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Permit p CITY OF TIGARD MASTER PERMIT . • COMMUNITY DEVELOPMENT Permit #: MST2010 -00129 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/08/2010 Parcel: 1 S135DB13200 Jurisdiction: Site address: 9322 SW NORTH DAKOTA ST Subdivision: Lot: Project: Hellwege Partition Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 926 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 835 sf Garage: 528 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $193,735.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add' 500 sf: 3 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 add' 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) SEAMAN, MARK TIMBER PROJECTS LLC 1 Prcl PIn BEFORE BUILDING FINAL INSPECTION 8407 SW 58TH AVE 8407 SW 58TH 2 MST Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97219 PORTLAND, OR 97219 PHONE: 503- 789 -5349 PHONE: 503- 789 -5349 FAX: 503 -245 -8507 Total Fees: $14,749.08 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 co • _ _ _ or direct questions to OUNC by calling 503.246.6699 or 1.800. .2344. is Issued : `r '�� Al == Perm ittee Signature: • / _ -.• 1 s ka_. _..-A Building Permit Application l' L 4) td f Aer: t ii P G f �f Residential on o l t)IZ 0FTIC I: USE ONLY City of Tigard ` %'( ' o _ i Permit No.: (yojo.� �� n 13125 SW Hall Blvd., Tigard, OR 972 - - ��,� � Plan Review � 0 Phone: 503.639.4171 Fax: 503.598. JC ? e �v DateB : ` 1 Other Permit D 6040 TIGARD Inspection Line: 503.639.4175 Q' C�` Date Ready/By: I lures: to See Page 2 for Internet: www.tigard - or.gov ,� ` V Notified/Method: / ( ( O /377 � Supplemental Information C _ _, � L Uf 1 Clai& TYPE OF WORK 41.,p` 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. 1� 6 and 2- family dwelling ❑ Commercial/industrial Valuation: $ (93�73.s i0s ❑ Accessory building ❑ Multi - family Number of bedrooms: LA ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: -a.., Job site address: Q442 44.0 . MAR-17f- Q AK t-r , New dwelling area: 1`116 ` square feet City /State /ZIP: '77 �b 1k.,...._ _ Garage /carport area: s5 '' 2 square feet 83-s Suite/bldg. /apt. no.: Project name: th p y Covered porch area: square feet eta, Cross street/directions to job site: N. A K ,T G q Z Deck area: square feet Other structure area: 2- square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Z Q0 1- 0,1s q ki ?,., Lot no.: , Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: \ S \ 25-o \1 Z 61,3 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Cr CS+ 1 S T YtL.v (---- ♦ UN-) �V•1 SN0J f, � Valuation: $ F oA w ■ •.- sT Q d � . J `_ \ 1 to S (� - Existing building area: square feet � New building area: square feet 'PROPERTY OWNER ❑ TENANT Number of stories: Name: N1 ", G•A S 5_ wk.,A e j Type of construction: Address: g (.:: fl s • `) - U-‘ d Occupancy groups: City /State /ZIP: R. T l.., ex-c_ ck "1 Z t cis, Existing: Phone: (5:S.) 1 fb y, S\ Fax: (Sro1) 2. y ISO l New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: 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'TM$ et,.4....Vtp t z £LT S ‘...`.,.L. BUILDING PERMIT FEES* (Please refer to fee schedule) Address: friv..v —k S A.,....1 , ®r City /State /ZIP: ` Structural plan review fee (or deposit): Phone: (4 '1 bct 5 1.�,� Fax: ( ,N ....14..k � O S^C� FLS plan review fee (if applicable): Total fees due upon application: CCB lic.: `(n Li a 3 R !