Permit 1111 CITY OF TIGARD i MASTER PERMIT
COMMUNITY DEVELOPMENT C /7 / Permit #: MST2011 -00058
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/26/2011
Parcel: 2S 111 CA14200
Jurisdiction: Tigard
Site address: 15025 SW 98TH AVE
Subdivision: ALDERBROOK FARM Lot: 8
Project: ONNIS
Project Description: Addition of 125 sq ft of habitable space, 1,106 sq ft of garage and 160 sq ft of covered porch.
7/22/11, REPRINTED TO CHANGE CONTRACTOR. 8/17/11, reprinted to correct project
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 125 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 1106 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 125 sf Value: $80,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 0 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: 0 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: 1
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
asin N
Other: N Other Description: Ecom p g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF VB R -3 125
Owner: Contractor:
ONNIS, DORIS A/ROBERTO GARZA CONSTRUCTION INC Required Items and Reports (Conditions)
15025 SW 98TH AVE 12553 SW SHELDRAKE WAY 1 Ersn Cntrl 503 - 681 -4444
TIGARD, OR 97223 BEAVERTON, OR 97007
PHONE: PHONE: 503- 933 -1956
FAX:
Total Fees: $2,240.51
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. NTION: Oreg• law r- •uires you to follow the rules adopted by the Oregon Utility Notificatio. .center. Those, rules are set forth in OAR
95 01 -0010 through OAR 95 i :1 -00 - 0 You may obtain a copy of the rules or direct questions to OUNC by ca ' • • 03.232.198 or 1.800.332.2344.
Is ed By: k PermitteeSigna, re:
_____--- Call 503.639.4175 by 7:00 a.m. for the next available in •• • a :70
This permit card shall be kept in a conspicuous place on the job site until corn : - ion of the project.
Approved plans are required on the job site at the time of each inspection.
IN CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT i ` °< Permit #: MST2011 -00058
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 05/26/2011
Parcel: 25111 CA14200
Jurisdiction: Tigard
Site address: 15025 SW 98TH AVE
Subdivision: ALDERBROOK FARM Lot: 8
Project: ONNIS
Project Description: 125 sf. addition. 7/22/11, REPRINTED TO CHANGE CONTRACTOR.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 125 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 1106 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 125 sf Value: $80,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 0 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: 0 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: 1
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 -3 125
Owner: Contractor:
ONNIS, DORIS A/ROBERTO GARZA CONSTRUCTION INC Required Items and Reports (Conditions)
15025 SW 98TH AVE 12553 SW SHELDRAKE WAY
TIGARD, OR 97223 BEAVERTON, OR 97007 •
PHONE: PHONE: 503 - 933 -1956
FAX:
Total Fees: $2,240.51
This per ' • issu -• subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be d• e in accordance \iv h app • -d plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day:. ATTENTION: Orego I- requir= you to follow the rules adopted by the Oregon Utility Notification Center. hose rules set forth in OAR
95 through OAR 9 °- 001 -s'9 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 • . 800.332.2.
/.0 it Al /
Iss d By Perm ittee Signature: !
Call 503.639.4175 by 7:00 a.m. for the next available inspec ion 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.
q CITY OF TIGARD MASTER PERMIT
11141 1 r COMMUNITY DEVELOPMENT Permit #: MST2011 -00058
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/26/2011
Parcel: 2S111CA14200
Jurisdiction: Tigard
Site address: 15025 SW 98TH AVE
Subdivision: ALDERBROOK FARM Lot: 8
Project: ONNIS
Project Description: 125 sf. addition.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 125 sf Basement: 0 sf Left. 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 1106 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 125 sf Value: $80,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach. 1 Laundry Trays' 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 0 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: 0 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. 1
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 -3 125
Owner: Contractor:
ONNIS, DORIS A/ROBERTO ROB'S HOME IMPROVEMENT CO Required Items and Reports (Conditions)
15025 SW 98TH AVE 8933 SW WOLDS DR
TIGARD, OR 97223 BEAVERTON, OR 97007
PHONE: PHONE: 503 -590 -7754
FAX:
Total Fees: $2,240.51
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 fort in OAR
952- 001 -0010 throu• • • R 952 -001 -0090. You may obta' direct questions to OUNC by calling 503.232. or 1.800.332.2
Issued B / � / � ,
Permi
By v �� e Signature:
. / 75 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.
