Permit •
" " . , ° y ®� MASTER PERMIT
I
PERMIT #: MS T2008 -00108
:9 : COMMUNITY DEVELOPMENT
DATE ISSUED: 8/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171,
PARCEL: 2S1 12C D - 07700
SITE ADDRESS: 15900 SW 76TH AVE ZONING: R -
SUBDIVISION: PP1995 - 049 LOT: 002 JURISDICTION: TIG
PROJECT: SANDERS
Project Description: 80 sq. ft. addition and 490 sq. ft. covered porch.
BUILDING
REISSUE: CUSTOM p fi V 71 STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: .0T-R. HEIGHT: FIRST: 80 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
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: BATH: TOTAL: 80 sf 51,000,00 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 < 10DK: BOIL/CMP < 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 SRVCIFEEDERS 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: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amplvolt :
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 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: DATAITELE 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
RODNEY & KANA SANDERS TODD A CHRISTENSEN laws. At work will be done in accordance with approved plans. This
15900 SW 76TH 4040 SUSSEX ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 WEST LINN, OR 97068 -3724 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 -968 -8059 Contact #: PRI 503- 656 -4665 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 104394
TOTAL FEES: $ 1,184.94
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 - 4444
Bolts in concrete
I /
Iss ed By : enri/ J L/ Permittee Signature : W / J
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.
b l (J 3c U
"((/ /
Building Permit Application v
Residential �EC • d FOR OFFICE USE ONLY
City of Tigard O.' y �,�� Received
1 Date /B : tj !Oil Permit No.:� ,% Er.---CD/
M ill
13125 SW Hall Blvd., Tigard, OR 97223 ® Plan Review V r
Phone: 503.639.4171 Fax: 503.598.1960 �y oF g f\ . Date[ : •• Other Permit:
TIGARD Inspection Line: 503.639
GO ®,
��1, Date Ready /By: m See Page 2 for
Internet: www.tlgard -or.gov nt Notified /Method: '(J a
) L Supplemental Information
t ° it ¢ , ,. - . a T YPEd:OFtt WORK a „ s • REQUIRED DATA ;L AND 2: FAMILY DWELLING - i
❑ 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
- J ti CATEG CONSTRUCTION " _ f• t work indicated on this application.
1
® 1- and 2-family dwelling ❑ Commercial /industrial Valuation: $51,000
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
, -:',.1,:,W -, ` F - R "''" . ' ', , , ''Cr 7: p Total number of floors:
A s.. , JOB S1TE`,IN ; ; AND I o- -
New dwelling area: 80 square feet
Job site address: 15900 SW 76th ave g q
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: Porch Covered porch area: 490 square feet
Cross street/directions to job site: Cross street: Durham Road Deck area: square feet
Horne is on flag lot off of 76th ave Other structure area: square feet
REQU1REDIDATA COMMERC1AL :USE CHECKLIST
Subdivision: 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.: , equipment, materials, labor, overhead, and the profit for the
, , r ,i , s `" y DESCRIPTION OF ,WORK ;i-z '• k ,r.6 work indicated on this application.
Add porch to front and side of house. Inclsoe existing porch. Valuation: $
Existing building area: square feet
New building area: square feet
®PROPE.R \ OWNEtt ;'V ' „ ❑ TENANT ; ' ,
1, � _ Number of stories:
Name: Rodney and Kana Sanders Type of construction:
Address: 15900 SW 76th Ave Occupancy groups:
City /State /ZIP: Tigard, OR 97224 Existing:
Phone: (503)968 -8059 Fax: (503)598 -1086 i New:
r
' , r- ❑ '" APPLICANTr s . -tom ❑'CONT PERSO "` r , ` '
Business name: _ Al! contractors and subcontractors are required to be
Contact name: Rodney or Kana Sanders licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15900 SW 76th AVE jurisdiction in which work is being performed. If the
applicant is exem t from licensing, the following reasons
City /State /ZIP: Tigard, OR 97224
apply: 7_.3 • -7 L-
Phone: (503) 968 -8059 Fax::( )
E-mail: sanrod@consolidatedsupply.com (� • L� (
3. . ro ),f CO CRACTOii, "3, t r ^' „,;:1".',4.'!.I.::7
Business name: -D- 4 ( �1� tl J1 i ✓ ; `„ BUILDING PERMIT+FEES* ,
/ 4/0 J ^ --'
v „ �” s+ .`' ,,IF �` p ' {Pl to;fee;se/iedule) -, -".,,, . . ` „
::e/zI �n St uctural plan review fee (or deposit): P: W 57 / 0 ' 70 `(�!1 -- 3 7
Phone: t (503) /- .. 4/, Fax: ( ) FLS plan review fee (if applicable):
(,� `C Total fees due upon application: 34-1v . h3
CCB lic.: l
,'� Amount received:
Authorized signatutei 1 f f This permit application expires if a permit is not obtained
v r within 180 days after it has been accepted as complete.
