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Permit .t • a CITY OF TIGARD MASTER PERMIT 110 IS COMMUNITY DEVELOPMENT Permit #: MST2008 -00155 ''TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/06/2009 Parcel: 2S 104CCO2100 Jurisdiction: TIG Site address: 13911 SW HILLSHIRE DR Subdivision: Lot: Project: SAIER Project Description: Convert 1100 sq ft crawlspace to habitable, and 295 sq ft crawlspace to storage. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: 1 First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: 1 Second: sf Garage: 295 sf Front: Smoke Dwelling Units: 1 Third: 1100 sf Right: Detectors: Yes Total: sf Value: $90,230.00 Rear: PLUMBING Sinks: Water Closets: 1 Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: 1 Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: 1 Tubs /Showers: 1 Garbage Disp: Water Heaters: 1 Water Lines: Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: NAT Heat Pump: N Hoods: Other Units: 1 Fum <100K: Vents: 1 Woodstoves: Gas Outlets: 1 Fum> =10OK: 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 addl 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea addl 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 AN Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT Single Family VA R -3 1395 Owner: Contractor: Required Items and Reports (Conditions) KEVIN SAIER 13911 SW HILLSHIRE DR TIGARD, OR 97223 PHONE: 503- 590 -1745 PHONE: FAX: Total Fees: $2,708.61 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. r+ I In c� ` �_ Issued By: \ Jl.�.- Y ` Q , kw,„ Permittee Signature: Building Permit Application Residential z � $ 2 FOR OFFICE US ONLY r , 4M ; 'r R eceived `! City of Tigard � e; B Permit No.: if ,v ,', j III 13125 SW Hall Blvd., Tiga .b• P3` 1 • \ ' i t ?� Plan Review i P hone: 503.639.4171 F. 1 X1'..1 tr + -- Date /B : �� Other Permit: .Ti G A k D; Inspection Line: 503.639.4 I Date Rea. • , mri 0 See Page 2 for - . . Internet: www.tigard- or.gov Notified/Method L • do • Qi _ 4 -/ / Cp Supplemental Information TYPEti 11 J BLI . , REQUIRED DATA: 1- AND 2- FAMILY DWELLING ` ❑ New construction t/ �,{ 4no?,fii,�n810 $ -' Permit fees* are based on the value of the work performed. VII - Indicate the value (rounded to the nearest dollar),of all, Addition alteratio a la CATEGORY OF C : - • work indicated on this application. 9(3'1230 a for,the P equipment, materials, labor, overhead,�and tlie' rofit 2 I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ OD ❑ Accessory building ❑ Multi- family Number of bedrooms: 1 ❑ Master builder ❑ Other: Number of bathrooms: I ' JOB SITE INFORMATION AND. LOCATION' Total number of floors: pp Job site address: 13 (111 S•L 04,-))5 h r or New dwelling area: _' square f��elt City /State /ZIP: T g� e 0 .577223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 5 01.1%& r Covered porch area: square feet Cross street/directions to job site: Deck area: � square feet Other stru �frea: 2 9.5 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 work indicated on this application. DESCRII'TION OF WORK Pp lication. V115 Vl C � 1c , Cl°. Valuation: $ rr ► tt "-" Existing building area: square feet New building area: square feet -• -. • PROPERTY OWNER . 0 TENANT Number of stories: Name: KR., v∎ h s ayer Type of construction: Address: 1391t SW i 1151 i ✓e i k Occupancy groups: City /State /ZIP: TJ q r -, OR °(7 2 2.3 Existing: Phone: (503) .590 - t 7 t•15 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON,_ ' NOTICE' Business name: All contractors and subcontractors are required to he Contact name: 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: ( ) Fax::( ) E -mail: CONTRACTOR `3 Q Business name: BUILDING PERMIT FEES* Address: (Please refer lo fee schedule) City /State /ZIP: Y r Structural plan review fee (or deposit): 1x3 e , 6 S FLS plan review fee (if applicable): .4;) Phone: ( ) Fax: ( ) $ a 514 5 CCB lic,: Total fees due upon application: Amount received: * g341 . (o 5 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: — Date: (� —)_1..1 —08 * Fee methodology set by Tri- County Building Industry Service Board, 1: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(1 I /02/COM/WEB) Building Permit Application Checklist . ,i ,-: „ , FOR OFFI USE NLY O One- and Two- Family Dwelling - etZ. Received 71 City of Tigard Permit No.: u 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: ' 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑Mechanical TIGARD. ,_ : .s. Internet: www.tigard - or.gov ❑ Other. « :WTHE FOL;LOWINGrITEMS"ARE REQUIRED FORPLAN REVIEW �, Yes' . N o -.N MI . 