I
'Building Permit Application
Residential FOR OFF USE ONLY
City of Tigard Received
Date /B / i / P M Permit No.: 3T-, /_
I `
13125 SW Hall Blvd., Tigard OR 97223 Plan Review � 7 �
14 III Phone: 503.718.2439 Fax: 503.598 : ' CVN Date/By: _a' r I Other Permit:
I' 1 Gv\ K D Inspection Line 503.639 4 Date Ready/By: luris: H See Page 2 for
' .S ZS f
Internet: Line Bard- 39 \ 70 Notifi , 11 i
Supplemental Information
r'
TYPE OF WORK ..�� ® lIG • 0,40 REQUIREI)�ATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ De�lilio �`�� Permit fees* are based on the value of the work performed.
\ �" `�� Indicate the value (rounded to the nearest dollar) of all
ddi equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
S1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ?4 67,22
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
A. Job site address: /9v �V �� 15/ °' � New dwelling area: /2-5 - square feet
r
City /State /ZIP: 7 / d - 72 Garage /carport area: / /Oa square feet
Suite/bldg. /apt. no.: Project name: Covered porch area /6'Q square feet
Cross street/directions to job site: St /S .,6 V' Deck area: square feet
f Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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.
T 71 � i - �+,m)) / � ^nv p e Valuation: $
'.I. , / �ti ! ' . ( � A r add �,� / w� i • Existing building area square feet
10^6,-- iv New building area: square feet
0 PROPERTY ❑ TENANT Number of stories:
.. 7( Name: p $ Re 104,-1-0 ONN 1 s Type of construction:
Address: /5V 2.5 f c fg9 1 -► Ave.— Occupancy groups:
City/State /ZIP: 7-641f / t 2k' 7'-3 Existing:
Phone: (.5e 6 t7 y -20 7 Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
/ / � 4 4, dam ' ' f 3 - . 'G � (Please to /ee ): ule)
ie Business name: ((i/(/ \
Structural pI9 review fee (or deposit)
Contact name: . i e A44- plan review fee (if a lrcable
Address: ! / 3 ' ' - LS p f ( Pir ):
City /State /ZIP: 0 , r ��2.-, . Total fees due upon application:
`C
l / Amount received:
Phone: ( ) 2�• _ �j � � Z n � Fax: ( ) � (� t
v i t/� { ' r � o
(1-60) ( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: A ISgi' l e ,g / ,h� t'/ f 1,,p- of i
C TRACTOR � ( Commercial and residential prescriptive installation of
roof-• op mounted Photovoltaic Solar Panel System.
Business name: AC t/ Sdbmit two (2) sets of roof plan with connection details
�._ _ r_ • .. / r. A ♦.,[I _ a nd fire department access, along with the 2010 Oregon
Address: ' '3 S'� tick) , S Dr, _ Solar Installation Specialty Code checklist.
Permit Fee (includes plan review
City /State /ZIP: n'�? tl (Za/`1 t U g7r an administrative fees):
- $180.00
Phone: ( ) 31 i _ G p— Fax: ( 7 ti y.FS(
c, _ . State surcharge (12% of permit fee): $21.60
CCB lic.: 7/ ' (7 )16 / i2 .... , Total fee due upon application: $201.60
Authorized signature. ,/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
el * Fee methodology set by Tri -County Bui ing Industry
� Print name: �/L/
] Date: / f Service Board �) I:\ Building\ Per rmi tts \BUP- RESPermi / tApp..doc ( ��� 02 /24/2011 440- 4613T(]1 /02 /COM/WEB) ��" J
Building Permit Application Checklist
One- and Two - Family Dwelling F Oi OFFI USE ONLY
City of Tigard Received
Permit No.:
li Date/By:
13 125 SW Hall Blvd., Tigard, OR 97223
' C : Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard - or.gov O 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 ❑ ❑ ❑
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 applicable to the . ro'ect under review.
