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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2013 00087 T [ G A. R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2013 Parcel: 1 S135CA01900 Jurisdiction: Tigard Site address: 11344 SW 97TH CT Subdivision: BOETCHERS ADDITION TO GREENBURG I Lot: 1 Project: Wadleigh Project Description: 68 square foot addition and interior remodel BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 78 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 78 sf Value: $15,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckfiw 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: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 1 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +ampNolt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 78 Owner: Contractor: WADLEIGH, TAMERA PARADISE HOME IMPROVEMENTS LLC Required Items and Reports (Conditions) 11330 -11334 SW 97TH CT 7930 SW CHURCHILL WAY TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 888 -3672 PHONE: 503- 544 -6937 FAX: 503 -620 -9494 Total Fees: $834.59 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 f h in OAR 952- 001 -0010 throug •AR 95 1.01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection ate. J J 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. • Electrical Permit Application RECEIVE ) Received a FOR OFFICE USE ONLY City of Tigard Date/By: ( t3 / Permit No.: H6 f ?.0r $ —000 g 13125 SW Hall Blvd., Tigard,OR 97223 P R 18 2013 Plan Review ' I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information BUILDING DIVISION 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 N 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or f � �TOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ,, II 0 Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", \ 100HP or more. occupancy. Job no.: Job site address: / \ +D s Lc, ( in-- C ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: _t r'� "IYGt ` ` ❑Health -care facilities. 0 Supply voltage for more than J t ` I ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ?cick,,LA- ic,Yt. � 13 1.4.14- ❑ Service or feeder 600 amps or more. (� , FEE SCHEDULE Cross street/directions to job site: LT, r -4, 1 _,„_\ 01 , 0 /y 6 CC '7 n/ CA- Description I Qty. I Fee. I Total I • J New residential single- or multi- family dwelling unit. V '151,,,k-- 6,\-- - tz'Vi. C . b C C] - 1hL , \' ' LLSE Ok" � j aitACO'R 1..-6 Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 T C ltd Ea. add'1500 sq. ft. or portion 33.92 1 Tax map /parcel no.: 1 5 . 1 - G C R C lCI D 0 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 residential (with above sq. ft.) �" Y / j1 1 + Services or feeders installation, alteration, and/or relocation rct L1 Y -1.z, l'3) Az, ` L.-1.kkun`l'6 vu Lt) r vD ats A -5 0u.4 i 200 amps or less 100.70 2 01 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: v coA 1 e G� Lk) ( t. c t e t 0 601 amps to 1,000 amps 301.04 2 Address: ' \'� 0 S \ 0 GO t‘..t.. CA- Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: ; l r ci r p t 012_ q -1 L- Z 3 J relocation Phone: ( - y Fax: ( ) 200 amps or less 59.36 1 5 � ��� �� 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT g CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: ye_ - \'(' A l,` branch circuit Each add'I branch circuit 7.42 2 Address: I \. `:3 v J L) C11 1V L Miscellaneous (service or feeder not included) 0(2._ Each manufactured or modular 67.84 2 City/State /ZIP: i 1ctGi,�C1 i CI 7 2-'2 3 dwelling, service and/or feeder Phone: ( C)3 �� ci 0 S 0 Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: YCC- -C1. v-'. 1/ >S-e 2C0 (C C piG'I -'1' t CCY1 Signor outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: _ Ie ) t ,p rC panel, alteration, or extension. Page 2 2 f �-7��'f / additional inspection over allowable in any of the above Address: � �,/ /`�+�itQ S � Additional inspection (I hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City /State /ZIP: n h� / Ov Industrial plant (I hr min) 78.18/ hr Phone: (5-63) 9 3 _ 7q 3(,. Fax: ( 3) 266 7 //4/') Inspections for which no fee i CX� 7 V specifically listed (.4 hr min) 90.00/ hr CCB Lic.: ` q7 5 `� / Electrical Lic.: G. , 7 Suprv. Lic.: 4/ BSS ELECTRICAL PERMIT FEES 1 / / Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: E�.i,,, � � - Lf . � Date y j 7 / 2 � i � State surcharge (12 % of permit fee): - �G-'� TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: 4 wQ s,Cl C y/422 4_ D � ate;/� '(f + days after has been accepted as complete. V r /1 /�ff� Number of inspections a llowed per permit. I: 1Building\Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(11/05 /COM/WEB 'Plumbine