�v `� tl�-� � � Amount received: � 150' � Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: tit",IRA SpyA,v.4,q IN Date: 6`(oa % n = 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 One- and Two - Family Dwelling roll orhlct: usi.: ONI.Y City of Tigard R eceived Permit No.: IN DateBy: a 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: TI -IE. FOLLOWING ITEMS ARE IZ QUIREID FOR PLAN REVIEW Y es NI/ 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. „f ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ . 2' 6 Sewer permit. • ST V `', F of-At.-8-N. ST £'-'L- •C a" ❑ ❑ 7 Water district approval. a ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ , 0 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- 11 a ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state a ❑ ❑ 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 ,Er ❑ ❑ 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 ,E]' ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, . 0 ❑ ❑ 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- 2 . ❑ ❑ 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. a ❑ ❑ 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 - 2- ' ❑ ❑ 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 .2 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ .0' 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 ,e" ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. a ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required .Er ❑ ❑ 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 ,0' ❑ ❑ architect licensed in Ore Ion and shall be shown to be a s . licable to the • ro'ect under review. •IURISI)ICf IONAL, SI'I,CII ICS 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 : \ Building \Permits\BUP- RES- PennitApp.doc 03/21/06 4404613T(11 /02/COM/WEB) Mechanical Permit Application OK (FFICt: usi; oNi.) City g RECEIVED Received /; ( '0 � f / _ 1 `5 Permit No.: IIIII q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: � ' Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Other Permit: ' Q got,- - � i . � k, n ii I Inspection Line: 503.639.4175 AUG L Date Ready/By: kris Ei See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE OF WiglikkOiNU DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction ❑ Addition/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* Xr l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB_SITF_INFORMSTIONAND LOCATION Heating/cooling Air conditioning Job site address: c13 S_ NV (requires site plan showing placement) 46.75 City/State /ZIP: 1's-." 0__1,a Furnace 100,000 BTU ( ducts/vents) k 46.75 Ac. Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work _ 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), CVcIe/LL- in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Z Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater ` 23.32 Zj,�,� Gas fireplace I 33.39 N 0 C-� tt`1 S - 1 - 1/‘--0 c_. T 1) tfN) Flue vent for water heater or gas C fireplace r" 23.32 C- - L r '' " �` Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney/liner /flue /vent 23.32 ea-PROPERTY OWNER I 0 TENANT Other: 23.32 Name: rA A■ft_ S 6_ ■A- V•11.A Environmental exhaust and ventilation ©'r t Range hood/other kitchen Address: 4 ,L), ,. S v equipment \ 33.39 33 , ' City /State /ZIP: -v-, l_ (M 0,1 c--V1 Z \ Clothes dryer exhaust 33.39 , \ Single -duct exhaust (bathrooms, 3 Phone:1d . y 1 U� S 3 �� Fax: (S()'3 2_1.* 2_1.* _ e 5 -o1 toilet compartments, utility rooms) J 23.32 Vt % ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 _ Business name: Fuel piping Contact name: $14.15 for first four; $4.03 for each additional Address: Fumace, etc. 1 1 4, 15 Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater , Fireplace E -mail: Range CONTRACTOR Barbecue Business name:' - & ,L)a ( €�� Clothes dryer (gas) Other: Address: P© I „ 1 ( g MECHANICAL PERMIT FEES* City /State/ZIP: Q / 1.