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Permit CITY OF TIGARD MASTER PERMIT 114 2 -'° COMMUNITY DEVELOPMENT Permit #: MST2010 -00195 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2011 Parcel: 2S112CA08000 Jurisdiction: Tigard Site address: 7668 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 6 Project: Minniti Project Description: 586 SF addition. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 586 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 586 sf Value: $150,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =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'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 4 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 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: ALT SF VB R -3 586 Owner: Contractor: MINNITI, EDWARD BLAIR MCINNIS INDUSTRIES LLC Required Items and Reports (Conditions) MINNITI, TERESA PO BOX 920 1 Ersn Cntrl 503 - 681 -4444 7668 SW ASHFORD ST BEAVERTON, OR 97075 TIGARD, OR 97224 PHONE: PHONE: 503 -643 -6343 FAX: 503 -643 -6343 Total Fees: $3,752.70 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 -0090. Yo a obtain a les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, Issued By: T �'/� -- - Permittee Signature: v 0 11111 � +' 39.4175 by 7:00 a.m. for the next available inspection date. 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. Builtrn2 Permit Application Residential FOR OFFICE USE ONL' City of Tigard GC Fj Received • DateB : 10 ©N ��J 13125 SW Hall Blvd., Tigard, OR 972 Plan Review 1 . Phone: 503.639.4171 Fax: 503.598.1960 c� t �+1 Date B : Other Permit: T I G A R D Inspection Line: 503.639.4175 2 � ('� Date Ready/By: ® See Page 2 for Internet: www.tigard- or.gov GPI Notified/Method: 1 AMEN / Supplemental Information xriOFl�'NA .1 4ivr� '�-. Mt. jliS TYPE OF WO�L�1� REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Ad dition/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: $ / 5 Z) 000 El 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: " j tell73 S� A-51,, -iv ST New dwelling area: square feet City/State/ZIP: T 1 J /- a d o 1_ 9-7 z z 4 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: M l N N , _L Covered 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: 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. add/ Valuation: $ 4, 'r>) u ,.,v_., `S -n, ��h'1-� `1 Existing building area: square feet New building area: square feet XI PROPERTY OWNER ❑ TENANT Number of stories: , Name: ()Loco, c( 4- �- e ✓ r l- t l .411 1'1 ll " Type of construction: Address: — 7 (oG � i L4 Sh fv �of -)r / 10 ,,,,.�.�1 0 � Occupancy groups: City /State /ZIP: T a i I n 2 9 7 z i.' I D ' ,,, t' Existing: Phone: ( Sb3) 7 / O ' Fax: ( ) %)- • 1- New: P LICANT ❑ CONTACT PERSON NOTICE Business name: c4 rye c S 67 ,6,,,,,,, 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: (l i b 1 CONTRACTOR Business name: / C Lt:S L�� ,/ , t `�L� � S I- r BUILDING PERMIT FEES* V Address: 9 , I ` 0.0)k 9 ,� ` J (Please refer to fee schedule) City /State /ZIP: u r%)) OJ Q Structural plan review fee (or deposit): Phone: ( 3) (4 ,1 1 3-6,3 4 Fax: (4Z) (.41.15.- 4-3 G 3 CCB lic.: 7 t/ FLS plan review fee (if applicable): I Total fees due upon application: l� /s ' I el( A/ ( p 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: —re r r t I n 1 '4 . Date: 1() _ Z Z _ i 0 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB) , r .. Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard n Permit No.: II 'I 13125 SW Hall Blvd., Tigard, OR 97223 e Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ti 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. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ _ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area building coverage area; percentage of coverage; impervious area existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore Ion and shall be shown to be a. plicable to the .ro'ect under review. .It IZIti I)IC1'IONAL SPECIFIC 'c, 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \PermitstBUP- RES- PermitApp.doc 03 /21/06 440- 4613T(11 /02/COM/WEB) Apr 27 11 02:07p All Pro Electric 503.246.0406 p.1 04l27/2 @11 12:39 5035981960 CITY OF TIGARD PAGE elldl Electrical Permit ADnlication r i 112 r 11 111 I t• I 1Y\ 11 City of Tigard D Rocmond_ � _, I (... 3,312 SW Hall Brrd , Ti CT, �� n ' _ 1 ✓��lV P ewit 1 It Tigard C3. 47 FI B Rorie,. _ Reno: 503.639.4171 Fax: 503.59 i inspection Line: 503.639.4175 �p � — OthcrPermit: Internet: www.ugard or,gov 4 ? 0 (i y hale la See pair 2 for � _ 049 ,;rodeslotaai: V �" ' ' r�i SrpOfaneerar[M'armarfen TYPE 012 WORK, oli 1 \5%i PLAN v R VIEW ❑ Newconstrtlation Addition /oltcrati . t i t kioir Mac chcrk all that nPJiY (Roland 2 nets of puns w /i>zme decked below); © Demolition ❑Other ,%) to Service or radar p dar /00 as al [j mon Building over throe tonics. CATEGORY OF CONSTRUCTION od ,10,0 00 d o am Thin[ cutte 0 i∎o t CI Mariner and i imga. 4*" T/ 1 - and 2 -famil dwelling Q Accessory building amps nl � ° eOr I7 Plwtinp llVilrimg► Y 8 ❑ Com mercial / industrial tang ground. « exncode 14,000 011 Multi-Family mps Wall other inetallariani. � gs al•a�e aatrail rntnal [1 Master builder 0 Other: . CI rho pump, li hamoihsion of 751CYA or JOS ST'_ E INFORMATION i © eY etcx+r. moonlit, derived aymc A 1Yi? LOCATION loran e ❑ Additron shine motor lad of Job no.: Job site address: 101iFa ,none. oea ❑six e. Mtita , a side ntial titllS4. Project name: City/State/ZIP: i r F ci CI Rccr_st;oni vehicle parka than i C Z- t f ❑ ftnnor - fo ❑ Suppo s norm for mote Chan SUi klgfapt no Proje: Cl Semca e rr locations. Oar O Sao volts rgmiaal, 1 � � h e `.-� ' ❑ Sentice o. kedc G00 amps or more. Cross street/directions to job site: FEE SCHEDULE - New residential single- or mold- fam if� ®nit • frrdodes anriched garage, Subdivision: Lot no : t. sq. ft, or less 1111 I68.54 r 4 ~ lax tnaplpareei no.: , Ea. hdd'i 500 sq. 11. or portion 33,92 Ma 1 DESCRIPTION OF. WORK with energy. reside Mal with above •. R. 75 2 ( Limited CI , main- family ■ . � _ 1 S f7 r1S ki. P Yi rerm tial wrlh a bove R 75.00 2 - — 3ervlce+orfced alteration rrud/ orreltrm tion .... , 200 Irrpe or Ins 100.70 Q5-P.ROflRTY OWNER I 0 TENANT 201 amps m400 amps �© ^ Narric. +- - /� i 1--i I ' ri✓1 i 801 to G00 amps 200. � I i 2 Address: `]( ` �( f,� 601 amps to 1,000 amps 30104 2 `� 1 /l J u Over ' AO amps or valet IIIII 532 El City/StaLClZlp; ^I el b 9 7Z rr'� Temporary servicesn ion/ illation, relocation Phone: ( )3) (,,, 2_ 7 f I t Fax ( ) 2 04 amps a lase =KM 1 �Oer installation: This installation is being made on property that I own which is not 201 amps to 40C snaps 1 og w•n intended for sale, least:, rent, or exchange, according to ORS 447. 449. 670, zrld 7011, 401 mops to 599 maps 168. � Owner signature: Dole: _ h Pcc for branch circuits with © APPLICANT ❑ CONTAcr IPER90N above service or M fix. . each btm:ch circuit ' B usiness name-. 7 �© • e A CO F for branch circuits wlYroar Contact name service or feeder fee, first blanch cirutil I 56 t it s 2 IA Address: Each add% branch circuit 1! , 2 Miscellaneous service or feeder not inettld. City /State/ZIP: fad m nufactorcel or modular IIII II dwe l tin , service a ndfor feeder Phone ( ) Fax:: ( ) Aeeonnat F. moi t: i Pump or litigation circle r 67 84 1E1 t { COlV7RAG f OR r ID outline light'ng IIIIIIIN / Business name; / 1 L jam, Sipa/ circuits) or limited -rnexgy IIMENNISII i�Lrl.