JURISDICTIONAL SPECIFICS
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)
Plumbing Permit Application
Building Fixtures �4 FOR OFFICG usE
Received
City of Tigard Permit No. -} I
'�\ DaDate/By: : ri S rim 010074
V
13125 S W Hall Blvd., Tigard, OR ' .' 3 r L� an Review
1 1111 . 0 Phone: 503.718.2439 Fax: 5 • ' 't . � � ateBy: Other Permit No.:
Inspection Line: 503 D ate Ready/By: lurk El See Page 2 for
Pa
TIGARD ,�'F Y Y g
Internet: www.tigard - ocgov �Q '` Notified/Method: Supplemental Information
TYPE OF WORK 4 v t_ FEE* SCHEDULE
❑ New construction ❑ D I�ie For special information use checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑ tt,tr New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
)12P- 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
El Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: � Catch basin or area drain 18.76
/!_/JJL'� Drywell, leach line, or trench drain 18.76
''7 /
City /State /ZIP: - j ` < 72 23
/ / / �/ Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: J Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
``J�J f i se/ Rain drain connector 18.76
/ Sanitary sewer (no. linear ft.: ) I Page 2
Storm sewer (no. linear ft.:ijlO) (2, rt Page 2 (;Z:.-54--
Water service (no. linear ft.: ) Page 2
Subdivision: J Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK 5. (D - Z -
Backwater valve 12.51
� Clothes washer t 25.02 1
AV' 4.../ o ` C�/I � �l A.. f /// � _ /• Dishwasher _ 25.02
2t =��4 �t - i / i " Drinking fountain 25.02
/j Ejectors /sump 25.02
PROPERTY OWNER J � T Expansion tank 12.51
Name: PMs q Ad DNA/
Fixture /sewer cap 25.02
�52)2.9- �ffl/(/ r ", Floor disposal sink/hub 25.02
Address: Garbage ge dispsposasa l 25.02
City /State /ZIP: F� t „1-7?-2-5 Hose bib 25.02
Phone:�02) 6. �/ _ aZSfy Fax: ( ) Ice maker 12.51
APPLICANT / ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: A / / �°/ i1/] r 71y- � - Medical gas (value: $ ) Page 2
/ / / V ! - 1l�L '� / A . ` Roof 12.51
Contact name: !.[./ �/ Roof drain (commercial) 12.51
Address: /( �ff 39- j Sink/basin/lavatory 25.02
-
City /State /ZIP: i I , , �/ n / / r r - Solar units (potable water) 62.54
Phone: (0 J 3i 2 Fax: : ( ) 6 Tub /shower /shower pan 12.51
E -mail: 7S 't V 2'17 ® g�04 / • e y - Urinal 25.02
wIf
6 Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: e �//'7� Water piping/DWV 56.29
Address: Other: 25.02
City /State /ZIP: �n r In Subtotal e7 , / J( ,
Phone: ( ) Fax: ( ) �\ ^t V Minimum permit fee: $72.50
CCB Lic.: c•-• lMumbing Lic. no.: V 1 (% of permit fee)
r
State Plan surcharge review 25
(12 /e of permit fee) 10 4 5
i
Authorized signature
TOTAL PERMIT FE I "7
Print name: �� V 0 ,01/...-., Date:'1�; 7 //, • This permit application expires if a permit is not obtained w in 180 days
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1:\Building\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1 100' 50.03 0 to 2,000 $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to.7,200 $233.20
Sewer - 1st 100' 62.54 7,201 and greater $327.54
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52
Storm & Rain Drain - 1st 100' ' 62.54 601 71 Valuation: Permit Fee:
$1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to
p and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to
(minimum charge - 1/2 hour) and including $25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge - 1/2 hour) each additional $100.00 or fraction thereof.
Subtotal:
•
,r ,
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is required for any of the following. Performed: Capped Added Relocate 9 y g'
Baptistry/Font Please check all that apply.
Bath Tub /Shower ❑ Any new commercial building with water service 2" and
Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor /Water Aspirator as defined in OAR918- 780 -0040.
Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities.
- Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040.
Eye Wash
Floor Drain /sink - 2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain ❑ Isometric or riser s
diagram is required for new buildings - Domestic - non - food g q g
Disposal - Domestic related that meet the qualifications above.