�3 . L M � - S © (Z.. 45 15 Subtotal 254.3 ( ) , 5 �5 5--x3 ( - 6 51 ' g5-5-3 Minimum permit fee ($90.00) Phone: F ax: Plan review (25% of permit fee) CCB lic.: 1 . 58 - 7 State surcharge (12% of permit fee) 4!)05Z. TOTAL PERMIT FEE Iii 41 P`t � This permit application expires if a permit is not obtained within 180 Authorized signature: tom" days after it has been accepted as complete. Print name: v +- t (A m ' , S ,, 04 i A. e v Date: h ( Q 4 6 • Fee methodology set by Tri -County Building Industry Service Board r I:\Building'Permits\MEC- PermitApp.doc 10/01/09 440-4617T(11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\ Building\Permits\MEC- PermitApp.doc 10/01/09 2 Electrical Permit Application roll ()Fri( C I :1,s1.: ()N I . City of Tigard Received rO uf� ■,7 WO r No.:,, . ..- et/ 7 ,. : • 13125 SW Hall Blvd., Tigard, OR 97223 Plan DateB Review Phone: 503.639.4171 Fax: 503.598.1960 DateB : Other Permit: , A A i jo , ,....e / i 1 i , Inspection Line: 503.639.4175 p, ; : ; : Date Ready/13y: Iuris: ® See Page 2 for Internet: www.tigard- or.gov ' L".- :■ _ . . Notified/Method: Supplemental Information TYPE OF WOROL r `; f , 7'na(3d, R.'- PLAN REVIEW "' ' ' ' ' Please check all that apply New construction ❑ Addition /alterafiori/replacetne , ' • •' ;:: app Y (submit 1 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. dwelling Commercial/industrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1 - and 2 g ❑ �❑' Atrcessory' 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 Toad of ❑ "A ", "E ", "1 -2 ", "1 -3", Job no.: Job site address: 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ICA ', Z 7 ,, ■. . Y Uod�Z t T ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qtr. 1 Fee. I Total 1 • .nl New residential single- or multi- family dwelling unit. C_ Z\ .(1,aU l JZ F • W , 2.. - A ti•—.- Includes attached garage. Subdivision: y . \ NPt. -ko r Lot no.: ` 1,000 sq. ft. or less , 168.54 1 61,5* 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 t .7(,1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 1 75.00 15,m 2 Limited energy, multi - family 75.00 2 residential (with above sq. ft.) - Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: _ ) 401 amps to 600 amps 200.34 2 t '4 ./). ' - 0-4 J o r'J 601 amps to 1,000 amps 301.04 2 Address: ( , C Q , W , ) T l'� Over 1,000 amps or volts 552.26 2 City/State/ZIP: e-7— l—..y N YL� cp -� Z ` c,t Temporary services or feeders installation, alteration, and/or \ relocation Phone: (c('9 Zql 4 y Fax: (1•p� L V �) - Q 200 amps or less 59.36 1 T 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or ex tension, per panel _ Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 ty dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: VS 1.. l.. S L��T -�`�, panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: , '2_,3 I . t ,, • -- t ., ` 0 € _ Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: 0, u lA -t�iQ t) \ 1 b.1 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: (SO ) 3 ao I 14 l3 Fax Sa i":12,1 Z� 2, Inspections for which no fee is 90.00/ hr /, specifically listed (Y2 hr min) CCB Lic.:`8I�t4s Electrical Lic.:L f Suprv. Lic.: if il� s ELECTRICAL PERMIT FEES 3/n if % % "` ��� / Subtotal: 34-' Jy Suprv. Electr signature, required: *1 N" _ _ _ , _ _Q ` , ///..3 Plan review (25%of permit fee): ,� A Printnamel- , S "% b .1 s Date: �` State surcharge (12 %of permit fee): (, 4 . (/ l Y+-O