Loading...
Permit ,, CITY OF TIGARD MASTER PERMIT ° - COMMUNITY DEVELOPMENT Permit #: MST2011 -00051 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/06/2011 Parcel: 2S103BA00135 Jurisdiction: Tigard Site address: 11810 SW LYNN ST Subdivision: LERON HEIGHTS NO. 2 Lot: 25 Project: Spencer Project Description: 572 sq ft addition and interior remodel. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 572 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 572 sf Value: $207,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 2 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 13 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr: 0 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 & 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: ADD SF VB R -3 572 Owner: Contractor: SPENCER, BARBARA ECC REMODELING & CONSTRUCTION Required Items and Reports (Conditions) 11810 SW LYNN 10824 SE OAK ST #405 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 MILWAUKIE, OR 97222 PHONE: 503- 341 -0090 PHONE: 503 - 697 -0920 FAX: 503 -210 -1144 Total Fees: $5,020.04 Thi ermit is i d subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will done in accordant with app ved 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: Oreg qu' - you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 2-00 r -0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332. 44. Issued By: Permittee Signature: (*(•-) Call 503.639.4175 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. Building Permit Application Residential FOIZ OF FICE USE ONLY City of Tigard Date /B : Permit No.: J7 / _ 66,05 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : iOI 11 1 Other Permit: T I GA R D Inspection Line: 503.639.4175 Date Reams: yy: army Juris: H See Page 2 for Internet: www.tigard - or.gov �yii ' • od: (� Supplemental Information _ IO A �' TYPE OF WORK ' QUIRED DAT • 1 - AND 2- FAMILY DWELLING ❑ New construction El Demolition r Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/ a 1teration/rep1acement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. E' 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $70 — 12 Accessory building ❑ Multi - family Number of bedrooms: El builder ❑ Other: Number of bathrooms: 0 JOB SITE INFORMATION AND LOCATION Total number of floors: / Job site address: // 8/ 0 s to .4 n h s r New dwelling area: 679_ square feet City /State /ZIP: 7y a ref J © A O 7 g a . 9 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ,.S eh c Pr Covered porch area square feet Cross street/directions to job site: Deck area: 6/ square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST ` Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value ( rotnded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ,Q Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: ) (3 or , Iv a Spenc Type of construction: Address: f r Q i 0 SW) y nn cr Occupancy groups: City /State /ZIP: 7. s or, i 0 A f) .9 a 3 Existing: Phone: (03) 3 Az'/ — 0 0 94, Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* ` /t /2 rS (Please refer to fee schedule) Business name: c c 1, em (mod )a./ . 001701.7 r/` �f . 6 Structural plan review fee (or deposit): Contact name: w 6// Co ( J r ' 'r4_ b Y FLS plan review fee (if applicable): Address: J DO�) s� 'D k sr ' hc ti c Total fees due upon application: City /State/ , 9 ,r- r/ //L . _ _ i .. f �/ Amount received: ?