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 Oregon and shall be shown to be ap plicable to the project under review. 1-. JURISDICTIONAL SPECIFICS : Y.; f 1 - i: ` 'r ,.,,,,:r..,...,.:.:.. 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. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB) Mechanical Permit Application °�` . t� @^,,"ry-,+t"A r-s r.*- r , } S x :�F � � r ^'�=�;��' 1�FOR OFFICE USE ONLY i fir, j',0Y City of Tigard �'' T ' Received Date/By: f Q ',' Permit No.: Ng�"op,. i ' ° g 13 125 SW Hall Blvd., Tigard, OR 9-,,, < ' ‘ 7'.': ©� Plan Review r C Phone: 503.639.4171 Fax: 503.59:.1• .. 4 V* Other Permit: I Date/By: .T I G A R E Inspection Line: 503.639.4175 a® Date Ready /By: Juris g - . . _ . Internet: www.ti and - or. ov S See Supplemental l Information ,..S0 ° Ft - ` 1 1:0 8\Ir : . . . ' TYPE OF WORK" t � $ 'iNINI . FEE* SCHEDULE . - _ ... - COMMERCIAL USE CHECKLIST - ❑ New construction ❑ Addition /alteration /replacement Mechanical permit f ees* are based on the value of the work 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* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SIT INFORMATION AND LOCATION • . Heating/cooling Job site address: 1 \ Air conditioning or heat pump 3 S I � / (requires site plan showing placement) 14.00 City /State /ZIP: j Furnace 100,000 BTU (ducts /vents) 14.00 �v a ( Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: 1 Project name: 5f I ER. Gas heat pump 14.00 Cross street/directions to job site: 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: I Lot no.: Flue /vent for any of above 6.80 Other 10.00 Tax map /parcel no.: Other fuel appliances ' - DESCRH'TION OF WORK Water heater • % 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ❑ PROPERTY OWNER ❑ TENANT , Other 10.00 Name: K C() M Sex ( \( Environmental exhaust and ventilation Address: 139) ( W 14 i I (Sh I`r e Dr iv Q Range hood /other kitchen equipment 10.00 �' City /State /ZIP: }� n o- V d. i. 0 R S i 223 Clothes dryer exhaust 10.00 J Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments. utility rooms) 6.80 ❑ APPLICANT - - ❑s CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; 51.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: ( ) Water heater 1 Fireplace E -mail: Range . CONTRACTOR :. ,. Barbecue Business name: Clothes dryer (gas) Other: Address: MECH ANICAL PERMIT FEES* . City /State /ZIP: CSt\\) y Subtotal 15•yO Minimum permit fee ($72.50) 72 ,so Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) $ ,70 TOTAL PERMIT FEE Authorized si nature: ... This permit application expires if a permit is not obtained within 180 g x C ti�� �_. days after it has been accepted as complete. Print name: )) t n 5 ‘1 ,Q V Date: 1) _ 6_ 0 9 * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \ Permits \NEC- PermitApp.doc 01/19/07 440 -1617T (I I /02 /COM/WEB) 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 $ 1 00.00 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 ° I 1 City of Tigard ci 1t',[? Received �/ / �� Date By: l � O�l� d Permit No.: /7% .»S-�153 111 u 13125 SW Hall Blvd., Tigard, OR 97223 00 • an Review Phone: 503.639.4171 Fax: 503.598.1960 `, ClaN y Other Permit No.: Inspection Line: 503.639.4175 T I G A k D r V 1'Ty r ` '1 � eady /By: ir HI See Page 2 for Internet: www.tigard or.gov 4 �V Notified/Method: r � (.e. Supplemental Information TYPE OF WORK "O FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 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 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: . 