TOTAL PERMIT FEE: `' 0 Authorized signature,,//77 �A r _ ♦ "r v P P P' P Thi permit a lication ex ires if a ermit is not obtained within 180 ` days after it has been accepted as complete. Print name: A p f Date: � (,,,... ` is • Number of inspections allowed per permit. \ I:\ Building \Permits ELC- PermitApp.doc 07/01 /10 440 -46 15T(11/05 /COM/WEB Plumbing Permit Application , . .. Building Fixtures City of Ti and c r " : � : :. _ .. Received Q �j ' A g � � , ,_, : , •/ ` ,,i Date/By. V `{ I Permit w-Jr( eto't0I . • 13125 SW Hall Blvd., Tigard, OR 97223 " plan Review Date/By: P Phone: 503.639.4171 Fax: 503.598.1960 Other Permit N �., 4 i � , , i Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ,1261 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 and 2- family dwelling ❑ Commercial/industrial 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: 1 ''t.,,), St.) Nv ,. +L b�/�- Catch basin or area drain 18.76 - City/ State/ZIP: Drywell, leach line, or trench drain _ 18.76 �� "B c. . Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 , ` N Z *et 2 Rain drain connector 18.76 �� c1 \P.. tr■J tZJL_ t <==i tl� c � Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 AC---- \--' 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 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 M A �'` ` � `/Ne-'..) r 8 � w � Floor drain/floor sink/hub 25.02 .. Address: S � --- Garbage disposal 25.02 City /State/ZIP: T•-C L- . Y., 4 ■il_ q' 2\ \ Hose bib 25.02 Phone: (Q � , . . Z 3 ck S CA Ck Fax: ('tea 2_(.4.,s e),SO1 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 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: P lam) w __ \. V - C_,6 ./C, It, T S Water piping/DWV 56.29 Address: C .. (• ` Q O y.. `ot. (^ Other: 25.02 City / State /ZIP: Lt` A,c.0 . w,�► -4t4 q1 d t / Subtotal s5CCL j .� Phone: (S0,1) (Q S O S-2_,-11 • Fax: (S U) ( � �� 3 7 / 11 + tJ Minimum permit fee: $72.50 CCB Lic.: CA's a 1 4 ( ( p f, . Plu�rjibing Lic. no.: 3-2_43 P Plan review (25% of permit fee) State surcharge (12 /o of permit fee) 4,0, O Q- Authorized signature: TOTAL PERMIT FEE 3 60, • This permit application expires if a permit is not obtained within 180 days Print name: Y''1� � S ,,,,.. ,4 �/ Date: rC I t (1 after it has been accepted as complete. I t "Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) Dec 15 10 09:34a Lynn and Mark Seaman 503- 245 -8507 p.1 N 15-1 9 10 / 0-0C / 0- ( 02e Y 3? FE DEC 5 Oregon Residential Specialty Code R318.2 010 DE FT�CaARD _ DI MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Mall it ( y , am the genera) contractor or the owner - builder at the following address: Site Address: 9 3 ? a S(4) o-t yi- (ko y City: d / Permit #: sr c )/t✓ _ 00 (off 1 Subdivision/Lot #: and/or 4: h ell `�J Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 - 0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section 8318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. r Signature: . / _ `� 4.*, % Date: j a "'(d Ge . a Con •ctor or • 7ner -Bui der 1:'9uilding∎=orm1RES MoisrueSensitiveWood.doc 09125!O8 Z' 8Z 899.179£09 1138dINb0 NHOr 8 99 L 0 0 t St oaCl • f - _- ..-- — , £lo st,-)) Co,JT6ce/es EXI STING I ' =; 1h: 'a •-• r.. . as �Dk l -�.� .6--T- - - - - - PeoAvg¢a T1> PROPERTY - •, Co N u S L INE 197.5' i ' �,' ( �/ :. , , + 98.50' I p z� Y x,��:.�� .3` . • • N89'S 29 "E • • i R / 1 �� -- / CON N OTES 200 AT a7� CITE C'1 EX1S1"IIG TREE(S) TO BE REMOVE J — mo B UILDIN J Div tnOiv R 8 XISTING TREES TO BE SAVED o / © J lio 24 CEDA r� N Ni PA L.- ) — t ; : . 