEGORY OF CONSTRUCTION _ Value: $ RESIDENTIAL EQUIPMENT./ SYSTEMS FEES* l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building .. For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total . JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 122 45 (� �' e` Air conditioning Tres ste plan or showing pump ) (requires site Ian showin placement) 14.00 City /State /ZIP: l tt yr n „ �� Furnace 100,000 BTU (ducts /vents) 14.00 ! ��/]�) Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: 1 /- vo. Gas heat pump 14.00 Cross street/directions to job site: ) 2 1 44— Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 .,� ^ T „_! Gas fireplace 10.00 >� J + C1 •��' - [ � _� � . t G: Flue vent vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY .OWNER O /liner /flue /vent 10.00 Other 1 0.00 Name: G ], ) S Q (v c Environmental exhaust and ventilation Address: f ^ \ • Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT CONTACT, PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: G(2.4 S s" 9� hC $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater !" �6\ P)28� Water heater Phone: ) \ U Fax::( ) Fireplace E -mail: Range ToC 1 CONTRACTOR Barbecue Business name: Q J * r� A ` J e / ✓� Clothes dryer (gas) (�C1 f � Other Address: . MECHANICAL PERMIT FEES* • City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) • CCB lic.: / State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized sl na This permit application expires if a permit is not obtained within 180 g days after it has been accepted as complete. Print name: x ( C_ Imo: : J, A 4,, �\ 1 ate: _ i s, * Fee methodology set by Tri -County Building Industry Service Board 1: \Building\Permits\MEC- PermitApp.doc 01/19/07 440- 4617T(11 /02 /COMJWEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: • Total. Valuation:. _ .Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 ' for each additional $100.00 or fraction • thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. , $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • • 1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2 Plumbing Permit Application ' ' Building Fixtures FOR OFFICE USE ONLY RE City of Tigard C R ece i ved $ D :: EIVE1- Da tDate/By: J� 7 � Permit No.: y( , II • 13125 SW Hall Blvd., Tigard, OR 97223 Phon 5036394171 Fax: 5035981960 Plan Review 0 . . . . Other Permit No.: MAY 2 9 2008 D ate B y: T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris• 0 See Page 2 for Internet: www.tigard Notified/Method: � Notified/Method: Supplemental Information TYPE OF WO RI CITY O TIGtiRD FEE* SCHEDULE atj ij f 1Zln fWISION ❑ New construction 1 t:m'olition For special information use checklist Description [ Qty. 1 Ea. 1 Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 X - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional ba itche 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 1 224. S � .c.iIY �1* Catch basin or area drain 16.60 City /State /ZIP: - ncl4l Y V °r)2,r--5 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: ) r N e. ,app_ Footing drain (no. linear ft...,?) Page 2 l ` L T 1 `� Manufactured home utilities 110.00 Cross street/directions to job site: 4 jf - Manholes 16.60 Rain drain connector 1 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 7 , �!o,t.l 1 - (O(J ff I �I nzi Backwater valve 16.60 Clothes washer 16.60 Dishwasher i 16.60 PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: .. ..,1.4 , 12.1 s (( Expansion tank 16.60 Address: tcd Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 16.60 ( ) Phone: ( ) Fax: Garbage disposal 1 16.60 XAPPLICANT CONTACT PERSON Hose bib I 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: ' + ( 5 wt Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) 7R 1 � �A - Fax: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: DU) t ) M/ Water heater 16.60 Address: Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.- Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized sigfa ure TOTAL PERMIT FEE Print name: G� ,S 4, Date: c h., .s:C 7 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\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' 1 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" _ that meet the qualifications above. - 4" Car Wash Drain - • Garbage - Domestic - Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Building\Permits\PLM- PermitApp.doc 12/27/06 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received y: � g9 e T _ f � 7/ „ _ , Date/By: , Permit No.: H �l 13125 SW Hall Blvd., Tigard, OR 97223, +'4 Plan Review ' Phone: 503.639.4171 Fax: 503.59 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 "` Date Ready /By: Juris: B See Page 2 for Internet: www.tigard- or.gov arinY � oO p 0 Notified Method: Supplemental Information TYPE OF WORK PLAN REVIEW r .r — 1 Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction .t Addition/alteraMyritplateme e .. . \ riI ©N ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑Other: r ` where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: 12 - 2.45-- 2.' 4 SL ,SV M Six or or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 1G, l2/7 �� l ❑ ❑ Health -care facilities. 0 Supply voltage for more than 1 Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: r - I ❑ Service or feeder 600 amps or more. "► FEE SCHEDULE Cross street/directions to job site: G(pj 12_1 Description 1 Qty. 1 Fee. 1 Total 1 • - New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. 11. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 'P) 9 r — 4 ) ekl 4) Limited energy, (with above s 6 75.00 2 � residential (with above sq. ft.) _ Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: ..f - • -� '. �t.1. 1 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is bein_ made on prope that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease - . t, or excha, . , . ccording to it : 447, 449, 670, d 701. 401 amps to 599 amps 133.75 2 �r� / -./ Branch circuits — new, alteration, or extension, per panel Owner signal �/� 1_ Date: S A. Fee for branch circuits with t3 CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: G � ■ 1 %\p„,\ without t branch it or feeder fee, 46.85 2 first branch circuit Address: Each add] branch circuit 3 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (,3) .-)cgo ( -0 9 Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: 0 (� ,, ` t\—) r ` f Signal circuit(s) or limited - ( � energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: / Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (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. 1:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: y - RESIDENTIAL _ WORK'ONLYc ` Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n A udio and Stereo Systems ❑ B oiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation • ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 : \ Building 'Permits\ELC- PermitApp.doc 03/23/06 6 / zoo r,.- o vo 7 Z Information Notice to Property Owners About Construction Responsibilities Statement 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 701.055 (4)] 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 permit. Please check the appropriate box and complete the following statement: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 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 1 change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked a completed above is correct and accurate. `.