Loading...
Permit /;2///// i ev r /V--f e l?,/:/n(t / 66(11/9r-dia/14---t/ .7`v sc*e 6 kia* CITY OF TIGARD MASTER PERMIT ri 111 1- 2 ' ' COMMUNITY DEVELOPMEN Permit #: MST2011 00190 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/03/2011 Parcel: 2S 111 AA03400 Jurisdiction: Tigard Site address: 8625 SW GREENSWARD LN Subdivision: GREENSWARD PARK Lot: 4 Project: MCCONNELL Project Description: Fire damage repair. Electrical work done under separate permit, ELC2011- 00618. 12/1/11, REPRINTED permit to add mechanical to scope of work. BUILDING Floor Areas Required Setbacks Required Stones: 0 Bedrooms: 0 First: 0 sf Basement. 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right. 0 Detectors: Total 0 sf Value: $50,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach. 0 Laundry Trays: 0 Rain Drain. 0 Urinals 0 Lavatories. 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines. 0 SF Rain Storm Sewer 0 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 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v. 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: 0 Owner: Contractor: MCCONNELL, BRIAN A & OREGON HOME IMPROVEMENT CO INC Required Items and Reports (Conditions) MCCONNELL, MARGARET M 17255 SW PILKINGTON RD 8625 SW GREENSWARD LN LAKE OSWEGO, OR 97035 TIGARD, OR 97224 PHONE: PHONE: 503- 635 -6248 FAX: 503- 636 -7183 Total Fees: $999.48 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 N ification Center. Those Ies are s forth in OAR 952- 001 -0010 through 0 • : • 101 -0090. You may obtain a copy of the rules or direct questions to OUNC by ca ing 503.232.1987 or 1.8 0.332 344. Issued By • —....e----- /l , SrlZ� ermi ee . = .re ;__ \ �(' yb 0.M Call 503.639 :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. Mechanical Permit Application ,/), - FOR OFFICE USE ONLY - Received p City of Tigar 4 Date/By: I, I �M� Permit No : y ,. (_ d J . 1 q a ' a 13125 SW Hall Blvd., Tigard, OR 97223 i , P \ 4'¢v' Plan Review Phone: 503.718.2439 Fax: 503.598.1 60 Other Permit: t��� i 2 e Read e Re Inspection Line: 503.639 \ � T I G A R D Q `' y /By �` Juris: ;: See 2 for Internet: www.tigard - or.gov r'` 4.11' ��. Notified/Method: Supplemental Information TYPE OF WORK . c k k- COMMERCIAL FEE* SCHEDULE — USE CHECKLIST x w Me permit fees* are based on the value of the work ❑ New construction "N Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: . \3 °• mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ',1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: �Z S v r 'e_eh WGrd AUK (requires site plan showing placement) 46.75 ^�- ( Furnace 100,000 BTU (ducts /vents) 46.75 City /State /ZIP: 1 I e c d r 0 9 - 1 2.. 3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/ bldg. /apt. no.: Project name: nn C W Vl 11e Heat pum 1 (requires si te 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 WORK Water heater 23.32 Gas fireplace 33.39 f 1 ('.- drArr\CVR t r' it Flue vent for water heater or gas (/ /' fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: , e ) \/ M L� yam`( Environmental exhaust and ventilation: Address: S lN� Range hood/other kitchen equipment 1 33.39 33, 3 1 City /State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) `. 23.32 )-3 : 3)- ----.[a APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: (0 1-.tLCa �O s4r V C. -'1- ', () .. piping: Contact name: $14.15 for first four; $4.03 for each additional Furnace, Address: \-17.