Print name: v. e.te Date: 7.- 2� * 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)
(7A
Eliectrical Permit Application C E ' ES FOR OFFICE USE ONLY ¢ City of Tigard �E Date/By � 64- Permit No. `�Q - -c.xd} 8 -
Other Permit:
° 13125 SW HaII Blvd., Tigard, OR 97423' Q q 0� Plan Re
i C - Phone: 503.639.4171 Fax: 503.598.1960 , 01,
1 Date /By:
Inspection Line:. 503.639.4175 J ' RG D ate Ready /By: Juris: HI See Page 2 for
TIGARD R tifi Supplemental lnformation
Internet: WWw.tigard- or.gov T � OF1t
TYPE OF WO ai �, � �����5� ®9 PLAN REVIEW
New construction Addition/alterat�acement Please check all that apply (submit 2 sets of plans w /items checked below):
El l
El New P
❑ Service or feeder 400 amps or more ❑ Building over three stories.
El 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
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: i 51'00 i a 100HP or more. occupancy.
5� 6 AV - ❑ Six or more residential units. ❑ Recreational vehicle parks.
City' /State /ZIP: �i n ❑ Health -care facilities. ❑ Supply voltage for more than
Tie, M a I( F
e 9 7 Z 2.Y ❑ 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 Qty. I Fee. 1 Total 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: 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
e OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 2.3A A c15 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 6900 SG 7 4-L /4, L 1 Over 1,000 amps or volts 454.65 2
City /State /ZIP: �= Temporary services or feeders installation, alteration, and /or
t AA- .-o o Q - 97Z Z� relocation
Phone: (503 ) 9.4 8, z Fax: ( ) 200 amps or less 66.85 1
Owner installation: This II • tallation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended . e - IJ •mange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
�! Branch circuits — new, alteration, or extension, per panel _
Owner signatu :,. Date: q - �G -OI A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, / 46.85 Yl 2
first branch circuit / �
Address: Each add'I branch circuit r 6.65 l�. V% 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: 7566 / � p �IJ tom' Signal panel, or limited -
( ��� ( v energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
. ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 5
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): K!'-�
Authorize ature:� �` � _ TOTAL PERMIT FEE:
Print name: dat/ ' `/ '
—/ S Date: 7 — F... 2 OV This permit application expires if a permit is not obtained within 180
'� 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( /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
'`RE$IDENTIAL'WOlOcoNLY:. -
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
n Burglar Alarm
n Garage Door Opener*
n Heating, Ventilation and Air Conditioning System*
Ej Vacuum Systems*
n Other:
COMMERCIAL-. WORK ONLY: 1
Fee for each commercial $75.00
system
(SEE OAR 918 309 - 0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems .
n Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
• Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
• Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: Building \Permits\ PermitApp.doc 03/23/06
icA s i r UO0 /er
C1eanWater Services
Our commitment is clear.
August 26, 2008
Rodney Sanders
15900 SW 76
Tigard OR 97224
RE: Addition to single family residence located at 15900 SW 76 Tigard OR
CWS file 08- 002665 (Tax map 2S112CD Tax Iot07700)
Clean Water Services has received your Sensitive Area Certification for the
above referenced site. District staff has reviewed the submitted materials
including site conditions and the description of your project. Staff concurs that.
the above referenced project will not significantly impact the existing Sensitive
Areas found near the site. In light of this result, this document will serve as your
Service Provider letter as required by Resolution and Order 07 -20, Section
3.02.1. All required permits and approvals must be obtained and completed
under applicable local, state, and federal law.
This letter does NOT eliminate the need to protect Sensitive Areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at (503) 681 -3605.
Sincerely,
Chuck Buckallew
Environmental Plan Review
Site plan attached
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123
Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org
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CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST20013-00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ti
Phone: (503) 639-4171 _.hreill°'
Inspection Requests (24 Hrs.): (503) 639-4175 1
INSPECTION WORKSHEET FOR DATE: 11/25r 138 TIME: 7 PAGE: 15
SITE ADDRESS: 16900 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: pP1995 LOT #: 002 TYPE OF USE:
PROJECT NAME: SANDERS
DESCRIPTION: 80 .sq. ft. addition and 490 sq. ft. covered porch.
OWNER: SANDERS, RODNEY & KANA PHONE #: 603.96B..8059
CONTRACTOR: TODD A CHRISTENSEN PHONE #: 503-656-4665
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 078494-01 503-313-7458 Y
Corrections/Comments/Instructions:
9
kr■ fa PARTIAL APPROVAL n CANCEL n NO ACCESS
1 FAIL 1 CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
■111.
