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Permit CITY OF TI ARD MASTER PERMIT �'ai-, ' �. c . ,: ' COMMUNITY DEVELOPMENT PermdA MST2009 -00156 Date Issued 10/02/2009 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 6394171 Parcel 2S103DD00414 Jurisdiction Tigard Site address 10820 SW FAIRHAVEN ST Subdivision Lot 0 Project Wnterbourne Project Description Add 1196 square feet habitable space to existing home 10/15/09, added a panel and (2) branch circuits BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 1 First 1196 sf Basement 0 sf Left 0 Parking Spaces 0 Height 11 Bathrooms 1 Second 0 sf Garage 0 sf Front 0 Smoke Dwelling Units D Third 0 sf Right 0 Detectors Yes Total sf Value $121,93220 Rear 0 PLUMBING Sinks 0 Water Closets 1 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Catch Basins 0 Lavatories 2 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Other Fixtures 0 Tubs /Showers 2 Garbage Disp 0 Water Heaters 0 Water Lines 0 Drains 0 Bckfiw Prevntr 0 MECHANICAL Fuel Types Air Conditioning N Vent Fans 2 Clothes Dryers 0 Heat Pump N Hoods 0 Other Units 1 Furn<100K 0 Vents 0 Woodstoves 0 Gas Outlets 0 Furn> =100K 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less 0 0 -200 amp 1 0 -200 amp 0 W/ Svc or Fdr 0 Ea add'I 500 sf 0 20 1 -400 amp 0 201 -400 amp 0 1st W/O Svc/Fdr Limited Energy 401 -600 amp 0 401 -600 amp 0 Ea add] Br Cir 601 -1000 amp 0 601 +amp -1000v 0 1000 +amp /volt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio F. 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 Owner Contractor Required Items and Reports (Conditions) WINTERBOURNE, JEAN! & CORNER STONE CONSTRUCTION INC 1 MST Ersn Cntrl 503 - 681 - 4444 MICHAEL 27713 NE 46TH ST 10820 SW FAIRHAVEN ST Camas, WA 98607 TIGARD, OR 97223 PHONE PHONE 360 - 910 -8346 FAX 360 - 834 -7997 Total Fees $4,096 24 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 mare the 180 days ATTENT Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -001- 0 through OA' 952 - 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344 Issed By S. At � $ Permittee Signature e -Sr • - u ¶ ‘a,1/2e_ FOOL ■ V s - in `T l /Y, ^ rCf - VIA t .. Electrical Permit Application 1oli11I1Y,1 isi>nNl (ntn� - r cure. - - City of Tigard e� ' U P •J r : ii i • 1 3125 5W IRE Blvd -, Tigard. 97 2 238 L C EIVED P w g Phone. 503 639 4171 Fax 503,598.19 \1� a � � Other Permit' 1 (JAnn Inspection Line 503 639 4175 �. • i' /By r. el See Page2for ' Internee www ngard -or gov OCT -1 5 2009 t ,t+ thud I Supplemental information . , . TYPE OF WORK PLAN REVIT,W ' ' . ' •r ' o New 000so- nctYOn is AddltionHherat•RI ii "i -I'D Please chock all that apply (submit a sets o f plans rv,htems checked below) 4 . • []Demolition ©other BUIL I ING DIVISION ❑ Service or feeder 400 amps or more ❑ Building over three stones where the available fault current ❑ Manilas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ floating budding^ leas to ground, or exceeds 14.000 0 Commercial -use agncuhuat ❑ 1- and 2 -family dwelling ❑ Commercialimdustnal [] Accessory building amps for 41 orhei iasrallatioas buildings ❑ Multi- family ❑ Master builder f] Other 0 Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived stater, , ❑ Addition of new motor load of ❑ 'A ", "E ",' 1- 2','1 -5" Job no h Job s ite address: � i �� 1- ,.., [� I OOHP or more occupancy q l0 {>�� JW S {f xM 1.C1 �L . — ❑ Six or more residential units ❑ Recreational vehicle parks I City/State/ZIP' T qt. ❑Health -care facilities ❑ Supply voltage for more than i r ❑Nanudous locations 600 volts nominal Suite /bldg. /ap[, n0. PPM eel name: AAA' v ❑ Service or feeder 600 amps ar mini: ^ _."'. /y 1 t t l7 ' -...- _ .�.� - FEE SCHEDULE Cross street/directions to job site' ua,apeaa 1 t)rv- I Pee- I total I - New residential single- or multi-family dwelling unit. „�,.,,,,._..M_.._, - _ _ _ Includes atmchedgm age. rr_ Subdivision: Lot no - 1,000 sq, ft. or less 145 15 � 4 Ea add'] 500 sq ft or portion 33 40 1 Tax snap /parcel no.' Limited energy energy residential 5 00 2 _------------ DESCRIPTION OF WORK' ' , ' ' rwuh above ft) _, . 7 /� P umted energy, multi-family 00 2 F�J_ O Ll(,"�- Arac,X �-�'1, ( (r,Q- "' 20,6 �.� ` _._.......�..._,.. I. restdej 1 (w46 a6nw sq 11 ) ' y�� Lam Services or feeders Installation. ale rattou, and/or relocation I ,.v� Net.I a�RJ'f1 • ' 200rnnpsorless ° j $a3tr 2 t 10 . ❑ PROPERTY OWNER ' ❑ TENANT 201 amps to 400 amps 106 85 2 Name 401 amps to 600 amps 16060 2 601 amps to 1,000 amps 240 60 2 Address- Oeer 1,000 amps or volts _ 454 65 2 City /State/ZIP: , 1 emporary services or feeders installation, alteration, and /or �,....