�t . Dui .0 alteration or extatsion. Address: p , Each additions/ Ina lion over allowable lo a , of the above T ( e, 2 (ab u W i.' t I L L- j l`i. 5101 1 66.251 hr � Ci tyl�raCC/ P: >` Investigation r h min t t,. 1 ib , 6 07a I ;r ( ) NE 66.25/ hr Phone: (C95) ,g-ft2 0 "-Is' hr /Ma ti Fox. (�) � ,(!; Irrepoctiorl9fdtwrtith no km is : I - ifrm1 listed tSnrrmin 90.00d hr �� CCB Lk.: i + b ( EIcctrical Lic " - 'ogge Suprv. Lic,: ' '\, ` ELECTRICAL PERMIT 'FEES • il I Suprv_ glectrieu to i l At rJ , rector d: _�� 4 �el Plant review (2574 of .. • fee): Print name: 6,} f 1 }� (� f bate: I State surcharge Or/. of pen,* lee): NM Authorized signature. t TOTAL PERMIT FEE: r i� AIAIPPJMAIIIIIIIIIIIIIIIIII Thiel permit my31 - : mdos apirat it n permit k wt obtained *this 130 j Print name: aria' ).-1. 1 r , �1' Dale: / d rya afar, It ha been accgtrd q cotaptc+e. /0_ 1 • Numb. of invest eas naverad pc+ parno. 1: tC.Pt,. ipp.da 07A'"10 440.461 sill t t.Arcomtwes Plumbing Permit Application Site Utilities ��� FOR OFFR I: t �1._ O \I l Received City of Tigard 1 Permit No.: a c Date/By: l (. V t� / o ( joiti o it IQ 13125 SW Hall Blvd., Tigard, OR • `• • 'i <<.!� ci ( P lan Review Other Permit No.: Phone: 503.639.4171 Fax: 503.598.1960_ DateBy: Inspection Line: 503.639.4175 O Date Read B un : ®See Page 2 for I I < `� It n Internet: www.ti ard -or. ov Ready /By: g g g ® C" 9 X 91 Notified/Method: Supplemental Information TYPE OF WORK ppll ) 0.." it FEE* SCHEDULE ❑ New construction ❑ lbTtion For special information use checklist Description I Qty. ( Ea. I 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 Al- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ 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: 7 ( (p SL)Ls Ask Y 6 .f 51- Catch basin or area drain l� 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: l cu b iZ. 1 7 Z Z- � / Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: ' 1 I Project name: i � Y7 r - ) / 71 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.: ) Page 2 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 4 174 . h 1 Y) ID y l . 3 - /1 1 j / 5)'� t.. Dishwasher 25.02 J Drinking fountain 25.02 Ejectors /sump 25.02 IA PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture /sewer cap 25.02 Name: j d uu c y i) )L- 'T .R.4 PI-44 l .4 � Floor drain/floor sink/hub 25.02 Address: '7 L' C ,1 S „ A.) A t f .57 Garbage disposal 25.02 City /State /ZIP: "71 60,- / f'/2, ' 7Z a L f Hose bib 25.02 Phone: 6? ' ) 492 Lii 7 f ( Fax: ( ) 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 c 25.02 %( City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) _ Tub /shower /shower pan 1 12.51 (2_, E -mail: y I /' y ii ✓Lt e t II n ',S" C'i 1z4; Cv Urinal 25.02 ' •0Z 'Mt CONTRACTOR Water heater 37.52 Business name: IA L h h 1 5 IA 4lL S (' h Water piping/DWV 56.29 Address: U 6='CI k 9 Other: 25.02 City /State /ZIP: .LlP,c�.tU C/2 / 2G Subtotal e`7. 1 7 - Phone: ( ) E _G 34 3 Fax: (C,11 ) CI 3, Ri l Minimum permit fee: $72 CCB Lic.: / 9j_. 3 Z � igl , Plumbing Lic. n . . - A 1 Plan review (25% of permit fee) State surcharge (12% of permit fee) ( 0 . `�' Authorized signature: 3 ` y� _j� ,4,t4 Plumbing TOTAL PERMIT FEE ' j l Print name: (� r l ' ii4 1.0 r P Date: /Q -Z 2 This permit application expires if a permit is not obtained within 180 days r after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. giki.,,l I:\ Bui lding\Permits\LMU- PermitApp.doc 10/01/09 440- 4616T(10 /02 /COM/WEB) Mechanical Permit Application _ Foli, Diller: t SE o.N1.1 I 1 !fit Received City g of Tigard 14 v " � Date/By: l l, P No.: .