Permit p CITY OF TIGARD MASTER PERMIT
". g ' COMMUNITY DEVELOPMENT Permit #: MST2013 -00007
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2013
Parcel: 2S 112CA08700
Jurisdiction: Tigard
Site address: 7556 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 13
Project: Takasumi
Project Description: Kitchen remodel; remove wall and pantry between kitchen nook and dining room.
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: Yes
Total: 0 sf Value: $8,000.00 Rear: 0
PLUMBING
Sinks. 1 Water Closets 0 Washing Mach: 0 Laundry Trays. 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Drains: 0
Tubs /Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell- Trench Drain: 0 Other Fixtures 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 1 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: 7
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:
ALT SF VB R -3 0
Owner: Contractor:
TAKASUMI, RICHARD C & DEANNE L SLS CUSTOM HOMES INC Required Items and Reports (Conditions)
7556 SW ASHFORD ST PO BOX 1093
TIGARD, OR 97223 TUALATIN, OR 97062
PHONE: PHONE: 503 -691 -9878
FAX: 503 - 692 -7983
Total Fees: $646.98
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 Notificat •n Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 5 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5".232.1987 or .800.332.2 .
Issued By: ,t! 111/a0 1 Permittee Signature: 41114111 A idapt
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of th= . roject
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RE FOR OFFICE USE ONLY
City of Tigard D'
ate /Bv /� � A' Permit N ��
/�0 3 �� oa
q 13125 SW Hall Blvd., Tigard, OR 97223 JAN 16 2013 pl an R e vi et •
I N
Phone 503.718.2439 Fax: 503.598.1960 Date /Bv: PI 1 Other Permit:
I' I GA RD Internet: Line: 503.639.4175 CITY OFTIGAR I Date Ready/ :y: �� ® See Page 2 for
Internet: www.tigard- or BUILDING MIS!. ° "fed/ �o.: I 3 / / 47 Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
,��,�� Indicate the value (rounded to the nearest dollar) of all
Ltl Addition /alteration/replacement ❑ Other: equipment. materials, labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $ b� cry
and 2-family g ❑Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder El Other: Number of bathrooms: _ y,,
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 S Stp ..%t.,0 AS t{ x.4 New dwelling area: Of square feet
City /State /ZIP: —,--1 (,pc.q OA- il Garage /carport area: ile square feet
Suite/bldg. /apt. no.: Project name: 6 4.4A , Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S
/ ^19tcte.t0& w oVG ON / Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: I c (*.A.4.40 A J u .,4, t . Type of construction:
Address: Occupancy groups:
1 .^
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
t•"ArPLICANT ❑CONTACT PERSON BUILDING PERMIT FEES*
/�" �t,fa�" (Please refer to fee schedule
,St
Business name: _ {L(I
S- te/+N W - c2.T.tJ d de 44 - ,4K( - /A k-- Structural plan review fee (or deposit):
Contact name: 1 ..c 40/ M FLS plan review fee (if applicable):
Address: e°7:1 / O q
City /State /ZIP: ?- _, q1. 6 L Total fees due upon application:
Amount received: / ..7. Gd
Phone: ('503) 1 . c t l gli) il e I Fax:: (..tO I) 69 ; . 1ti 83
E - mail: s 4tnr4 S 1....1 No/MeJ car PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Comme ', and residential prescriptive installa 't of
roof -top mou - . PhotoVoltaic Solar Pa - 'ystem.
Business name: Submit two (2) sets . oof plan wit' onnection details
and fire department access, . :.!._ with the 2010 Oregon
Address: ( f h Solar Installation Special ode c • ' t.
City /State /ZIP: J A o ar' Permit Fee (i • des plan review
180.00
. • . administrative fees):
Phone: ( ) Fax: ( ) State . charge (12% $21.60
CCB lie.: q ( „'1 7 tal fee due upon application: $201.60
Authorized signature: Ar.11.....A. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 54 •GlAt S /5 Date: 1 * Fee methodology set by Tri- County Building Industry
't u J/1 Service Board.
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City of Tigard Received
Permit No : iflyr /3 - 0000 7
1111 '. 13125 SW Hall Blvd., Tigard, OR 972CITY OF TIGARD 1),.../Bv:
Plan Re■Icw
: 0 . ' Phone: 503.718.2439 Fax:
6 503-1 VMING DIVISION Daie/ily: other Permit Na:
InSpeel1011 Line: 1 IcAtti) R ea d y ) : J "'''' il Sec Page 2 for
Internal: www.ti 503.39.4175 Dote Ready/
gard-nr.guv Netiliedimehod: SuppIemental Information
TYPF OF WORK 1.1.:E* SCHEDULE
0 New COnStruelion 0 Demolition Fur special information use checklist.
Description L Qt 1 Ea. 1 loial
p Addition/alteration/replacement 0 Other: - New I. 2-faintly dwellings (includes IN II. for each utility connection)
,
CATEGORY OF CONSTRUCTION SFR (I) high 312.70
.... . . , .. .
