Permit ` MASTER PERMIT
C TY ®F TIGARD PERMIT #: MST2002 -00428
A DEVELOPMENT SERVICES DATE ISSUED: 10/21/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
• SITE ADDRESS: 13220 SW GENESIS LP PARCEL: 2S103DB -10300
SUBDIVISION: GENESIS NO. 3 ZONING: R -4.5
BLOCK: LOT: 072 JURISDICTION: TIG
REMARKS: Add 420 square foot shop to east side of garage.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 420 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: 10,206.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: I PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 60D amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: •
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATARELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 433.68
This permit is subject to the regulations contained in the
CUTONILLI, STEPHEN + DIANA MORNING STAR CONSTRUCTION INTigard Municipal Code, State of OR. Specialty Codes and
13220 SW GENESIS Le _,.. ----- "' 11180 SW ERROL ST all other applicable laws. All work will be done in
TIGARD, OR 97223 fir. � :�i TIGARD, OR 97223 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: Phone: 503 348 - 6455 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 00050683 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Footing Insp Shear Wall Insp
Foundation Insp Rain drain Insp
Electrical Service Electrical Final
Electric ough i - Plumb Final
Framing Insp Final inspection
a
/ / ‘ /- /f�
Issue By : �.;h ,��.�.. I G Permittee Signature : x ` /�'[ � �i�it_
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
p4, lU -1 -oZ /3
huildin Application :. : ( >I l It l 1'
�1 of Tigard Date received: /et 8 d `� Permit no.: �rj'�f j�t- -' 1 ',
h 61 1 ')'' ty g date.
"' Project/appl. no.:
1 Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 -4171 Date issued: . Receipt no.: c
r /�
Fax: (503) 598 -1960 Case file no.: Payment type: °
Land use approval: 1&2 family: Simple Complex:
V
)iri,& 2 family dwelling or accessory Cl Commercial/industrial Cl Multi - family ❑ New construction ❑ Demolition
rA'Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm Cl Other:
- • • : JOB.S�ITE IiNFORMATION' ,
Job address: 220 . GeK I - Lao • Bldg. no.: Suite no.:
Lot: Block: Subdivision: - i 1 s Tax map /tax lot/account no.: 2.5 1 C 3 j) O 3O0
Project name: • , • - ' • • ,'• ,
Description • s d location of work on premises/special conditions: L . .. r 0 - A
. ; r)1V \'•1R :: FOR' SPECIAL 1\FOK31,ATIO \. (1SE.€HECKI;IS7
Name: 5 eve o p t ; I ' {Floadpl nn sejmc C1O:if it Solar etc:)
Mailing address: 1 3 ZZA . W . e4415 )5 ',so 1 & 2 family dwelling: �.
City: ` • • r a. State: O ZIP: ..• Z Valuation of work I U a G4 $ - go t .
Phone: ,, • ,�� Fax: E -mail: No. of bedrooms/baths —
Owner's representative: T vv_ e Total number of floors l L
Phone: ? -4,y6:5 Fax: E-mail: New dwelling area (sq. ft.)
�PPC \\T..' Garage /carport area (sq. ft) G.l
Name: Ce . Covered porch area (sq. ft.) O..'
Mailing address: `� Deck area (sq. ft.)
ZIP: Other structure area (sq. ft.)
Phone: 3 . � l , 4' 5 Fax: gza7 E-mail: G ZZ Commerciallindustrial/multi family:
'CONTRACTOR• Valuation of work $
. : ., Existing bldg. area (sq. - .)
Business name: 1 0 f h j t• 5 Cllr Or iru r✓ New h
New bldg. area (sq. ft.) ...