------- C-I-4t 4 S 1 Print name of permit applicant Signat re of e • . " ant Date Permit #: H5 ro' 44 0 7/ This form is supplied to building o'�S�S permit offices by the Oregon 2 Address: ` 51 - 11 4/G 2 �T Construction Contractors Board, H : .r _ as required by ORS 701.055 (6) I1 ��9�� � ��23 Issued ate: 494 S This copy to issuing permit office 06/13/08 08:24 FAX 5032954901 Kennedy Jenks Consultant RE t_ifi'. 1 V E D . mb r2,5- 7( JUN 2 02OO CITY OF T! N BUIL NG DIVISI ® C1eanWat Services par commitment is clear. CWS File Number Sensitive Area Pre - Screening l 00/66q Site Assessment Jurisdiction: Washington County Property Information: (example 1S234AB01400) Owner Information: � �• Taxlot ID(s): Name: CII4 15 � Dj' c Company: Address: i )s Site Address: ) Z2 60 SUWY1y riel -gr City State Zip: "n6 , Cr- 9-12.23 City State Zip: 1 G O'er' c"--)223 Phone /Fax: 5 3 .--)b) • 505 I° Nearest Cross Street: Cj ��I S E- mail: r C_*.V L S 4-CE-i st -- 01.71 -1J • GOrY1 Development Activity: Check all that apply Applicant Information: Addition to Single Family Residence (rooms, deck, garage)X Name: e YV'r' — Lot Line Adjustment ❑ Minor Land Partition ❑ Company: Residential Condominium ❑ Commercial Condominium ❑ Address: Residential Subdivision ❑ Commercial Subdivision ❑ City State Zip: • Single Lot Commercial ❑ Multi Lot Commercial ❑ phone /Fax: / Other E -mail: Will the project involve any off -site work: YES ❑ NOVI Unknown ❑ Location and description of off -site work: Additional comments or information that may be needed to understand your project 5A - r1d1.4-- Apr: is " o ■ _ Pto a.. , = . S ■ -. 0 ift. .. ' This application does NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. 1 certify that ! am familiar with the information contained in this document and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Type Name: 1 is i soli _A!'-'■ k _. Print/TypeTitle: S etul '* Date: to /s /0E - Jar' RICTUSEONLY - - ❑ Sensitive areas potentially exist • site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. 1 0 Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT i RVICE P VIDER LETTER IS REQUIRED. Reviewed By: G * e� Date: 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -5100 • Fax; (503) 661 -4439 • www,cleanwaterservices,org Revised: May 0.2007 . . CITY OF TIGARD BUILDING DIVISION i 1 > " tx4S1z0046L-00071 13125 SW Hall Blvd., Tigard, OR 97223 . i A DATE ISSUED; ED r" Ei/70170. Oft Phone: (503) 639-4171 ,tt At U Ilf Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/712009 TIME: 7:00AM PAGE: V SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFF E:R DI N G DESCRIPTION: 700 sq ft kitchen addition :rird remodel. Mean:ink:al other.duct work. Plurnbing lathes-hose bib & ir:e maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 603-781.8287 CONTRACTOR: OWNER . 4) PHONE #: `) • Inspection Request Scheduled For: Date: 2/2/2009 Pour Time: / Code # yspection Description Confirm # Contact # Mes ge 315 Postibearn plumbing 080196-01 503-781-8287 Y Corrections/Com - . ts/Instructions: r A.......... . PASS [ ---- 1 PARTIAL APPROVAL El CANCEL NO ACCESS 0 FAIL 0 CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: V1/4/V - Date: 4 4 66) - Phone #: (503).718- e2)41 21 1 i . . , ' - • - • • - - - " CITY OF TIGARD BUILDING DIVISION W ii PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: C120/2000 / Phone: (503) 639-4171 7.01(fi Inspection Requests (24 Hrs.): (503) 639-4175 --_,. ---- if INSPECTION WORKSHEET FOR DATE: 2012009 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft hitcher addition and remodel. Mechanical other-duct work. Plumbing other•hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503-781-8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/2/2009 Pour Time: Code # yspection Description Confirm # Contact # Message 505 Sanitary sewer 08019C.;-.02 503-781-9297 N Corrections/Comments/ Instructions: . • y N (N C ) • - V 0 PASS 0 PARTIAL APPROVAL ,, CANCEL NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED \ b j V Inspector: Date: Phone #: (503) 718- ?jilt- . CITY OF TIGARD BUILDING DIVISION PERMIT #: msT2000.00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2008 Phone: (503) 639-4171 111 Inspection Requests (24 Hrs.): (503) 639-4175 --- INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: '7:06AM PAGE: 3 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFFRDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanical other-duct work. Plumbing other-hose bib & k.: ITO aker OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 603-781-8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/30/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 080150-01 503•781-8287 N Corrections/Comments/ Instructions: Fp_ovf., k(iTeAr&-6‘1 cu.) Toc) t.iV D(ziso . pftre4lix u 4 SLoap ic5044) iSikAIN 4, fl PASS Li PARTIAL APPROVAL Lil CANCEL NO ACCESS FAIL ):11: CALL FOR INSPECTION Lil ADDITIONAL FEES ASSESSED Inspector: Cr. 1 0 t Date: V 0 - " C I Phone #: (503) 718- CITY OF TIGARD -- BUILDING DIVISION A PERMIT #: his 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: WO/20M Phone: (503) 639-4171 474160 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 107/2009 TIME: 7 PAGE: 6 SITE ADDRESS: 12245 SW SUMMER a CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel, Mechanical other-duct work. Plumbing other-hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 503-781-82137 CONTRACTOR: OWNFR PHONE #: Inspection Request Scheduled For: Date: 172772009 Pour Time: Code # Inspection Description Confirm # Contact # Message 315 Post/beam plumbing 080051-01 503-781-8287 N Corrections /Comments/ Instructions: t Q Vik..ouliu u N I 0 N) - I 0 t 0 r wvc b i e-\4A O FL (ONI 61_ i f c) so. ik(- ■A/fe L-'ic itAID _ biuki IQ I_ iN E3 i 0 0LbkI 'wkil FJ z o f\ Gom ( 3(( 1 yl,, UU0 IMAA6l. PiktbNIDC k Yb -11 q (ba- co. lio) b N lAt0:1 .16NINL. Ir T ■ E - IN - WIN sTE, Q k-cy\ot\fe- v --co/ cid Foci W/osi ‘0<- . kiiksT‘ cie v( Lom 0 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL K4 ' CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: . 1\)(1(, (--- Date: i -' 21- 6 Phone #: (503) 718- IVA- CITY ��x����N�������� ��nm m ��m� mm�������� BUILDING DIVISION �°~,"~~~�""°~� ~°"°"~°"~~"~ ^ PERMIT #: hASJ2088-000.71 18126GVV Hall Bkd.. Tigard, ORQ7223 DATE ISSUED: 6/2020O8 Phone: (503) 639-4171 Ak, Inspection Requests (24 Hrs.): (503) 639-4175 ~ « �O.J1 INSPECTION WORKSHEET FOR DATE: 112712089 TIME: 7:O0AM PAGE: 3 SITE ADDRESS: CLASS � 1224.6 SW SUMMER ST � SUBDIVISION: SUMMER H!LLS PARK LOT #: 006 TYPE OF USE: PROJECT NAME: [)EFFERD|WS DESCRIPTION: 2.00 Sq ft kitchen addtiou nd remodel. Mechanical other-duct work. Plumbing other-hose bib & ice • maker. OWNER: DEFFERCVN().C�|S&NCTOR|A PHONE #: 503.781_8207 CDNTRACTOR� OWNER PHONE#: PHONE#� CONTRACTOR: Inspection Request Scheduled For: Date: 1/27/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 6O5 Sanitary e/ 080051 • 503 N Corrections/Comments/Instructions: ' - _ . , ' » � . • �� �� �� _ �� RASG / / PARTIAL �� �ANCEL __ NO ACCESS n FAIL VALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED � Inspector: ��62 L ~~� Date: 1~~� ~1 ^ -X Phone #: (503) 718- a_41%____ ` Building Division ®: One & Two - Family Dwelling T I G A R D Fees Checklist PERMITINFORMATION , Permit: Reissue: Date: Address: Subdivision: Class of Work: First Floor: - 7 1 4 0 Lot: Type of Use: Second Floor: Zoning: Construction: Third Floor: Left: Occupancy: Total Floors: Right: Stories: Basement; Front: Height: Garage: Back: Floor Load: Decks: Beaverton CET: Dwelling Units: Porches: Tig -Tual CET: Bed rooms: Other: TVFR: Bathrooms: Valuation: `'i t (QRt.i :26 Geo /Grading 7, %" Fee Amount _ Amount Paid: Balance Due CDC Pln Rev: k ( . 