�5) ,V I U' L 0/ . • 13125 SW Hall Blvd., Tigard, OR 97223,(4:`,) Plan Review Phone: 503.639.4171 Fax: 503.598.19 1 + , F Plan Re : Other Permit: 1 ( i A i:1) Inspection Line: 503.639.4175 ' C. Date Ready/By: kids: El See Page 2 for Internet: www.tigard- or.gov �'' c `( ` � y , 11 Notified/Method: 714 Supplemental Iuformation TYPE OF WORK 1,O� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Addrtlon/alteration/re ,, 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* )3'1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: — 7 (p(p J 0 s ` . CC Air conditioning Jt/` G <3--r- (requires site plan showing placement) 46.75 City /State /ZIP: -1 C 6) op, C i 1 Z a. / Furnace 100,000 BTU (ducts/vents) 46.75 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), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 /� Gas fireplace 33.39 a d /1 ) - k 7 ,/� 9 14fej Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 Fa PROPERTY OWNER ❑ TENANT Other: 23.32 Name: .E Ct-r(t 4- -- y r I • P/ / :47 Environmental exhaust and ventilation Address: �, J „ 3 �.r d �S r equipment Range hood/other kitchen 33.39 City /State /ZIP: 7 ` 7� , - l ( 0/2 q 7z ( z q Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (c ) 6 7 ( Of Fax: ( ) toilet compartments, utility rooms) t 23.32 Z'', - 32 - _ ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other: 23.32 Fuel piping Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: - Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: _ Range 1-6o CONTRACTOR Barbecue I ' , 11 � Clothes dryer (gas) ' P 1 ” 1 Business name: , S LLU 1v! C 1 � a � t" ' S Other Address: Ad.. gix q )io MECHANICAL PERMIT FEES* City /State /ZIP: J�° l ,/' 1/v U� 7(f? S Subtotal -2) ' y- ��"" ? - Minimum permit fee ($90.00) e . 6 „ e . 6 „ i Phone: (G9 ) eto c i `C, F ax: (5'3 ) Y L > --- ii 3 � � Plan review (25% of permit fee) CCB lie.: 1 3t-7/ 0 q in /i). State surcharge (12% of permit fee) i d ' U TOTAL PERMIT FEE 100'),, ' ) ` Authorized signature: This permit application expires if a permit is not obtained within 180 ` 1 iZ , 1�L days after it has been accepted as complete. C . * F ee methodology set by Tri -County Building Industry Service Board • Print name: -Trey- � I �( t A /), , �' Date: IC - Z 2 - � 0 gy v ty g try L\ Building \Permits\MEC- PermitApp.doc 10/01/09 440- 4617T(11 /02/COM/WEB) \ f u lt %i --. T FIECEIVEr OCT 2 52010 y NOV 9 20t0 By CITY OF TIGARD 0■ . BUILDING DIVISION i CleanWatee Services Clean Water .fieryteet FitelittMbrat I tO... 7 Oa i4*t2 ;:: sensitive Area Pie4Creeaing Site ASOessineig 1. Jurisdiction: 0 .714,4,x0(- - --- -- - - J . . . .. . • . .. „. . . , ..... . . ,.....,....... . : .. .,.... ........... 2, Property InfOrmattari (example 18234A/301400) s. °eater IntointatiOn Tax lot ID(s). , 25A ti 6 9 000 - : fum EdviciW . and i.elii tii0finiti -.... . ... : . -. .. ,.. .. ........ .... ... ...... . .... . . .,.. ,. . . ., ...., ...,,.., . - - - OtionPart/: 616 Acidrei 7668 SW Attlf001 .. - ' .. • City State 11d OR 91224 : ' . : .. .... .... . . .. City, State, 7ii: Td OR 97224 . 17 .- - - .. iailOne/Ftoe Nearest Cross *Ott 7.0111 ..... . •• : ' : :... .. .- . - . E Mat tettia**014 .. . - -. .... .: _ ._..-::-•:: . ::::::. :-.-- --.: •-::.::: 7: : ..:::-::- •:-':-.. . . ...•. . , .. . — . • • • ...... .•.••• •. •.• • . •. ... .. ...... . . . ... . . . . . . : .. ., ... 4. DeSedopment Activity (abecri...c eft het apply) 6. Applicant tribinittitien .....,. . .. MfObort tO Pingle Fealty ReeldenCe (rooms decic, garage) Nam . Edimard Eitel Tani tAkviti . . . . .. . .. CI 44 0 ikkililor Land Partition • *: .....: . ' ComparrY.. 