- ._..__,.,.__ relocation __ _ Phonc: ( ) Fat' ( ) 200 amps or less Y..�. _ _L 66 85 _ Owner installation: Thus installation is being trade on property that I own which is noY 201 amps to 400 amps . 100 30 � intended for sale, lease, rent, or exchange, according to ORS 447 449, 670, and 701 401 amps to 599 amps 133 75 —0, Branch circuits - orw, alter aliuu, or extension, i'r intact ,/ fJ �/ Owner signature' Date. — _ A, pee for branch circuits w ith �T i 7 ,' • ❑ ' _ APPLICANT ' , ' I Li CONTACT' PERSON above SCI or feeder fee. Business name each branch circuit B Fee fir branch circuits Contact name' it 1111014% service or feeder fee, 46 85 ■ 2 first branch circuit I Address; Em.h addl branch circuit 6 65 _ d 2 City/State/ZIP — - Miscellaneous (service or feeder not included dweI manufactured or rfeeder modular II 90 90 -� Phone. ( ) - -^-.__ Ear • ( ) - dwellmg_servtm and/or feeder _ _ Reconnect only 66 85 —© E-mail• Pump or Imganon circle 53 40 — , , CONTRACTOR Sign or outline lighting 33 40 2 Signal rgusil Crew:U) or United- ' Business name Yin ` } •lam or • y panel, alteration, Address k100 N , (Pt t{- ^ • extension Describe' Paget 2 Cn V„ ■ ` _ 1 00 City /State /ZIP: a , • Each additional ms, taiga over allowable in an of the above .. -, n tef► i ..:40.16 D . - _ - '��--- Per inspection 62 50 Phone: (60] ) I s 'r Fax. X )3) �1 IJ'W O•''I Q f ` .� C� �'J' �J3 Investigation per hour (h hr mm) 6250 - CCB LEC.: tC 9d Electrical Lic,'3y -CI � Suprv, Lic : ,;, I( 3 S Industrial plantper hour = 73 75 - '" / p.. P , ELECCRICAL PERMIT FEES Supry Electrician signature. required / j-�, v " - r Subtotal e ... a_ .... Ns 6g Print name, A Plan review (25% of penult fee) V. - rl 1�1ar • ole.iMtth Date: lO /�,cj/0ci State snrchargc(l2 %ofpermn fee) /3,2(0 Autliorized signature. TOTAL PERMIT FEE, J.04 Dr This permit spoilt-flied expires if it permits nut (damned *Ohm UM 9 Se Print name: Date• days alter le has hews accepted as dimple*. t� / ' • Numbm ofmypecDons allowed per permit 11nwldmgtPerma:tELC- PenanApp dac 05125/06 4404615T(I1/05/COMAYEa 'd Q 'QN I0,\dQrn3", F ) }oal3 auolsallW 1/11dL 600b '3! 1JO 1 2 _ i t pr i n re cJ 4-Z: oduvt c4 tb • CITY OF TIGARD MASTER PERMIT I I C COMMUNITY DEVELOPMENT Permit# MST2009 -00156 TIGARD 13125 SW Hall Blvd Tigard OR 97223 503 639 4171 Date Issued 10/02/2009 Parcel 2S103D000414 Jurisdiction Tigard Site address 10820 SW FAIRHAVEN ST Subdivision Lot 0 Project Winterbourne Project Description Add 1196 square feet habitable space to existing home BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 1 First 1196 sf Basement 0 sf Left 0 Parking Spaces 0 Height 11 Bathrooms 1 Second 0 sf Garage 0 sf Front 0 Smoke Dwelling Units 0 Third 0 sf Right 0 Detectors Yes Total sf Value $121 932 20 Rear 0 PLUMBING Sinks 0 Water Closets 1 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Catch Basins 0 Lavatories 2 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Other Fixtures 0 Tubs /Showers 2 Garbage Disp 0 Water Heaters 0 Water Lines 0 Drains 0 Bckflw Prevntr 0 MECHANICAL Fuel Types Air Conditioning N Vent Fans 2 Clothes Dryers 0 Heat Pump N Hoods 0 Other Units 1 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 20 1 -400 amp 0 201 -400 amp 0 1st W/O Svc/Fdr Limited Energy 401 -600 amp 0 401 -600 amp 0 Ea add 'I Br Cir 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 Ecompasing N Other N Other Descnption 9 BUILDING INFO Class of Work Type of Use Type of Constr Occupancy Group Square Feet Owner Contractor Required Items and Reports (Conditions) WINTERBOURNE, JEANI 8 CORNER STONE CONSTRUCTION INC 1 MST Ersn Cntrl 503 - 681 - 4444 MICHAEL 27713 NE 46TH ST 10820 SW FAIRHAVEN ST Camas WA 98607 TIGARD OR 97223 PHONE PHONE 360 - 910 -8346 FAX 360 -834 -7997 Total Fees $3, 04 This permit is issued subject to the regulat contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable low All work will be done in accordance with approved plans This permit will expire if work is not started wi thin 180 days of issuance or it work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344 1 Issued By Permittee Signature c� R 0 Ol QV(in OL u CITY OF TIGARD MASTER PERMIT ; 2 `:.. COMMUNITY DEVELOPMENT Permits MST2009 -00156 T CAR 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171 Date Issued 10/02/2009 Parcel 2S103DD00414 Jurisdiction Tigard Site address 10820 SW FAIRHAVEN ST Subdivision Lot 0 Project Winterbourne Project Description Add 2836 square feet habitable space to existing home BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 1 First 1196 sf Basement 0 sf Left 0 Parking Spaces 0 Height 11 Bathrooms 1 Second 0 sf Garage 0 sf Front 0 Smoke Dwelling Units 0 Third 0 sf Right 0 Detectors Yes Total sf Value $121,93220 Rear 0 PLUMBING Sinks 0 Water Closets 1 Washing Mach 1 Laundry Trays 0 Rain Drain 1 Catch Basins 0 Lavatories 2 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Other Fixtures 0 Tubs /Showers 2 Garbage Disp 0 Water Heaters 0 Water Lines 0 Drains 0 Bckflw Prevntr 0 MECHANICAL Fuel Types Air Conditioning N Vent Fans 2 Clothes Dryers 0 Heat Pump N Hoods 0 Other Units 1 Fum<100K 0 Vents 0 Woodstoves 0 Gas Outlets 0 Fum >=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 1st W/O Svc /Fdr Limited Energy 401 -600 amp 0 401 -600 amp 0 Ea add'I Br Cir 601 -1000 amp 0 601 +amp -1000v 0 1000 +amp /volt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo N HVAC N Security Alarm N Vaccuum System N Garage Opener N All Other N Other Description Ecompasing N BUILDING INFO Class of Work Type of Use Type of Constr Occupancy Group Square Feet Owner Contractor Required Items and Reports (Conditions) WINTERBOURNE, JEAN! 8 CORNER STONE CONSTRUCTION INC 1 MST Ersn Cntrl 503 - 681 - 4444 MICHAEL 27713 NE 46TH ST 10820 SW FAIRHAVEN ST Camas, WA 98607 TIGARD, OR 97223 PHONE PHONE 360- 910 -8346 FAX 360 -834 -7997 Total Fees $3,866 04 a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law II work will b ne in accordan : with approved plans This permit will expire if work is not started within 180 days of issuance or i ork is suspended for • ore the 180 days ATTENTION Oreg. law requires you to follow the rules adopted by the Oregon Utillry Notific •n 4e te hose rules are set f•rth in OAR 952- 001 -0010 through OAR 9 •- 001 -0100 ma n a copy of the rules or direct questions to OUNC by calling .03 246 • :99 1 600 332 344 Issued By ,� Permittee Signature f I ' Huii'dY ig Permit Application Residential RECEIVED H`oaHH14 fisi: of Tigard - City Received JUL 21 2009 DaWB , Permn No \n_ .�� � � � ,' 1 14 13125 SW Hall B lvd , Tigard, OR 97223 Pl an Review' �]I 6�� u �� Phone 503 639 4171 Fax 503 598 1960 Daie/B Pi.�AF�it Other Permit Ti GARD Inspection Line 503 639 4175 CITY OF TIGARD Date Ready '` lens 66 See Page 2 for Internet www tigard - gov BUILDING DIVISIO Notified/Method V ` / Supplemental Information ' I:I. 7Z ...v..yar , ,. -, vta tf._ u- -.rct. . t ,.z.V ,,••., tnS/Cf .- x - :s `.'n,.:, s =. .k r ' TYPE ' ..`"- a .."" ` ev...z 'aP -u RE Q ULREDD PA: asaa4 -, M II.] oD a a, . , - , - ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other equipment, materials, labor, overhead, and the profit for the •°_- ''s5;,ar.y;;{y,CA ET GORY,OI'N .r�<f., work indicated on this application El I - and 2- family dwelling ❑ Commercial/industrial V $ ❑ Accessory building ■ ❑ Multi- family Number of bedrooms ❑ Master builder ❑ Other Number of bathrooms rh 'O l" V JOB TTE INFBINIA$ iON AND�'sL CATTON ' ;' 'gAL -a Total number of /loots ) \ 9 (, Job site address 012 5 stj Fair ha✓u% 5f New dwelling area 2,83 . square feet- P 7 City /State /ZIP -L - a✓ V 2 1.72.-2.- Garage /carport area square feet Suite /bldg /apt no Project name ; Covered porch area square feet i Cross street/directions to job site 5 s O t G .31.. Deck area square feet � Other structure area square feet REQUIRED,FATA %€OrV USE ,Ch CKLiS Subdivision Lot no Permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no M ,*^ _} . _ .,.. - equipment, materials, labor, overhead, and the profit for the . �`S,' t t ti �,��"tQESCRIP Q 00 WO Wit='* ^ ,d•,ssr- ,'; 'y:'E'''vv' �„ . - ,o?; ..' fi v t,_- work indicated on this application Valuation $ 7 N , .6 tD K Ta l he ✓4r b� e.41.1•54-7 v ' t 1 GG New building area square feet Existing building area square feet a ,, w : 4®YROI'ER`rY OWNER ' ^TSs ;,;tt ti g>4PE AI T Fa, =a Number of stones Si Name Type of construction Addiess Occupancy groups City /State /ZIP Existing Phone ( � _4 t i �) P r4 r`(r y ) ' ,1 ef-._ - LL New 4,4 i „.,„ A PPL GAiVT ` 4 a te'^,, =: ,_' © PERSON,, , �* '+ 'a h, ,.. si' a .:.. ..��xtm �'_,NOT, SCE�t sw rp"��..�'a°.�^'ry';°, Business name r�r i ..4- . • All contractors and subcontractors are required to be Contact name rGwt�GeNV licensed with the Oregon Construction Contractors Board ,t under ORS 701 and may be required to be licensed in the Address 24i 2) IV tr 4.(e't y / 'S{. jurisdiction in which work is being performed If the City /State /ZIP S ol applicant is exempt from licensing, the following reasons Q ' • apply Phone ( 340 ) q � W/t � U10 Fax (4 0) 13€1,—//31 E -mad - ✓ a,,,-, 0.e.:1 l' ate fa. " ,"- , � 4 „- th.a r�CONP. ,, ,, T OR T '' ---,:' ,,, .., --;` 0 -:4ttie Business name r- i , ; ;< ;y p,- - - _ 7. BUIL'DING)EERMITEEES "rvis . �1 PAZ: .mss 'f l enierre erg e`sc bide �" .m Address 22 L t S JO E i. ' St. ,a,., °" ` v l ! ab �t Structural plan review fee (or deposit) Qty /State /ZIP X S MIA tr(0 t zV SUt Phone 360 ) 9 ID - 131 Fax (• c b 4°(G1'� FLS plan review fee (if applicable) Total fees due upon application CCB lie in ( LI • (. 1 -I D Amount received Authorized signature 114 � 'I his permit application expires if a permit is not obtained Print �/� within 180 days after it has been accepted as complete. 1 rint name 71 r S G, Date O . * Fee methodology set by I riCounty Building Industry Service Board I \ Building \ Penults \BUP -RES PermitApp doe 11/6/07 440- 4613T(11/02/COM /WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE ust: ONLY City ' of Tigard Received ,, g Associat Permit No 13125 SW Ha ll Blvd, Tigard, OR 97223 Phone 503 639 4171 Fax 503 598 1960 Associated permits TIGARD 24- Flour Inspection Line 503 639 4175 ❑Electrical ❑ Plumbing ❑Mechanical Internet www tigard -or gov ❑ Other THE FOLLOWING ITEMS,ARE REQUIRED FOR PLAN REVIEW Yes No N/A I 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 foists ❑ ❑ ❑ 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 O. ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the iroject under review ;JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above Site plans must be 8 -1/2" x I I" or I I" 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 Of 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 ((we' non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995 I \BwldingWermus\BUP- RES- Penn'App doe 03/21/06 440- 4613T(11 /02 /COM/WEB) Mechanical Permit Application RECEIV j FOR OFFICE USE O LY • City of Tigard Permit No u l Z / nl (( In late/B "3VV 13125 SW Hall Blvd, Tigard, OR 97223 Received 2i 1 2i P•, • Phone 503 639 4171 Fax 503 598 1960 J U L Other Permit Inspection Line 503 639 4175 CITY OF TIG t t J,„,, ® See Page 2 for Internet www tigard-or goy Supplemental Information BUILDING DIV !III 6 / TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Er Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor overhead, and profit CATEGORY OF CONSTRUCTION Value $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I and 2 family dwelling ❑ Commercial /Industrial ❑ Accessory building For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other Description Qty Ea Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning Job site address I b 12-0 5 • W 'R lr . w col, 4 • $ (requires pump (regs site plan showing placement) 14 00 City /State/ZIP ersi 4 r d. 02— ', 72-25 Furnace 100,000 B I U (ducts /vents) 14 00 Sm[e / bldg /apt no Project name I, ��II L Furnace 100,000+ BTU (ducts /vents) 17 90 N Fltf ivy b0 �J VIw�. Gas heat pump 14 00 Cross street/directions to job site Duct work ( 10 00 r H hot water system 14 00 Residential boiler (radiator or hydronic) 14 00 n Unit heaters (fuel -type, not electric), in -wall, ininduc[ suspended, etc 14 00 Subdivision Lot no Flue /vent for any of above 6 80 Other 10 00 Fax map /parcel no Other fuel appliances DESCRIPTION OF WORK Water heater 1000 Gas fireplace 10 00 e � . . • a re V' -- / Flue vent for water heater or gas - fireplace 10 00 e'I'lS ;.. �' « rLS T - •� «' Log lighter (gas) 10 00 Wood /pellet stove 10 00 Wood fireplace /Insert 10 00 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 1000 Other 10 00 Name Environmental exhaust and ventilation Address Range hood /other kitchen equipment 10 00 City /State /ZIP Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, I ,� Phone ( )J/ r/ Fax ( ) toilet compartments, utility rooms) r !