/ /55. P Phone: (03 r p G_ ar 9,� Fax: nn • Dp3 ) 4/0 // 4it E -mat : WO If C i 75-: GG rep" O d'el ! by ,, C o ,) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* y CONTRACTOR Commerct . and residential prescriptive instal • : of //�� p L roof -top mou : PhotoVoltaic Solar Pan- "ystem. Business name: c cc , DrJ'P / �1r1 C �' t � i- i2� Submit two (2) s .. • of roof plan wi nnection details e ^ and fire department a - ss, al. • with the 2010 Oregon Address: / D A 2/.1 SC Qak. ,9 r ' /714, S Solar Installation Ssecia!� ode checklist. 9 /� Permit Fee i • • udes 1 1 eview City/State /ZIP: �d� 0 4 ? � o g � n �03> . 2JD .� Mr/ eijo u k+l e J oiR r /�� $180.00 M Phone: / (, Fax: // * State . harge (12% of permit fee): 6 ,.._ $21.60 CCB lie.: I (p — © d 6,N/ , Total fee due upon appication: $201.60 Authorized signature :4•,, (1 D �� _ e„.„(L----- This p ermit application expires if a permit is not obtained (/ l/ i(�� within 180 days after it has been accepted as complete. Print name: W o ily (20 vry ri Date: /e1g `// * Service Board s by Tri -County Building Industry I:\ Building \Permits\BUP- RRESPermitApp.doc 02/24 /2011 440- 4613T 1/02 /COM/WEB) • Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY Received City of Tigard Date/By: Permit No.: • 13125 SW Hall Blvd., Tigard, O R 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 C t G A R O 24 - Hour Inspection Line: 03.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ _ ❑ ❑ 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 ❑ ❑ ❑ I 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 on and shall be shown to be a licable to the ro'ect under review. 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 \Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB) Electrical Permit Application •< ; l : I 1 V 1. t i s OM.) City of Tigard n� - y �i I r�ta;t {�/ i ����DO� S�' _. - 13125 SW Hall Blvd., Tigard,OR 977.23 Plan rz ow Phone. Sdp,7t73.2a39 Fax: 503.598. t960 lae,ej,- OtherPcentit; 1'7;;:Ai.ID lrsspectEon 503.639.4J75 Dafeitexiy/f3y: i:oaa■ msat P.8.2far 3nternel: vvww igard-or.gov Not i[icd/Mnlrrud: 5nppt.kavotai lalbrmattoa I YFB OF WUl1l4 - — - . _- - - - -' FLAN REVIEW I Li New eonsirtietion S Add itionialleratior7 /r t'Irwin c te*all that apply CsubtnIi I X15 ofptru6 *Ala& ah betvu0: 111 Demolition ❑Other ❑ Servile* or ibedtr 400 amps or Ilion El Building over Ihree orten. *litre the tl.bic f'.uJt eimcnt d Marius AM boaryarcni, CATEGORY OF CONSTRUCTION I mrc.sds 10,040 amps at l50 volts or 0 Flmrh,g 3 p , ildirigs_ Lem to ground, orexeee ta,000 ❑Coen meroial -use erriraQmral 4S r%l- and 2- family dwelling 0 CornmcrcialAndegnial Q Aeee:sory building 4474 For .tl ., a.t4Si�r, truildlnor. ! 0 Multi - family 0 Master builder fl Otter: ❑ Finn pimp. ❑ Inanilar;oa d 75 K VA or - ■ JOB SITE INFORMATION AND LOCATION ❑ A di ia nay svatem. laseraeP 1-2 , sriv►d sysratu. ❑ AddiTioq ans.. mom; load of ❑ "A" "E " a•�', �1 3•r 1 S 7ob no.: Job sire address: J) el o s �, L y o n ...vor mere. occtp+mroy, ❑ $ilk or more residential wits, ❑ Recut atiehrl vaidc mks, CilytStPldZ1P: ( �� ❑HeallhYmofacilities. ❑st.Pplyvoltag for more than f—� 0 Hazardous location G00 vertu .ommal. Steiiabldg, /apt. nn,: PYojett si ,g.j, -.. l,] 9arv; GOO .,npzor qualm ` FEE SCRIM /LE GavZ stroct/direttions to job site: I New residential stogie- or wuntl- family dwiIiir* unit. _ Include.' •.r. •e- Stibdivisioo: Lot Do,: 1,000 sq. fl. orleo I67 ;,$4 4 5a, act 1 500 Sq. R or portion 55.92 l Tax rnt3p parcel no.; Limited cooly, residential - DESCDJIIPTION OP WOKX I 3 with anove r•. it 75.00 2 C — ) 1 Litttlttd error , n i1ti- fbrnlly — 75.00 2 r f �� _ residential with a 6ava •. ft. services or fttders itu :nation all alio. and/or reioessurin • r.