199 • f " • + 197 / 6 " DECID • t t1 1 ' �• �__ A.. / 16 "OAK / / SITE PI.�I► 1 REV -1EW - +N P ATIO. 7 CITY OF TIGtLRB 198. r B DING er NO.: 5T ,io- D UIi I 2- l illin 197 -5' ` • . .4 . ' �,g �` _ /' 7 5 �� 196 f 6 "OAK PLANNIN DIVISION: t �" 12 "HAWT Required Se cks: L� ApProved� ❑ Not Approved _ Side: Street S 197 j:— ' I 10.00' 00 roved ❑Not Approved e 1 j Visual Clea I I I M a x im um Building, aflc Height. feet uire PROPOSED SINGLE � . 195 _ te;::; 1.0' ROOF OVERHANG ' FFE: 1985 t NT: i am B 1, _ Date: Z 195 G.S.E. 195' co ��u� a' �-�- . -�-- - © °o Notes: n . 5 • 6 N : • ;� .• ° COVERED 193 14 "MAPLE o • - 4 j • CONCRET PORCH / 194' �- •' °. :DRIVEWAY - 716e Riett5-,564 .eEcz2P-oe.e6eJpeb • 1 SIDEWALK ' ' / �— � — RAIN DRAIN. / • t •- � r' 4 0 ABS SCH / e ' - •• � �� i e. • � !r r_-. • / / it i • +�c /fir 13.0 DRIVEWAY 192 �'' • • T 0 • a • WATER LINE, 1"0 PVC / e l 4.0' 0 5.0' DEPTH • . " . - (CONNECT T�2�1 ( ' DR L SEE ATTACHED 'v 193 �. • 4 .) . 191 -- M • v a • 4. 1 SE R LIN ABS e °' ` (CONN TO CIT \SEWER) © I' ,� 4 • • ✓ : el) • i 8 "DECtD • ,� _ _ / � � 1 ( 1 16 "PINE : . _ CITY TIGARD - SITE 4 ' o. Pi.A ...± •- & i 20 CE AD R _ 12"FIR _ 190 !DING RMi NO: • • 192 . ... 4. • 4 r �� �_ , 6 "CHERR - / 1 ( / Street 71^ees • • • • / I ,� ! ♦. ° '• • a• / a PPrOV� ❑ .... f�1Td • • • • . 'J1 / 0 lfi " PINE 189 i 1:7.5 i me a e d . 4 - / _ �= `, 3 Appro 9 8' 190 • ° • • 4 • ? vrrr�: • mooed v • � ( r� • 191 �, J 8 " .COTTA ' 10 " " fribi CL�TTON• 10 �.OTrON . • . ••:. ... - ° '14 "COTTON ' 14 "COTTON' . - 4.. . ' • 4. • ° 5.0' SIDEWALK * a .t I4 • 2' ROW y •- • • .: - - • • © i NO • ' • 8. . . . * _ . . •.•.`.`. * * * * .'�� PLANTER •. • - • . 4 1 . - - - - - .�-• - .5 CURB � -- , 10/01/2010 11:52 5036503898 °ECE1TV CENTRAL AIR INC PAGE 02/02 Mechanical Permit Application FOR OFFI[ LISE ONLY • City of Tigard T i • ! Q p�; ,d / �� r Permit No ca ) _ co 0.7 13125 SW Hall Blvd., Tigard, OR 97223 �j�'y ® F TIGARI� P latt Review pmt Phone: 503.639.4171 Fax: 503.598.l IN Date/By: Tic ,` R 1 - ) Inspection Line: 503.639.4175 G D IVISION - Date Ready/13y: Jerk El See Page 2 for 'Internet www.tigardror.sev Nolifred/Method: �r Supplementallnformatton � • Sly � i yv r 1 . 1 r l r , ::. .f2 r , 11 ( Sol - L ' ! , t .r +?i`>. �:: ;• ' a�t��."� .`�x .. ..; .. -" .�.:..��a..: '' !J�:...� M ._9. g•.; .l... a ..:,�. -. . 1 L .0 `?1. A? :'.' N New construction • " Addition/alteratio /replacement Mechanical permit face` are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Demolition Er Othcr: mechanical materials, equipment, labor, overhead, and profit. -„ rr F Value $ e 5 _. ,.a .w_ l •ti. +t tt � 1 ,t c :l? - r ' ,t 1 -and 2-family dwelling 0 Commercial/industrial ❑Accessory building __. �_. For special information um checklist. ❑ ivfulti- family ❑ Master builder E] Other: t)escnptlori Qty. Ea. Total y ..jr,-.:;`: < .4 , ( 4 1• ., M?I 1 .r plr�,i, �.. '' in Ai Heating/cooling Air conditioning Job site address: q32. 2. S N o'r'b` ' DA kO }- .. s ite :1aa show - , tacemeat 46.75 City/State/UP: - • , L, ✓ ov 5 3 Furnace 100,000 BTU (ducts/vents) 46.75 Suite/bldg./apt. no.: t Project name: T, UAt �� Furnace 100,000+ 911-1 Nees/vents) 54.91 1�r , 0. Heat u y • 61.06 • . Cross streetlduections t0 job Bite: Duct work - 23.32 i Hydronic hot water system 23.32 5 1 r + 5 t✓a N 4 r-+ A , DZ� e t"� Residential boiler (radiator or r. _ drone) 23.32 - - Unit heaters (fuel -type, not electric), in -wall, in -duet, suspended, etc. 46.75 Subdivision: Lot no.: Flap/vent for any of above 23.32 Other: 23.32 Tax 111ap/parcel no.: Other Ater appliances . z � ; _ ; .. - - .;:.,.: :,,;;- - - 7 C. .A,^ ;•=1 ^ Water heater 23.32 ens 5 -• lace NM 33.39 - • - -. A , A i ,b L' Flue vent for water heater or gas IIII / fir- • lace 23.32 MN 09171115=1111=11 Mill 2332 tf. 7 r 1 a A$ 'j•"' - 20 1 Q- 6 Q 1 '2- r Wood/yetlet stove 33.39 GCJA I! . Ce &/ + 12t i (/ _ Lam /DIMS! Wood t ,. • lace/ nsert 23.32 :4,.