/ 6 80 ( gl APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 / Other 10 00 Business name V y � Sbw V•-t" S ma., A 1,r C_• Fuel piping Contact name T � ��11-- r6 S5 40 for first four; SI 00 for each additional Address jai l 3 � 4crtt_ Furnace, etc c +a •rx Gas heat pump City /State /ZIP AS f ( )4 4$/ Wall /suspended/unit heater Phone ( O etto -t ; Fax (3&O / $n- 7ity Water heater t Fireplace E -mail T_ Q- al le t k Range l� C CONTRACTOR Barbecue y, Clothes dryer (gas) Business name 4 Yu1✓ . '1 Cg L• Other Address V11 Ai 6 µ "Hem • MECHANICAL PERMIT FEES* City/State /ZIP C ETAS WA 11007 r Subtotal 1? LO Phone (342D) CUD •••- �4 Fax (34p) ¶3T -7! I Minimum 25%o fee ($72 fee) �,��. q e Plan review (25 %of permit fee) �q CCB he Y State surcharge (12% of permit fee) G 70 TOTAL PERMIT FEE wi , Z (' Authorized signature This permit application expires if permit is not obtained ed within 180 d ays after t has been accepted as complete Print name Tito was eW—pd.c__ Date l s Fee methodology set by Tri- County Building Industry Service Board InBwldmgbiermits\mEC- Permimp doe 01/19/07 4 0-461 / (I 11o2/COM/WEn) ,) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1 00 to $2,000 00 Minimum fee $72 50 $2,001 00 to $5,000 00 $72 50 for the first $2,000 00 and $2 30 for each additional $100 00 or fraction thereof, to and including $5,000 00 $5,001 00 to $10,000 00 $14 150 for the first $5,000 00 and $1.80 for each additional $100 00 or fraction thereof, to and including $10,000 00. $10,001.00 to $50,000 00 $231 50 for the first $10,000 00 and $1 35 for each additional $100 00 or fraction thereof, to and Including $50,000 00 $50,001 00 to $100,000 00 $771 50 for the first $50,000 00 and $1 25 for each additional $100 00 or fraction thereof, to and Including $100,000 00 $ 100,000 01 and up $1,396 50 for the first $100,000 00 and $110 for each additional $100 00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. I \ Budding \ Permits \MEC- PermuApp doe 01/19/07 2 A a Plumbing Per ►r� � ' " D p pl ic at i on RECEIVED Building Fixtures JUL 2 ] 20 FOR OFFICE use ;ONLY' City of Tigard y � Date/B) Permit N" i 1 c -1ZooQ 00 (Se I '4 13125 SW Hall Blvd, Tigard OR 97223 TIGAl Review Phone 503 639 4171 Fax 503 598 1960 ('iTY Other Per nit No TIGAR Inspection Line 503 639 4175 B UILDING DNIS ti R eay /By tiro El See Page 2 for - Internet www tigard -or got' Noufled'M d eihod Supplemental Information TYPE OF WORK BUILDING SCHEDULE For special information use checklist 0 1yw construction 0 Demolition Description 1 Qtv I Ea Total Addition /alteration/replacement ❑ Other New 1.2 -family dwellings (includes t00 n for each utdiry connection) CATEGORY OF CONSTRUCTION SIR (1) bath 249 20 ❑ I- and 2 - family dwelling ❑ Commercial /industrial SIR (2) bath 350 00 ❑ Accessory budding ❑ Multi -family SfR (3) bath 399 00 Each additional bath/kitchen 45 00 ❑ Masten builder ❑ Other Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities lob site address .1 Z 0 i y 4- Catch basin or area drain 16 60 City /State /ZIP -1-75 CC✓ . 0 -i i z. 3 Do .v e11 leach laic of neigh drain 16 60 Swte/bidg /apt no 'rolect name /� Footing drain (no linear ft _) Page 2 Cross street/directions tomb site R1anufaculred home utilities 110 00 Manholes 16 60 . , • _ I 5 . Rain drain connector I 16 60 1 b. 10C Sanitary sewer (no linear ft ) Page 2 Storm sewer (no linear ft ) Page 2 Subdivision Lot no Water serxice (no linear ft ) Page 2 Fixture or item Tax map /parcel no Absorption valve 16 60 DESCRIPTION OF WORK Backflow preventer Page 2 a ._,4 I 4 . ,,,,__ Backwater vatic 1660 re- AAA 0.60 Clothes washer 6 60 0, ,� • Dishwasher 16 60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 6 60 Ejectors /sump 16 60 Name Expansion tank 16 60 Add] ess Fixture/sewer cap 16 60 City /State /ZIP Floor dram /floor sink/hub 16 60 Phone ( ) Fax ( ) Garbage disposal 1660 M APPLICANT ❑ CONTACT PERSON Huse bib ] 6 GO kj, l Ice maker 16 60 Business name _! Yicf_f joM1.i_ 4 ' Interceptor /grease trap 16 60 Contact name 'j & e Al � J Medical gas (value $ ) Page 2 Address ...7101.01441./ s kW c_jL.� Primer 16 60 City /State/ZIP C s ( w A- 41$ , 01 Roof drain (commercial) 16 60 Phone ( . ) ♦ 0 Fax ( 41) $ it_ C�- r7 Sink /basin/lavatory 'DA /4 Z. 1660 2 ? / Tub /shower /shower pair 'Z 16 60 '33..7 b E -mail Urinal 16 60 " r CONTRACTOR V. trier closet I 16 60 `k;. Business name , C1 .