Address: if : O Gt, • E rra St:
State: Q r ZIP: q Number of stories
City: ' T i ' ' ! ' . Type of construction
Phone:3 t;. Fax: fZ27 E -mail:
CCB no.: 5cil, : Occupancy grou Existing:
City /metro lie. no.: ZZ,7 Notice: All contractors and subcontractors are required to be
- • CR(iiltL:CT /I) IS It.NE R
� , licensed with the Oregon Construction Contractors Board under
Name: a r p 0 $ provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: - Um . y ee er Plan no.:
Phone: 3 v8 64/55 Fax: '68 F'7 E -mail:
., '' I \(INFER' ; ..:.. .; - • , ctl 11C`l 1,«I,.l1 >I 1'
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept cred cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasteiCatd
work will be complied with whether specified h ern or not.� Credit card number: / /
Enpires
Authorized signature: 71t-L te: , r�70 Name of cardholder as shown on credit card
Print name: tilM, M ee. er Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/COM)
-. 1lectrical Per mit Application . - '
Date received: /p e d r Permit no.: ST �i - A
�8.,) i
�•I I ? City of Tigard Project/appl. no.: 4e date:
CityofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: , B IS Receipt
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
' TYPE OF PERMIT. ' ..
4 1 & 2 family dwelling or accessory 0 Commercial /industrial 0 Multi- family 0 Tenant improvement
0 New construction Addition/alteration/replacement 0 Other: 0 Partial
: '' ' .;, , . , .' . JOB SITE ,
;,, , � OB TE INFORMATION' > ` � `
Job address: 22j ,(,V, -yli5j by v. Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision: ( RCN; • ZS is 30sto3O°
Project name: (�a - . d v i ion Description and location of work on premises: i t a =,, ; , i, o ', C -
Estimated date of completion/inspection: 0 2D 0 Z
' , .f. CONTRACTOR APPLICATION . -. • - ~; FEE SCHEDULE ' , -` '
Job no: - Fee Max
Business name: Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: dwelling unit. Includes attached garage.
City: State: ZIP: Service included:
Phone: Fax: E - mail: 1000 sq. ft. or less 4
CCB no.: Elec. bus. Ile. no: Each additional 500 sq. ft. or portion thereof
Limited energy, residential _�_ 2
City /metro hc. no.: Limited energy, non- residential ___ 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder Milli 2
Sup. elect name (print): License no: Services or feeders — installation,
alteration or relocation:
a s'ir '. ` .- i� 'PROPERTY OWNER . ' 200 amps or less 2
Name (print): 5 - - 201 amps 400 amps ___ 2 ■ • 401 amps to 600 amps t ___ 2
Mailing address: a S. __ • (, - 1 ' f Lc 601 arhps to 1000 amps ___ 2
111011ESIM ZIP: Over 1000 amps or volts ___ 2
Phone:
( psgr 1i Fax: E -mail: Reconnect only II_ 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, 670 11. 200 amps or less 2
201 amps to 400 amps _EM 2
Owner's signature: 'A Date: ' / D 401 to 600 amps . 2
- ENGINEER Branch circuits - new, alteration,
or extension per panel:
Name: • A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 1111111 2
Phone: Fax: E - mail: NE_
Each additional branch circuit:
. PLAN REVIEW (Please check all that apply) Misc: (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle �■ ■ 2
❑ Service over 320 amps -rating of 1 &2 ❑ Hazardous location Each sign or outline lighting ___ 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
0 System over 600 volts nominal more residential units in one structure alteration, or extension* — - - �■ 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Descri .lion: '
0 Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lightingplan 0 Other: Per inspection __
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other r
Not all jurisdictions accept credit carets, please call jurisdiction for more information. Notice: This permit application Permit fee $ J ,3 .SD
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ 4 / -7i
Expires accepted as complete. TOTAL $ 57.78
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 -4615 (6/00 /COM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
/� Restricted Energy Fee $75.00
Number of Inspections per permit allowed . (FOR ALL SYSTEMS)
Service included: Items Cost Total 1, Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular n
Dwelling Service or Feeder $90.90 2 Garage Door Opener
Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 2
201 amps to 400 amps $106.85 2 I Vacuum Systems
•
401 amps to 600 amps • • ' $160.60 2
601 amps to 1000 amps . . $240.60 2 I I . Other
Over 1000 amps or volts $454.65 2 •
Reconnect only $66.85 2 ..