�v u. 200 amps a t le r ts - ' 100.70 0 FROPt T' 0W! E t [1 TENANT 201 amps to 400 amps _ Nam: 6 S /Pri Cie r u0i a to I, 0amps III 30 ii Cr' � ) col am. to I,OUfl amps 10 J.04 Ad4Tes s / / gf b S ,1 1, t // 1 r) 7 " i Over 1,000 an pi or volts 552.26 2 I$tatt1/2IP: ' Ci J l �i j Temporary cervices or feeder' EaabituI gg4, attt uoti, &h0 /or i _ ��� �� f" _ r'eloeation Phone: ( ) 2/ / On d ; ( ) 200 amps or lms 59,36 t 21 ' W4er installation: This installation is bring made on property that I own which is riot 201 am to e00 amps — J125.03 4 Intended for sale, lease, rrnl or exchange according to ORS 447, 449, 670, and 701. 401 amps r0 599 amps J68.Sa 2 Owner �i$1J$t1rr0: Date; Breath Ciratib - new aRcTnttod OT oxteaslo_a . r t Or.] .. A. Pee 112)( tx5gt rr ch cht5 oirh • Q APPLICANT I Q CONTACT PERSON above rarvia or fbeder Pas, • f eacb branch circuit / 7.42 2 Susutes5 ntlrrle; D. (Yee for branch circuits w.rho4r service or fender foe, Fuss i COniaCt name! branttic-ri -.0 I $6.(s 2 Each add 1 bowel, eau it 7.42 z qq Address: mb ail4 4O' 8 fberake Or feeder not minded • Each manufactured or modular City/State/411! I dL� n . service and&or fester 1 67.114 CI Phone: ( ) Fttx :: ( ) f Reoonrrarl onlg 67){4 faun • or irri - a circle — 67.141 2 E-mail: Si a Or outli lighting 62.64 2 CONTRACTOR S ignal ofnt or rriiseYl e*fGCy Busirreiss hate . `rr alteration, or extension, e :. sion Pe i 2 on_ C� Air i Each ■ddttivoat tnspectlon irrrr allowable in any pf the above Address: 7 3 0 11`F J 1 Additional ins, ion(t hr min 66,25 /I4r t Investigation 1 hr min) Citystate/ZIF: (Art f SQ 011 I I C l Q1'7070 d ( � � — / p / f �/ P lavai ial plant (1 hr min 78.16/ hr ■ r7130., (sp t7 18 2 - 3 y V Fax:( qr 3) tT 0. A - 77 it 1speedoos fa/ Which a0 A* i6 90.0(Y hr r Main Iy ii.,-red (l l hr min) CC(3 Lie,: SF ye R 'Electrical laic.: Suprv. Lie.: V9/16 . SLECIRICAL PRM Err FEES Suprv, kleetr s a �, required: Subtotal; (17, t b i1 Am' ! P1en ravien (25% of permit fen): Print ni3rne: L (di "B Date: f,1 y 1/ I uL to iFurdtarge (I 7% of permit f •4 • 2: , Cn TOTAL PERMIT FEE - 00 , 7i Aulhorizf d SigllOttlre: 1 00 pcsm anoitiatfoe expires If permit is eat *Maned within 130 days after it Gtr lie arttp4tel aQ ea clprant Print name: Dote: • number of (aspectl on aliowed per verrah. ivisemhseermlutEL0.1)e><,U4koaduic (Tfvine 14o- 4519111 Ir05ICOMMF..9 Mechanical Permit Application FOR OFFICE FSE ON EN City of Tigard R y ir wo Permit No.: 1./6 a0l/ •—e:29:257 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit: l WARD Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction St Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* [$1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: //e/0 SU ./n n Sr (requires site plan showing placement) 46.75 City /State /ZIP: t� ^ o n, J 0 R n > o) 3 Furnace 100,000 BTU (ducts/vents) 46.75 a • \ J' Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: S en c ,Ph Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work - ( 23.32 2,3 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 Subdivision: Lot no.: 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 4d0/ 1 Gas fireplace 33.39 l 77 d I) 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 .. PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Q Other: 23.32 Name: 'J Qr A 0/ rt, .S ce Environmental exhaust and ventilation: �7 0, A� R Range hood/other kitchen Address: 1 � f� 4 }1 /fi s equipment / 33.39 �j�j, 3 City /State /ZIP: �' j (i Q r/ 5R Clothes dryer exhaust 33.39 Q f Single -duct exhaust (bathrooms, 9 Phone: (co 3) 3 /..// ,_ 4 D 90 Fax: ( ) toilet compartments, utility rooms) ? 23.32 OIL, ❑ 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 / f4, 1, CONTRACTOR Barbecue Business name: /4 fr C ) D t7 ` /"T g 0 t- r n Clothes dryer (gas) p/ Ot her: Address: \. ib x 14g MECHANICAL PERMIT FEES* City/State /ZIP: pi-1.1") n 2 9 7 (g Subtotal /4Q.. A v! Phone: ( ) 2,0q' 5-5 q'7 F ax: ( Fax: Minimum permit fee ($90.00) c Plan review (25% of permit fee) CCB lic.: f i q 0 1Q'7 : 5/ / 5--i 3 S tate surcharge (12% of permit fee) / b,`tc ', [[ /�/ TOTAL PERMIT FEE( / 67. 10- K �// / eV " This permit application it has been if a permit is not within 180 Authorized signature ( 'V d ays after it has been accepted as complete. te. e. Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board 1:\ Building \Permits\MEC- PennitApp.doc 09/09/10 440 -4617T (I l /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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I: \Building\Permits\MEC- PermitApp.doc 09/09/10 2 Plumbing Permit Application . Building Fixtures RECEIVED r.c,R oil"' t.;l ( >7 { Ci ty of Tigard r.....ivixf Pmni! No.: /i a { ,,, ..., latzs swxlr 81ve,1lg,.re,Uxn PR 1 2 2011 ' Plan xevlaw 3. Phone' 543.7182439 Fat,: 5D3.59 &1964 , Ocher Jx - . DrsdByr .•tu.'it+.t3 1nspectionLisse: S03,639.4175 CITY OFTIGARD y 77tireliead!Dy: i f kaf Lt.' scoPr !Memel: wkw,U$ae.ptgav ON t$btifi�n td p 1ugmrslIn {erntarien r--�— z ar w ,v[ fc LDING DIV �,t _ _ _ _ PY�:En SCHLE ❑ New con tnaction Q Dern01 itLol) A }gar i Ja #U raraltera use d eeklfkt Uescgfption IIMII Ea, Total at Adc ,(ition /alteration/replacement ❑ Men Nele 1-2. family do elliuga (include: )40 ft. for each Wiry connac(ion)� G4,113.:ORY OF COrigratUCT1014 SFR (1) bath 33234 r l.. And 2.fhmily dwelling Q Culrmerci /(txdustrisl Q) b th 437.78 Acoessary building Multi - family 3t R {31 baAl 544.32 ❑ - — — — T irrach,.... n.lba(h/kirahM 2S.n2 Q 1v14ssvr bull( C: Q _ Och Fire sprinkler l�.sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Sits uliliaita: .. 1 Job site address. 1 g / p r s ic) Y n n s 7- 1 Cazeb baei,� or area drain 1—s.— 16.76 1 • • City/Slam/ZIP: 1 I I�tywell, leads line, or trench (!rain )5,76 i . !r' ' , C 6 0 1 P ooling drain (no. linear ft.: „ p I t Si,ita/bld . /apL no. Projal annul): 1 iiutuf.atured home utilities 5(y. COS 03 CS street/dire ons ro job site: _ l 18.16 1 Manholes tai» elnaiti oom,eetOt 18.76 1 Sanilety Sew _t h r (no. linrt : ) Pago 2 ,1 i Stem Sewer OW llnew ft- Page 2 Subdivision: • Water service (no. linear 1 P I �L4t nu.'