Permit Applicati rr RED Building Fixtures V V FOR OFFICE USE ONLI City of Tigard APR 0 8 2013 Received , Per mit No.: • 13125 SW Hall Blvd., Tigard,OR 97223 Dat B : y //Or 64(:),/-3 044"7 Phone: 503.718.2439 Fax: 503.598 Plan Review 7 ■ Other Permit No.: ( OF TIGARD Date/By: Inspection Line: 503.639.4175 Date Read /B ru ns: I ® Se Page 2 for TIGAKL) Internet: www.ti ardor. ov BUILDING DIV ISIO N Ready /By: g g g No Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total V(Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility correction) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 120 1- 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: Catch basin or area drain 18.76 Job site address: I i 344 s 1 C 3 Drywell, leach line, or trench drain 18.76 City /State /ZIP: T\ p G{ I (�� 2 Z J Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Rj 1 `3i -} Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 b V� 10 ., : r + Rain drain connector 18.76 - q 7C U � l � Sanitary sewer (no. linear ft.: ) Page 2 ` r r -` y , Storm sewer (no. linear ft.: ) Page 2 r .'�S. c r✓�k_ 0C - Le) V. Water service (no. linear ft.: ) Page 2 Subdivision: "v2�C..klr(5 I Lot no.: Fixture or item: (5 13 C h 17 WIC() Backflow preventer 31.27 Tax map/parcel no.: DESCRIPTION OF WORK Backwater valve 12.51 111 f t lo Clothes washer 25.02 h c 1/4 Dishwasher 25.02 51 - . kuk lA) li+.%. SVWL444 1 4a at* Drinking fountain 25.02 Ejectors /sump 25.02 ICI PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Te (A ) 1 h Fixture /sewer cap 25.02 Address: 1 C; C) S W DI l CA- Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City /State /ZIP: --1.--k J OI,VG( ( Ov g i 22 3 Hose bib 25.02 Phone: ( 933) 4 - 3 ( Q Fax: ( ) Ice maker 12.51 ❑ APPLICANT j CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name:-e, r(. ft ("1"C \ ' j J r Roof drain (commercial) 12.51 Address: I i i acv 5 W 't -in, Lk_ Sink/basin/lavatory t 25.02 City /State /ZIP:T‘ C LYC , 6-y._ C1 12 2.-3 Solar units (potable water) 62.54 Phone: (6 0 6 A 0 2 Fax:: ( ) Tub /shower /shower pan % 12.51 E -mail: ro CAC, a-4'0 yt OSe 9-00i+ (Q n ude_ � ` (_ (iyo Urinal 25.0 CONTRACTOR tJ Water closet 25.02 , q Water heater 37.52 Business name: ; � I p aut �.� -, 4- • COO • t ( . Water 1 in WV ■ 56.29 r P �P g� Address: I G b y - S - P/ k . � -r Other: 25.02 City /State /ZIP: R) Pr 02 q '] OP-7 Subtotal Phone: ( ) 3 (f 1 .- c? at Fax: (6723 ) (p tf-q .. S'7).5,) Minimum permit fee: $72.50 CCB Lic.: ( ( 3 Q S( Plumbing Lie. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized sign tnre aJ i) c i. ,'-J TOTAL PERMIT FEE Print name: "T'athit p i..GI k.. LA) C OL�-f' j l Date: 4 r $ . t This permit application expires if a permit is not obtained within 180 days J 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 - 1'100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater _ $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 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 p and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: 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 Baptistry/Font ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Bath: - Tub /Shower engineer. Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall 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 ❑ 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: - LavBar 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:\Build ing\Permits\PLMF - PermitApp.doc 08/04/2011 2 Mechanical Permit Applic CE VED rt11z oi.I. R ti 0\1.1 1.1 City of Tigard Date/Bed 7Q� ,y.g Permit mitNo Y / d R • 13125 SW Hall Blvd., Tigard,OR 97223 p 0 $ 2013 y �O I g R Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.196 Date/By: I' I G A R D Inspection Line: 503 CITY '� '�/ Date OF TIGARD Date Ready/By: Juris: El See Page 2 for Internet: www.tigard - or.gov 1 t Notified/method: Supplemental Information BUILDING DIVISIO N TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction 14 Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 0 ,1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: \ `-, 4.4 S�) ITV l (requires site plan showing placement) 46.75 �p �" Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP:T \G5 - 1 Y(,it t C54 "11 2-�� Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: J Project name: h..01 L 11'3 (} L . Heat pump ►' ` (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work j 23.32 Hydronic hot water system 23.32 ("i r�A,-, to Wl C J a s- c_ V Residential boiler (radiator or n lA k G� e t'OI 6C q` 1 Unit h ic) 23.32 Unit heaters (fuel -type, not electric), 1101A-cP Dvt L 04- 0 Ld \-- in -wall, in -duct, suspended, etc. 46.75 Subdivision: tlC� lI