- S s W ' 't \ 1i 1 ",C o n Gas heat e City /State /ZIP: L- , q —► Q '; S pump (�� Wall /suspended/unit heater Phone: (603) (,'2 -- (, 14 S Fax: : ( ) (_, l s 3 Water heater E -mail: Fireplace Range CONTRACTOR Barbecue Business name:,,_ q e / ..4 Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal SAC , / Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) 90- U(' Plan review (25% of permit fee) CCB lie.: 3L-i t State surcharge (12% of permit fee) /(').,,j) TOTAL PERMIT FEE Ja P - 6 signature: �( Q This permit application expires if a permit is not obtained within 180 Authorized si g , Q v lAo M A OCL) days after it has been accepted as complete. Print name: l uj < < - — WJOC v1 A S Date: * Fee methodology set by Tri- County Building Industry Service Board L\Building\Permits\MEC- PermitApp doc 09/09/10 440 -4617T (I 1 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \Permits \MEC- PermitApp.doc 09/09/10 2 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Perm it #: MST2011 -00190 Date Issued: 11/03/2011 TIG 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S111AA03400 Jurisdiction: Tigard Site address: 8625 SW GREENSWARD LN Subdivision: GREENSWARD PARK Lot: 4 Project: MCCONNELL Project Description: Fire damage repair BUILDING Floor Areas Required Setbacks Required Stories. 0 Bedrooms 0 First 0 sf Basement 0 sf Left 0 Parking Spaces 0 Height 0 Bathrooms 0 Second 0 sf Garage 0 sf Front 0 Smoke Dwelling Units 0 Third 0 sf Right 0 Detectors Total 0 sf Value $50,000 00 Rear 0 PLUMBING Sinks 0 Water Closets. 0 Washing Mach 0 Laundry Trays 0 Rain Drain 0 Urinals 0 Lavatories 0 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer. 0 D 0 Tubs /Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines 0 Catch Basins 0 Bckfiw 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 SrvclFeeders 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 0 Mfd Home /Feeder /Svc 0 401 -600 amp 0 401 -600 amp 0 601 -1000 amp 0 601 +amp -1000v 0 1000 +amp /volt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo N HVAC. N Security Alarm N Vaccuum System N Garage Opener N All Other N Other Description Ecompasing N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: 0 Owner: Contractor: MCCONNELL, BRIAN A & OREGON HOME IMPROVEMENT CO INC Required Items and Reports (Conditions) MCCONNELL, MARGARET M 17255 SW PILKINGTON RD 8625 SW GREENSWARD LN LAKE OSWEGO, OR 97035 TIGARD, OR 97224 PHONE PHONE 503 - 635 -6248 FAX 503 - 636 -7183 Total Fees: $898 68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090 You may obta i - • • • • - ' les or direct questions to OUNC by callin 503 232 1987 or1 1� 332 2 44 _`���, Issued By: ` ✓ ■ %` • mi Signature: CAS) 4CVV`� Call 50 7:00 a.m. for the next available inspection date. U This permit card shall be e• 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. 13 CO 2 i c Building Permit Application Residential FOR OFFICE USE ONLY N City of Tigard r Qp r�^ Date/B �/© . i Permit No . I l 13125 SW Hall Blvd , Tigard, OR 22' Plan Review • Phone: 503.718 2439 Fax. 503.5 ,�.' s6 q 'LQ11 Date/By Other Permit. IG AR D Inspection Line 503.639 p\OV ® J Date Ready/By: Jun ® See Page 2 for Internet: www.tigard or.gov `v �\ e Notified/Method � � Supplemental Information _ ..ral r* r, f w� . TYPE OF WO Ka r\I ��'' iV REQUIRED`DATA: 1- AND 2- FAMILY DWELLING P Iv, u li `?' Permit fees* are based on the value of the work performed. ❑ New construction ❑molihon Indicate the value (rounded to the nearest dollar) of all '0 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ d k ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 111 Master builder ❑ Other: Number of bathrooms: r-2) JOB SITE INFORMATION AND LOCATION Total number of floors: 2- Job site address: 549 c -.. b t e e n Acc d New dwelling area: __— � square feet City /State /ZIP: Ti TQ r .1 d]Z c )Z-Z(( Garage /carport area: x-) 00 square feet Suite/bldg. /apt. no.: Project name: M e Co n no,) Covered porch area: --,-- square feet Cross street/directions to job site: Deck area: ) 1/ U/ square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed Indicate the value ( rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. (� Valuation: $ 1 cc c lc -ttle CI etIMQCV� I 1 Existing building area: square feet New building area square feet *PROPERTY OWNER / ❑ . TENANT Number of stories: Name: j , 1 ci el m (0 Co ied o. ( I Type of construction: Address: Z S S kA r ei hs t. g r r 1 — n Occupancy groups: City /State /ZIP: j `t q r d 1 0 R 9 — 122(4 Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ 'CONTACT PERSON BUILDING PERMIT FEES Business name: (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. (� I t Submit two (2) sets of roof plan with connection details Business name: Z, n 4 4 v c - -t b D eN and fire department access, along with the 2010 Oregon Address: I '7 Z S 5 5 t-J ?;1 / k. i nark 6 n Solar Installation Specialty Code checklist. City /State /ZIP: ( Permit Fee (includes plan review ^ q ( 5 ,...,)-c u 012, () and administrative fees): $180.00 Phone: (by) L — — (,-Zy 8 Fax: (Sos) (, 3(, •`7) ' ' State surcharge (12% of permit fee): $21.60 r r Total fee due upon application: $201.60 Authorized signature: L ,,, t ,� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (S yl ci S D l 1 13 - ZD) 1 * Fee methodology set by Tri- County Building Industry ern + c., d I. \Building\Permtts\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Building Permit Application Checklist . One- and Two - Family Dwelling FOR OFFIC USE ONLY - • III ss _ City of Tigard Received 'I 13125 SW Hall Blvd Permit No , Tigard, OR 97223 Date/By. A ociated Phone: 503.718.2439 Fax 503 598.1960 Associated permits TIGARD 24- Hour Inspection Line 503.639 4175 ❑ Electncal ❑ Plumbing ❑ Mechanical Internet. www tigard -or gov ❑ Other THE; FOLLOWING ITEMS AR E REQUIRED FOR REVIEW L Yes I No .j N /t( 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ 1:1 ■ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. El ■ ■ 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. El ■ ■ 9 Erosion control ['plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- El ■ ■ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state El ■ ■ 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 El ■ ■ 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- ■ CI ■ 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 ■ El ■ 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 El ■ ■ 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 al p licable to the s 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 si •nature of a. *royal. 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 , Y m Building Fixtures CS \ , � FOR OFFICE USE ONLY City of Tigard , '` ®% 4 Received DateB T r/ 114 Ir ��1 Pen" No rinf/ O U II -000 ay p 13125 SW Hall Blvd , Tigard,OR 97223 NQV Plan Review • Phone. 503 718 2439 Fax 503.598 1960 C. . .(pl Date/By Other Permit No Inspection Line 503 639 4175 - QC '� TIGARD Date Ready/By Page 2 for (i ��±±o� Y B Y n s El Pa g Internet. www tigard - gov \ \f 9 Notified/Method Supplemental Information TYPE OF WORK y ,o � FEE* SCHEDULE ❑ New construction 0 Demolition For special information use checklist. �� Descri,tion It . Ea. Total >CI Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection) ,,, CATEGORY OF CONSTRUCTION SFR (I) bath 312 70 ,gh l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437 78 SFR (3) bath 500 32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address 7)(025 Eir6 ')Sv�tv4 1....h Catch basin or area drain 18 76 2 Drywell, leach line, or trench drain 18 76 City /State /ZIP: 'TI TO O 9122.4 Footing drain (no linear ft ) Page 2 Suite/bldg./apt. no.: I Project name: MczooY'el I Manufactured home utilities 50 03 Cross street/directions to job site Manholes 18 76 Rain drain connector 18 76 Sanitary sewer (no linear ft . ) Page 2 Storm sewer (no. linear ft : _ ) Page 2 Water service (no linear ft _ ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12 51 Irg44 r -0 re Clothes washer 25.02 Dishwasher 25 02 Drinking fountain 25.02 Ejectors/sump 25.02 g PROPERTY OWNER I 0 TENANT Expansion tank 12 51 Name: l &ria ' 1 / v `[,/_try l'2..