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Permit
CITY O TIGARD J MASTER PERMIT III °. COMMUNITY DEVELOPMENT Permit #: MST2009 -00226 T i GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 2S111AA01700 Jurisdiction: Tigard Site address: 14425 SW 87TH CT Subdivision: GREENSWARD PARK Lot: 21 Project: Sang Project Description: Fire damage repair.1 /26/10 ADDED (11) branch circuits to scope of work. 2/1/10 ADDED repipe of water lines and DWV. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $10,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: 2 Tubs /Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bckflw Prevntr. MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Fum <100K: Vents: Woodstoves: Gas Outlets: 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! 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) SANG, JAMES & TRUDI LORENTZ BRUUN CO INC 14425 SW 87TH CT 3611 SE 20TH AVE TIGARD, OR 97224 PORTLAND, OR 97242 PHONE: PHONE: 503 -232 -7106 FAX: 503 -230 -0914 Total Fees: $671.79 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 952-001-01 • i roug •AR • 2- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by ca7503.246.6699 or 1.800.332.2344. Issued =y: _ / 4/ .4/ I / Permittee Signature: ->r • STER PERMIT n CITY F TIGARD COMMUNITY DEVELOPMENT Permit MST2009-00226 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 2S 111 AA01700 Jurisdiction: Tigard Site address: 14425 SW 87TH CT Subdivision: GREENSWARD PARK Lot: 21 Project: Sang Project Description: Fire damage repair.1/26/10 ADDED (11) branch circuits to scope of work. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $10,000.00 Rear: PLUMBING Sinks. Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bckflw Prevntr. MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: 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) SANG, JAMES & TRUDI LORENTZ BRUUN CO INC 14425 SW 87TH CT 3611 SE 20TH AVE TIGARD,OR 97224 PORTLAND, OR 97242 PHONE: PHONE: 503-232-7106 FAX: 503-230-0914 Total Fees: $545.70 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. ATTEN Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 4 952-001-0 0 through R 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.23 4 12 Issued Permittee Signature: l CITY OF TIGAR® MASTER PERMIT COMMUNITY DEVELOPMENT Permit MST2009-00226 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 2S111AA01700 Jurisdiction: Tigard Site address: 14425 SW 87TH CT Subdivision: GREENSWARD PARK Lot: 21 Project: Sang Project Description: Fire damage repair.1/26/10 ADDED (11) branch circuits to scope of work. 2/1/10 ADDED repipe of water lines and DWV.2/26/10 ADDED (1) 200 amp or less panel change to scope of work. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $10,000.00 Rear: PLUMBING Sinks: Water Closets. Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: 2 Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn-100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 1 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) SANG, JAMES & TRUDI LORENTZ BRUUN CO INC 14425 SW 87TH CT 3611 SE 20TH AVE TIGARD, OR 97224 PORTLAND, OR 97242 PHONE: PHONE: 503-232-7106 FAX. 503-230-0914 Total Fees: $796.65 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 952-0010100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. 