l� Y Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: 1 S 135 C AL, t p ()L Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 J Gas fireplace/insert 33.39 AA A /L L ct,k \) €A/L\- l V\ c lclU vir 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 23.32 174 Other: 23.32 Name: 1 .0 W I ,p{ O \ Environmental exhaust and ventilation: Address: 1 3©� � SU) c -Tiv 0- Range hood/other kitchen equipment 33.39 City/State/ZIP: Cl o thes d y � � r, r�x G � , � '1 2 2 3 dryer exhaust 33.39 Phone: e'�,Q -- ( p'-, 2 Fax: Single-duct compartments, (bathrooms, rooms) s, (�,�3) ( ) toilet com ents, utility rooms ) 23.32 ❑ APPLICANT .6 CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other: 23.32 Fuel piping: Contact name: r0 4 lam, vi d' , 0 $14.15 for first four; $4.03 for each additional Address: I l �� O 5 L' D f r CA_ Furnace, etc. Gas heat pump City /State /ZIP: —1-` Ja r A t Ma_ ' , 2i2_ 3 Wall /suspended/unit heater Phone: (6D3) R s G 9 D S- a Fax: : ( ) Water heater Fireplace E -mail: ro k a p rose Q Dt+ @ a Yaz , Lek Range CONTRACTOR Barbecue _ Business name: tle_ 0 Q-S t1 1 �(, N Act/ P4 i 2_ Clothes dryer (gas) Address: q 3 C N C 04L r.GW ( S� Other: MECHANICAL PERMIT FEES* Subtotal City /State /ZIP: �D i q7 1 Minimum permit fee ($90.00) Phone: (a3) O -is - gctid Fax: ( ) Plan review (25% of permit fee) CCB lie.: Li / / a b i /MO State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: ,' �/ This permit application expires if a permit is not obtained within 180 � ( 1 C( �� days after it has been accepted as complete. Print name: I W1'YleVA g._ Uj t -C , J In ..,, � Date:c, /Lo I * Fee methodology set by Tri- County Building Industry Service Board P I:\ Building \ermits\MEC- PermitApp.doc 03/07/12 440 -4617T (11 /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 03/07/12 2 11111 " Building Division Development Code Provision Review I G R D Residential Projects Building Permit No.: )--16-r O 1") - o€ o S 7 Project /Subdivision Name: (..D � N- , Lot #: 4 Site Address: L 1 3L ` C `? 7 1 CWS Service Provider Letter: Required: Yes ❑ No i- Received: Yes ❑ No Plans Routed: i Original Plan Submittal Date: gig 3 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. I Planning Review (contact An heS -C>W a �� at (503) 7182421 or Aj YIi f K @tigard- or.gov) Land Use Case No. Zoning R - 1 2- Setbacks: , I (1,() ,1 c / ront jl Rear �� Side 5 Street Side Ni W Garage ximum Building Height: . S Actual Building Height D Visual Clearance . ' i ❑ Easements I ^ 1 � Sensitive Lands Type: Yv I`� Dtreet Trees N / Q a" Trees 0 / fI Notes: Original Plan: Approved Not Approved ❑ Date: el I q I Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) Er Actual Slope: Notes: Original Plan: Approved.Or Not Approved ❑ Date: / Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert@tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant • Revision 2: Date Sent to Applicant __- Okay to Issue Permit: Yes,. - - No D Date Routed to Building: r 11 Page 2 of 2 L \CURPLN \ Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 2 11330 and 11344 SW 97 Ct — MST2013 -00087 Per homeowner: The posted addresses on these houses are reversed. The house on the west side (left) is posted 11330 and the house on the east side (right) is posted 111344. They have been posted this way since 1989. 4t w . f. 4 #ter 0 _ ♦ 1 ., 4,0 _ ' • 11344 - - ` . _ .� __ • 4 t 4 11 lib. 't' I I I I ' 1.� ' 1 I I 3 1 v ( x 1 IIROW ..,ft I I A I . r , 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 215 Footing drain 04/30/2013 00:00 MST2013-00087 PASS NOTE. new addition crawl drains back to existing. 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 04/22/2013 10:00 MST2013-00087 PASS NOTE. this is a footing/ foundation inspection 1. Provide crawl drainage and crawl access. 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 240 Exterior sheathing 05/20/2013 00:00 MST2013-00087 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line 05/10/2013 00:00 MST2013-00087 PASS NOTE gas line is an extension of existing dryer, test not required. 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 05/10/2013 00:00 MST2013-00087 FAIL 1. Provide post and beam plumbing approval. (There is a water leak in crawl on copper pipe, 3"&2" DWV need to be supported every 4' max.and test cap on 3" at end of line needs hard cap or clean out. All plumbing above floor, ok 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 280 Insulation 05/21/2013 00:00 MST2013-00087 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 05/20/2013 00:00 MST2013-00087 PASS Smoke detectors to be looked at at final 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 315 Post/beam plumbing 05/20/2013 00:00 MST2013-00087 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 05/20/2013 00:00 MST2013-00087 FAIL 1. Provide test on tub, fill with water. 