Inspector: _Analore...— Date: i i/Z-C/Og Phone #: (503) 718- Z44`y
. ,
CITY OF TIGARD •
BUILDING DIVISION - PERMIT #:
A .
13125 SW Hall Blvd., Tigard, OR 97223 012612000
Phone: (503) 639-4171 iiittilif
Inspection Requests (24 Hrs.): (503) 639-4175 MST2000-00i00
DATE ISSUED:
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/14/2008 7:00AM 31
SITE ADDRESS: CLASS OF WORK:
15900 SW 76 AVE
SUBDIVISION: • LOT #: TYPE OF USE:
PP1995 002
PROJECT NAME: SANDERS
DESCRIPTION: 00 sq, ft. addition and 490 sq. ft. covered porch.
OWNER: SANDERS, RODNEY & KANA PHONE #: g03
CONTRACTOR TODD A CHRISTENSEN PHONE #: 503-656-4665
Inspection Request Scheduled For: Date: Pour Time:
10/14/2008
Code # Inspection Description Confirm # Contact # Message
280 Insulation 076644-01 503-313-7448 61■41''--
Cor ections/Comments/Instructions:
I.
i0 P Alte- r atm y a
c
0 2--ic ir
5 ,,--).---a444101 ri-444 5 pe
MAP VI PARTIAL APPROVAL
CANCEL 0 NO ACCESS
IP•411.--
FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
/
Phone #: (503)
Inspector: _ AIIIhio■.— Date: 718-Z‘
le
_ ...
. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
A . IVIST200600108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .
BiA/200a
Phone: (503) 639-4171 *gotiviol,,t,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/1312008 7:00AIVI 30
SITE ADDRESS: CLASS OF WORK:
16900 SW 76TH AVE
SUBDIVISION: PP1995 LOT #: 002 TYPE OF USE:
PROJECT NAME: SANDERS
DESCRIPTION: 80 sq. ft. addition and 490 sq. ft. covered porch.
OWNER: SANDERS, RODNEY & KANA PHONE #: 503-968-8059
CONTRACTOR: TODD A CHRISTENSEN PHONE #: 603-66&4665
,
LO
Inspection Request Scheduled For: Date 1011312008 Pour Time: C
I (
A
Code # Inspection Description Confirm # Contact # Message 1 , P
275 Framing 076596-01 503-313446er Y
4 7 1.7g
Corrections/Comments/Instructions:
.kick.7.\. \AA e, 0 _ 4411 444-.3 ahe"
5 c .,., k (— IA 5 pd.:4 d eer is - rJ 44141 - k e■d dc)
L. A sv?,,d-vc.oi
• ,,...0 - ea ss); v 7 1.-.. (Ili (CIA- 4 CAW
C" xy 4,„
0 tc_ C., C c.---te
i''':; -*4,RTIAL APPROVAL 0 CANCEL El NO ACCESS
n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: %3 5 Date: /3 Oc-/c 0 Phone #: (503) 718-
. .
CITY OF TIGARD '-
BUILDING DIVISION PERMIT #: IVIST2008- 00108
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 8/26/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/10/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 15900 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: PP1995-049 LOT #: 002 TYPE OF USE:
PROJECT NAME: SANDERS
DESCRIPTION: 80 sq. ft, addition and 490 sq. ft. covered porch.
OWNER: SANDERS, RODNEY & KANA PHONE #: 503-958-8059
CONTRACTOR: TODD A CHRISTENSEN PHONE #: 503-856-4685
Inspection Request Scheduled For: Date: 9/10/2008 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
no Slab 075287-02 503-313-4228
Corrections /Comments/ Instructions:
g 0 PARTIAL APPROVAL L1 CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: BS Date: /0 ,Sef0F Phone #: (503) 718- 2923
. • . :
CITY OF TIGARD
BUILDING DIVISION . . . . PERMIT #: MST2008-00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2€W200[)
Phone: (503) 639-4171 kogiont i t
Inspection Requests (24 Hrs.): (503) 639-4175 Tgt,„.1+1■ r' i -.L,
INSPECTION WORKSHEET FOR DATE: 9/10/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 15900 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: PP1995-049 LOT #: 002 TYPE OF USE:
PROJECT NAME: SANDERS
DESCRIPTION: 80 sq. ft. addition and 490 sq. ft. covered porch.
OWNER: SANDERS, RODNEY & KANA PHONE #: 503-968-8059
CONTRACTOR: TODD A CHRISTENSEN PHONE #: 503-666-4665
Inspection Request Scheduled For: Date: 9/10/2008 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 076287-01 503-3134228 N
Corrections /Comments/ Instructions:
j,4 0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: B S Date: /C) Ser OB Phone #: (503) 718- 2W 3