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Permit
F ", / 'i MASTER PERMIT s �� I �� ` ® PERMIT #: MST2008 -00002 :,. COMMUNITY DEVELOPMENT DATE ISSUED: 1/11/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 1S134CB-15500 . SITE ADDRESS: 12313 SW ANTON DR ZONING: R - 7 SUBDIVISION: ANTON PARK NO. 2 LOT: 082 JURISDICTION: TIG PROJECT: HILL Project Description: Convert 235 square feet of attic space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: . FIRST: sf BASEMENT: st LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 0 sf 15.000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: • • LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: • OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: t ELECTRICAL RESIDENTIALUNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L 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/0 SVC /FDR: SIGN /OUT LIN LT: PER HOUR: • LIMITED ENERGY: • 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601.amps- 1000v. MINOR LABEL: 1000. amp /volt : Near PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: 2 ELECTRICAL - RESTRICTED ENERGY B A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO:' VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL fl SYSTEMS: 0 This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MELANIE HILL OWNER laws. All work will be done in accordance with approved plans. This 12313 SW ANTON DR permit will expire 1 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: 503-740-9168 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: • TOTAL FEES: $ 619.94 REQUIRED ITEMS AND REPORTS Issued By .:, ' Permittee Signature : L i ��1.r / /4" Call 03.639.4175 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 #: tv1ST)008 -00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2006 Phone: (503) 639 -4171 ,,11d' Inspection Requests (24 Hrs.): (503) 639 -4175 �' !• "f 11 .. INSPECTION WORKSHEET FOR DATE: 2/1/2008 TIME: 7:07AM PAGE: 21 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 002 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feet of attic space to habitable space. 1/15/08, adding heat pump. OWNER: HILL, MELANIE PHONE #: 'L0:1,74(1.9108 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 06435301 503710 -9160 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: W1-A- A \-•— Date: 2 \ Phone #: (503) 718- ; ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2Ot)8 -00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/111200t1 Phone: (503) 639 -4171 �',, ,,,; Inspection Requests (24 Hrs.): (503) 639 -4175 .J F.. INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 :02AM PAGE: F;4 SITE ADDRESS: 17313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feet of attic space to habitable space. 1/15/08, adding heat purnp. OWNER: HILL, MELANIE PHONE #: 503-740.9118 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 104/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message P P 320 Plumbing rough -in 063824-01 503-881 -7133 N Corrections /Comments /Instructions: SL , o Pa../ Lt - -- - re .--- d--- Vd--r ei .- 4- Sb-..) 'R- 9-•4. J L., L lL., 42 4.. . U v l K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V u V i` Date: 1 1 7 \ C Phone #: (503) 718 - • CITY OF TIGARD BUILDING DIVISION PERMIT #: IVIST20013-00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/200B . Phone: (503) 639-4171 Agoti ,_.14 Inspection Requests (24 Hrs.): (503) 639-4175 411 /2008 1/22 INSPECTION WORKSHEET FOR DATE: TIME: 7:01AM PAGE: 54 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 087 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 squai e feet of attic spar* to habitable, space. 1/15/08, adding heat puntp. OWNER: HILL, MELANIE PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in . 063605-03 503-881-7133 Corrections/Comments/ Instructions: 27- r1 O e ,A n PASS Li PARTIAL APPROVAL CANCEL NO ACCESS *FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Crb Date: ) I 22,10 Phone #: (503) 718- t ' , „ CITY P � �� ® _ MASTER PERMIT COMMUNITY DEVELOPMENT PER MIT #: MST 2008 -00002 • DAT ISSUED: 1/11/2008 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • ,` "``' PARCEL: 1S134CB -15500 • SITE ADDRESS: 12313 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 082 JURISDICTION: TIG PROJECT: HILL Project Description: Convert 235 square feet of attic space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORN: ALT HEIGHT: . FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD' sf RIGHT: VALUE: OCCUPANCY GRP:13 BDRM: 1 BATH: 1 TOTAL: 0 sf 15,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: • OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: • CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: • 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: (((([[ ��pppp���� EA ADD'L 500SF: , 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: - 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: PI 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC ()CC: ELECTRICAL - RESTRICTED ENERGY 1 A. SF RESIDENTIAL 8. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: CO HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MELANIE HILL OWNER laws. All work will be done in accordance with approved plans. This 12313 SW ANTON DR 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- 740 -9168 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 619.94 REQUIRED ITEMS AND REPORTS r / Issued BY : Permittee Signature :,...\_//' � "e-6Cl C - '0. L • • Call 03.639.4175 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. 641" second floor joists AVlkyerhasuser TJ- aearte6.25 Serial Number: 7005119190 1 1/2" x 9 1/4" 1.6E Solid Sawn Douglas Fir #2 @ 24" o/c User. 2 Engine Ergine Verssio n: 6. 255 .71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Version: 6. Paget CONTROLS FOR THE APPLICATION AND LOADS LISTED Product Diagram Is Conceptual. LOADS: Analysis is for a Joist Member. Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live /Dead/Uplift/Total 1 Stud wall 3.50" 1.50" 400 / 150 / 0 / 550 By Others - Rim 1 Ply 1 1/2" x 9 1/4" 1.5E TimberStrand® LSL 2 Stud wall 3.50" 1.50" 400 / 150 / 0 / 550 By Others - Rim 1 Ply 1 1/2" x 9 1/4" 1.5E TimberStrand6 LSL DESIGN CONTROLS: Maximum Design Control Control Location Shear (Ibs) 527 -433 879 Passed (49 %) Rt end Span 1 under Floor loading Vertical Reaction (lbs) 527 527 956 Passed (55 %) Bearing 2 under Floor loading Moment (Ft -Lbs) 1263 1263 1972 Passed (64 %) MID Span 1 under Floor loading Live Load Defl (in) 0.096 0.319 Passed (L1999 +) MID Span 1 under Floor loading Total Load Defl (in) 0.132 0.479 Passed (L/872) MID Span 1 under Floor loading - Deflection Criteria: STANDARD(LL:U360,TL:U240). - Allowable moment was increased for repetitive member usage. - Bracing(Lu): All compression edges (top and bottom) must be braced at 10' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability: •The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR iLevel PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. - Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. PROJECT INFORMATION: OPERATOR INFORMATION: Hill Attic Conversion Robert Grummel Grummel Engineering 7164 SW Laview Drive Portland, OR 97219 Phone : (503) 244 -7014 Fax : (503) 246 -2011 bgrummel @msn.com Copyright f: 2006 by Trus Joist, a Weyerhaeuser Business . _ _ y - r I EXIST FAMILY RM VAULTED CARPET . EGX ST ('X I'Z° 0 F A. Z I Do (. )(17- PI~ 1"- 46 (.2.1,1 V! C2) 12-oWS 1 114- 4 4) * 4bz SD S. 2 k2." a N *' ' 1 6" k rz" ♦ I EXIST 6X12 BEAM I \ UP EXIST KITCHEN U1O& k, ` OG , _ 1 Effi T —1 3/4° GLG. HT, - j . I ; la, 1 & \ 3ea✓N *5 I t xg D ' o ¢x►o D # 2 -- 13l¢ q /q- 1--V EXIST DINING? a T -1 3/4° GLG. HT. R14)/40&17 CARPET 3e.,14 4k3 O I I / l4 x EXIST &X12 BEAM i I i . 111 14 VAULTED i VAULTED OREGON EXIST LIVING RM ® 14 .2 @ �' r vAULTED �o °Or 60 CARPET � ¢ d ( � c i 1 E><PIRES / • FIRST FLOOR PLAN n SCALE: I /4° : V-0° NORTH i \\\ _ - — , d j laundry closet header (beam #5) TJ- Beam®6.25SenalNumbe 7yerhacuser 005119190 3 1/2" x 9 1/4" 1.6E Solid Sawn Douglas Fir #2 User 2 Engine Version: 6 .255.. 71 ooe i : THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN 6 Page 1 Engin CONTROLS FOR THE APPLICATION AND LOADS LISTED 4 ' T RAt tf,c. + i >t 0, © 5 = S (4 - Y40/ 6 = -5 Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 1' S,r 4 0 6 14 4 4 ( Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 15.0 Dead v �— g15C Vertical Loads: �Q • Type Class Live Dead Location Application Comment Point(Ibs) Snow(1.15) 1541 1014 3' 6" - Point(Ibs) Floor(1.00) 595 234 3' 6" - +A1y0 (S/ yd, L J V SUPPORTS: -W y P'S 41 ' ®� r Input Bearing Vertical Reactions (Ibs) Detail Other 4.47 ~ „� q Width Length Live/Dead/Uplift/Total G� • 1 Stud wall 3.50" 1.50" 868 / 505 / 0 / 1373 By Others - Rim 1 Ply 1 1/2" x 91/4" 1.5E TimberStrand® LSL 2 Stud wall 3.50" 1.58" 1488/868/0/2356 By Others - Rim 1 Ply 1 1/2" x 91/4" 1.5E TimberStrand® LSL DESIGN CONTROLS: Maximum Design Control Control Location Shear (lbs) -2345 -2289 2358 Passed (97 %) Rt. end Span 1 under Snow loading Moment (Ft -Lbs) 4194 4194 5022 Passed (84 %) MID Span 1 under Snow loading Live Load Defl (in) 0.027 0.172 Passed (U999 +) MID Span 1 under Snow loading Total Load Defl (in) 0.043 0.258 Passed (U999 +) MID Span 1 under Snow loading - Deflection Criteria: STANDARD(LL:U360,TL:U240). - Bracing(Lu): All compression edges (top and bottom) must be braced at 5' 6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. ADDITIONAL NOTES: - IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR iLevel PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. - Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. (A, t k,.ir 40-1. w / 13 /61-Xlkiti- PROJECT INFORMATION: OPERATOR INFORMATION: 2 ° Hill attic conversion Robert Grummel '6e5 Grummel Engineering 7164 SW Laview Drive Portland, OR 97219 Phone : (503) 244 -7014 Fax :(503)246 -2011 bgrummel@msn.com q,ygi. 2006 by Trus Joist, a Weyerhaeuser Huslness I -,--i 1 RO - EXIST FAMILY RM VAULTED CARPET ST Go )t 12. Z D V 2, , 1::)F° k1..'L is res� 1 C2) �-oWS 3 1 14-" ,, y-‘01.1.. set 2-" I 6" x if, 0r4•-_ \ T \* ,EXIST 6X12 BEAM - i j UP I EXIST KITCHEN Zy /oe' `„ G • ) See Rev. 1 1' -7 3/4" CLG. HT. /' $, c.-%.lo VJA y ~X i i an le: 4 ' �� EXIST DINING � I i3f4 T -7 3/4° GLG. HT. CARPET et) e' €4) Ze A ,'4 3 1 I l t AS 6 4 x 12 p i - 2- EXIST 6XI2 BEAM -1 , , - - i ■ PRO4 . i 44 0,INfa, If, a 14 VAULTED VAULTED OREGON EXIST LIVING RM • 9 44 . 2 3 ,1 �', r VAULTED ° e (RT GR '' CARPET Ill • EXPIRES ,/ • Cq FIRST FLOOR PLAN so ® SCALE: I /4° = 1 NORTH ' Il C , filmic / Beam above north bathroom wall Business TJ- Beam®6.25 Serial Numbe 70000 2 Pcs of 1 314" x 11 114" 1.9E Microllam® LVL User. 2 Engin e Version: 6 .255.. 71 e i: Page 1 Engin THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN 6 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0/12 Roof SlopeO/12 a, .a 14'6" All dimensions are horizontal. Product Diagram is Conceptual. 1-OADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 10' 6" Primary Load Group - Snow (psf): 25.0 Live at 115 % duration, 15.0 Dead SUPPORTS: Input Bearing Vertical Reactions (lbs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 2.10" 1903/1221 /0/3124 L1 1 Ply 1 3/4" x 11 1/4" 1.9E Microllam® LVL 2 Stud wall 3.50" 2.10" 1903/ 1221 / 0/3124 L1 1 Ply 1 3/4" x 11 1/4" 1.9E Microllam® LVL DESIGN CONTROLS: Maximum Design Control Control Location Shear (lbs) 3052 -2594 8603 Passed (30 %) Rt. end Span 1 under Snow loading Moment (Ft Lbs) 10809 10809 18558 Passed (58 %) MID Span 1 under Snow loading Live Load Defl (in) 0.322 0.472 Passed (U528) MID Span 1 under Snow loading Total Load Defl (in) 0.528 0.708 Passed (L/322) MID Span 1 under Snow loading - Deflection Criteria: STANDARD(LL:U360,TL1/240). - Bracing(Lu): All compression edges (top and bottom) must be braced at 12' 10" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES;, - IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. - Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Custom product listed above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: Hill Attic Conversion Robert Grummel Grummel Engineering 7164 SW Laview Drive Portland, OR 97219 Phone : (503) 244-7014 Fax :(503)246 -2011 bgrummel@msn.com •i gcight 2006 by Trus Joist, a Weyerhaeuser Business MI is a registered trademark of Trus Joist. • WW rl 3 x /1 LvI- .ea�S - • E%15T. 2%D 4AF7HL' • O 24' °DILATE FIAT GERM W (AX 8 R -9• BA7T MLATICH �� ' / 4 ' N 'I' • NSIAATE VAULTED NSA rY NEM ]X. LEIL°G / \ IRSO R161D P51.LAnc• �!. 71 , . E ' 4[. P057 M A51. RAM FROM UMW 400m T I D BATH / ! NEW CLOSET I Q16%12 RAM end _ - f , RArss - NEW BATH I I BAN DIELLAITOM ° I I 1 T I i _ I � s� I I I § _ I Nei ' II \I I I 1 "I I I II it II II; 51rm5pK LU1N7 - I 1 _ UPPER FLOOR • NB. 2A0 J01575 • r — � 71'OL. I T Ex ST. EAST. 6%12 EAST. 2%6 .1215.121515 O 6 %D BENT RAM •N' EXIST. FAWILY RM EXIST. KrCHE EXIST. DINING RM ST. LIVING RM AST EN6 FLOOR SY51@A 15 1OR fJ / 9T SAFFC 2%.716 s4-0 ' W IAf &ROBS . •-O' OL.. AM I MALL BEYON) P0515 ON COME PBS • • I l. n._....._ \. _ —_ MAIN FLOOR• IV ili MN X ....._1_11_r_ SE FOLIATION FLAW REV 1. BUILDING SECTION 47*1111%1 OU1L6 W . r�0 • tar GO* EIPIRTS r49ril !- v.c-!w� p✓ '"- ..�r. c..4,-- v 4 �L.av� • t (L'.1?`" i�f � J ...rti, rid - tint l`/1 fi'd I ` - ` E, 1 iJ`� - • _ 0 ,- ., - ,e__, http :/ -w- tigardmaps. com �mox52 _multimap /index.cfm?fuseaction= property. summar { &CFID= 68130Sir +r, P File Edit View Favorites Tools Help t > Page y 1 Tools ■ ° . 12313 SW ANTON DR ' Prateety Summary . _. W .. 1' i ' -- SPRINGWOOD DR a 91) d'' / _ — ., f-- • N 9 fi ' ,•---, " ` " w Tig •fd i D I i ! I m � ANTON DR - Ce •S r NOR DAKOTA ST el S ufine115 Ae: Parfi - - ' - - -- - - • si p (oc► Property Owner Info _ Tax ID Number; , ;.1C -,, ~,, Tax Acccunt Number: k2028929 Site ddress: 12313 S', °; ANTCN DR. Site City: Site ZIP: 97 Owner ,:kddress: Li Done _�__. Internet _ 4.100c% 1 Inspection List 4. K ® - Inbox Microsoft € 1 3 •Z -� . _. .._ 4 .Att .-,..4 flu . i_ . cis !ii hi 0 https:Liay.accela.comfjetspeed.iportal 4 t ', ( . ''':'' ' - . P File Edit View Favorites Tools Help - ' 6} Page ■ .i.,';',' Tools ■ 0- a .3 4 -;',,-7 El T20C8 12313 ANTON DR Issued Inspections 01/09/2005 Convert 235 squar ,--- -- ,,... '.a a.; .----- - t.L._11.______ . --a 7 - CAP ID: MST2008-00002 -..---_ .7-...- . . ....7: Fti li Menu ''1D New al Cancel -) Reschedule -1 Help 4 . 1 ( 4. Go To _LI 1) Documents (0) Fee (9) GIS (1) Hearings Inspections (16) MST Organintion Owner (1) Parcel (1) _ _ , Owner c. (1) ..-...:-; • t 0 Inspe.ction Type Scheduled Scheduled Inspector inspection Result Result Comment Date Time Date r-,- 0 .2: Fir'a' Irs2ecnc, 05/1312009 12:00 Gary Noble Scheduled 0 .,...-.; ;; F.:44 11 0 charicai 'cucj"-ir 01/22/2008 Chip Barnett 01/22/2008 FAIL 063605-04 - 503... 0 32:: :i-tinq - cu:- - 01/22/2008 l'01 01/22/2008 FAIL 063605-034 503.. 0 273 7-a-mrc 0122/2008 Chip Barnett 01/22/2008 FAIL 063605-05 - 503... ----_-_-; 1 , 0 223 - `2•Sr.1.7e,811 SI:i..$ 01/2212008 Chip Barnett 01/22/2008 PASS 063605-02 - 503... -- l; w „ El 2C:5 Fcctirq 01/22/2008 10:00 Chip Barnett 01122/2008 PASS 063605-01 . 503... - 0 12: Eiect ica cLucf 01122/2008 Hap V4latkins 01/22/2008 PASS 063605-06 ;-4-4 503... , 0 4 •;" q :-icai -cuor-ir 01/24/2008 Chip Barnett 01/24/2008 PASS 063824-02 - 503... . 01/242008 3'01 01/24/2008 P.A.SS 063824-01 - 503... •-._,,_,. Framirc, 01/2412008 Chip Barnett 01/2412008 PART 063874-01 - 503... 0 2::-: VsJiaticr 01/25/2008 Chip Barrett 01/25/2008 PASS 063975-02 - 503... — — --------__ 0 27E F 01/25/2008 Chip Barnett 01/25/2008 PASS 063975-01 4-.4 503. -------;= ; 4 0 32: -- it-c.'. , .e. - • car, 02/01/2008 l'kt%/ 02/01/2008 PASS 064359-01 - 503... -._=.---------__ 0212912008 KBS 02/2912008 PASS 065853-02 - 503... -=_-_,- ..----__, -4- 3 ! : 02/29/2008 Gary Noble 02129/2008 PASS 065853-014 503... ._-7--____---- 0 235 3a1;t 08/20/2008 KBS 08/20/2008 FAIL 074375-01 - 503... ----___- 11:: li • II ., _ t - 0 Internet .1.00°...O _.... .______ .. ... . . .„ 04 . ,..;; _: 21 • 1 04 Inspection List . ijezo&„2,ght-.[ s , --- - , 1 1, 1L,., Inbox - Microsoft ... ..- - d i 0 Cc,- 4.7 es• i u g g a 736 AM . i CITY OF TIGARD BUILDING DIVISION PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111/2008 Phone: (503) 639 -4171 LIMO Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/23/2008 TIME: 7:03AM PAGE: 51 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feet of attic: space to habitable space. 1/15/06, adding heat pump. OWNER: HILL, MELANIE PHONE #: 603.140 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 212 Pour Time: Code # Inspection Description Confirm # Contact # M 100 Electrical final 065853 -01 503.706 -5168 Y Corrections /Comments /Instructions: PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v `t (Sb Date: r 0 Phone #: (503) 718 -'3 CITY OF TIGARD t �yp- BUILDING DIVISION ,� 4✓t� PERMIT #: iMIST2010 00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2008 Phone: (503) 639 -4171 A �„ Inspection Requests (24 Hrs.): (503) 639 -4175 �': INSPECTION WORKSHEET FOR DATE: 1/22J200 TIME: 7 :01AM PAGE: 51 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 0162 TYPE OF USE: PROJECT NAME: Hilt DESCRIPTION: C, 235 square fool . of attic spate to habitable space. V15/013, adding heat pump. OWNER: HILL, MELANIE PHONE #: 503.. /4f) 9 68 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-ill 06360E1 -06 503.1381 -7133 N Corrections /Comments /Instructions: i n ,. ' 45. ,--/- 14,4,,e,Q(--) 1 )4L,L L14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED T Inspector: Date: ( 1Z'IOS Phone #: (503) 718- . . . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ii11/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8ncy2008 TIME: 7 PAGE: 23 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 002 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 236 square feet of attic space to habitable pace. 1115/08, adding heat pump. OWNER: HILL, MELANIE PHONE #: 503-740-916a CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 0720/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 074375-01 503- 740-9168 Y Corrections/Comments/Instructions: :12 ...., , '. - 5 ' „/ 1 - ... l_...e' :-S , -- _ -%, jY ... S' '- "1-4 - ---- F P 1 S 0 PARTIAL APPROVAL ,e( AZ fl CANCEL 0 NO ACCESS FAIL , CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: MST200 8-00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2008 Phone: (503) 639 -4171 (r� Inspection Requests (24 Hrs.): (503) 639 -4175 . 1I INSPECTION WORKSHEET FOR DATE: 2/29'2008 TIME: 7:03AM PAGE: 60 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convort 235 square feet of attic: space to habitable space. 1/15/08, adding heat, pump. OWNER: HILL, MELANIE PHONE #: 103- /40-9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 065853.02 503 - 7049168 Y Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: z--2-C-0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I� ST20t;I�. 00002_ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1112008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175_. "'' INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7:O00Ami PAGE: 8 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 0$2 TYPE OF USE: PROJECT NAME: fill.k DESCRIPTION: Convert 235 square feet of attic -space to habitable space:. 1/15/08, adding heat. pump.. OWNER: HILL, MELANIE PHONE #: 503 - 740.0168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/25120118 Pour Time: Code # Inspection Description Confirm # Contact # Message :80 Insulation 063975-02 503081 -7133 Y Corrections /Comments/ Instructions: • PA PARTIAL APPROVAL . n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITI'NAL FE ASSESSED I - Inspector: - Date: � r Phone #: (503) 718- _ CITY OF TIGARD BUILDING DIVISION PERMIT #: MST20Q8 00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/"200(3 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 �': :_.. INSPECTION WORKSHEET FOR DATE: 1/25/2008 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL • DESCRIPTION: Convert 235 square feet of attic space to habitable space. 1/15/013, adding heat. pump. OWNER: HILL, MELANIE PHONE #: 503740 -9158 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/25/• ?008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063975 -01 503 -881 -7133 Y Corrections /Comments/ Instructions: [I►: PAS NI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL i if CALL FOR INSPECTION n ADD I ONAL F ES ASSESSED Inspector: Date: . 013 Phone #: (503) 718- 7--g CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 00002 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: - 1/11/2)33 Phone: (503) 639 -4171 Awl,i i;' ilk Inspection Requests (24 Hrs.): (503) 639 - 4175 + F'I L INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 11313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL. DESCRIPTION: Convert 235 square feat of attic space to habitable space. 1/15/08, adding heart pump. OWNER: HILL, MELANIE PHONE #: 503- 740 -9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/24/ ?008 Pour Time: Code # Inspection Description Confirm # Contact # Messa e 276 Framing 063874 -01 503- 881 -7133 Y ' Corrections /Comments /Instructions: Z ®c., e4( e---1 ' 1 r 0r . L _C._ 4 4 4. 40 ffr■ -41■1111116 ❑ PASS 17, -ARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED / -----. � Inspector: A_■_ Date: j L t/ Phone #: (503) 718- Z4 VV CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B.00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2000 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 J 1 . L INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 53 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: U8.2 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feat of attic space to habitable space. 1/1508, adding heat. pump. OWNER: HILL, MELANIE PHONE #: 503-740 -9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 063824 -02 603 -811 -7133 N Corrections /Comments /Instructions: i�1 W A PAS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED / Inspector: � Date: w Phone #: (503) 718- Z--Z--611 J CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -0C �2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2000 Phone: (503) 639 -4171 A ,��I1, Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' ° INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7 :01AM PAGE: 55 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: (182 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feet of a ttic space to habitable space. 1/15108, adding heat pump. OWNER: HILL, MELANIE PHONE #: 503.740 -9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 225 Post/beam structural 0636Q5 -02 503-081-7133 N Corrections /Comments/ Instructions: 'Po i Ai [ t_ d, .4-) S Ght- - e�_ ( G,Z -j1-i /L 5 — A'S PL 01--? etc o u ci_7 Pc - ' c 2 X / c 7r / FLc'o J 0,s l S l l lialfflt ltIM /4 W :Mitr ih d:-____A „,,...a 5 ,..„.e.•, mi./F ,.., IfilarfAirff; 4 Wilfr fm- rffr v - , F j=/ ‘ poca _ , s/ARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i ZZ--- dg Phone #: (503) 718 - Z(,_.,71 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 00O l2 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/11/200f; Phone: (503) 639 -4171 'tI Inspection Requests (24 Hrs.): (503) 639 -4175 F: INSPECTION WORKSHEET FOR DATE: 1/22/2000 TIME: 7:01AM PAGE: 52 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: AN raw PARK NO 2 LOT #: 082 TYPE OF USE: PROJECT NAME: Hltl DESCRIPTION: Convert 235 square feet of attic: space to habitable space. 1/16/08, adding heat pump. OWNER: HILL, MELANIE PHONE #: 503740-9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/22J20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 063606 -05 603881 -7133 N Corrections /Comments /Instructions: Ah,--,----fa_py Pr_ /1(. ,?- Pec__., _ 'i p_121 o d . P20■e 8 AtJ� G.-,/ -Jd iC c _ . 1 = n PAS . l arARTIAL APPROVAL El CANCEL n NO ACCESS / e / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ L„— _ Date: f Phone #: (503) 718 - e---54/7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST200B -00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/20013 Phone: (503) 639 -4171 A. Inspection Requests (24 Hrs.): (503) 639 -4175 F: INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7 :01AM PAGE: 56 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 082 TYPE OF USE: PROJECT NAME: HILL DESCRIPTION: Convert 235 square feet of ;attic: space to habitable space. 1115/08, adding heat pump. OWNER: HILL, MELANIE PHONE #: 503-740-9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/2212008 Pour Time: 10 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 063605-01 503 -881 -7133 N Corrections /Comments /Instructions: .,�- 4� t i 7 I ,L_=�% (- -�fi C�- M Ce---___ P _LA' , / - —ri -.L t( Ig P' _ - 1 41 P. RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (---- -----f Inspector: Date: 7 0 r � Phone #: (503) 718 - --. ‘7,1- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00002 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2008 Phone: (503) 639 - 4171'' Inspection Requests (24 Hrs.): (503) 639 -4175 '�� INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7:01AIVI PAGE: 53 SITE ADDRESS: 12313 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 08) TYPE OF USE: PROJECT NAME: N1f DESCRIPTION: Convert 236 square feet of attic sp;a e to habitable spare. 1/15/08, adding heat pump. OWNER: HILL. MELANIE PHONE #: 503-740.9168 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mecha!Iical rough -in 063605-04 503 -1381 -7133 N Corrections /Comments /Instructions: �f � `e (7 s 1m v g_ *1 u Mo - S ❑ PASS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS i �!i FAQ IS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 7 Inspector: _ Date: Ve_ila Phone #: (503) 718 - 7---h4 ,/ gc/o 9 -& t , Li.u. ' MASTER PERMIT IN .. CITY TIGARD COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 1/ MST2 11/2 00 008 8 -00002 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB-15500 SITE ADDRESS: 12313 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 082 JURISDICTION: TIG PROJECT: HILL Project Description: Convert 235 square feet of attic space to habitable space. 1/15/08, adding heat pump. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: 15,000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: p sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L 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: SIGN /OUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MELANIE HILL OWNER laws. All work will be done in accordance with approved plans. This 12313 SW ANTON DR 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: 503 740 - 9168 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 619.94 REQUIRED ITEMS AND REPORTS Issu =. By: / ,% //i / Permittee Signature : 1 ( . ' /, A/ ' '� 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. I N.. CITY OF TIGARD MASTER PERMIT III PERMIT #: MST2008 - 00002 • COMMUNITY DEVELOPMENT DATE ISSUED: 1/11/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CB SITE ADDRESS: 12313 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 082 JURISDICTION: TIG PROJECT: HILL Project Description: Convert 235 square feet of attic space to habitable space. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD, sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 0 sf 15,000.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable MELANIE HILL OWNER laws. All work will be done in accordance with approved plans. This 12313 SW ANTON DR 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: 503 740 - 9168 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 619.94 REQUIRED ITEMS AND REPORTS Issued By ,- � G��. � Permittee Signature : A, :(1, Call 5 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. Building Permit Application Residential RECEV$JED i �� FOR OFFICE USE ONLY City of Tigard 008 Date/By: �� ' � �� Permit ' Qg_pp ev 13125 SW Hall Blvd., Tigard, OR 97.� N 0 9 2 Plan Review p _ . Phone: 503.639.4171 Fax: 503.59 Date/By: I ' � I • OS Other Permit: Inspection Line: 503.639.4175 OF flaw) 1 Date Ready/By: .11 0 See Page 2 for TIGARD MOM GOO IOR Internet: www.tigard- or.gov Notified Method: Supplemental Information TYPE OF WORK 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. Valuation: $ 2 000, f -- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: r� Job site address: 1( ' - bl j- W 4 �1e ,24 11� <' 1 � „ New dwelling area: A3 6 square feet City /State /ZIP: ( a ,w,,/ (94 i i q / .9 . Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: f 7t/)1 I,, ∎� r ' ,' . (p, 'y , bvered 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: 1 Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: S� y �� ��� Indicate the value (rounded to the nearest dollar) of all t equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet \ J New building area: square feet \ g PROPERTY OWNER ❑ TENANT Number of stories: Name: / � " �0 /Q iii , W // Type of construction: Address: I c l ,/ b `Sc , f / +�� q zi j),/,4 Occupancy groups: City /State /ZIP: -� �,t a �" p / '1 tae 5 Existing: Phone: (5 3i) 9 y p ._ e[ ! 60 Fax: ( ) New: ❑ APPLICANT ISK PERSON NOTICE Business name: , / 11 contractors and subcontractors are required to be Contact name: ,E/ , SGl / / fl .) 1 s ,, ' / �y� icensed with the Oregon Construction Contractors Board VV nder ORS 701 and may be required to be licensed in the Address: ,Q -3, � () 6/ / e jurisdiction in which work is being performed. If the City /State /ZIP: J Y0 rl'1 f _ ( Q,e c7 7,-,1 ,2 applicant is exempt from licensing, the following reasons Phone: (c 3 ) dg--- _: 36 ci, ( Fax: ( ) / . E-mail: eini.3 (i C /(/a_ CONTRACTOR Business name: / - -`p 0tIj00 rd BUILDING PERMIT FEES* Address: (Please refer to fee schedule) ' / Structural plan review fee (or deposit): IP / i A , ( 7 City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: T ot m al f applicees due upon applicationif : a 1 .,/ ation Amount expires received pe : j / ;>) a, /� Authorized signature: it rmit is not obtained This pe '1. / within 180 days after it has been accepted as complete. Print name: 491 st /a ru Date: VT/es s * Fee methodology set by Tri -County Building Industry / Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) Building Permit Application Checklist t. One- and Two- Family Dwelling •FOR``OFFICE' ONLY • City of Tigard Received Permit No.: v 13125 SW Ha ll 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• Internet: www.tigard- or.gov ❑ Other: . THE FOLLOWING ITEMS ARE REQUIRED.FOR PLAN REVIEW Yes No. N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ; ❑ ❑ 3 Verification of approved plat/lot. El El ❑ 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. El ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. El ❑ ri 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 El ❑ 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 X ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, `Ai ❑ ❑ 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- ;r El ❑ 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. X ❑ ❑ 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 ❑ ❑ jsc 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 )2( " , ❑ ❑ 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 X ❑ ❑ 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 applicable to the project under review. - .. ; •TURISDICTIONAL SPECIFICS ''.: • .. . . 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11 "x17 ". ❑ ❑ ❑ 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. El El ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. El ❑ El 27 "Drawn to scale" indicates standard architect or engineer scale. El ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard El ❑ ❑ 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. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(I I /02/COM/WEB) • Mechanical DUIwRYVr v.v iw.•• Permit Application FOR OFFICE USE O \Ll City of Tigard Received 1 9 OS I Permit No.: t }.fr.„ r 8'Qo(c2- 13125 SW Hall Blvd., Tigard, OR 972-.1.• ���Ir e = Phone: 503.639.4171 Fax: 503.598. yy , Plan Review Other Permit: Inspection Line: 503.639.4175 Date/By: T I G A R D LU U 8 Date Ready/By: Iuris: See Page 2 for Internet: www.tigard ,SAN 0 9 Notified/Method: Supplemental Information CITY UP (IL2 k4"ZL) TYPE OF W` IILDIAilrDN(SlON COMMERCIAL FEE* SCHEDULE – USE CHECKLIST ,r, (I ew construction ddition/alteration/ +replacement Mechanical permit fees* 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 I Qty. I Ea. 1 Total JOB SITE INFORMATION OCATION Heating/cooling Job site address: I �} mil, 1- — , ;'_ ` ` "' b r /y � - Air conditioning or heat pump F O� J J J (requires site plan showing placement) 14.00 Furnace 100,000 BTU (ducts /vents) 14.00 �j � � Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: Project name: ,Ua /I C (lf i`lGas heat pump 14.00 Cross street/directions to job site: f Nc Duct work ( 9 10.00 0 20t 116 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 Flue /vent for any of above 6.80 Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: _Ls j_ -3 Li CS 110 Other fuel appliances DESCRIPTION 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: ALP / i (/f a_ )10 if Environmental exhaust and ventilation Address: 1 e a 1 bri/v.� Range hood/other kitchen � equipment 10.00 City/State /ZIP: / �'k q 1 Z 3 Clothes dryer exhaust ' 10.00 (�� Phone: /v3) _— 9 9 1 _ erl/_ . Fax: Single -duct exhaust (bathrooms, C ,�/ I J , ( V CJ ( ) toilet compartments, utility rooms) , 6.80 L �(dj ❑ APPLICANT )1 CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: /loi)d U v� $5.40 for first four; $1.00 for each additional Address: �'! i z / r Furnace, etc. ® a� Gas heat pump City/State /ZIP: � :./ j Gj Wall /suspended/unit heater Phone: (�a /� ? o (.2b 6 / Fax:: ( ) I Water heater E -mail: / D �� ' Fireplace Range CONTRACTOR Barbecue a /) Clothes dryer (gas) Business name: _ ,moo `� II- r Other: Address: _ _ .. _ MECHANICAL PERMIT FEES* City /State /ZIP: 15 / Subtotal Phone: ( ) / / Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) _ CCB lic.: State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized Signature: This permit application expires if a permit is not obtained within 180 �/lif days after it has been accepted as complete. Print name: ,. gol f s /.._'&' f04.1 Date: //Of/0 7 . * Fee methodology set by Tri- County Building Industry Service Board I:\Building\Permits\MEC- PermitApp.doc 01/19/07 7T OM/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 $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. I:\BuildingWermits\MEC- PermitApp.doc 01/19/07 2 Electrical. Permit Applicati \ r 1.012 t )F1 I ► . I S► OM 1 Received City of Tigard � j V �® Date/By: a 2- ( Q g , 1 Permit No.: l ig 1 3125 SW Hall Blvd., Tigard, OR 972 3 p Plan Review L Phone: 503.639.4171 Fax: 503.51 0O 9 � UO 8 CITY DateDate/By: Other Permit: T ► G A R D Inspection Line: 503.639 /� 4 �p�(� Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard - or.gov }S 1 Y Ut I RAK) Notified/Method: Supplemental Information TYPE 1TF"t D WlSlO PLAN REVIEW ❑ New construction 'ddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: 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 Et 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. Multi - family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", Job no.: I Job site address: 1 ') '• ;L/ y� 1001W or more. occupancy. 1 l � 0 or more residential units. ❑ Recreatio vehicle parks. City /State /ZIP: �' 7� 3 ❑ Health -care facilities. ❑ Supply voltage for more than V � ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: _ ( J Project name: /4 l ' // Mi (...-_ w fflO/1 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 S p tasAkr,- 4 G Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: �' J 3 Li G( I •02 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 X PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 1 V ` ((A) I ii 401 amps to 600 amps 160.60 2 , ��, ,' / f� 601 amps to 1,000 amps 240.60 2 Address: J' b i 92 S �" )6 mot"' 0 Over 1,000 amps or volts 454.65 2 City /State /ZIP: 11 D r ar Temporary services or feeders installation, alteration, and /or relocation Phone: ( 03) V) Li O /AR I 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, • ase rent, or exchan • e : ccor a ing to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner si na tur g I2„,dal-.4.4 / — "P" Q Branch circuits — new, alteration, or extension, per panel "If t! A. Fee for branch circuits with ❑ APPLICANT I "( PERSON above service or feeder fee, 44 6.65 2 each branch circuit Business name: / B. Fee for branch circuits Contact name: / l U 9 / first branch circuit Y/' t• without service or feeder fee, 46.85 l.�) �'�J 2 /o/ 37.4 /( f ©/ Address: 1 e i � g., �, Each add'I branch circui 6.65 2 l " " l4 Miscellaneous (service or feeder not included) City /State /ZIP: ' k ( 01 7 c:72g Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( 4'� _-9, Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 (I / Signal circuit(s) or limited - Business name: r energy panel, alteration, or Address: afi ..a.,v.4. ( ' I ' 3 40 extension. Describe: Page 2 2 City /State /ZIP: b iZ q ' ! Each additional inspection over allowable in any of the above t - Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic. :(p5 Electrical Lic.: a 0 &4 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. I: \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: RESIDENTIAL WORK ONLY: 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: ❑ Audio and Stereo Systems ❑ Boiler 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 I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 f u r Pluiinbin'g Permit Applica ECr" V ED Building Fixtures V FOR OFFICE USE ONLY City of Tigard JAN 0 9 Received a Q III Permit No.: n, U 13125 SW Hall Blvd., Tigard, OR 9 y Ut- t It lkt&D Date/By: / $ I t Q �IJ�� 1 _ Phone: 503.639.4171 Fax: 503.$4 ;i9fAaunnMnrEtnA1 Plan DateBReview y: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) I( CATEGORY OF CONSTRUCTION SFR (1) bath 24920 )41- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AM) LOCATION Site utilities Job site address: ` 2 31 < (4) A �!� Catch basin or area drain 16.60 City/State /ZIP.: Q k q 7 �1 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: t' o ` G [ /,,l,Q2'.„g ooting drain (no. linear ft.: ) Page 2 pa n 1 t 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: I Lot no.: Water service (no. Iinear ft.: ) Page 2 Tax map /parcel no.: 4._ 4 3 (I C6/5 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 d ,1 • A.4 9 I r d,, / d t S i /el Backwater valve 16.60 J--J Sj 10 2d r �l l. , ` Vi Clothes washer I 16.60 164 J Dishwasher 16.60 ) EL PROPERTY OWNER l ❑ TENANT Drinking fountain 16.60 / Ejectors /sump 16.60 Name: /Vel I a Expansion tank 16.60 Address: 1 1 . rd / v a t Fixture /sewer cap 16.60 1 City/State /ZIP: l (A D0 4 7,1x3 Floor drain/floor sink/hub 16.60 Phone: ( 1* 9 l J, Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT pCCONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: k /flJs- Vd- Ot/,V4O�7V� /� Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: O2 J MI) ,`.�`4 / 6.4 . / Primer 16.60 City /State /ZIP: it ,4J 4" m -( '' 2Gj Roof drain (commercial) 16.60 Phone: (5'09 01/1,� 90( 1/` Fax: : ( ) Sink/basin/lavatory 16.60 uo,, Tub /shower /shower pan A 16.6ft44 E -mail: Urinal 16.60 CONTRACTOR Water closet ( 16.60 1 ( ( , Business name: / Water heater 16.60 Address: Other: Subtotal City /State /ZIP: Minimum permit fee: $72.50 Phone: ( ) /y (p `� Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: J GQf/-- Plumbing Lic. no,pg q f ? Plan review (25% of permit fee) .. State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name Date: _ / J �� 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•1Building1Permits\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' 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 specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. 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 Isometric or Riser Diagram Drinking Fountain g 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 • REC ED . i01 0.Jtsd G►ZY` � Q�H 1 Site Plan B �IC1� LO Prepared by: Date: Customer Name: li( Address: /2-313 S i 4 r_ 7 49 2-.5 Customer Phone' I Property Boundary Line ; ( -I--- • i (- . __, Oil ? . A r L.: \ , 1 House ,ter ' 1 4 <.------=-,- 40' - . .. . R iii*P/-- . Street