- Commercial -food related
- Industrial -food related
Ice Mach./Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work: •
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav - Non -food related
- Bradley
- Commercial -food related
- Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer - Clothes
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
I:A Building \Permits\PLMF - PermitApp.doc 02/24/2011 2
Electrical Permit Application . FOR OFFICE USE ONLI'
II City of Tigard pp Received Permit No.: /�,�
`.1 Date/By: SI UV y " Uck)
13125 SW Hail Blvd., Tigard, OR 97223 Plan Review
: '- Phone: 503.718.2439 Fax: 503.598.1 \ �_ .�� Date/By: Other Permit:
T 1 GA RD Inspection Line: 503.639.4175 ) '10 Date Ready/By: ruris: ® See Page 2 for
Internet: www.tigard- or.gov iCk �o , led/Method: Supplemental Information
TYPE OF‘WOR.i 1 i PLAN REVIEW
_ 1
❑ New construction \ Pleae check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 7,Addition/alteration/reylea12--,
Other: G_� \, ��H�`" .x where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTR6 lON exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
«<"` less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
�l- and 2- family dwelling ❑ Commercial /ind`�s rial ❑ Accessory 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 load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site aaddress:l� ✓ / 1 ' v �t,0 ' 100HP or more. occupancy.
��� (/fl �
0 Six or more residential units. 0 Recreational vehicle parks.
Of v
City /State /ZIP: .972� 3 ❑ I tealth -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: 51141 9/Se,/' Description 1 Qty. 1 Fee. 1 Total I *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
iti i . t � l ! C � V t 3 ^ 4 C5Y %t , V � ��' Limited energy, multi- family
residential (with above sq. ft.) 75.00 2
v � l l .V /
/ / � Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name:.l.Y7,S RdD t /VN,S- 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: / �� eg//J � Over 1,000 amps or volts 552.26 2
✓ c372....„2.3 c372....„2.3 Temporary services or feeders installation, alteration, and /or
City/State /ZIP: G a
relocation
Phone:{ 3) 6 ft a�t 9 Fax: ( ) 200 amps or less 59.36 1
/ 201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
f i
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 extension, per panel
Owner signatur.. Date: A. Fee for branch circuits with
I: APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2
each branch circuit
Business name(, T ( 714444f ( � f .y . � � — B. Fee for branch circuits without
v � /� e service or feeder fee, first ) 56 18 p (�( 2
Contact name /‘e " 'Mr' i branch circuit V
&A ,,,,..,,// Each add'l branch circuit 7.42 2
— Address: ` /� n � Miscellaneous (service or feeder not included)
I Ci /State /ZIP: [ I� Each manufactured or modular
h / ���� dwelling, service and/or feeder 67.84 2
2 Reconnect only 67.84 2
Phone: ( Z ,_, 2 Fax: : ( ) c C.
l�frv2.$ Lr` t Pump or irrigation circle 67.84 2
E - mail:
// t/t��' /�'�/� Sign or outline lighting 67.84 2
CtINTRACTOR Rt/ / Sig nal circuit(s) or limited- energy
Business name: Q Gt/!✓Ej�_ koti panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: hU� Additional inspection (1 hr min) 66.25/ hr
_ -. Investigation (1 hr min) 66.25/ hr
City/State /ZIP: / Industrial plant (1 hr min) 78.18/ hr
Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00 / hr
specifically listed ( hr min)
CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES
Supry ' ectrician signature, required: Subtotal: %�(� .
Plan review (25% of permit fee):
r - Y tnt name: Date: State surcharge (12% of permit fee): t 74
TOTAL PERMIT FEE: t7 2-,1 Z
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(11 /05 /COM/WEB
•
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n A • udio and Stereo Systems
❑ Boiler Controls
n C • lock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \ Building \Permits\ELC- PermitApp.doc 07/01/10
1 '
Mechanical Permit Application l% FOR OFFICE USE ONLY
City of Tigard R ECE 1 L y: .S ao` / rib
• Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 Ian Review
: Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 0 2 01 D ate/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready /By: Juris Ei See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGP INJotified/Method: Supplemental Information
r t in nthin nl \ii i( _ '. - )Pd
• s'n+an * =rte. - - _ EE *
TYPE �OFsWORK .' _ COMMERCIAL_F ,. ,;HDULE'= :.USErCHECKLIST - .