1 , Issued By: (5) 01 Ln UQ Permittee Signature: li . . CITY OF TIGARD MASTER PERMIT 3 COMMUNITY DEVELOPMENT Permit #: MST2009 00226 41 GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 2S11101700 Jurisdiction: Tigard Site address: 14425 SW 87TH CT Subdivision: GREENSWARD PARK Lot: 21 Project: Sang Project Description: Fire damage repair. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $10,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Fum <100K: Vents: Woodstoves: Gas Outlets: Furn > =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'! 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) SANG, JAMES & TRUDI LORENTZ BRUUN CO INC 14425 SW 87TH CT 3611 SE 20TH AVE TIGARD, OR 97224 PORTLAND, OR 97242 PHONE: PHONE: 503 - 232 -7106 FAX: 503- 230 -0914 Total Fees: $399.67 This pe is issu-• . bject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be • •ne in accordance wi • 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 d. s. ATTENTION: Oregon aw r quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 52-001-0010 through OAR 001- • may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � Permittee Signature: ' ice — - I Building Permit Application CX `J/ Phone: 503.639.4171 Fax: 503.598. I90 - •ReSIC�entlal RECE OFFIGEONLY Ci}� R eceived / a . "� g D ate /13y: � 4 1 09 Permit No.: %� OD of Ti and 1 3125 SW 1-lall Blvd., Tigard, OR 97223 C Q 9 `t 009 Plan Review r . 1: fi t', E C Date /By: (Q ;� Other Permit: S A I D Inspection Line: 503.639.4175 Dale Ready /By: surfs: El See Page 2 for � ri r al�t Internet: www.tigard- or.gov CITY OF TIGA RD Notified/Method: 1 In� I V� • O c' ` C1 Supplemental Information � UILDING DIVISION l TYPE OF F ORK 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 Cil Other: Q6+PAA equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRUCTION work indicated on this application. rst I- and 2- family dwelling ❑ Commercial /industrial Valuation: S /(), O D ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i 1425 5 ,,„ / ej 7 CO Q12.1. New dwelling area: square feet City /State /ZIP: •TIcr,A.t..D MCA%C4 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 4q t..)(P • Covered porch area: square feet Cross street/directions to job site: 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. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK ' work indicated on this application. rit . VAtKAelc 'C9Ar% Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER . ❑ TENANT Number of stories: Name: fats ,od1L1. Type of construction: 14 Address: 144 ZS Nisi Cp yt2T Occupancy groups: City /State /ZIP: --re...Q Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON • NOTICE Business name: bet I�I=Q C'omsistsim(i a:44t114E52S All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board 'RI � OCatsi=. under ORS 701 and may be required to be licensed in the Address: ci510 51w1 'F3Aa...e31,,2_ $u tD jurisdiction in which work is being performed. If the City /State /ZIP: M�� OK l tet applicant is exempt from licensing, the following reasons apply: Phone: ( ) 2 4L iz 5 O Fax: : (5 .3) 29 4 1 39 c E -mail: brt g w ilex `L• CGw% CONTRACTOR Business name: L 0 12$ (2.1,11m4 BUILDING PERMIT FEES* (Please refer to fee schedule) Address: 3411 5E Zp AY[;NOE. * 300 . Structural plan review fee (or deposit): City /State /ZIP: pevaL.44z pQsg,o,y 9,1 2.07.... Phone: (603) 232 "1101, Fax: (513) 232 $(.09 FLS plan review fee (if applicable): CCB lie.: Total fees due upon application: #/y' • 77 d �'sg Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4J Oki Date: II_ Q , Zpp et * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(l1/02/COM /WEB) Plumbing- Permit Application R E Building Fixtures Received ^0 City of Tigard F 012010 telnv: Yc'"'it NO .QO d + 13125 SW Hall Blvd„ Tigard, OR 9722.1 plan Rrvinw 1 Phone: 503.6324171 Fax: 505.598.19~g pa~itt : Other Permit No.: inspcetion Line:nx 503.639,4175 l ITY OF TIGAItD BUILDING DIVISIO Dpte I (11MC111 facia: 10 $t pant far (L. Internet; www.anl~r.6 ov NutitirtUMelhod: Supplemental Information t W r u . ,IS t f V ❑ New construCtipn ❑ Demolition 1 For special in ,r'MddW1 rise checklist. Dcscrition Ea, Total ® Addition/alteration/replacement Othcr; New 1- 2-family dwellings (includes i(HI ft. for each utility connection) SFR (1) bath 312.70 ® 1- and 2-family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 ❑ Accessory building Multi-family SFR (3) bath 500.32 Eacb additional bath/kitchen 25.02 ❑ Master builder ❑ Other. Fire sprinkler L_ sq, ti.) Page 2 Site utilities: Job site address: 14425 SW 87TH Catch basin or area drain 18.76 Dtywell, leach line, or trench drain 18.76 City/State/ZIP: TIGARD, OR 97224 Footing drain (no. linear ft.: Page 2 Suite/bldg./apt. no.: Project name: LORENTZ BRUUN 2090 Manufactured home utilities 50.03 Cross street/directions to job rite: 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. line.'ir tt.; Page 2 Subdivision: Lot no.: Fixture or item: Tax niap/parcel no.: Backtlow prevcntcr 31.27 Backwater valve 12.51 F 1 RL DAMAGE JOB Clothes washer 25.02 x'62 r Dishwasher 25.02 _2x5702 Drinking fountain 25.02 Ejmtors/sunip 25.02 ..a i ,AExpansion tank 1 12.51 1 Name: Fixture/sewer cap 25.02 Floor drain/fkxtr Nink/hub 25.02 Address: Garbage disposal 25.02 -2 5 ~0 2 City/State/ZIP: Hose bib 25.02 Phone: ( ) Fax:( ) Ice maker 12.51 1 w t lntcreeptor/grease trap 25.02 - Business name: Medical gas (value: $ Page 2 Primer 12.51 Contact name: Roof drain (cottuuetcial) 12.51 Address: Sink/basin/lavatory 25.02 4008 City/State/ZIP: Solar units (potable water) 62.51 Phony. ( ) Fax:: ( ) Tub/shower/showcrpan 12,51 rival 25.02 E-mail: rQ0 12111 LQ0 1041, D w, r Water closer 25.02 6 Water hcetGr 37.52 Business name: MP PLUMBING tiler pip,n 56.29 Address: PO BOX 393 her: 25.02 City/State/ZIP: CLACI{AMAS, OR 97015 Subtotal 7 Phone: (503) 655 9161 Fax: (503) 655-1726 Minimum permit fcc: $72.50 Plan Lie,; 5002 Plumbing Lie. no.: 3-17PB review (25% of permit fee) State lurch trxc (12% of permit tee) Authorized signature: TOTAL PERMIT FEE ;9e' l Print name: DONNA J. TONING Date: 2/1/10 This permit npidfeylion expleet if* permit is not obtalned within 180 rdaays after it has been accepted as eumplete. ~l, n, ©y 'Fee methodology set by Fri-County laoildinK lntrustry service )k,: ' sE 1 I1BuildingtPermits'PLMU-PamitApp,duc 1010P09 440-4016'1(10%02dYIh1.