3 I I c 1A3 , 1 \ s "\ c D Y) V € Catch basin or area drain 16.60 City /State /ZIP: I i Uslif (1 1 ( 01.22 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: � Project name: 5 AI e p\ Footing drain (no. linear ft.: _) Page 2 _ Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Subdivision: 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 Pan 2 N e t - P O L k y (9 D rn I N k) t e^^- , Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 / P ` / Ejectors /sump I • 16.60 K Name: V (� 5a `6 Y Expansion tank 16.60 Address: 139 11 S t Hill chore, 161( C V O Fixture /sewer cap 16.60 City /State /ZIP: I i J (a a ' O R c) 2 'L2 Floordrain /floorsink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax::( ) Sink/basin/lavatory I 16.60 Tub /shower /shower pan I 16.60 E -mail: Urinal 16.60 CONTRACTOR 1751> Water closet I 16.60 Business name: Water heater I 16.60 Address: OY\ V.---- Other: City/State/ZIP: 1 Subtotal a3.CC.) 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) l , q Authorized signature: � c„,-.....__ TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\PLMF - PermitApp.doc 12/27/06 440- 4616T( t0 /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' 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: $50,001 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. - 3" -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 ED CI of Tigard Received to �y g o � . 9T'oo�r =DD/ „it `J b � i DateBy: Permit No.: ° 13125 SW Hall Blvd., Tigard, OR 1 0' ' • Plan Review ?' 111 .. Phone: 503.639.4171 Fax: 503. ' 8. i Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 4) 4 7 .' Date Ready /By: Juris• ® See Page 2 for Internet: www.tigard or.gov l n t , \ � �� Notified/Method: Supplemental Information TYPE OF W $ ' OF I‘ 14 PLAN REVIEW ❑New construction ❑ Addition /alters f�i RP [��' � © Please check all that apply (submit 2 sets of plans w /items checked below): 111�� ❑ Demolition ❑Other. Al.-- ❑ Service or feeder 400 amps or more ❑ Building over three stories. 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 ❑ 1- 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. ( ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: Job site address: 5 W H ; ) (C ►1 Q r Six or or more. occupancy. ❑ ❑ Six or more residential units. Recreational vehicle parks. y �_) J a U d r d x'122 3 City/State/ZIP: /State /ZIP: j ❑ Health -care facilities. Supply voltage for more than 5 � ❑Hazardous locations 600 volts nominal. Suite/bldg. /apt. no.: Project name: � \ T _ I ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. I 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. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 b �� t Limited energy, multi -family NOW ►F ^J m I i Cl .5Q me residential (with above sq. ft.) 75.00 2 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 Name: V {J ( TM al V 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 13 O i I SVI) HI 1 CG h� -a V r � € Over 1,000 amps or volts 454.65 2 City/State /ZIP: `- " I ` (d 0 f 0) '7 2 Z� Temporary services or feeders installation, alteration, and/or ` I relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, l 46.85 2 first branch circuit Address: Each add'I branch circuit 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: ( ) 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: 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: R D.) d Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): l • l0 l Authorized signature: �� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Building'Permits1ELC- PermitApp.doc 05/23/06 440- 46t5T(tt /05 /COM/WEB Electrical Permit Application - City of Tigard • Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: F RESIDENTIALWORK?ONLYs Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ A udio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL- WORK ONLY::` . Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation n I • ntercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n N • urse 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.doe 03/23/06 November 5, 2008 Kevin Saier 13911 SW Hillshire Dr. Tigard, OR 97223 Building Permit: MST2008 -00155 Construction Type: 5B Address: 13911 SW Hillshire Dr. Occupancy Type: R3 Area: 1100 Sq. Ft. Stories: 3 The plan review was performed under the 2008 Oregon Residential Specialty Code. The review of the submitted plans will be completed when the following information is provided. 