. , - - etn r its: _.. Tax Antiir/lkir e1 no,: Backlit)* preventer I — DESCRIPTION OF WORK _ $ -- 31 -27 12.51 1 !!! ! cMho washer 25.02,, _ / ' � i � o —� ) Dishwasher f 25.02 f ., Drinking fountain 23.02 jiootvrslstrmp 25.02 j F PROPERTY OWNER Q TENANT 1 Exaltation (auk 12.51 None: 6�Qr` Aer .. _cpQ�5_r FvC1urerscwrr cap 25.02 Addrede: I ; I , 2/0 " � "" TIM dram/11001 m/11001 Sirkfhob 25.02 v. c�ty/statrrztP: �"i � j___ y'rirl ,5�% as dismal 25.02 - - O nue ( ) i lee ma _ -. .. . I lion bib 25.02 Phone: (3) Sii/ — 0 0 P les 12.81 — • ? 0 APPLICANT ❑ CONTA,Cf PERSON loterccptodgreast:traP 25.02 ?iutipes5 name: Medical gat (value: 4 ) p age 2 T"'r'"""",,vav .",,,.' prima 281 Contact norm; 1 I .... Roof drain (cornmcrdal) 12.31 Addrexa: Siak,ibssln/lavatory x5,02 City/State/Mt 5oiat units (potable Witter) 62,54 Phone; ( ) lm:: ( ) ; Tub/ahvwsrtahowcr pan . fa 12,51 E rnai : - -- Utldal 25.02 ■ CONTRACTOR 1 s watt closet 25.02 • � 1 y� ( r l i Water0 r� 37.52 f3usmcss !larch; ... v r1" ! • .— �� Water nlaing/ s 13WV SC29 Addreast / a / q I p' . Other: 25.02 City/State/II': r p g / 41- d 7,,), 9'0 .subtotal . . 1 Phone: T . � ) ._ f j a,;; 0 ) ti S I Minimum permit fee; $72.$o CCB Lim: ', Plumbing Lic. no.: 150 e • clan review (�$%ofpeTnllt Authorized Sigssature: rr State surcharge (12% of permit fee) C „„ '- TOTAL PERMIT F E . 4 tM , 'r Print name: KRJS f O ')S � /NW: This permit applicaUeo tapirs Li a permit is ,n° atualaeel wirU�u !80 drys '�+f [A / after It bas trees oecepcea m cnmyseee_ `Fee methodology rat by Tri- County Building indosuy Ser'iee Boars. !:i&stding1Pcmuv:PLMV PitrItAp,. laOtl$ ..g- a6,41(14162/cOMIWB0) III • • Building Division Development Code Provision Review T i c n iz Residential Projects Building Permit No: H O(Oi 1 - cos I / CWS Service Provider Letter Received: Yes No ❑ N/A ❑ 4 L 1401 (04 -'s - � LC&i • Routed Plans: � Original Plan Submittal Date: Pt Revision Submittal Date: ❑ Site Plan Only 2 Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (/) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact S ( / ss T/ e at 503 -7182 V,irz or /C✓ t,3 A t, @tigard- or.gov) Land Use Case No. ✓ Name 1 - 4.1** .1 14 • f' No .2. IB Zoning g ' '1.5 Cam• Setbacks: Front Rear IS Side S Street Side IS Garage . EJ■ Maximum Building Height 3 c Actual Building Height ! ( i f Z ETisual Clearance 6a' asements LT Sensitive Lands Type: 1 e Notes: Original Plan: Approved Er' Not Approved ❑ Date: `//8 i t Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) J2rActual Slope: 3 Notes: Original Plan: Approved Not Approved ❑ Date: _i____A_L_. Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) Street Trees Protected Trees Notes: Original Plan: Approved I/ Not Approved ❑ Date: .',) Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes N 0 2____ Date Routed to Building: j // Page 2 of 2 To City of Tigard Page 2 of 2 2011 -04 -12 20:47:57 (GMT) ECC Remodeling From Bruce Pomazal RECEIVED (-0657 APR 13 ?� l L NO 1� © � ie FlN ter Services File Number G1eanWate • BUUILD Services 11 00 13 2 3 Sensitive Area Pre - Screening Site Assessment , 1. Jurisdiction: Tigard • • 2. Property Information (example 1S234A801400) 3.. Owner Information Tax lot ID(s): . Name: Barbara Spencer .2S1o38A00135 Company: Address: 11810 SW Lynn St Site Address: 11810 SW Lynn St City, State, Zip: Tigard, OR 97223 City, State, Zip: Tigard,OR 97223 . Phone/Fax:' (503) 341 -0090 Nearest Cross Street: 121 St Ave E- Mail:. . 4. Development Activity (check all that apply) 5. Applicant Information . iii Addition to Single Family Residence (rooms, deck, garage) Name: Wally Couture • ..❑ Lot Line Adjustment ❑ Minor Land Partition Company: ECC Remodeling & Construction Residential Condominium '❑ Commercial Condominium . . Add 10824 SE Oak St #405 ❑ Residential Subdivision Q Commercial Subdivision Mliwaukle OR 97222 ❑ Single Lot Commercial ❑ Multi Lot Commercial City, State Zip: Other , Phone/Fax:. (503) 697 - 0920 (503) 210 - 1.144 E -Mail: wallyc@eccremodeling.com . . .._ . • . 6. Will the project involve any off -site work? ❑ Yes .) No ❑ Unknown ' . • Location and description of off-site work _ . • 7. Additional comments. or information that may be needed to understand your project ' This for an addition per plat map ' This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, OE EQ . 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. . . -. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that.employees of Clean Water Services have authority . to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify . that i am familiar with the. information contained .in this clpcuipri.pt, and to the best of my knowledge and belief, this information is true, complete, and accurate.. • PrintJT Name Wally Couture Prin.t Title Project Manager • ONLINE SUBMITTAL .. ' Date 4/8 /2011 FOR DISTRICT USE ONLY Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRiOR TO ISSUANCE OF A . ' • - SERVICE PROVIDER LETTER. if Sensltive.Areas existon the site.or. within 200 feet on adjacent properties, a Natural ResourcesAssessment Report - ' • may also be required, • l Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This . • Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need t o evaluate and protect water quality sensitive areas if they are subsequently ... . discovered. 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. Dra inage appears to be piped. . tJ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially .. sensitive areas) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. 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 Service Provider Letter is not valid unless CWS approved site plans) are attached. ❑ The proposed activity does not meet the definition of development or the lot. was platted after 9/9195 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTFR IS REQUIRED. .. .. Reviewed by . Date 4 /11/11 __ 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • Phone: (503)68'1-.5100 ° Fax: (503) 681.4439 • www.cleanwaterservices.org CENTERLINE OF SW LYNN ST 0 CURB WATER EL -15" METER 116.00' EL -21" I >- 12" DIA BLUE I SPRUCE 1 S o 0 N x W , N � S/DE-wkk I I I ' GAS EL -10" MTR COVERED t--- /� PORCH 31 ' 21' GARAGE EL -10" ' I Y EXISTING I I a ELEC 3 BDRM METER HO SEA I CO N TELTV I (r) 00 I z EL -10" 1 l l ' O I \ ADDITION IO NEW 18' i 1 CONC. 14' ADDITION s -- PATIO NEW I Y 1 9' -4 CONC. 8' I I I PATIO `� 4 ` L d zI i 61' 41' -4" / 22' -8" / �' D 6 4' / io I 0 47' I 24" DIA ' DOUG FlR 0 24" DIA 18" DIA 16" DIA s FOUND 18" DIA DOUG FIR DOUG FIR DOUG FIR DOUG DIA 18" DIA s I IRON DOUG FIR 0 DOUG FIR DOUG FIR 0 O L 3' FENCE EL 0' 116.00' EL -6" SQ. FT. OF LOT 15,080 SITE PLAN SQ. FT. OF BUILDINGS 2,419 SCALE: 1" = 20' SQ. FT. OF PAVEMENT 1,335 LOT COVERAGE 25% KRYSTON DESIGN BARBRA E MICHELLE SPENCER ADDITION PAGE POB 6533, BEND, OR 97708 11810 SW LYNN ST, TIGARD, OR 97223 I OF I 541 -948 -1722 *