.... . ...
u I- and 2-farnIly dwelling 0 Commereitillindustrial .." SFR (2) bath 437.78
- SFR (3) bath 500 32
0 Acce.s.sory building 0 Multi-family
- Each additional /mitt/kitchen 25 02
C.) Muster builder 0 Other: .. Fire sprinkler ( sq. tt.) Page 2
JOB SITE INFORMATION AND LOCATION Site ufflitie.g:
, I
Cinch hasin or area drain 18.7
Job site address; 7556 SW Ashford
Drywall, leach line, or wench drain 18.76
City/Statc./Z1P: Tigard, OR
- Footing drain (no. linear ft.: _ ) Page 2
Suite/b14,./apt. no Project name:
Manufactured home utilities 50.03
Cross street/directions to joh site; Msnhoics 18.76
Rain drain connector 1 it, 76
- .. - _
• ' ' - ... - • Sanitary sewer (no. linear ft.: ) Page 2
' Storni sevyer (no. linear ft.: _ ) Page 2
- Water serviee (no. linear II.: ) Pne.. 2
Subdivision: Lot no.: Fixture or item: . . _.
... • • •
'Fax map/parcel no.: Backtlow prrvenler 31 27
Backwater valve 17.51
DESCRIPTION OF WORK
- Clothes washer 25.02
Kitchen Remodel - L., AN e - ES IR - L C 4 Dishwasher 1 25 02
_
Drinking fountain 25.02
.. ..
Fjeetors/sump . 25.02
.. -,
-
0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25,02
Name: Takasu mi
Floor drain/floor sink/hub 25.02
Address: 7556 SW Ashford
( iiirtinge disposal I 25.02
Cily/Sliile/L11': 'I' Igard, OR 9722:5 Hose bib 25.02
-. .... -... • - . ... _ ... - . _
Phone: ( ) Fax; ( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Inierceptor/greacetrup 25.02
, . ..
- .. _
Medical gus (value: $ ) Page 2
BuSiiness name: Vann Plumbing, 1,LC
- Primer 12.5 I
Contact name:
• 1Iliof drain (coinmercial) 12.51
Acklress: 15145 SW Division
Sink/bu.sirdlavatory 1 25.02
City/State/ZIP: Sherwood , OR 97140 Solar units (potable watcr) 62.54
Phone: ( ) Fax: : ( ) Tubishower/sIttiwer pan 12.51
-...... _
' . ..
urinal 25,02
E.mail:
Water closet 25.02
CONTRACTOR
.. -.
Water heater 37.52
Business name: Venue Plumbing , LT .0
Winer piping/DWV 56.29
Address: 15145 SW Division Si other 25 02
.. .. . .
City/SLate/ZIP: Sherwood, OR 97140 .. Subtotal
..... . . .. ..._
Phone: (503) 6249309 lax: (503) 684-0940 Minimum permit fee: $72.50
, -..
.... _. . .
CC'B 1.1c.: 192494 0,1 Plumbing I .ie. no PB956 .1 i t.14 Pion review (25% of permit fee)
State surcharge (12% or permit fee)
Authorized sigfature - TOTAL PERMIT FEE
Print name: Lindsay Venue
nix perrsit expirei if a permit is not m (' aim within 180 days
. 1
- . lifter it has been acirpted as complete.
'Fee fnet indology net by Tri-Co 1 Ili I 1 ■ Industry Cc' i
utl.) :.111.4..nia, . --.1 s I el; Ft. arl.
I: \DUildillOtvniii.M.I.MV-PrfflutAPP.d'X IU 111.1 40 1 D I (111/0"(:OMMI7D)
Mechanical Permit Application n
JAN 1 6 2013 FOR OFFICE USE o'L.Y
Received
City of Tigard DatelBy: Permit No.: Sr— / . 0 0 r
• 13125 SW Hall Blvd., Tigard, OR 97223 ^LT/ OFTIGARD Plan Review
= Phone: 503.718.2439 Fax: 503.598.196 I 1 �++ s1 Date /By: Other Permit:
1 - c v 1 , D Inspection Line: 503.639.4175 BUILDiNG DIVISION Date Read .'D kris.