310.0 2. rat proofing, metal collar or ¼” screen, with ½” space max, needed at: bath tub waste and over flow. 313.12.4 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/24/2013 14:30 MST2013-00087 FAIL Previous inspection incorrect, should have been failed. 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 11344 SW 97TH CT, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 05/22/2013 00:00 MST2013-00087 PART 1. Provide access for tub waste and overflow. Will check on final plumbing. All else ok Violation Summary: Inspector Contractor iuild'ini Permit Application Residential FOR OFFICE USE ONLY • City of Tigard R EGE VED Rec V : I ( 3^ Permit No.: ' j / 3 - 0 0 g 7 • 13125 SW Hall Blvd., Tigard,OR 97223 p Plan R view \/ ..,._ i Phone: 503.718.2439 Fax: 503.598.1947 R u 0 2013 DateB :1J' =i Other Permit: T 1 t _ A R l y Inspection Line: 503.639.4175 Date Ready/By: y t urfs. 10 See Page 2 for Internet: www.tigard - or.gov CITY OFTIGARD Notified/Method: 1 1 - r 1I f� �r Supplemental Information %tr TYPE OF 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 A Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application IR 1- and 2- family dwelling ❑ Commercial /industrial ValuationI $ -� t � " 't ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: / JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 1 394 5 tit) 1 1 J- bt. New dwelling area: 7e3 square feet City /State /ZIP: T t C, Co ra Q� o -12_ d Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: tt0.0.l +u(1/ 11 3 Lp4 Covered porch area square feet Cross street/directions to job site: C\gW (7tregA'Iei 4 C t 1 Deck area: square feet R t G ,t - Piv.l1 p - C 6 , 7t' l - ust vvl back. , ( +, Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: ;% 0 e. t G h p r( s Lot no.: 1 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1 5 1 j S G pi p 1 q 0(.2 Indicate the value (rotrtded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ tillibk (0 rear 3 k o t464 ., )1\cy i trr 1,0 o \ s I POW b4l(0�+ 1 t 10sz , bw +tom 1 t) L Q,L1 -Lt rut) YYl Existing building area square feet New building area: square feet gr PROPERTY OWNER ❑ TENANT Number of stories: 1 Name:TTmtrk UJ ae:, ci i Type of construction: Address: I I 3L, S 1,0 of 1 n Cf Occupancy groups: City/State /ZIP: T 15a,ed LX ct--1 2_2- 3 Existing: Phone: ( 503) csz 3 ( 2__ Fax: ( ) New: ` ID APPLICANT CONTACT PERSON BUILDING PERMIT FEES* 1 Business name: (Please refer to fee schedule) Structural plan review fee (or deposit): U Contact name: )3 Yt LA i ■ � Address: � FLS plan review fee (if applicable): 1130 S� cl -`� Or City/State /ZIP: Tt rrl XL. el 22 3 Total fees due upon application: Phone: (5(J3) � : O) () Fax:: ( ) Amount received: �,'�7, °O E -mail: n PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES r coc- C�rtct rose 2 C'o`+ i n g:a . (6 n-f- -� Co •. ercial and residential prescriptive insta . on of CONTRACTO roof -to I ounted Photo Voltaic Solar P.. ystem. Submit t . 2) sets of roof plan wi • onnection details Business name: 1200, Ast \ Si._ \ct 'vl e ►Yi pr (We. yy). e Y 5 U. — L and fire dep. ent access, alo : ith the 2010 Oregon Address: 1 pi 30 S Lo C ,.rc 0\ W CAS Solar Installatio •ecial 'ode checklist. City /State /ZIP: ~I{ 1 J r q 1 22_4- Permit Fee (in es plan review $180.00 an.: 1 min alive fees): Phone: (503) s q. „ ( 9 3i Fax: (r30 (0 2.0 94- °('} State su. . ge (12% of pe • ee): $21.60 CCB lic.: 11 ( 41 S 4/ w //j Total fee due upon appication: $201.60 Authorized sign N. This permit application expires if a permit is n I obtained ('/1/� Q� within 180 days after it has been accepted as complete. . 1 l Date: � ( * Fee methodology set by Tri -County Building Industry Print name TG�WIe rGl K • U�Ct� e t� h� Service Board 1:\Building\Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11 /02 /COM/WEB) ' 1' Building Permit Application Checklist , One- and Two - Family Dwelling FOR OFFICE USE ONLY • City of Tigard Received 1, Date/By: No.: q 1 3125 SW Hall Blvd., Tigard,OR 97223 C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: f I G A R D 24- Hour 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 /.. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El ❑ 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: . ❑ ❑ ❑ 1 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 ❑ El ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore ton and shall be shown to be ap to the . ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 - 1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB)