Permit CITY OF TIGARD MASTER PERMIT
1 111 1
0 COMMUNITY DEVELOPMENT Permit #: MST2010 00126
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/10/2010
Parcel: 2S104DD06400
Jurisdiction: Tigard
Site address: 12658 SW GAARDE ST
Subdivision: Lot: 0
Project: Hurrle
Project Description: Storage shed.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 12 Bathrooms: 0 Second: 0 sf Garage: 270 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: NO
Total: sf Value: $10,116.90 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea addl Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet
Owner: Contractor: Required Items and Reports (Conditions)
HURRLE, JOHN R & EVELYN M OWNER
12658 SW GAARDE ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
Total Fees: $622.71
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 with approved plans. This permit will expire if work is not started within 180 days of issuance, or if 4 ork is suspended for more t• - 180
days. ENTION: 0 gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are fort • OAR
952 -00 :io through OAR 95 •01-• 100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 9 • • 1.800.3 2.2344.
Issue : i
ii, IF LLL.:.. % / Permittee Signature: V /_ /
= ,Building Permit Application , _ , , ,� „ ;� �.
Residential 4 Received 1 OR OI I I( I' USI or',i 1
City of Tigard , ANA DateB G �. ► Permit No.:
411 _v • ',
', " 13125 SW Hall Blvd., Tigard, OR 9722 w ���0 Plan Review /�,�j
Phone: 503.639.4171 Fax: 503.598.1960 1 DateB : , t d rig! �a� Other Permit:
1 = I �. 1 � I� Inspection Line: 503.639.4175 \. \,.. , P Date Ready/8 : ® See Page 2 for
• Interne www.tigard- or.gov o� ,c, t A ef Notified/Method: , f Jr , t Supplemental Information
• dC � \ ' tt 50Ct ^ Tel
. TYPE OF WOR ��N. R QUIRED 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.
❑ 1_ and 2- family dwelling ❑ Commercial /industrial Valuation: $ 0 ) (Ico.4o
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' JOB SITE INFORMATION AND LOCATION , " • Total number of floors:
Job site address: /2 b SQ �� g' / d G s� New dwelling area: square feet
City/State/ZIP: s
/ 40/740/74,-) 0/74,-) L '7
7 7 LZ3 Garage /carport area: o square feet
Suite/bldg. /apt. no.: Project name: NURl2L £ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet l 2_
REQUIRED DATA: COMMERCIAL.USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
,. - DESCRIPTION OF WORK" work indicated on this application.
f�OYA <' L 1 Valuation: $
/ Existing building area: square feet
New building area: square feet
• ❑ P OPERTY "OWNER ' .i ❑ TENANT . Number of stories:
Name: Ono /1 iiU, Type of construction:
Address: h2 c g . i i 6,/,,, do s/ Occupancy groups:
City /State /ZIP: l RA 1 04 ,, ? Existing:
Phone: j 3 ) ." — 3_4-17- Fax: ( ) New:
APPLICANT • _ ❑ CONTACT 'PERSON - NOTICE
Business name: rn G 1 4 s ,,6O t1 L All contractors and subcontractors are required to be
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 ' "
Business name: , s- i . rn c tX " ac (.1 ; ,,6 = BUILDING PERMIT FEES* •
Address: (Please refer to fee ,schedul
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( ) 3G, - ��)
Total fees due upon application: i s"
CCB lic.: /it/ Amount received:
Authorized signature: This permit application expires if a permit is not obtained
/� ' / within 180 days after it has been accepted as complete.
Print name: [� /7 Date: -�� id * Fee methodology set by Tri -County Building Industry
/_ / Service Board.
(:\Building rmits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB)
Building Permit Application Checklist r Q
R ;01 1 IC USI '
One- and Two - Family Dwelling O ONI 1
" City of Tigard Received Permit No.:
� v 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
:' 9 Phone: 503.639.4171 Fax: 503.598.1960
TIG \RD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
.. r Internet: www.tigard - or.gov ❑ Other:
1 E- EFFOLLOWING ITEii5 ARE _R rQUIIRE_D'FOR'P'.LAN ERFVEGW l rs I N „;NSA'
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 frill -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards. ...
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations.”
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances. _
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore Ion and shall be shown to be as i licable to the . ro'ect under review.
.IURISDIC1`IONAL, SP ECII ICS 1 f.
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.
1\ BuildingWermits \BUP- RES- PermitApp.doc 03 /21/06 440- 4613T(1l/02 /COM/WEB)
Pl.u*nbin2 Permit Application
Building Fixtures I'M l)r•l( l: litil: O,NI.\
%, -- ' „ b ]teceiPPlate/B lan r ved y' Review
City of Tigard k �^ , ' Permit No
f P d?t. ej �STya id - cUI t
• 13125 SW Hall Blvd., Tigard, OR 97223 . 1 ,\ ;.) �,� °. � y1
Phone: 503.639.4171 Fax: 503.598.1960 �� i Other Permit No.:
Cr Date Ready/By: ®
Date Inspection Line: 503.639.4175
1 . i t i; 1 y/By. Iuris: See Page 2 for
g g V�
Internet: www.ti ardor. o v , r Notified/Method:(F Supplemental Information
TYPE OF WORK v 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 312.70
❑ 1- and 2- family dwelling ❑ Commerciallindustrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi- family SFR (3) bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder • ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: Catch basin or area drain 18.76
City/State /ZIP: Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: la) ) 1 Page 2 d (k)
i
Water service (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
is .. .. `• % - Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
P ' 4 PERTY OWN I ❑ TENANT Expansion tank 12.51
Name: �'� //!/ AJAIA9ZE-
Fixture /sewer cap 25.02
" Floor drain/floor sink/hub 25.02
Address: / ,_ - L!P ` j '
7 Garbage disposal 25.02
City /St. ( /ZIP: f - `oe 57223 Hose bib 25.02
Phone: aj) 6 - Fax: ( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
�) f.4' S A6/2/". Medical gas (value: $ ) Page 2
Business name:
Primer 12.51
Contact name:
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: n / `
T , P �f t p.77 E�� fij Z-GC Water piping/DWV 56.29
Address: e.....-......____ • -- A" _ O� A Irc''/ Other: 25.02
City /State /ZIP: 6.-f ,,g) ham, ..)„, 01 `ip' ? 3c , Subtotal
( In ) sq y - e , q 7 ��►at3 7 c®c s Mi per mit fee: $72.50
Phone: .7 � 3 Fax: 17� � - 7011 SZ)
CCB Lic.: f 7 q 3S7 P ,, bing , • • • . ` Ron Plan review (25% of permit fee)
State surcharge (12% of permit fee) . -- 70
/� fiiv
Authorized signature: �,/I,� / � �� j TOTAL PERMIT FEE 6 /, )--()
_A Date: - /6 This permit application expires it a permit is not obtained within 180 days
4. after it has been accepted as complete.
/ *Fee methodology set by Tri-County Building Industry Service Board.
/
1:\Building\Permits\PLMU -' itApp.doc 10/01/09 440- 4616T(10 /02 /COM/WEB)
08/09/2010 15:41 5036425815 ROSS ELECTRIC INC PAGE 01/01
08/06/2010 13:39 5035981960 CITY OF TIGARD PACE 01/01
Elec - Per a# A sAo
City of Tigard''
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ANE P.,024,:,..: ' ` ' LL
1 I i i
13125 grit/ Ball Alvd, Tigard, 97223 J � .: e:i/
5 160 � - 1 �r
Phone: 303.639.4171 Fax: 503.59$V �' Raven • i .. ra I, ;
Y i,= Jntemot :.WWIeapc0tlon Line! 503,639.9175 4 ' ,,, . pd
t " dy/ay, A Pttnfh:
r W.tlgard or.g0V °j � Affix
/.hdatApd: lit 6e* Pia R ibr
SaPptomeatel retarreW
A dditi rnrlalt
•fi � • : 4' A' - •'a:!
In New construction 0�i11 _ Ploaseahcal r -' - • - � • `=' � :. ,
❑ O d tt tro ar 4 dpi 400 taubmk �, of ass W/ite•ma checked below):
171 Demolition ampaor ❑8/11Min Mgr OMIStaM.
�r11 B7d' where the available !nett entrant ❑ 1ytatlpaa and hoaVarda•
.terlgk ....4. 10.000 amps AI 150 volt' ar p Floa4rg bnllt
CI 1- and 2"fhmily dwelling ❑ Commercial/industrial E] Accessory buildhrg km to groped, orartee�D !4,000 ❑ Comma eia}a
1 Matti -famii ❑ M buitdar ova nu au otter inafnilaaoft',, `a'i"i1`
. ❑Other- 0 Fee P+�P. Q inatsthnon of 75 xvA or
�f
JOB en IN�FOI N AND LOCATION ❑ Emergep 1 larger meta* derived system.
O AderNon anew motor lord or ❑ n.«E, "i.2 ° 1 -r,
_ U10111 U10111 or molt.
City /State/71P: ❑ six or mare rcatdrnpe[ Cnia. O Recreational Job no.: Iob site adds :
al vclade atm.
C7 stmlW,p Militica• Q 6up1ly voltage for mom than
Suite/bldg./apt 710,: Projod Cl Harardoos locations. 600 volts nemleal.
name: nerioo or frc$cr600 mope or
Cress street/directions to job site;
— �� roshAtmtial single or ront8 - i
I ncludes attached unit.
Subdivision: µ t;ar>gt�
Lot no.: 1.000 sq. It or Imo NMI Tax leap /parcel no.:
Limited energy, resident's
l
Ea edq'1 S00 • , $- or portion r 68 . sa ��
• B) OF IiFJ[,1 li
�. - I bays ft ^ 75.00 IIIED
ur .1 vvi ,, above . R 75,!10
'ass or feeders in. • lad' • alteration an . , re . oa
200 mn �
Yl'Y dWfYl :... p QOM .._ 10070
T�11fi1�11' 70 0E 7a 400 am 133.56
,//,ir
U '' 401 amps t° 600 amps 200,34 �
1.
Address: ,,,, 501 amps to 1,000 amps - 301.04 �
4. • .— : +fl ' �0 emus Ol'volts 2
T
City/State/ZIP: do - 23
relocation Ilca1ar feeders inslatla
����!! tioo allwlrotlon, and /or
Phone: L 7 ) - If Tae:
Orusser' itrsptll,agoa:' This insl is being made
installation 1711 ) 200 snips or less r 55.38 [
intended for sale lease, rent t lationd property t hat t own which ps t 9 tl
as 7 is not 201 a _ 125.08
g� e000rding to ORS 447, 449, 670, arid 701. am amp to 549 amps 16854 gunri
er signatt}re' Bra , • eircufts -new ahorntion or extension
Date: A. Pao for btfnzclr ciut ak% with panel
• ' •O`APPLtEA[1Y'P •. •' ' • • Cl. N abovesesviee or !see 11115 • ° .
Business name: each ... ch circuit 2
" • .. ,`
servi
d, ice ,` service blanch or feeder cirtyil9 w0r7eet 111111
Contact name: ce fix, first
-� ��� •ranch circuit A 2
Address: E aeh add'! brooch c'rep't p
City/State/ZIP!
P' h s or i• , not included �
mCtfnrQ 71? modular
Phone: ( ) — ----- dwenieP service and/or Omelet 67,84 2
E-mail: Fax: ' ( ) R�armeaonly M �
+P arirrt :•
Ctl'• "in"' - ' +f : Sign or outline lighdrlg ���
Business • e' / � Signa lcisWlt(8)drlimited -cnergy NM
r. ' - altrs'r 4arte15
Adds= a•fg 7 J 0 � $ .t! , Eden Additional ,, inspection „ i i , er kin arty at the shove
City/State/ZIP! P4 1(431!0„0 i Q Addittm7a17nspertinst (] hr min) 66.2S/ he
'� • 4 '�. 'p j Investigation (I hr min) 156,21/ hr
Phone: (R1,) Industrial . ant 1 hrmut
CC8 tic,: � , Fax: (5j [pte'ib° 6-816-- inspections for Tv - no -� i8 IIII �7 f * EJCCtrical Lil , G ;,
. >L . I, listed A h, min 90 - slot llr aim $uprV..Flectrraan signature. r y � � ` "' ` ? - � -r �� • i - F . •,1• ;; • ,' ;_,;
FJ1 required: 4 Subtotal: ST„, i •
J 1�
Print name: / Plan tevlew (25% of . - it f
, pcttnit
Authorized signature. 4w � �0:
State TOTAL of $�); {
, +� TOTAL PERMIT PRE: p l± aj l
Print name; // This permit aPWlooMonrcplres permit tD nos abtpined ow Ian
Date '28- �dlr aFtpr lu
• Nambe otm r0lo u vrcd tn¢e � campleg4
onuPIR; parmlhAatc4terml � ec 00rn0 t� Pa� w n h,
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