=J ' ' Water heater 16 60 Address o1 _lam A It Other I Citv /State /7IP iGl,f ( ,,,,e/ es _ �t _ . e g h Subtotal ( , _ Minimum permit fee $72 50 \kb p Phone (yet.) dl r:7 — Fax (3 Residential back minimum permit fee $3625 V CCB Lie / ;3 1 , Plumbing Lie no 3,- Plan review (25% of permit lee) , Authorized signature ( State surcharge (8% of permit permit tee) �jJ TOTAL PERMIT FEE � 474 �'�� "" -�." Print name ®� ♦� This permit application expires if a permit is not obtrm within 180 days after it has been accepted as complete. *fee methodologl set by Tri- County Building Industry Service Board I SBuilding'ermas1P1.MF- PermrApp doe 12/27/06 140- 4616T(10 /01CONVWaB) 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' 55 00 0 to 2 000 $115 00 Footing drain - each additional 100' 4640 2,001 to 3,600 $160 00 3,601 to 7 200 $220 00 Sewer - 1 st I UO' 55 00 7,201 and greater $309 00 Sewer - each additional 100' 4640 Water Sets ice - 1st 100 55 00 Medical Gas Systems: Water Servmc - each additional 100 4640 Valuation: Permit Fee: Storm & Rain Drain - 1st 100 55 00 $1 00 to $5 000 00 Minimum fee $72 50 Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5 000 00 and $1 52 for each Fixture or Item Qty. Fee (ea) Total additional $100 00 or fraction thereof, to and including $10 000 00 Commercial Back Flow Prevention Device 46 40 $10 001 00 to $25,000 00 $148 50 for the first $10 000 00 and $1 54 for Residential Backflow Preaention Device each additional $100 00 or fraction thereof, to (minimum permit tee $36 25) 27 55 and including 525,000 00 Rain Drain single family dwelling 65 25 525 001 00 to $5Q000 00 $379 50 for the first 525,000 00 and $1 45 for Inspection of existing plumbing or each additional $100 00 or fraction thereof to _ and including 550 000 00 • specially requested inspections - per hour 72 50 $50,001 00 and up $742 00 for the first $50 000 00 and Si 20 for Subtotal: each additional $100 00 or fraction thereof Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the follow ing please indicate work performed by fixture. Failure to Please check all that apply accurately report fixtures could result in Increased sewer fees *. El An) new commercial building with water service T and Quantity by (Fixture) Work Performed greater. except systems designed and stamped by licensed Fixture Type: Replace engineer Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040 Bath - Tuh /Shower ❑ Medical gas and a acuuun systems for health care tactlnttes - lacuui /AV hirlpool ❑ Any multipurpose tire sprinkler system Car Wash - Each Stall ❑ Any complex se ucture as defined in 0AR918- 780 -0040 -Drise Ihru Cuspidor /Waver Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial -Doniestic Isometric or Riser Diagram Drinking Fountain Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink -2" that meet the qualifications above i" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial -Industrial Ice Mach /Refrig Drams • Oil Separator (Gas Station) Rec Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - *Note: If the fixture work under this permit results in an - Commercial Increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Lxtractor Water Closet - Toilet Urinal Other Fixtures rB uuding'Permvs \PLM Pe,mnepp del 1227r05 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/13 . Permit No M6T aOO'- OoIS6 ` r• ° 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review Phone 503 639 4171 Fax 503 598 1960 Date/B Other Permit TIGARD Inspection Line 503 639 4175 Date Ready /By laps ® See Page 2 for Internet www tigard -or gov Notfied/Method Supplemental Information �ppptttt .��. TYPE OF WORK PLAN REVIEW ❑ New construction ddition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checkx.d below) Service or feeder 400 amps or more ❑ Building over three stones ❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural [XI- and 2- family dwelling ❑ Commercial /mdustnal ❑ Accessory building amps for all other installations buildings ❑ Multi -lamely ❑ Master builder ❑ Other El Fire pump ❑ Installation of75 KVA or JOB SITE INFORMATION AND LOCATION 13 Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A', `E', `I -2 ", `t -3 °, b n Jo site a ddress I 1 _ ❑ S or or more occupancy Jo parks q 3 O Z 3 e hp or more residential units ❑ Recreational vehicle City/State /ZIP 7f & rot �- / ] "� a5, ?3 ❑ Health-care facilities ❑ Supply voltage for more than AA �I V 0 locations volts 600 volts nominal Suite/bldg /apt. no I Project name: Ar ��. .A ❑ Sernee or feeder 600 amps or more I r1 FEE SCHEDULE Cross street/directions to job site Docnpi„n I Qty- I Fee, I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision. I Lot no 1,000 sq R or less 145 15 4 Tax map /parcel no' Ea add'1 ft or portion 3340 1 Limited energy, residential 75 00 2 DESCRIPTION OF WORK (with above sq R) t Limited energy, multi-family M ; �tG.. C . r L at CQ( t�t ��. residential (with above sq f) 75 00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 2 ❑ PROPERTY OWNER_ ❑ TENANT 201 amps to 400 amps 106 85 2 Name 401 amps to 600 amps 160 60 2 601 amps to 1,000 amps 240 60 2 Address Over 1,000 amps or volts 454 65 2 City/State /ZIP. Temporary services or feeders installation, alteration, and/or relocation Phone ( ) I Fax ( ) 200 amps or less 66 85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133 75 1 2 Branch circuits — new, alter abon, or extension, per panel Owner signature Date A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2 each branch circuit Business name B Fee for branch circuits without service or feeder fee, 1 46 85 2 Contact name first branch circuit Address. Each add'I branch circuit 3 6 65 2 Miscellaneous (service or feeder not included) _ City/State/ZIP Each manufactured or modular dwelling, service and /or feeder 90 90 2 Phone ( ) Fax ( ) Reconnect only 66 85 2 E - mail: Pump or irrigation circle 53 40 2 CONTRACTOR Sign or outline lighting 5340 2 Business name ,/ L / - Signal melons) or limited - /vrt I /e c5-/ /w)e -� �I �G'j'l'L �, energy panel, alteration, or 21.(c_ct extension Describe Page 2 2 City /State /ZIP fpeu/er z fl be 9 70 0 C Each additional inspection over allowable in any of the above Phone (5-03) G 7f 5 zs 1 Fax (5 O - z/8.l InInvestigation t a 3 Per inspection 6250 ( 5b3 � f T Y ton per hour (t hr mm) 62 50 CCB Lie . X5 e/ ( re) r Electncal lac 39 _ 6,i8e.l Suu Lie 2 1/35 Industnal plant per hour 73 75 Z2te 1/ ELECTRICAL PERMIT FEES Supry Electrician signature, required y Subtotal Print name i tt. /j /, — n-i e / o / rn Date/ _ Z _ Plan review (25 % of permit fee) / V T� 6 L� - 9 State surcharge (12% of permit fee) Authonzed signature TOTAL PERMIT FEE Print name Date This permit application aspires tf a permit is not obtained within IRO days after it has been accepted as complete. • Number of inspections allowed per pemit i \Budding\Permits\ELC- PermitAPP doc 05/23/06 440 -4615Th I /05 /COM/WEB N Legal T2S R1E-SECTION-03DD -TAX LOT-414 --' - — 7_ 2C-Cor • OCkEin Address 10820 SW FAIRHAVEN STREET, TIGARD OR 97223 ,)".y.,:(4.,' 'qv, i ' N'' 'I ft _. , 3A,!' ;itii' i OF; EL ..�. !,'. T "t' REV . N 89 °53'35" E '10000' e E NI —P W N RECEIV -- -- - - ' — 20 SCALE -1' =20 - - AUL 21 2009' 15' 69' N _ CI CITY NG GA BUILDI DNISION 1 - - - - - - I - - - - - ' -I -�- I -- - - - - 1 L I I I_ I rill -' •• •- -• - -r- _ . � 1 I (PROPOSED ADDITION' N - x[ " +'h .l ?1 fill YS� QI•r) II` - 1 i - - 1 ' /i-'4 iii . ..,- � - - - - - ., 4...11 :! { 1 Il, „t ' t. ' .L1)...1= . r Eo N En in rl - - t 1 . 1t I _ w I ';',k' 'Li. ___ r._._ ,1 , __ _, .... r -. ` 4 = f - , 1e. x511 / A ',x I. I''' ., 1• u •1 , • I ;to 1 0 gg _- - - - - - - - - LLI - - - N 09'53'35 E 10000 ' I WPC) I I R EL - - - - _ � I \/'�1J - - / R EL v I 1 1 ; - —1— - - T - SW - - FAIRHAVEN STREET - - CITY OF TIGARD- SITE PLAN REVIEW BUILDING PERMIT NO: C)kgC70(12 _on t51r Street Trees: gOpproved ❑ Not Approved Protected T 0" Approved ❑ Not Approved By: Date: 1—,24,- 4 t Notes: / oe- 2-4411 s ,, 7 & /o0 fr S � CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: WI t7c0° • Cc-A < / PLANNING DIVISION: z Required Setbacks: Or Approved ❑ Not Approved Side. < Street Side: 22 /5- Front a° Garage Rear: Visual Clearance: [Approved ❑ Not Approved Maximum Building Height feet CWS Service Provider Letter Required ❑ Yes o ❑ Recxived B u a- Date ) � ENGINEERING D PARTMENT: Actual Slope:.% it Approved ❑ Not Approved Site Pilo: /4../7/7 AP�roved ❑ Not A roved By: /6I , / Date: Not l eifro t-0-“ i e � 97.€41;se,37— i� •, , RECEIVED nr n R 9nnn , _ _ .;nr -fl- -- - ......, G:r.r. ra:::: :. .. CITY OF TIGARD i BUILDING DIVISION PDC)? 9rEATHING ROOF mays 3 Ih ROOFING s ` Ii RAIN GIXIER .4" .: Slll ON SILL C - N \_ I / 2 C 12.9a n) ■ CPNCN AS PER CDE) II { 91ELVOCK MIN. i `ii d i F ,�ISIC)rI ` LOG IX FORMS > i A A 5 T . .'ss - 0 0 1 5 6 ; City .; Tigard II i Appr. ed Plans iii 2 By IRS ' Date Iaf � . o�� c N v _ I OS le C9,_) Elkki joa -c:0' I il v 2" (12.7m) OF I CE COPY \g L / EIPOCK MIN. N 512ING A5 PER SPEC. --- ANCHORED f0 Wt25 lo Li LIA a f g PLKM.IC PN.'G1NG Lr (Vaal- ( F�E I7RANING) u 4K` H ret M pG12 1N91A11. ill,/ '.'•'•'•' •'•' . OM � 24 l- epc.tcr. S / 1 /d r d �yd/f/d/y �, r,. 12' W f tcR F4 � $ �. 0.G, 13 E. a ( OPn0NN.) �A' - , z /a °(19mn)CRlLPIM N° r r ', � Z. 314 IZEBMr �itlT. STONE OM PIPE a„ (IOlmn) r r __ L9JDI57tE17 506. O♦? 6EDROCK PERFORMED MAN TILE _ X ... .4444S_^.`g4 : 3 ? E�' c - I,.. �._'w:.' �?*. a^' 51Z". s.t 2�l. �- iiP•".. F` xT. �..'>;-- C: - ^^s ,, ...' - _�W%? 1 a'ivZ'e 2 ' m n., } 4 ^�u�`"jl`_"t: £ �'e.. Iire."2"L1Y��k�w`S. r .N'.,.Ui'i.n .w�. �.r d, :3 .^ m . ._ww_ y "y./� \ 24 -0 23'-0' 22' -0 r F I .' • 2D b L �,: $•_/ i i5'sk t- t'h FOUNDATION NOTES t �� y T J M r LA RAY ponle OM ONTO - IS IfglPpy W I (I WO ' Cat I ' tom t ) \' SIAM 4• TOM X90 P31 td1oM1R. an C0110.470 ?ILL 4+ KM W 30* X t0 Y 10• parr LOAD comm. X> ® Y SHOW I ,. 'jiv'�1 C Le-34 o 0 7 , �,�titi �-�w «I DESIGN CRITERIA: I .,/ (Litt . o ) J PI n >a ouo Im, w u u .007 'j I 1 �,�' !` �` ILLTJ �f . x0 XI= I Mm °` ALUM= a 44u+03 r.OVc IDaa PW• COMM 1C COMPLY MIM XIx MO* moOxx6 f0]LL1Y cox L ixC O•F i+2e-4$ "o.G. J q I. W C t 1 0 _ 0 _ _ _ V 0 I - . Sr• — ■ 5041‘4154 xq La S. L — a o It D 1 1 r z - fi e _ fLE ft 3 cThe a - _ ,o\4 e _ 6 6 z7c. This form is recognized by most Building Departments in the Tri- County area for transmitting information Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION 'TIGARD TRANSMITTAL LETTER a TO: Vl DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED ED '^^ OCT082 FROM: 144 CAS M CITY OF TIGARD COMPANY: Co 1/ , . A t - j �L "pn,St. BUILDING DIVISION PHONE: X 7(0 °' 1 1Q — 7-1‘x By _) RE: 10820 'Tn.\ rlhCAIe �E• Ytit � oG fir-- & dress (Site Ad (Permit/ ase Num er (Project name or subdivision nom .nd lot number) ATTACHED ARE THE FOLLOWING IT I S: Copies: Additional set(s) of plans Revisions: ( nd t r oar , 3 V Q CQA be¢tn -ti Cross section(s) and details. Wall bracing and /or lateral analy is Floor /roof framing Basement and retaining walls Ream calculations ngineer's calculations. Other (explain) REMARKS: ,.:FOR C ; USE - ONLY:;- ; :::...• ' = ' Routed to Perm /,Technician: Date (6 (C (F? I 'tials• "r Fees Due. , ❑"Yes ❑ No Fee Description: A stint Due. ►7L , _ L $ err SO - $ $ Special Instructions Reprint Permit (per PE). n Yes IT No ❑ Done Applicant Notified Date Initials: \Budding\ Forms\ TransmittalLetter - Revisions doe 4/4/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information Please complete this form when submitting information for plan review responses and revisions This form and the information it provides helps the review process and response to your project BUILDING DIVISION TIGARD TRANSMITTAL LETTER a - TO: G�� �i DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED SEP 15 2009 FROM: CITY OF TIGARD COMPANY: BUILDING DIVIN PHONE: °y `' RE: (08 a0 &n) ` f aa r � lo.�e , �� 1 `(57200 9- 06lb -o (Site dress) ermrt ase um er Project name or su d na ey UL, lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Additional set(s) of plans Revisions Cross section(s) and details Wall bracing and /or lateral analysis Floor /roof framing Basement and retaining walls. Beam calculations r Engineer's calculations. Other (explain k e n d , REMARKS: FOR`O)FEI - •E.USE; ONLY, Routed to Permit Technicia.: Date CJ Initials tic' Fees Due: ❑ Yes o Fee Description. Amount S ue $ $ $ Special Instructions Reprint Permit (per PE): ❑ Yes n No ❑ Done Applicant Notified Date Initials I \Building\ Forms \TransmittaiLetter - Revisions doc 4/4/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project II BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: Cl DATE RE VED: DEPT: B DING DIVISION � C�IV ED AU 2 7 20 0 9 BUI D ° GDV:1 FROM: t / �• A...- 0N C OMPANY: t. I /' 54.,i, ,_ 6, 6 • n G , i CITy PHONE: 0 - c t( D - 3 4-(a ey RE: 3 & l DT 20 ;. ti . eo t iLhGc_L 51 1\-i f- • -rho -rho / � (Site Address ermit ase 1 um.er • i It a A a..• rolect nam'or su..i on name an, o num.er ATTACHED ARE THE FOLLOWING ITEMS: Copies:.. Descriptions '`l- l . :,l,;,,r '" i ,•Copiesi"i' ; „=, ,, _• _ i .C., _,.x Additional set(s) of plans Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis Floor /roof framing. Basement and retaining walls. Beam calculations Engineer's calculations Other (explain) REMARKS: . - /%-t �FOR'i©FFICE „USE _ : ' rz ' !' Routed to Permit Technician: Date: e(-3 l / O Initial Fees Due n �i/1vo Yes Fee Description Amount Due: $ '_ $ $ Special Instructions: Reprint Permit (per PE) ❑ Yes n No n Done Applicant Notified: Date Initials: I \Buddin \romis\ I ransmatalLetter- Revisions doe 4/4/07