%WFHr 3 d UZOOOOOSL'ONILZU '1SILZU OLOZ l 83d(NOW) Buigwnld dW WOad Electrical Permit A1211lication City of Tigard ( Received 13125 SW Hall Blvd.: Tigard, OR 97223 Plan hcvi:w - Phonc: 503.639.4171 Fax: 503.598.1960 Other Pemir; e Inspection Line: 50.3.639.4175 c R Sv: luris: 0 See ? fur Intcmct: tvwtv.tiosrd-or.a0v + I rhttd: ( Supplemental laformation " TYPE OF WORK: PL.4N=:REVIt': E] New conslrlictiun Addition/alteration/replacement Please c1tc:R ;dl Ilkn apply (s bmir z sets urplanx whtcros cf+cckcd below): ❑ ^ C) Service or feeder 400 aurps tv morc [I Building over three stories. Demolition Other: s" TIGARn l.~ .hel: tlr_ vailabtc fault currCnt ❑ M;iri w ;m:! N,w.vardr c:A rE4URt 'Of~`:CO~15 RU~-f i ~D111C 1 p ~x ~t I UAUn amps l?O volts At ❑ 19,t:um~ bud:hnvi. iess to ground, or excecd.~ 14,M) ❑ Cemrncrcial-use agricultural I-,md 2-family dwelling ❑ C.orninereial/industrial ❑ AcceSSOry building ;nips for all outer h,;tteuarions huildin:m. ❑ ::\4uhi-f;tmi Iv ❑ Master builder ❑ Other: ❑ Fire pump. Inmal larron o: 'N i X VA or - ❑ EmCigCUCy o-y,lem, larcer ?x)xtirately tler.ve:1 syaen;. ..JOB SI ,,CFORM.. TION AND ;hOCATIO\ ❑ Addihun of nets motor load of ❑ °A- r• 1.1.., - I.3'. of or morc. Re-re mcy r -15 -6W '074k 100; IP Job no.: tub site address:/ a-7 ❑ 5tx of more rc<..;d:mi;+l units. ❑ Recreations) vehicle parks. (.iL,'lSLlle/ZIP'S`-t 7, Z[1 ❑ llenlehtinra facilities. ❑ Supply volta_•e r;X uant ;111,1 ❑ I lazardous, local ans. 600 volt: nominal. SUitclbldg./apt. no.: Project narne; ❑ Serviec or fecdcr NU amps or morc. ~.CXp z r U. u-,,- _ . ! Et, SCH4:AUI E (.rocs streel/dircelions t0 Jot) iIIL: I nno~ tta• t., I Fm Total \ew reMdential single- or multi-family dwelling unit. I , Includet attached garage. Suhdil vision; Lot no.. 1,000 sq, ti, or less !.5k S4 4 add*l 5W sq. it or Poitivn 33.92 I Tax map/pari;Cl To.: Limited energy; residciuifll D~$('RIPTION OF WORK (wilhabuvosq ri.) 67.33 2 T7 Limited erKtgy. multi-family _.».t residelicial (with above sa. ft) 67.5 2 Services or feeder.K installation, alteration, acrd/or relocation 2UU rmps or Ic;s 100.70 ( CO. 2 PROPERTY O~V\ER ❑ TENA]VT 201 amps to 4W amps 133.50 2 Name: 4U1 amps to 600 ar.)ps _300,34 2 - I 601 amps to 1,000 amI); 301.04 Z I Address: ovcr 1,050 amps o: vole - S5226 - Tcmp(rran, sen'iecs or feeders installation, alteration, and/or City, smle/ZIP: relocation Phurtc: ( ) Fax: ( ) 200 amps or Irss - 201 amps to 400 ar.)ps 12- 4.08 j 2 Owner installation- Thi: installation is being made on property that I own which is Oat 4ul amps to '599 am 16S 54 2 inleaded fur sale; Icase, rent- or exchange, according to ORS 447, 449, 670. and 701, p' p, Branch circuits- nciv, alteratinrt, ur cxtensiu_n. cr panel I C)Pnter jlgnltUrZ; _ Daze: Fee fe branch uircurG )vah v [I APYLIC~INT ❑ ( ' above sen'ice or feeder ice. OATaCT PERSON 7.42 2 " ~ • each branch CirCUn W 'Fie ror branch circuits xvrhour f~UiIReJ~ hamC: ;cnicc or t-cdzr fee• lia nurnc: bmnch circuit .1 g 2 C:OnlitCl 5G - - lath adc'I branch circuit 7 42 2 Address: Miscellaneous hcrvice or feeder not included I Each ma9ufActwt4 or modular ( 7.Ra 2 Oily/1tatC/Ll}': i dwcllm_, service and/or ircdcr Reconnect vnly Phone: ( ) Fax; : ( ) l 67.84 2 Pump or irr.'won Circle 67.81 2 E-mail: Sign or outline lighting 67.89 2 CONTRACTOR 13USin&Sti tt alttd: t/ eiY ` t panel, aI1cration, of cxtcmion. I •,f~A O,o Z 2 V _ Each additional inspection over allowable in any of the above Address: Additional inspection (I hr mtn) - 66,25/ 11r -PC-1-010 Q ~ I Invcstndustnal plnal pl (antI ; (i6 1 i/ hr (I her rr.m u) 7R.1 R/ hr • Alone: !5D/Sl a5~ Fax: Inspections for which no fee is WAXY hr s ificall li:rcd hr ruin) CCR i.ic.: mectricai f,ic~ Suprv. Lie.: .)