1. There is not enough information on the plan showing compliance with the 2008 energy code. Clarify which additional measure is being presently used, or will be used to meet the requirements of ORSC chapter 11. 2. Revise plan sheets to show waterproofing at locations where walls are retaining earth, and have usable space on the other side per R406.2. 3. Sheet 3 of 5 shows the firebox set off two feet from the location shown on sheet 1 of 5 and 2 of 5. Please clarify. 4. Sheet 5 of 5 shows a single full depth joist at the edge of the cut back floor for the new stair opening. Should be doubled, and show connection from flooring to the new beam. 5. Same beam mentioned in item 4 above is noted "see header ", please clarify what header will be used at this location, and what loads are imposed on it. 6. Clarify the wall being cut down on sheet 5 of 5 has been analyzed by the engineer for potential impact to existing lateral design, and how the lateral design changes are being addressed. 7. Provide traditional attachment of guard at edge of stairs, or have engineer analyze welded connection. 8. When responding, provide an itemized letter stating in what way each issue has been addressed in the revision. Provide two copies of any necessary revisions. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, Loraine Sellers Plans Examiner loraine @tigard- or.gov Phone: 503.718.2708 Fax: 503.624.3681 November 5, 2008 Kevin Saier 13911 SW Hillshire Dr. Tigard, OR 97223 Minimum Project Valuation Present Valuation Data: - Present value per square foot for habitable space: $95.83 - Present value per square foot for accessory use: $37.72 - Present value per square foot for covered porches: $18.86 Reasoning: - No roof framing is necessary as the space is enclosed and already covered. - The foundation for the newly created habitable space and storage area is only minimally present. - Existing crawl conversion to habitable space and storage area is more comparable to a covered porch being converted to habitable space and storage area, than a garage being converted to habitable space and storage. Finding: Habitable space cost per square foot: $95.83 — $18.86 $76.97 Storage area cost per square foot: $37.72 — $18.86 $18.86 1100 square feet of newly created habitable space is represented on the plans provided. 295 square feet of newly created storage area is represented on the plans provided. Value of project will be: $90,230.70 This finding can be disputed by providing a copy to the City of Tigard Plan Review of the final bid by the general contractor for all structural, mechanical, plumbing, and electrical work represented on the plan. Respectfully, Loraine Sellers Plans Examiner loraine @tigard- or.gov Phone: 503.718.2708 Fax: 503.624.3681 1 Thi's form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. u , BUILDING DIVISION T I,G A R D TRANSMITTAL LETTER �b VC TO: V I O T aye! , O n r� DATE RECEIVED: DEPT: BUILD MG DIVISION ; CEIVED 1312g SW fl a I( Btv� . 1. FEB 18 2009 FROM: S+ eve. S I Des t 3 ey CITY OFTIGARD COMPANY: 1`I S ASSO c i co tl BUILDING DIVISION PHONE: S2 3 - 24 - 6721 By b RE: f 3 9f( S.W. {-(i)(Si vt dr i ve- mgT200s- OO!SS (Site Address) (Permit/Case Number) S i er CrQuJ( Tpet c€ Cern✓evsio % (Project name or subdivision name and lot umber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 2 Additional set(s) of plans. 2.-- Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. 2 Beam calculations. '2_ Engineer's calculations. Other (explain): I _ REMARKS: R �S� 0'h Si e- fl C W Q,Gk $ � e.e,4 U J et+e, � No 0e1V4Bev S 2D0 FOR OFFICE USE ONLY Routed to Permit Technician Date: G (C Initial Fees ❑ Yes [ IQo Fee Description: Amount Due: Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: ii\\ I f Property Owner Statement Regarding Construction Responsibilities 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: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 1 1 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, 1 will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. K t n &ler Print Name of Permit Applicant ignature of Permit Applicant Date Permit #: MS 200 ' 00 t 5S 3 q 1 � l I S IB i y-e p� � Address: *e ���* i • l cod QQ .•���tva� w°t .r Issued by: VZ Date: I 1 • 6 " CP El • This Copy for Permit Offices • •