Mechanical permit fees* are based on the value of the work
❑ New construction 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 4 RESIDENTIAL "EQ'UIPMENT, / SYSTEMS`I EES *: : ;, ,
r l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
' SITE INFORMAT AND .LOCATION° "` - . 4 - ' ," Heating/cooling:
• ° �'° Air conditioning
Job site address: /.27 0 7,5 - Slit) p ��C (requires site plan showing placement) 46.75
City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: e/(/A//_f' Heat pump
(requires site plan showing placement) 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
' "? DESCRIPTION - ;OF' VUORK , "L , . -' -u` Water heater 23.32
Gas fireplace 33.39
J /q G.9 - 6€ /9LS,4- /77t /1 , Flue vent for water heater or gas
2t�/y ez EL.. EJC /S' 77N G /2e0/y fireplace 23.32
Log lighter (gas) 23.32
//1/77 /5 L f z t n/ 6 Al /2-0e/ 1 r Wood /pellet stove 33.39
/ Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
?g' ROPERTY;iOWNER : . , -- ❑ TENANTS "?`.. .
�,xr,, • °.. Other: 23.32
Name: Environmental exhaust and ventilation:
Address: /....5 o2s . 5 Range hood /other kitchen
- ff � equipment 33.39
City /State /ZIP: 77G-72...4 9 7c2 3 Clothes dryer exhaust 7 33.39 ��3 9l
cc-- 6 Gr _ Z 5 � t
Single-duct (bathrooms,
Phone: (503) O Fax: ( ) toilet t compartments, rooms) utility rooms) 23.32
Attic /crawls
n %' ® AP,PLICANT� ` - r `; i ati e , ' - ' , , (]� CONTAG�T aP.ERSON ` - ace fans 23.32 P
Business name: Other: 23.32
Fuel piping:
Contact name: 514.15 for first four; 54.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
-
CONTRACTOR`' a= _ ' _ . Barbecue
Business name: d A/(.:_ le__ Clothes dryer (gas)
Other:
Address: , , :MECHANICAL PERMIT,FEES *• ' - I.. - ; " ' ,
City /State /ZIP: Subtotal . 5 . ',
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) - 5'� t'
,
Plan review (25% of permit fee) Q
CCB lic.: State surcharge (12% of permit fee) (,) , zw
TOTAL PERMIT FEE La)I f3O
Authorized signature: 4 /��(�/ f�l/l/f _ Q ,p This permit application expires if a permit is not obtained within 180
C�--' .'' "Y // �/ / days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
P\ Building \Permits\MEC- PermitApp doc 09/09/10 440 -4617T (11 /02 /COM/WEB)
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.055 (4))
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
• Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
(1,,0 i (*kr S
Print Name of Permit Applicant
Signature of Permit Applicant Date
Permit #: /11:57 it -D
Address: 15 CO?25 J • /r 7-4- AVt
--7 1-2)7)-3
•
•
Issued by: :I Date: 571?!
This Copy for Permit Offices
" Building Division
Development Code Provision Review
T I GA R D Residential Projects
Building Permit No: /n57e' (I - c'9O5
CWS Service Provider Letter`8cceiu Yes LAY No ❑ N/A ❑
/VDT /2-6 vE S10
Routed Plans: Lei /Jc= 1� v/ 5 7 24 / / /
Original Plan Submittal Date: L S
1st Revision Submittal Date: ❑ Site Plan Only
2nd 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 (V) 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 eft only if approved. `/ ,/
Planning Review (contact 5 P,t.� J at 503-718-or 5 0 @tigard- or.gov)
Land Use Case No. Name i i)t is
id Zoning Q -3 • < .