06 LR Planning Surcharge: ( , 0 0 Pln Rev Deposit: 6 11 Pln Rev Balance: 71 1 Pln Rev Extra Set: Q� Bld Permit: 6 7 , ( Bld Permit 12% State Surcharge: 17j r 7 i- 1J0c Tig -Tual /Beaverton School CET: MEC Permit: MEC 12% State Surcharge: PLM Prmt: PLM 12% State Surcharge: ELC Permit: ELC 12% State Surcharge: ELR Permit: ELR 12% State Surchrge: SF Park SDC: 0 TIF Resident: TIF Mass Tr: Erosion Control: Erosion Pln Rv CWS: Erosion Pln Rv COT: Water Quality: Water Quantity: SUB- TOTAL: Sewer Permit: Inspection: SUB- TOTAL: TOTAL MST & SWR: MECHANICAL PERMIT FEES PLUMBING PERMIT FES Description Qty. 1 Fee. Total Description 1 Qty. 1 Fee. Total Heating/Cooling A/C or heat pump 14.00 New 1- 2- family dwellings (inc. 100 ft. for each utility connection) Furnace 100,000 BTU (ducts /vents) 14.00 SFR (1) bath 249.20 Furnace 100,000+ BTU SFR (2) bath 350.00 (ducts /vents) 17.90 SFR (3) bath 399.00 Gas heat pump 14.00 Rain drain Duct work 1 10.00 Each additional bath/kitchen 45.00 Hydronic hot water system 14.00 Res. boiler (radiator or hydronic) 14.00 Fire Sprinkler -Sq. Ft. 0 to2000 115.00 Unit heaters 14.00 Fire Sprinkler -Sq. Ft. 2001 to 3600 160.00 Flue /vent for any of above 6.80 Fire Sprinkler -Sq. Ft. 3601 to 7200 220.00 Other: 10.00 Fire Sprinkler -Sq. Ft. 7201 & greater 309.00 Other Fuel Appliances Site Utilities Water heater 10.00 Catch basin or area drain 16.60 Gas fireplace 10.00 Flue vent for water heater or gas Drywell, leach line, or trench drain 16.60 fireplace 10.00 Footing drain -1' 100 ft. 55.00 Log lighter (gas) 10.00 Manufactured home utilities 110.00 Wood/pellet stove 10.00 Manholes 16.60 Wood fireplace /insert 10.00 Rain drain connector 16.60 Chimney /liner /flue /vent 10.00 Sanitary sewer -1' 100 ft. 55.00 Other: 10.00 Storm sewer -r 100 ft. 55.00 Environmental Exhaust & Ventilation Range hood I 10.00 Water service -1 100 ft. 55.00 Fixture or Item Clothes dryer exhaust 10.00 Bath/toilet exhaust 6.80 Absorption valve 16.60 Attic /crawlspace fans 10.00 Backflow preventer 27.55 Other: 10.00 Backwater valve 16.60 Fuel Piping Clothes washer 16.60 $5.40:first four- $1.00:each add'I Dishwasher 16.60 Furnace, etc. Ejectors /sump 16.60 Gas heat pump Expansion tank 16.60 Wall /suspended/unit heater Water heater Fixture /sewer cap 16.60 Fireplace Floor drain/floor sink/hub 16.60 Range Garbage disposal 16.60 Barbecue Hose bib 16.60 Clothes dryer (gas) Ice maker 16.60 Other: Interceptor /grease trap 16.60 Subtotal (Minimum permit fee- $72.50) Primer 1 6.60 12% State surcharge Roof drain (commercial) 16.60 TOTAL PERMIT FEE Sink/basin/lavatory 16.60 ELECTRICAL PERMIT FEES Tub /shower /shower pan 16.60 Description I Qty I Fee. Total Urinal 16.60 New Res.(Habitable + attached garage) Water closet 16.60 First 1,000 sq. ft. or less 145.15 Water heater 16.60 Ea. add'I 500 sq. ft. /portion 33.40 Other: 16.60 Limited energy, residential 75.00 Services or feeders installation, alteration, and/or relocation Subtotal (Minimum permit fee - $7250) 200 amps or less 80.30 12% State surcharge 201 amps to 400 amps 106.85 TOTAL PERMIT FEE 401 amps to 600 amps 160.60 601 amps to 1,000 amps 240.60 Over 1,000 amps or volts 454.65 Branch circuits - new, alteration, or extension, per panel A. Fee for first branch circuit W /service /feeder 6.65 B. Fee for first branch circuit W /out service /feeder fee 46.85 Each add'I branch circuit 6.65 Subtotal: 12% State surcharge TOTAL PERMIT FEE: 000fj- c77I CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2008 Phone: (503) 639 -4171 A I it nspection Requests (24 Hrs.): (503) 639 -4175 �� &!J— 1. INSPECTION WORKSHEET FOR DATE: 2/3/2009 TIME: / :00AM PAGE: 4 !t./ SITE ADDRESS: 12245 SW SUMMER Si CLASS OF WORK: SUBDIVISION: SUMMER HILLS' PART. LOT #: 006 TYPE OF USE: PROJECT NAME: DEFFERDINC DESCRIPTION: 200 s q ft. kitchen addition and remodel. Mechanical other -duct work. Plumbing other -hose bib & ice rr+al <er. OWNER: [)EFFERDING, CHRIS & VICTORIA PHONE #: 5O3-781 -82F! CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 713/2089 C9J" Pour Ti e: voi5..,:j__,. Code # Inspection Description Confirm # Contact # Mes age 230 Undertioor insulation 080232 -01 503.781 -8207 Y Corrections /Comments /Instructions: rrII �O t 1 il c% 1 W M� co cz_g rL — �� I C7 -- 0 r c. Fro 012 r�[ _ - m1 c•4-L — i tt• 1 z- Z- off (cA t■l r _.„ez, R.R.tfr.r---T=O N.,S .',•2■ PLL 1 ljz -!SS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Z 3 b Phone #: (503) Z- Inspector: Date: � ( ) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/3000 Phone: (503) 639-4171 ,1:1!1.V Inspection Requests (24 Hrs.): (503) 639-4175 — _- INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7:06AM PAGE: 2 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 006 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft ktchen addition and remodel. Mechanical other-duct work. Plumbing other-hose bib & ice niaker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 603 CONTRACTOR: OVER ____ PHONE #: Inspection Request Scheduled For: Date: 1/30/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 08015802 503-701 Y Corrections /Comments/ Instructions: •0 bz ots1 t €1 vira 0 01' - 11\16 is I 6N KNO Affte.4 toki,— . 6.) b 1 4,:o17 ■ osa_gt . PLi4o v 0 ti01, tta, 106r 4 .. .__._, 0 PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G N 6 L-" Date: 1 - 1 0 j i Phone #: (503) 718- Dili() CITY OF TIGARD BUILDING DIVISION PERMIT #: msr2008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2012000 Phone: (503) 639-4171 ilowitmod Inspection Requests (24 Hrs.): (503) 639-4175 s .A., 111. INSPECTION WORKSHEET FOR DATE: 1/2712009 TIME: 7 PAGE: 4 SITE ADDRESS: 12245 SW SUMMER ST CLASS OF WORK: SUBDIVISION: SUMMER HILLS PARK LOT #: 005 TYPE OF USE: PROJECT NAME: DEFFERDING DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanic other-duct work. Plumbing ether-hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 603-781-8287 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/27/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 000051-03 503:701-8207 N Corrections/Comments/Instructions: 4 ,------ � &J C—C.- Pe.,,9,-1 1/0 <:7 (S ..:_61::-. 4, oe--__ \i A_ _...... I 7 PARTIAL APPROVAL / El CANCEL 7 NO ACCESS 0 FAIL DCALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector Date: / I 6 - - / , Phone #: (503) 718- ZC.' CITY ���� ��N�������� ��mm m ��m� umm�|���m�� BUILDING DIVISION PERMIT #: msT2008..00071 13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 6/2O0008 Phone: (503) 639-4171 AWilA Inspection Requests (24Hro.):(5O3)G3Q'4175 "�4 6 1.12„ INSPECTION WORKSHEET FOR DATE: 1/2Ti2009 TIME: 7 PAGE: 6 � �/ � SITE ADDRESS VVOR� � 1224�[��8Uh4k4��E�� CLASS WORK: SUBDIVISION: SUMMER HILLS' PARK LOT #: UUb TYPE OF USE: PROJECT NAME: � DEFFER[%MG DESCRIPTION: 200 sq ft kitchen addition and remodel. Mechanic:al other-duct work, Plumbing other-hose bib & ice maker. OWNER: DEFFERDING, CHRIS & VICTORIA PHONE #: 603-781-8287 CONTRACTOR: P HONE# � #Y�«E� #: Inspection Request Scheduled For: Date: 1/27/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post/beammmchanixal 080061'02 503'781-8287 N C ect /<�wnnnnmn1a/|notructiono: � �~ . _ �_ v ) rr��'7 ^ [~��^`—� . ■(.