• , Ctrim)a /ItelYflue✓vent 23.32 • r t... . 1,. t ,.... , .. . � �>•v_ t d% i:' .r∎a ' + Other 23.32 Name :. -I" \446t PY.o ,L..L Environmental exhaust and ventilation Range hood/other kitchen Address: Is 4) S i...) 5`$ 4;1.1 a V.4_ ', 33.39 • City/State/1R: p,,, r a✓ c 7 ( Clothes • exhaust 33.39 MINI Single -duct exhaust (bathrooms, Phonc: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 t 1s (ll jr � { �i � + Ali t'" ' 5 j Atticicrawlspacet3ns 2332 T ... i> a. € ; r t . E sc , , Other. 23.32 Bn3inesa name:' Co - it & i ' - Fuel • • Contact name: i J $14.15 for first four S4.03 for each addtttoual 1 .- ..- � Fmoace, etc. Address: i at � .� Oas heat • um • . City/State/ZIP: C . L. C,_ gAlA • „ f . . walususpendcd/rulit heater olote: (, ' ' - .. • N ' Fax: MO x (i 3 •.7 (` Water heater Ph " le: { `� � �' lase E -mail: t 6 _. - a % • a . r.1. , r")' Man M. ) { i , i ` • l, :,, a x. . : .. ,-. , Barbecue � Clothes dryer (gas) Business name: p . ' --r r .1rI Other _ �� Address: 0 ` -�,-- -7c of , r lti " `1 MIMI City/5tate/Z IPt C. I` 10, r -- subtotal i. 0 ` A w � � S 1( • Minimum permit fee ($90.00) Pbou: (5 ) 0 ` ,, .. s (D a Fax: ( - • _ . - ii, Plan review (25% of permit fix) - CCB lic.: - - - -„ State surcharge (12% of hermit fee) TOTAL PERMIT FEE J .-. I i �_ J /1 r7pernut .. p6wtapn d a e oogptea permit ®uat a9 + a mpletF &mined within 180 Authorized signature; / f ` / • ! / � 1 ' after rt ass trees Print moue: i / .i a ate: t� ! r �! i "' ... ogy set by Tr - County Building Industry Service Board INEwildiag1Pern•its11 C- IhmkApp.doa 10/01/09 4-IL-4 I r! 1 ∎ 1 io stC1)M'WEB) • Plumbing Permit Application ' S Building Fixtures %b° FOR of Flcr USE ONLY City of Tigard Received Datc/By Permit No.: m5 7 ld - (gyp 1 • 13125 SW Hall Blvd., Tigard, OR 97223 V-- 1G o.}plan Review Phone: 503.639.4171 Fax 503.598.1960 OS+ `CW - IaateB Y. Other Permi No.: Inspection Lace: 503.639.4175 1 � T I G A R p Internet: www.tigard or.gov C 1 G � Date Ready/By: Ions: gee Page 2 for 1` S Notified/Method: Supplemental Information TYPE OF WORK' Y FEE* SCHEDULE B ew construction ❑ Demolition For special information axe checklist Description 1 Qty. 1 Es. 1 Total ❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi - family 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: 93 a a_ 50) /1/G2titi j7/. f,16,4 Catch basin or area drain 18.76 18.76 City / State/ZIP: t/ p D oting leach line, or trench drain Page Footing drain (no. linear ft.: ) Page 2 Suite/bldgJapt. 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 it: _) Page 2 Water service (no. linear R: 1T I Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ( l Clothes washer / 25.02 (r 1 rea Ci Vi�,l* Dishwasher 1 25.02 10 //in Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I ❑ TENANT Expansion tank ( 12.51 Name: Fixture /sewer cap 25.02 - Floor drain/floor sink/hub 25.02 Address: Garbage disposal / 25.02 City/ State/ZIP: Hose bib Z 25.02 Phone: ( ) Fax: ( ) Ice maker 1 1 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 0 25.02 City/State/ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax: : ( ) Tub/shower /shower pan 3 12.51 Urinal 25.02 E -mail: Water closet 3 25.02 CONTRACTOR Water heater I 37.52 Business name: Ai /..