❑ Setbacks:
Front g 2 : 0_ Rear ( Side Street Side aO Garage
2 Maximum Building Height 30 Actual Building Height
Visual Clearance
.Easements
Pr Lands Type: &) I Pr
Notes:
Original Plan: Approved Id Not Approved ❑ Date: 4-1 ( ( (
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)
-CJ Actual Slope: `
Notes:
Original Plan: Approved .0r Not Approved ❑ Date: 5 3 1
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
Street Trees
IV Protected Trees
Notes:
/ Original Plan: Approved Not Approved ❑ Date: OA pp pp ti
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 4 No ❑
Date Routed to Building: � // /
Page 2 of 2
REC
1
■AYt9Z 1
Clean Water Services File Number 1
CITY OF TIGAD 111- o (te l3
E [ C 1eanWater Serv
� [3UILDI DiU,., .
sitive Area P - Sc reening Site Assessment
1. I APR 2 1 MI, '
risdiction: _, /P t.2 el- 7 -�' "L- c
2. rEfope__ rty Informat" / piie 1$234AB01400) 3. Owner Information
ax o D(s): - 2_ i / (.A /4.2-0-12 Name: /7611S it /t Ve V11.2 t7i,-71/7 S
l 2.5 1 t ( f o 15 ('" Company: --- C-,yyf tom,
<— =:-- Address: x
Site Address: / 2 / �' City, ��j 5 i/t� /-�v Cit State, Zi p:
City, State, Zip: 77 , U') - 7 2-2. 3 Phone /Fax: 573
Nearest Cross Street: 91--111 .V E -Mail:
4. Development Activity (check all that apply) 5. Applicant Information 2
Addition to Single Family Residence (rooms, deck, garage) Name: Ma/l r �9. %�/ �'i''f A-i , vvfeci -
❑ Lot Line Adjustment ❑ Minor Land Partition Company:///144 /Z2 ,4441 j , r.1YG L G'F
❑ Residential Condominium ❑ Commercial Condominium (l� ,� „r
Address:
Residential Subdivision ❑ Commercial Subdivision / n . U� t�
ED Single Lot Commercial la Multi Lot Commercial City, State, Zip: G'vY/ d12 T'2( .J
Other Phone /Fax: -F/1.3
-- - 2 -- - q - K'' - J50�
E- Mail: /! }a Ore/ 6i f2' /;14 7 ( 244/,e. Yo
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 A- oXf' f -c 2. ,'. WA
. ��
3n/vAie.), n, ' u' ' C t 14,7 _- F:%k�%at- 1)'L, e`, , l ✓ e 14 ` i c'% 2e zC%t ce
This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ
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 document, and to the best of my knowledge and belief, this information is true, complete, and accurate.
Print/Type Name ,/141'27(( (�lrv/(r Print/Type Title!t �4?'7''�21� ;f"
Signature / , „ / ; 7 , !"---, , Date W/ /l( (
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 Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report
may also be required.
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 to 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.
❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially
sensitive area(s) 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 plan(s) are attached.
❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR
SERVICE PROV,. LETTER I REQUIRED.
Reviewed by / r n,U Date 4 / i 1
5' ; " ,-,;,,,, , r , .,, W:"1 'z--' . ' � . , .: w ; r „ ,3 ,�' s. ..', - , , , °.s ?` " ,,. -.< °, x e.. ..a . X'il " a"a`r sc . ° °at -' . . *? . . '; =a�`k ` r: '' 0 %M -
:2550 SW,Hlilsboro Highway 4 Hillsboro Oregont97123 Phone (503) 681 5 Fax 4439 wwiv clean org Y?,
; , • , H CV
;' 1 II
't II
+1o7 S00-27-21W 126.60' +los'
r
j j n 1 �
�� — - -�- �, : - APR 19 2011
Demo Existing u � \ ) \
Garage and slab n g 2 \ �_ '
G OF TIGAAD N
rr - Fxiv�' 0°
°' + 105'' Deiduo to remain �
„ c O Exist'g28 IIILDING I�IVI3I0
°. 5' -0"1 \ \ ____ Douglas Fir to rem '
�� —. T +109' •
t 1 Cut to accommodate � T \ \ 1 5' -0"
�; {
•
Veg Garden
reused 4' window f • t \ \ g 74 ----- do _ 11 \ ,
Exist'g 16" Planted Area \
I I window, save to reuse Deciduous to remain \ O O
•
r _i ,
V� p
•
111 \ New fireit
......\\ I ,
Remo
•
. I
L DR Y BR 5 I
` _ I , - _ _ New boulder retention
r_, Remodeled � O wall (less than 4' high)
+103'
x J x .--0 I Bedroom a C f f�
� ` ' I , Exist'g 14" Crepe - •
Remove closet 1 , 1 m _ (lower 1-
1
/ ' 101' 1 Myrtle to remain / I` ,
FAM ROOM i Proposed �� � � \ 1 1
\ 4 „co 1, c• P 11Og$f I , 1 ' Fielcy Verify all grades
E t'gD lit ExistinggYade(dashed)
Sawcut foundation to ' \ ec s /
0 A A l prox location y eYn ; - - - _ -, - Garage `• ion / 1
. _ _ - 2' 8” door Into garage I of'existtng roof _ • • - - _ _ _ 9 �.