-:10■:/? M ARTIAL . APPROVAL El CANCEL NO ACCESS FAIL — ' CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED / ° '~�� �~ Inspector: Date: / ^t Phone #: (503) 718^��-�-' ~�° ~ ' ` ^^ / ` CITY OF TIGARD BUILDING DIVISION PERMIT #: 200%40001}) 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 . INSPECTION WORKSHEET FOR DATE: j- 1s 0t TIME: PAGE: SITE ADDRESS: 1 /v tS 6 1/J S vpmsrga. ST, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: poo Pour Time: Code # Inspection Description Confirm # Contact # Message V3 (LoJceit\ Corrections /Comments/ Instructions: - Nowa N M C+Rs 1a A� I Op bC W i �Q D '4 I P • S aL, G- J p 6 �� 841 m,nLZL . 3 ktitAkot c co •fir► o,■f ®v, LA) Nre attg_4, .6) tbax---0 ,) Pau F g LL f c.o (�,c,vit'S ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k Date: 14 01 Phone #: (503) 718 - ''1 _ ---- CITY OF TIGARD , ,,. BUILDING DIVISION ' ' • ,f ' \ PERMIT 4k/fa 2,003 .. O00 ' ) 1 • — 13125 SW Mali Blvd., Tigard, OR 97223 DATE ISSUED: • Phone: (503) 639-4171 ihy As . 1 0% li li r Inspection Requests (24 Hrs.): (503) 639-4175 Ail..4 11. ' - 'T INSPECTION WORKSHEET FOR DATE: t - TIME: PAGE: SITE ADDRESS: 11 5 S L 5 v iv ‘ AP(4- cr CLASS OF WORK: • SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: - . DESCRIPTION: OWNER: • PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: -I IT- "() Pour Time: Code # Inspection Description Confirm # Contact # • Message 1,0 • • Corrections/Comments/Instructions: N iNe. c__43 cLo \ilDe p; ob.,' ' -) cLovl c)r C)..Th>r. CO N\ VI:A NiTY C 4L 0.,...4 1 -) 0 :-) .63 3JA _ L‘') t‘:_i% c p,1--L-- 1.1. • • 9 ‘ ve p„LL c_o, ICJ 05 , t) c.oCS1:E L- is,LL • - a'Ply . ki; cL a z J\ ) P 0-0 \I i D • '--Q.. 0Q kl-t N Q.A c_i (z,_ e- IT) 0 l ie& ( . . ..• 0 PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS • ' FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: ' Date: q 1 .- cl 0 9 Phone #: (503) 718-P11- CITY*FTG - RD 1;(1PILDEING DDVOSOON . 4, PERMIT #: �,, 1fi. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L;r i �`•s ?d�f:` Phone: (503) 639 -4171 0roin�� ��u �'� Inspection Requests (24 Hrs.): (503) 639-4175 a III. INSPECTION WORKSHEET FOR DATE: 2,'; . )p 'i TIME: / :0 ; M PAGE: et I& SITE ADDRESS: 122.1!: _ .A1 <3,+ jt,,I r, p ', CLASS OF WORK: SUBDIVISION: sr - sumiviF.P. FULLS PARK LOT #: 006 TYPE OF USE: PROJECT NAME: €N ..r ::.l:i. ^ !',.. DESCRIPTION: AO F.;q 1t. 1 .'4:tri ad ilioI1 :'"titd r stit:9tfEq Is:'1f §s,ki,ait. t`. r.f o! -tit1''t +.fteo Pr. Plorahing ott -hc, e bib iz, at:c.'. Fi IaI",, . f5 OWNER: C..�i::.i. {i " ;�:�, t;' �I "'Y;'. :'.:k,'s'1�.�'�I�t��C'l PHONE #: 503- #'i °:l..8�.. CONTRACTOR: (AJl, 1FT-.: PHONE #: Inspection Request Scheduled For: Date: fit^ >f"i.ii, }� O " Pour Till e: NJ Code # Inspection Description . Confirm # Contact # Mes •age ' 0 s 2::q) I iItfio,IIoot 13E: s?i'scion 0202:T2 603 /Ir"1 21.6 Y Corrections /Comments /Instructions: &6R, RI 1 l', o/o CA a, &.6 Co 0._1e-C. `�S r CO /1 re._c_-1 1 cis --- 0 i0b CZ et.-0 o 2 d 0 ..= z Z- O1 (6 t■1 - 4--€=. g.[Z.cZ^rLsaS • K . 1 ' A '. SS pi PA RTIAL APPROVAL ❑ CANCEL I NO ACCESS n FAIL .1 jy, CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED U Inspector: L �� Date: L" t 3 Phone #: (503) 718- Z CITY OF TIGARD ._ BUILDING DIVISION PERMIT #101200S 09 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: Phone: (503) 639- 4171il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 22.: 01 TIME: PAGE: k 0 be4-630 SITE ADDRESS: 1 *L.2 s V rlwlvtt L. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ELx- -cl cs*._. OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Z'2 - Pour Time: Code # Inspection Description Confirm # Contact # Message o voum Ft o(L., Corrections /Comments /Instructions: $ox ✓1" 13`) ksp\i C,%:)%reCL Ftek> t 01)K flitea ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C V Date: 1 Phone #: (503) 718- 21140•