(.,k LL r f e'[ IA 1447 1 u "be_ / LQ . Water piping/D W V 56.29 Address: e, Q , 3 fyyc / Q 5 Other. 25.02 City/State/ZIP: 6-g e 5 #44 Q)Q- � -031) Subtotal - , Phone: (53) 7 a/ x`/9.2 Fax: (�>) (069 V:/ Zi Minimum permit fee: $72.50 CCB Lic.: I a (7 f el C Plumbing Lic. no.: ,;2 (p - t 0 I (f Pe Plan review (25% of permit fee) / State surcharge (12% of permit fee) Authorized signature: /�j `, TOTAL PERMIT FEE M ` , / C This permit application expires if a permit is not obtained within 180 days na Print me: �� L� K /t} Vf-- -30 p after it lma been accepted as complete. *Fee methodology sct by Tri-County Building Industry Service Board. r 2'd 1268- 699 -COS Tye) Tago tW dOT :TO 01 TO 100 (1 s3 — '7/ V3? � C� U r� Oregon Residential Specialty Code R318.2 FFB Ci VIS MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, J Cul IL 6'wtat i , am the general contractor or the owner- builder at the following address: Site Address: 9 3 a 5 � ` I A D k o _ z City: ,n2c, Permit #: / l ^ "I ,� S r a � / - oo o9' Subdivision/Lot #: I w ee P - 4, „, 2j* Q) and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: 1 or ���4--) Date: 1a_--/S —a eral iractor or 0 er- Builder l:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 ri.t.asta1= uefal tea, inc. monitoring Report Customer: Timber Projects, LLC Street Address: 9254 SW North Dakota MC Goal: 18% Start Date: 11/9/2010 Sales Order #: 12674 Subdivision: Lot/Unit #: City: Tigard, OR Completion date: 12120/2010 PO #: '" Cross streets: Site Supervisor John PH #: 503451 Cod: Expected Data: Price $: $450 tZ 1 . Date Moisture Content Readings 12/20/10 8:49 12% 10% 9% 10% 11% 10% 8% 9% 9% 8% 8% 10% 9% 10% 9% 9 % 19 /e 8% 14% 12% 10% 10% 13% 9% 11% 9% 10% 11% 11% 9% 10% 9% 11% 10% 11% 9% 8% 9% 9% 10% 9% 11% 11% , 12% 12% 8% 8% 10% 11% 10% 1 0% 9% 11% 10% 10% X Crawl Space a cc ty 1— 1 510 649 .... In W Livin • s • - E. ul • : D254 835 1609 510 649 9 T: 885 " WAS ce 1541 834 1830 1175 r n Y 1 684 1175 V YT 5 J} F ' r `ll Xp, t ,i A l a ces Y -G , t A S. ' N .a z rx .. s.;o r ` $ _ ' a r. k: h'Jai.;: e �t7_a`'r t` ?: 1, ` J pn- rautaaonmoanre team tFraseayavg X Notes: 12/20 /10 Still inCrawt = Crar.1 testing/drying: X Floor testing/drying: E 0= Water Damage: CV N shamrock drying: O Stud scrubbing: Certificate of Moisture Content: Ir .-r r ,, Other: N Electric heat: o Visitation: 11/12/10 11/16/10 11/19/10 11/23/10 11/28/10 11/30/10 12/3/10 12/7/10 12/10/10 12/14/10 12/17/10 to Contractor signature: Date: +2r20/20+0 Customer signature: Date: 12.nazolo r ' Curt 'taupe See terms & conditions on beck Oregon Residential Specialty Code N1107.2 ,(, 4 , HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: N5T �U j obi 3 _9 Jurisdiction: d Site Address: • 1 C U c Subdivision/Lot : . / 9t -()e A.( � / and /or / T VJ Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) • g l( — ! Signature: Date: O - er /Gene al Contracto Authorized Agent Print Name: �U)/1 N ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\ Building\ Forms\RES - HighEfficiencyLighting.doc 07/01/08 �r 9 o -cc /a9 • STREET TREE CERTIFICATION I/1 o for )1a' _ - (PLEASE PR[N`l) (PERMIT HOLDER) � ---• _---_ • • _ • • '\ '� do hereby cert j that the following location meets vv�v � � % tip City of Tigard land use and deve%ment standards ( ,-c:_ ;;4. = for street tree- -installation ana is consistent �`� ��� with the aproved site plan. SITE ADDRESS: " c–S1A) /0* - 11 - k 1 1 S UBDI VISION. 7-t 1 9 vZ LOT #: d i DiCO SIGNATURE: ' s ! DATE: 02 / (OWNER /A . NI) J RE CEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 07/01/2010