Internet: www.tigard - or.gov Notified/Method: Supplemental for
Page Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — "US :OUECKWST
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: S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEE S"
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ® Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
. Air conditioning
Job site address: 7556 aw Ashford Drive (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts.'vents) 46.75
City/State /ZIP: Tigard Oregon Furnace 100,000+ BTU (ducts, vents) 54.91
Suite/bldg. /apt. no.; Project name: 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
jydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.: .
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
vent kitchen hood 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: Environmental exhaust and ventilation:
Address:
Range hood 'other kitchen
equipment 1 33.39 ;3.
City/State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Atticfcrawlspace fans 23.32
Business name: SKY HEATING & AC, INC. Outer: 23.32
Fuel piping:
Contact name: TAMI HAGEMAN $14.15 for first four; $4.03 for each additional
Address: 1635 SE NEHALEM ST Furnace etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97202 Wall'suspended,'unit heater
Phone: (503) 235 -9083 Fax: : (503) 235 -0454 Water heater
E -mail: TAMI @SKYHEATING.COM Fireplace
Range
CONTRACTOR Barbecue
Business name: SKY HEATING & AC, INC. Clothes dryer (gas)
Other:
Address: 1635 SE NEHALEM ST MECHANICAL PERMIT FEES*
City/State /ZIP: PORTLAND, OR 97202 Subtotal
Phone: (503) 235 -9083 Fax: (503) 235 -0454 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 50244 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signatur S I__) This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: TAMI HAGEMAN Date: i I ( to 1 /,, ' Fcc methodology set by Tri- County Building Industry Service Board
1:' Building 1Permits,MEC- PcrmilApp.doc 09.09 :10 440- 461
QED .. . r ...
El Permit Applicat O FOR OFFICE USE ONLY.
City of Tigard JAN 16 2013
Received f5 To?0 /� Q0o0 7
Date/By:
1 3125 SW hall Blvd., 'Tigard, OR OF TIGARD Plan Review
Phone: 503.718,2439 Fax: 503.5 Date/By: No.:
y: Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Ju,is: El See Page 2 for
. - -- Internet: aww.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please 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 ❑ 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
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family D Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORhL�'Y70 \' AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A '. 'E ", "1 -2 ", "I -3 ",
Job no.: Job site address: 7556 SW ASHFORD DRIVE 100HPor occupancy.
❑ Sir or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: TIGARD, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: TAICASAMI ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Pee. I Total I ' _
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: i sq. R. or less ' 168,54 4 '
Fa. add'I 500sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. R.) 75.00 2
Limited energy, multi - family 75.00 2 '
KITCHEN REMODEL residential (with above sq, fl.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 omps to 1,000 amps 301.04 '!
Address: Over 1,000 amps or volts 552,26 i
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or Less 59.36 I
201 amps to 400 amps 125,08 ')'
Owner installation: This installation is being made on property that I own which is not
401 BS
amps to 599 amps 168.54
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch cil circuits —new', alteration, or extension, cr panel 1
Owner signature: . Date: A. Fee for branch circuits with i
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name:
B. Fee for blanch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'I branch circuit 6 7.42 44.52 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 5
dwelling, service and/or feeder
`
Phone: ( ) Fax: : ( )
Reconnect only 67.84 .;
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 F ,
CONTRACTOR Signal circuit(s) or limited - energy
Business name: REDS ELECTRIC COMPANU panel, alteration, or extension. Page 2 •
Each additional inspection over allowable in any_ of the above
Address: 6336 SE I07" AVE Additional inspection (I hr min) 66.25/ hr
City /State /ZIP: PORTLAND, OR 97266 Investigation (t hr min) 66.25/ Iu
‘I, Industrial plant (I hr min) 78.181 hr
Phone: (503) 233 -6467 Fan (503) 233 -1281 1p :‘ Inspections for which no fee is 90.001 hr
ra► �"^'• specifically listed ('4 hr min)
CCB Lie.: 4443 Electrical Lie.: 26 -I52C Suprv. Lie.: 5010 -S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ` d r ,. ' Subtotal: 100.70
0 j,vvr Plan review (25% of permit fee):
Print name: JIM FERRIS Date: 01/14/2013 State surcharge (12% of permit fee): 12.09 I
TOTAL PERMIT FEE: 1 12.79
Authorized signature: This permit application expires if a permit is not obtained within 180 '
Print name: Date: • days after it has been accepted as complete.
Number of allowed per permit. 1 .
. bf i ti ll d it : :t
I: lnuildinglPermits \ELC- PenniiApp,doc 07101110 440- 1615T(I1105 /C0\1AVEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7556 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
03/18/2013 00:00
MST2013-00007
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7556 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
03/20/2013 00:00
MST2013-00007
PASS - C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7556 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Master Permit
120 Electrical rough-in
02/19/2013
MST2013-00007
PASS
Violation Summary:
Inspector Contractor