/ I ; Revised grp,de (solid)
\ accommodate new
Remove closet door 1 l:ne,• to remain - _ ,, - =1" . ":7: ■ • ■ �•' , • � : _
and frame BR 3 ,---1 _ _ - -11111 __ . . • • . ■
BR 4 � X11
1 \. • • • • ` ■ , �?�� 1 +107'
an 0 - n Q , • ....
4el Ems • i y 41�i a #c i H
' Remove exterior wall, inch ring e0 • • Sp 11S °� - I ,
'
■ �� \,/ A double doors and transom indow i • $e Y'P� v v a' , ,� . " ,.
�— r - ■ halt 8lvnles t0.1 '� ,.. » , + ,i I 1
AsP open �� , m ,
demo 0 1 2 5' J ......
• • ■ ■ ■ r++�,. 6'-0 111 12' -0^ *105'
plan (lower level) 1
p ®� 1/ 4 " =1' 0" ( 24x36 sht) , 1- $
0' '" �� it .
'
� `" � � � l' , 8 0 7 .101. ' etea Pr•
YO 11
Location of existing septic ' II ,� I
1
system not possible Q
using county As- suilts. I I Proposed 125sf
O .
Schematic locations only I Q -�-- I +103'
shown; field verify system 1 \� Entry dltilon p __ ,
components as necessary. ' T.O.S. +3' - 8" (m tch a t'g landing) � w ,
•
I I� I I
9T \ po$ Covered W : ay compacted gravel 1
drive to remain ,
Lav\ AP rop xix ocation / b I I OP
of est roof
r \ \ \ ---- and ;',1 101'
N` O \ line; to remain - _ I ,
- L - ' -
exist' 16" Mock
odsting split -level ranch house w/ existing low -slope attached , ;; O \ New 8' 12x12 lds.cc�timbers Che to remain
s arage. Demo existing garage, build new attached 3 -car garage. i ;; Align faces w /concrete walk _ '
4
ttaah at lower level; remodel existing bdrm to mud laundry O ,1' 1 b _ _ - - - - ,
• •m. Enlarge existing entry foyer. Connect entry to garage with a - /. I DATE
•.ewcoveredwaDiway. Al -SITE PLAN /DEMOLITION PLAN
April ie, 2�
A2 -FLOOR PLAN \ �MVew d Parsi Gravel.,_._ • • •
EXST G NEW TOTAL _ _ - \ - ' : 1 ; Entry ,
•t SF 30,946sf A3- ELEVATIONS _ _ — _ - _ - - -_ _____ —_► _ -
_ culvert
• ouse SF 3,031 126sf 3,156sf A4- SECTIONS 1 to remain
•arageSF 242 1,106sf 1,106
15Tb'0 1 Reroute existing drain line
overage 10.6% 13.8% - _ _ _ CL Fainting Drainage S• _ _ to new retepn _
_� * SRI
oNING R-3.5 S1-FOUNDATION PLAN /
' ashington County Tax Lot #2S111CA14200 52-ROOF FRAMING PLAN • • • • Reavy dashed line indicates -97' El Shaded area indicates -99'
Exterior Wane (eaiefg and proposed) New square footage n �, I
He data sheet index site /root plan ®; 1 1 " =10' (24x36 s
1
_ CL SW 98th Ave
r