0 - Reeldendel Condominium 0 .POOlnientitl CondomMluan Address 7688 SW Ashfordstrea : . O Aeitdentai Subdivision Q Oprnmerciel Subdivision . . .. . . ,.. . . . . City, State, *.o: Tigatct OR. 97224 CI 51/4e. (..o4 Commercial 1:1 MO Lot Commercial ... — . . . ph 5034244101 . E-Mait *Mblair@Omobstinet • . '-.' -':::- .::--,..:::::-:."--. ... : ... : . -.. ' : - --. ' 1- '''.. ':i: ' ' ' - '-v: . - --.:;--_-; .: . . . :::::: ' :: : . ' : . : I ' : ': : . . . O. * the 00E4 ImOlve any offlitii. ivt410 Ck Yge a No 1;3 Unknown Locating * description of off-sitpaiortt . .. • • . - . • . • .- . • . - - . . ... . - . . .. .. . , . . ... . . . . . 7. Additional comments or Information that may be needed to tmderatsnd your project 2 .tidocti.additipn..01h1T1 garage on lot 1$0s$ NOT replace Grading ind ibPsion Control Penni*, **Wipe Owed% Bending Permits, Site DevelopetiOtialta, DEQ 1404 Platt Or Other Oinalbs as issued by the Department of Environs**, Quality Department of State Lands and/or Depattralitif the Anny tOE, AM fiehnits and approvals must be obtained and completed ander applicable local, state, and federal law. - ... ... .. . . . . f Slight 005foini, the Owner or Owner's authodzed agent or representative iidthordedges and agrees that employees of Clean We:sr*** hew authority ltri enter the project site at all reasonable times fortbe purpose of opecting pecject site Condlions and gathering nformation Mahal to the nroleet see. I certify that I am familiar with the information contained In this document, and to the best of My baideckle and belief, this information is true, complete, and tate*. ... :..: . Printaype NilTrzffi Mirtniti ,.„ ,..,. Title . .-_-. . • .. Sgnature .. ... . . ... .. . . .. . . . • _ -. Dais .26,-010 :. .: . :: --, . .. •-:-.„.-.... - FOR DISTRICT USE COL" . : 0 Sensitive areas Wedgy exist on site or within 260' of the site THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRONTO ISSUANCE OF A SERVICE PROVIDER LETTER. ItSenative Areas exist on the steer witilivi 290 feet on edifweni PoPertil„ a Natural Re,SOUIC8A.s4essrnent Nepal a* alio be required. . -. • . , i : . . . Based on review Of the admitted materials and best available Informcdto Sensitive areas do riot appear le east on site or wiliin 20Cf of the de. This - Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently mewed. This document will serve as your Service Provider letter as required by Retoltdion end Order 117720, Section 30.1. Al requh permits and approvals must be obtained and completed under applicable local State, and federal law - 15 ructrtarje a.p pear,. -to iz p1pe4 • 1:3 Delfed On review of the ad:MOW Materials and best aveaddelefeknOjn lie tiboveitieken0d POO i SigolkardlY*Oft existing Of Pfl‘entiallY litnairive wee(s) hound near the sae, This SenaliveAree PreScreenin2 SfteAsseismerickaatOehltiate the need to ewe* and protect antliOnal water quelity sensitive areas If they are subsequently discovered. This document will serve asitiaSenicitAlitrdder fetter as reqiiked by Resolution and Order ... 04 Section 3.41. All regilife4.0.4 and a0PrOvel$ int* be obtained and conipieted anderaPPikatbaibtat state and federal law. O ThIs Service Provider Letter Is not valid unless ,;ViSepOrioyert ate plan(s)ikithipaeitl. Crille proposed activity does not meet the deli . ,, on tidevelOpinent or Oa let ty* platted eiatt49100. OR92,040(4. 0 SRAf4f...**. PR SERVICE PROVIDr LETTER IS RE 0 ' ' [ 7 '-7.!.. - :-"." . - ' - - • .. - - . . :- ' -• ' . - ' ' - . ..- '' •-•-• -*. i i . ' - Reviewed by - 4 6 ,,, , 4, _. .. 4 _ ._,.. - - '' bato T.) I - :-. : - ,:- 0 ...-...,:- ..... . •:.