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 amps to 400 amps $100.30 2 .
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
• see "b" above. n Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel I I Boiler Controls
a) The fee for branch circuits
with purchase of service or I I Clock Systems
feeder fee.
Each branch circuit $6.65 2 n Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service n Fire Alarm Installation
or feeder fee. First branch circuit I $46.85 Each additional branch circuit i $6.65 41
S n HVAC .
Miscellaneous I nstrumentation •
(Service or feeder not included)
Each pump or irrigation circle $53.40 n
Each sign or outline lighting $53.40 Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 n Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional inspection over In Medical
the allowable in any of the above I � I
Per inspection $62.50 I I Nurse Calls
Per hour $62.50 •
In Plant ' . $73.75 n Outdoor Landscape Lighting
Fees: n Protective Signaling .
Enter total of above fees $ 5. I I Other
8% State Surcharge $ 41-1g Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations
front of application.
Fees:
Total Balance Due $
X1 78
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
Total Balance Due $_
All New Commercial Buildings require 2 sets of plans.
is \dsts \forms \elc- fees.doc 08/30/01
•
Sent By: Morning Star Construction; 503 968 8227; Oct -21 -02 8:31AM; Page 1/1
CleanWatcr Services
October 17, 2002
Morning Star Construction
Attentions Tim Meeker
11180 SW Errol St.
Tigard, OR 97223
Steve Cutonilli
13220 SW Genisis Loop
Tigard, OR 97223
RE: Garage addition located at 13220 SW Genisis Loop, Tigard, OR
CWS file 2475 (Tax map 2S103DB, Tax lot 10300)
•
Clean Water Services has received your Sensitive Areas Certification Form for the
above referenced site. Staff has reviewed the Sensitive Areas Certification Form,
site conditions, and the description of your project (see attached site plan) and
concurs that the above referenced project will not significantly impact the existing
sensitive areas found near the site In light of this result, this document will serve as
your Service Provider letter as required by Resolution and Order 00 -7, Section
3.02.1, and your Stormwater Connection authorization from Clean Water Services as
required by Ordinance 27, Section 4.8. All required permits and approvals must be
obtained and completed under applicable local, state, and federal law.
This letter does NOT eliminate the need to protect sensitive areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at 503 -846 -3553.
Sincerely,
Chuck Buckallew
Environmental Plan Review
Site plan attached •
L' \DCv'cl,,p,i ent Sres •,Sf' OCl- 7 \<'unru,mice 1 .r 1)311) MO nn impart to water cj ality.d:
155 N rirst Avenue, Suite 270 ■ Hillsbo, , Orcyor, 97124
Phone: (503) 846 8621 • Fax: (503) 84& -3525 • www.cleanwc,lencrvic.es.org
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST �e3r°7_
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received )( Voll Date AM PM BUP
Location I � J O ,mow ,D 4 Suite MEC
•
Contact Person }Pe- , Ph ( ) PLM
Contractor Ph ( ) SWR
UILDI Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 4)4
Roof
Fina ry ,
it77M "•R I FA
• LUMBI ��
Po : e a r n
Under Slab
Rough -In
Water Service
Sanita ewer
• ain Drai s
:asin / Manhole
Storm Drain
Shower Pan
r:
Final
SS PART FAIL
'�111� EC otteA -
Post& Beam
Rough -In
Gas Line
Smoke Dampers
jinaT )
RT FAIL
Se e
Rough -In 2/
UG/Slab
Low Voltage -U K- F
Fire Alarm `
ma ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
✓
PART FAIL
SI Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA , / -77/7
Approach /Sidewalk Date `�`� Inspector ��i •• Ext
Other:
Final DO NOT REMOVE this inspection recor from th -- Job site.
PASS PART FAIL