-1 1 Fixture /sewer cap 25 02 G Floor drain/floor sink/hub 25 02 Address: 42S S\/V. E)r ) V (/i-df Garbage disposal 25 02 City /State /ZIP: jjl, � 10 J TZ2 4 l— Ul Hose bib 25 02 Phone: ( ) J Fax: ( ) Ice maker 12 51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02 Medical gas (value $ ) Page 2 Business name . Primer 12 51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25 02 City /State /ZIP: Solar units (potable water) 62 54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan '2 12 51 02-- E -mail: Urinal 25.02 CONTRACTOR Water closet 25 02 Water heater 37.52 Business name: 'L /Q 121, / Water piping/DWV 56 29 Address: j 61 M Other 25 02 City /State /ZIP: _ 5 - ► U - ' - o r 6 i o , 1 J ' Subtotal 2-'5 ,, p�� Phone: (q ' ) •— (( Fax: (555 64to _ Minimum permit fee• $72.50 CCB Lic.: I Plumbing Lic. no.: -�� Plan review (Z5 %ofpermtt fee) State surcharge (12% of permit fee) Authorized signature: �s((t TOTAL PERMIT FEE Print name: ! ' `i d l k _. Date: !i/3/2 ( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board I \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 - 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62 54 $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 l� 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: 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 * . Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2" and Baptistry/Font greater, except systems designed and stamped by licensed Bath -Tub /Shower - Jacuzzi /Whirlpool engineer. Car Wash Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918- 780 -0040. Cuspidor /Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918 780 - 0040 Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink - 2" 3" Isometric or Riser Diagram 4» ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non -food that meet the qualifications above. Disposal - Domestic food related - Commercial food related - Industrial food related Ice Mach /Refrig Drains Comments regarding fixture work: Oil Separator (Gas Station) Rec Vehicle Dump Station Shower -Gang -Stall Sink -Lay /Bar non -food related - Bradley - Com /Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet - Toilet plumbing permit can be issued. Urinal Other Fixtures i. \Building \Permits \PLMF - PermitApp.doc 08/04/2011 2 "'Na i The Oregon Home Improvement Company since 1952 CONSTRUCTION RE CBVE 4 ) November 3, 2011 NOV ®3 201 CITY OF TIGARD City of Tigard Plug D NG DIVISION 13125 SW Hall Blvd Tigard, OR 97223 OFFICE COPY Attn: Building Dept. Re: Fire loss at McConnell residence 8625 Greenward Ave. Tigard, OR The home owned by Brian & Peggy McConnell damaged by fire on 9/9/2011. Damage was limited to the upper level of a 1978 split level home. The walls are framed with 2 x 4 studs. The roof framing is a truss roof system. There was no structural framing damage. The existing windows are bronze aluminum and are being replaced with vinyl windows. The balance of repairs is listed below. Scope of Repairs: 1. Demo fire damaged interior finished on 2 story of single family home. 2. Seal exposed framing 3. Replace fire damage vinyl windows and a vinyl patio door 4. Repair or replace damaged electrical wiring and outlets 5. Repair or replace damaged light fixtures 6. Replace damaged plumbing fixtures 7. Vent kitchen and bath fans as necessary 8. Insulate wall with R15 batt insulation 9. Insulate vaulted ceilings with R30 batt insulation 10. Insulate flat ceilings with R38 insulation 11. Drywall walls and ceiling with 1 /2 inch sheetrock 12. Paint walls and ceilings 13. Install cabinetry 14. Install finished trims 15. Install flooring Replace HVAC registers If you have any questions, please contact me. Sincerely, George Husbands CCB # 34908 www.ohico.com WA #OREGOHI174NA 17255 Pilkington Rd. • Lake Oswego, OR 97035 • Phone 503/635 -6248 • 800/927 -8131 • Fax 503/636 -7183