-: . --' ---77.':. ::•• - : , • sacs : : . - - - .. - ... - - -:. - -s- ' - . • Hillsboro. Oregon ,..)- ' • ' • Phone: (50: - 1-5100 • Fax: (503) 681-4430 • . ..AterservicEr . , .. k i ..0 V - 16,1e 1 - • 1 , . . ° . rrare.teTY L INE - to tn. — NEWL510_R NaolerAvv.ITION c'g — 0 c0 ...._ _ , . . :,Et14 k 2 IVRY 1\9 . 1-7 _titlerl No- 6 ■•.\ . IT IDM ._ - A0V • _.: 1 r a / 4 411-611 tVari'oAk.- -10( 54,6_ y& g-cflorAtUs • ' ' 7 at elperu .. \ R- - "ax. thigIVU4Af „ . ______. . Sb,I5 19.,14 AHrOtSO ST, - _e_ITt pLP\N Ilk ., vi ,,,IT... 1 1. 0 ,. _NORTH CITY OF TIGARD • SITE PLAN REVIEW BUILDING PERMIT NO.: /Y),CTaGiO —oc PLANNING DIVISION: Required Setbacks: a Approved ❑ Not Approved Side: S Street Side: �S Front. Garage: Rear: 1s_ Visual Clearance: ❑ Approved ❑ Not Approved Maximum Building Height feet CWS Service Provider Letter Required: Yes ❑ No ❑ Received B� 1377 1 - ••^ 10%2 4 0 /t.7/ ENGINEERING DEPARTMENT: Actual Slope: 6 % Approved ❑ Not Approved Site PI a . Approved ❑ of Approved By: Date: l� Z 9 Notes: / 70 sG.,jC, . 4 rkica IC . P � CITY t TIGARD - SITE PLAN' • VIEW DI • MIT NO: V — IqS Street Trees: p p roved ❑ Not Approved Protected Trees' Date: r! /U , Notes: Nov.17. 2010. 5:52PM NORDLING STRUCTURAL ENGINEERS • No.4255 P. 1/1 11/11/2010 01:33 5036243681 TIGARb BUILDING DEPT PAGE 01/01 City of Tigard, Oregon 1 3125 SW Hall Blvd. • Tigard, OR 97223 111111.11 1 November 15, 2010 q RE: ADDITION ,-X I G.AR Project Information Building Permit MST2010 -00195 Class of Work: Add Address: 7668 SW Ashford St_ Lot Number: NA Area: 586 Sq. Ft, Stories: 2 Builders Name: TBD Subdivision: NA The plan review was performed under the State of Oregon Residential Specialty Code (ORSC) 2008 edition. Please respond to conditions below. Set' E 1) Please show lateral design for new addition. ORSC 8301.1 511.IC41t, ,I 2) Please provide number of circuits and panels for new addition and remodel_ --- • i_ C4(C.' 9, nofe4 ..- 3) Building section A-A on sheet 5 is different than A -A on engineering. ajciect jv <-- 4) Show collar ties or ridge strap for ridge beam. ,� 4i �' J When responding, provide an . itemized letter stating in what way each numbered U issue has been addressed in the revision, When submitting revised drawings or additional information, please attach a copy of the City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents_ Respectfully, _,r , /L C. .--- Dan Nelson ' Senior Plans Examiner (503) 718 -2436 dann @tigard- or.gov City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 November 15, 2010 1111 RE: ADDITION i , ; T I GARD Information Building Permit: MST2010 -00195 Class of Work: Add Address: 7668 SW Ashford St. Lot Number: NA Area: 586 Sq. Ft. Stories: 2 Builders Name: TBD Subdivision: NA The plan review was performed under the State of Oregon Residential Specialty Code (ORSC) 2008 edition. Please respond to conditions below. 1) Please show lateral design for new addition. ORSC R301.1 2) Please provide number of circuits and panels for new addition and remodel. 3) Building section A -A on sheet 5 is different than A -A on engineering. 4) Show collar ties or ridge strap for ridge beam. When responding, provide an itemized letter stating in what way each numbered issue has been addressed in the revision. When submitting revised drawings or additional information, please attach a copy of the City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, ..f i j h Dan Nelson Senior Plans Examiner (503) 718 -2436 dann @tigard - or.gov Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 — 1F cT - sTifip - 1111101M 1 11 - ; 4 61 - ra)(LsE - mlo_) C3 t.) £t-fG T '5 15 - Dt STr fie ' ' �t � (( (b /