-Lj UECfRICAL MAMIT..IFEFS. Subtotal: Suprv. Electrician signalurc. rt:yuirc Plan review (25%of permit tcc): Print name:{ re ()ate: (f, ~b State surcAatgt { 12°/n orperm;t fee): i'; •0~ TOTAL PL•RMI f I-GL: • ri Aulhorimd Signature: - This permit application expires if a liernit is not Obtained within 180 days after it has been accepted av cumplete. Print rt,trne: .yDow: Number orll.spccoons allowed per pcrm;r. 1.16ui)Jiri^U'sl alit:lE1.C •p-.rrr.i; App.ltx 10/01lOs \ (z)(! y6 F r\ Electrical Permit Application FOR OFFICE_ 1.SF:ONLY City of Tigard RECEIVE D °� ) rermit]Vo. 71 e ' 13125 SW Hall Blvd.. Tigard, OR 97223 Plan C1 Phone: 503.639.4171 Fax: 503.598.1960 J AN 2 5 2010 Date/Ry' Other Permit: TI GARD InspectionLinc: 503.639.4175 Date Rexdy/By: lint: B See Page 2for Internet: www.tigard -or.gov , , Notified/Met od: 1 (C Supplemental Information ili ' S;Ati+ I 3,1; ?a1 . •t a 4-ty fE t a r" ' e l o �' a % z r a , : , gfW r fi r. e 7 r is °+. 7x �: -.�'F, s.7 t }•. - lT "'=" ." . f a : , . to c:r Yarn 1:/,.. . `i •L.n it r +L' e' n- -. ,. _ ,w...� . c.. eab�+ '• '9 ❑ New construction Pal Addition/alteration/replacement Ptease check all that apply (submit 2 sets of plans wfitcros checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ■ Other: where the available fault current ❑ Marinas and bwuyard.- A P; ;1j _. - L,' yM 4Aa 4`:' a ` exceeds 10,000 amps at 150 volts or ❑ Floating buildings. • and 2 dwell ❑ Cp(tlmercial/induslrial less to ground, or exceeds 14,000 ❑ commercial -use agricultural 1 y ing ❑ Accessory building amps for aD other installations. bmldings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fate pump. ❑ installation of 75 KVA or ,. u r + o e = n ; nr,r rs 1 . +. s• ❑ Emergency system. largo separately derived system. ; . r _ •� �::. ... -..>: t -•. j ti:' ° ,,. r ° s i ' i ' iL -:'y .,... -5 :izt.it a' ❑ AddiGOn of new motor load of (3 "A ", - E", "t - 2; "1 ", Job no.: Job site address: ' 4 (( j g7•; SiX Of amore. °mu mwy. • ❑ Six or more residtatial wtits. ❑ Reaeational vehiek parks. C iry /State/ZIP ri a D 1 ❑ Health-care facilities. ❑ Supply voltage for more than 0 litratrdons locations. 600 volts nominal. Suite/bldg./apt. no.: 1 Project name: Lc,yeAz. 11 it t ❑ Service or feeder 600 amps or more. Cross street/directions to job site: D oy I Fee, � I Tour I New residential single. or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. tt or less 168.54 4 Tax m / eel no.: Ea add] 500 sq. tt. or portion 33.92 _ 1 {!:.�}{:�� y}; I>ar _, Limited energy, residential 67,84 2 'Y-J !i 1}w�.�� `,.del- r _� i4`. ; -� (wit abo,, , ii.) It I 1K� ��� Limited energy, multi- family 67.E 2 � • � � a . @ b ■ r( residential (with above sq. f .) _ Services or feeders installation, alteration, and/or relocation 200 amps oI less 100.70 2 :w.' ',r c"° •. , f , . l 1 P , • : ly . ' ., . , 4 , ,r , , :, - - . -;e 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200 2 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 amps or volts 552.26 2 - City/Statc/ZIP: Temporary services or feeders installation, alteration, and/or relocation _ Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125 _ 2 intended for sale, lease, rent, or exchange, according to ORS 447, 419, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with e' 7 , c r '' .i` °°• .• ' l , ' =r`;t C° about service or feeder fee J� ,N. • : / ' ;•"''1 �i-'•(i• _ . 6, a4 �. .4 if.. .. .,s / ' f 7.42 2 ' " t " ' : each branch circuit Business name: B. Fee fur branch circuits name: - without service or feeder fee, 56.18 54 (9 2 first branch circuit Address: Each add'l branch circuit 7.42 14-20, 2 Miscellaneous (service or feeder no included) City/Stare/ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 _ 2 E -mail: Pump or irrigation circle 67.84 2 ;. 4,../n: : F m -147. aa fi� • .'� '» - , T ', s• .:1 Sign or outline lightinto 67.84 2 � .. Signal cheeks) or limited- Business name: 4.69 (44 ye„6 ee,_ y ■ K.t energy panel, alteration, or Address) C) ' p x + ( S O i extension. Describe: Page 2 2 City /State /ZIP: ' ilr 10." @C D 97 , „ 9�- Each additional inspection over allowable in any of the above • i Per inspection 66.25 Phone: ('• - �5�, j , C 9 Fax: ( ) .) 53 '5S..4./ investigation per hour (1 hr min) 66.25 CCB tic.: 0 t g Electritai Lic.I -I /0 i e_ Suprv. Lic.: 1 industrial plant per hour 78.18 r 4` .nog st.t' . ,!. ..:z, ..: 1 : :••••:e.'i:1 iris W a.: Suprv. Electrician signature, raga =•. - Subtotal: Date: ( _ Plan review (25% of permit fee): State surcharge (12 %of permit foe): ,( Authorized signature: TOTAL PERMIT FEE: tad 1 ' This permit application expires if a permit is not ob ISO Print name: Date: days after it has been accepted as complete. 1 Li(_ -03 Number of inspections allowed per permit. 'Q 1: 18ui1dillSq \Pexmital.GPweilApp.doe 10101/09 440. 46157(11/05 /CaM/wEB Z00 /Z00'd 68bt+# 01810313 S38If bS 1C89C9ZC09 8191 0102 /9Z /l0 RECEIVE DEC 0 0.2009 MILLER CITY OF TIGARD • CONSULTING BUILDING DIVISION ENGINEERS STRUCTURAL CALCULATIONS Fang Fire Damage Repair 14425 SW 87th Ct., Tigard Lorentz Bruun December 8, 2009 Project No. 090919 0 ' TIGARD CITY 3 pages Approved E'..:.:4..... t Principal Checked: K M r► Conditionally Approved .............. 1 1 See Letter to: 1 Attached Follow................ j Attached ..r. _ Permit' T k beri145 «" — i kUc Add THESE CALL ► P � ( VOID IF SBA W Date: Cc: 16655PE O - `\' OFFICE COPY OREGON c: L O . , /4, ..., mss. AND SIGNA ' , -� 'A , °r OT ORIGINAL 'EXPIRES: 12-31- 2-otu 1 * ** LIMITATIONS * ** ENGINEER WAS RETAINED IN A LIMITED CAPACITY FOR THIS PROJECT. DESIGN IS BASED UPON INFORMATION PROVIDED BY THE CLIENT, WHO IS SOLELY RESPONSIBLE FOR ACCURACY OF SAME. NO RESPONSIBILITY AND / OR LIABILITY IS ASSUMED BY, OR IS TO BE ASSIGNED TO THE ENGINEER FOR ITEMS BEYOND THAT SHOWN ON THESE SHEETS. 9570 SW BARBUR, #100 PORTLAND, OR 97219 PHONE (503) 246-1250 FAX (503) 246 -1395 9570 SW Barbur Blvd., Suite 100 Portland, Oregon 97219 -5412 Phone (503) 246-1250 Fax (503) 246 -1395 www.millerengrs.com American Consulting %, Engineers Council /11 Building Code: 2006 International Building Code as amended by the state of Oregon I. Soils Report: No Soils Report by: N/A Dated: N/A Soil Bearing: 1500 PSF Retaining Walls: No Equivalent Fluid Pressure (active): N/A PCF Passive bearing: N/A PCF Friction: N/A Structural System: Building Structure Vertical System: Wood framed Construction Lateral Sys: Flexible Diaphragm / Wood shearwalls Element Roof Floor Corridor Garage Load Type Dead Dead Dead Dead _ I Basic Design Value (PSF) 15 15 15 10 4 ). Loads: Load Type Snow Floor Live Corridor Live Deck Live .I Value (PSF) 25 40 100 40 Deflection Criteria L/240 L/360 L/360 L/360 Lateral Design Parameters: Wind Design: 1997 UBC Wind Wind Zone (Fastest Mile): 80 MPH Exposure B Importance Factors l = 1.00 I = 1.00 I = 1.00 l = 1.00 Occupancy Cat: II (wind) (seismic) (snow) (ice) (lw = 1.0 with wind concurrent with ice) Seismic Design Design Summary: The following calculations are limited to the repair of fire damaged floor joists at the Fang Residence located in Tigard, OR. Two roof trusses were damaged during fire suppression and are being replaced per the truss manufacturer. . ; 9570 SW Barbur Blvd. Project Name: Fang Fire Damage Repair Project #: 090919 �- Suite One Hundred e •160 Portland, OR 97219 Location: 14425 SW 87th Ct., Tigard MILLER (503)246 -1250 Client: Lorentz Bruun Consulting FAX: 246 -1395 Engineers BY: EMH Ck'd: 'C.rv., pi", Date: 12/09/09 Page 1 of 0 4 . fZooR soz5Ts = PS0(i2) 73,3 `P. =K g + 25 ps ) (z2') + e'Ps (&')1(11--2_(7 _ 805 II, FRS 1./rrn/gc CALL pG 3. /o= y 2 ? I = I7_53- 709 1 50 0` ✓�,��� z /sz I� - TRY 2 x /o nr /L `Z ►3s ?(r.) = 9exp ps; 906 (Ns) _ /o }mss; or e T /,5(95"2) _ /o < /a, Fs; 6 o.o(33 /193 Otie Floor 7 Wok/ Ks-r'1l -4/ wAl,l, : w: X3.33 p\c 8Ps . (� = 137. 3 I� / = /885 I � /o -g 1, �s = /oS2' ' 7oo (l . t s) O.1) _ 1139 -,75i o K /1 Psi . / 80 Fs; sy- Rl✓PIACE '1Z€ DIcMJNC n 9 c'o12 7bzs1 w�2xlo OF /L z A7 /(9 C C. =... , �; 9570 SW Barbur Blvd Project Name Fang Fire Damage Repair Project # 090919 day. A -, _ Suite One Hundred Portland, OR 97219 -5412 Location 14425 SW 87th Ct., Tigard MILLER Client Lorentz Bruun CONSULTING (503)246 -1250 ENGINEERS Fax: 246 -1395 By EMH Ck'd rap. Date 12/8/09 Page 2. of Project: O 70 111 By: E/1t Date: Checked: Date: Page: Reactions - kips, kip ft I A 777!7 Y 101 /Scn Shear - kips .0 . 951 - 600 , - 0.548693 Moment - kip ft %0.2.9_6668 ( - 1.756600 Rotation - radians 0.003993. -.Au 2 Deflection - inches 1_ 278_55 - 0.083592 WinBeam 3.30 - Registered to Miller Consulting Engrs. 'I " r 9570 SW Barbur Blvd 4, ti Project Name Fang Fire Damage Repair Project # 090919 ' A7.4 Suite One Hundred ?; , = "0- Portland, OR 97219-5412 Location 14425 SW 87th Ct., Tigard MILLER Client Lorentz Bruun CONSULTING (503)246 -1250 ENGINEERS Fax: 246 -1395 By EMH Ck'd VH1.+ -1 Date 12/8/09 Page of 3 111111111 This design prepared fro8 campuler input by ! RECEIVED P-' EVERGREEN TRUSS r INC I146;n SFECIFIC 110'45 trdi35. 9.414 21 • 11.5' 144 2026 64X 414310 FO3CfS 410760F7c4=1.55 rev ,V 1C: 2,4 07 511.018 1.320 7)1,4112 IAf9EA`E = 1.1'. 1- 3 :_( - 4) 2. '(-245) 1472 3- e= 1 .454) 179 r - ` 06: 2.4 DT 315E19 ..-...2.5(10 24.C' ( -.2. D0 EC 0 9.2 09 r 4 324 0. 9 =(.514) 1421 8- 4 =1 .20) 75 9E56: 2e4 Er 314),1 3- 4 =1-234E1 270 9 6 =( 249) 2412 4- S =I - 20) 754 (--., L3!.71YC: 4. 5=((-23461 210 9. 5=1.454) 179 u ' C , 16 LAIEFAI 4...F3.281 r= 12'0;. ;;O7. 41.7 25.01 7.01 0 107 05 X 0;0 = 2 .0 75F 5- 4-( -20251 359 EC LAIEFAL a J F %Jill 12 ,:I2e1, 61 4.4 90110Y 01:0;0 13.0 PSF CITY OF TIGARD 6- 7 -1 -261 40 Q loin_ Ln = 42.0 P3F BUILDING DIVISION S: 24.)' 2J. 0' F OvEC)A4f 1.16 NM 57039:;3 0035 l ?2017 0)1 10 751 5-1,551)) 4E3.4143 475X 1 'E1)1 VAX 443)7 650 AEOUIEE2 543 435-4 F Ca ne:lcr pI91i pre' a 3t5i,- 5elors: 6 OF 0,=42 2036 4141 400. 2((.s 001 EE140 4E1. 1.4(411095 AEACTI05S RLACIICIIS 512E S0. 74. 15.0E415.) C,(9,CIE,U.16 (cr no 4rills) = Cot- 47r44, (rc 0'- 0.0' -2197 1502Y -1141 1169 5.50' 2.23 CV ( 62:51 4,42':45,41c'i5,416 = 44170 VI 5 :74E5 4)1 ICN ( il6( 4FCC4E0 F34 10525 LIVE L040. Ior 27'• 11.0' -2197 17027 .116; 1169 5.50' 2.23 CV ( 6951 A40 601102 CWFJ 117E 12 465 06 14344 - 00 C5118.L1.1LY. VAX 11 0071 = 0,016' (1.76)2]) E 0.0' 11123 = 0.20)' 441) 1L CfFL = -0.023' (1(104 R -2'- 0.0' (45'5 = 0.251 4',4 LL OE71 = - 4.144' (112257) 4 15' - 4.2' 1124) = 1.352' 973r. 11 0E41 = -0.241' (171345) E 15'- 4.2' L1183 = 1,6(43' 41.0 11 00(1 = 0.016• (111323) 4 - 11.5' 41120 = 0.200' FRY IL CEFL = - 0.023' (171245) 3 29'- 11.5' L793 = 0.261' 1443 F0)12. LI DEFL = 0.248'3 27'- 5.0' 344Y H34)7. 11 NFL = 0.076' 3 27'- 6.0' 9544: 110 mph. h =1511, 10EL =4.2,905L =6.0, ) 7.62, E-5clo4e, (11.2, Eop.8, W0'.15, iM.rior :c lc =_d dur,tiol leoter4.5 13-11-12 13-11-12 - Evergreen Truss Co. Inc. • - 7 -05 s -os 12 6 -os -12 -as -- 1 6302 NE 127th AVE. . -- - - -- - _ - 1;Vancouver,Wa. 98682 4.03 12 U -445 1 - -1 4.00 - - 4.0' • N -1.5x3 �- \� t1 -1.5x3 - :c'~ ? r �` J tishQf k.„ t ` 3 - " ' ` -- "` 5 /,;,- _ -- 4 �� ` 4 0 4 2 +. '\ �-' '�,.._ 1.7 p•.,11 ( � ; �7ft,/ ' � -''/ (l _ 1 j VVV - / - i \ \ / \� - X 1 1 E ,,� ,.„ Vin, cp, 3y �,if w 1 G -3x6 ).( - 1,1 3x6(S) Y -2 5x4 N- 3x67 t " � 26 ���,�� ►f (0 _ 4 - - ` JO \A _ , ; •; -- - 9.07.04 6 -08.15 - 9.07 -04 i.Xt'IFtFS �Gf: ±017 S Di 12.00 15 -11.03 2 -00 27• 11=06 2:00 0.9i • �p.,, J��fiA, - - ,. rY, J 506 41 44:: � t � � - 5991¢_0.1574 ` u�/ •• \tARN ri GS' �i Cti FFUI).UIES. 44114.4.4“1-41,4)4 44114.4.4“1-41,4)4 i:tn] • ; i s ' 1 4:- . u444-aa. 14 J 47 'n a J ".4 r1, I Cie+sr. t4,. ..N.4 1. 17,04 .i 4)i, ' q.1' 6. 78.) t•„74 pw -f -.=' -. TrUSS: 27-11-8 COMMON 1ltr;n, o 4,-779. n ' ,4 4-4 , - .1 p.t.. 511 .a l'.) H.r: -, r�,, l . t r>/rC'44s< 5 r ):r n 4. �t..1 ] • � = r': ' wrt , 4 r d- ));rota Y.4. L >, - - 2 ` - ' y 4 N F s ,yll..r44r ain t I c4,.a. 1t - P-•yn u rr 7.r - 1t IStn0 - 4-0s 15tt'L 17 �5•54i k' - . ;� , �ry ap- rnr. -,•,Y ti • DES 6Y: BC - s J'•, S .< sy 0' <tt tool..: ' -6- d� 'Cr' D , pyr , ,, h ] 1 ..g(TIC , r . C, S vTA r •. N . g 4.44•_A os d/ r-4 ,r14I 0 4IC Ste bry. -4 (3l l -0 ?�:5 C', DATE: 11/30/2009 cropJ,u• as»res.r.•retcw) u yC- � o ,y :rl,roussY, qo i It e 1 , + • r.•.+rso. f' SEQ.: 443561 0 4 I• s`<u Y,he aa, �Ip /r co r4 V .J] r.<rr2 41, l {n J-1:/tr 11 th ,t»:[. I', 1M s';• Y 4. 4t'r. `O- �`qji)VV.� (/ 1 1a' ,, C 4 e. ari dnn.mf s'<aH 3., raL 9s: u ! s C 1.7^ 49.44 i..5 ln.s 3 b r< 'r] El .tin s. 4,1,41,417:; +, ..� a J r. :s g . ..:47G 5: 444]), an : 4. a•E r� CT ,( p /<:mpfc{ ( may " En:l a wttr>• Sr, 8 r 5s; 0NA�, C•' }r[y TRANS ID: 274604 c� on•u a nartnavzN�w p >�t.14,) 1, 4 ,v ; p h'�.- ■ l Jnl,..4. h a,Ini i -,e L54S- 4 rvv-. - - -"J' _ j , . 1 f^ ` , 7 firM -ti °dl:V /. j E 5 , C4 .1..1. ' `,i •:• - -- •, t. 4 h4 07 4 T 5 9' - t5 -4I 1.'V 1,7 4 .1: 5 r a r it 5 4' 7 S ., 8 10 1,] of 414 . .,411,. Yd ;Ij jT4) rE F rr try ♦ e -- Y ``' 11111 1� ill 111' I I 1111111115 74741 ,x4..1 .,.,1- . r.4.1 uJS r. 4uz ni jr o 1 4, 944 1 I t, ;AM ES / 4 I , 7 , 2 rd 8 1 s[. G�4-1a , % _ ,..__ I CornpuTn]s. Inc. SoftA•ore 7.5 . 2F(1 1,)-E - s 4 L.). or.c44, p . . - a - aSy c1 > se ,EF4+.sr tttmpn;,e) 2...4411.4 4541 I;ILtw1,s!pir<1)