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Permit t Cr ar /5 MASTER PERMIT CITY OF TIGARD ' •• COMMUNITY DEVELOPMENT Permit#: MST2013 00106 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013 Parcel: 2S111AD21400 Jurisdiction: TIGARD Site address: 8615 SW PINEBROOK ST Subdivision: 2015-021 PARTITION PLAT Lot: 1 Project: Brittany Home Inc Project Description: Shop remodel add full bath and washer and dryer. 2/18/2015 REPRINT permit to change address from 8605 to 8615 created by minor land partition.6/25/15, reprinted to correct parcel#to BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total 0 sf Value: $5,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 1 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 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: 1 Clothes Dryers: 1 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: 3 Ea add/500 sf: 0 201-400 amp: 1 201-400 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: ALT SF VB R-3 0 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS-SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD. RD SHERWOOD,OR 97140 SHERWOOD.OR 97140 PHONE 503-628-3518 PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $665.97 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 t AR 952-001-0090. 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. Ct Permittee Signature: Cy e1/4�j((—/-20-19 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V 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. CITY OF TIGARD MASTER PERMIT -- . COMMUNITY DEVELOPMENT Permit#: MST2013-00106 • 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013 TIGARD / Parcel: 2S111AD00401 Etr :�� ' Jurisdiction: Tigard Site address: 8615 SW PINEBROOK ST Subdivision: PINEBROOK TERRACE Lot: 1 Project: Brittany Home Inc Project Description: Shop remodel add full bath and washer and dryer. 2/18/2015 REPRINT permit to change address from 8605 to 8615 created by minor land partition. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First. 0 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $5,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach 1 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 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: 1 Clothes Dryers: 1 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: 3 Ea add'I 500 sf: 0 201-400 amp: 1 201-400 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: ALT SF VB R-3 0 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS-SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD. RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: 503-628-3518 PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $665.97 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 thr.•,h 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5503..2332.1,9887oror 1.800.332.2344. Issued B ' ��--- Permittee Signature: L'/t `9 /)L'/C 7O A' 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 the project. Approved plans are required on the job site at the time of each inspection. q CITY OF TIGARD MASTER PERMIT g • COMMUNITY DEVELOPMENT Permit #: MST2013 -00106 Date Issued: 05/09/2013 T E GARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Parcel: 2S111AD00401 Jurisdiction: Tigard Site address: 8605 SW PINEBROOK ST Subdivision: PINEBROOK TERRACE Lot: 1 Project: Brittany Home Inc Project Description: Shop remodel add full bath and washer and dryer BUILDING Floor Areas Required Setbacks Required Stones 2 Bedrooms 0 First 0 sf Basement: 0 sf Left 0 Parking Spaces 0 Height 0 Bathrooms' 1 Second. 0 sf Garage 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right' 0 Detectors' Total 0 sf Value $5,000 00 Rear 0 PLUMBING Sinks 0 Water Closets: 1 Washing Mach: 1 Laundry Trays. 0 Rain Drain. 0 Urinals 0 Lavatories 1 Dishwashers 0 Floor Drains. 0 Sewer Lines 0 SF Rain Storm Sewer 0 Tubs /Showers 1 Garbage Disp 0 Water Heaters 1 Water Lines. 0 Drains 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 1 Clothes Dryers 1 Heat Pump: N Hoods 0 Other Units: 0 Furn <100K 0 Vents 0 Woodstoves. 0 Gas Outlets 0 Fum > =100K 0 ELECTRICAL Residential Unit Service Feeder Temp SrvGFeeders Branch Circuits 1000 sf or less 0 0 -200 amp: 0 0 -200 amp 0 W/ Svc or Fdr 3 Ea add'I 500 sf 0 201 -400 amp: 1 201 -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: ALT SF VB R -3 0 Owner: Contractor: BARE LLC BRITTANY HOMES INC Required Items and Reports (Conditions) 22275 SW SCHOLLS - SHERWOOD 22275 SW SCROLLS- SHERWOOD RD RD SHERWOOD, OR 97140 SHERWOOD, OR 97140 PHONE: 503- 628 -3518 PHONE 503 - 628 -3518 FAX 503 -628 -5421 Total Fees: $665.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through 952-001-0090 j / You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: J[.& %LkJ kr Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Building Permit Application RECEIVE Residential FOR OFFICE USE ONLY City of Tigard APR 2 9 2013 Date/By Lt� /l 3 1 Permit No,1.( j(3 -00(0 0 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie C . Phone: 503 718.2439 Fax: 503.598.1960 CITY OF TIGARD DateB y er ii 5 Other Permit: s I apt 3-vGb$ T I G A R D Inspection Line: 503.639 BV ILDING DI I ISIOK Date Ready y .,, A Juns See Page 2 for Internet: www.tigard- or.gov l7 V J No ti f ied/Meth d �l 3 7) &) 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 Ig 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: $ ❑ Accessory building ❑ Multi - family /7 Number of bedrooms: ❑ Master builder Other: c#p / Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Sg, d S' A N4, -L ..p.--, New dwelling area: square feet City /State /ZIP: ^� � ' Garage /carport area: square feet Suite/bldg. /apt. no.: ¶Project name: S 1-.,„41 `b 0 .4- 1 .,.., Covered porch area square feet Cross street/directions to job site: /�_ A ..!t 130-1-1. s-{ S, Deck area: square feet 6 Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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. PT30 . n c. - R "L-4 k,, A-C Ef / 6L,- lb SlAc /� Valuation: $ t Existing building area square feet New building area: square feet Pg PROPERTY OWNER ❑ TENANT Number of stories: Name: Gp s. L` C - Type of construction: Address: 2_ 5 c. (,t S(,,.y.‘„,,r100 Pet. , Occupancy groups: City/State/ZIP: ,F tee /ZIP: SLg„,xo0 b 97/Ye Existing: Phone: ,E;;3 )3y9. L Fax: („43 )4v 25 7, - S"V2 -I New: 71 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: gr sue /� .4. ,41,0,7/6 (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: - SW-- F G u,Gp , r -F FLS plan review fee (if applicable): Address: City/State /ZIP: Total fees due upon application: Phone: ( ) F es; ; ( ) Amount received: E -mail: Erf e% g� ,, /A/` , , ,,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: & t Tr N "i r./. ✓eue.s TN L Submit two (2) sets of roof plan with connection details ' / and fire department access, along with the 2010 Oregon Address: z2_2_.p_, 7 S � c�w (. ( CS -- S h se,C i . It At , Solar Installation Specialty Code checklist. Permit Fee (includes p lan review City/State /ZIP: S (�.�„ ^) 4 a $180.00 I and administrative fees): Phone: ( 5, 3 ) 3Ciq _ y 3 2c , F a x : ( , / ) 4.,2_5x- 5y Z/ State surcharge (12% of permit fee): $21.60 CCB lic.: 3 S z 4718 . )-I dC " Total fee due upon application: $201.60 Authorized signature: l)_ 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 Print name g- C _ L 4 6,040 i Date: V/1 %3 Service Board. IABuildingTermitskBUP- RESPermitApp.doc 02/24/2011 440- 4613T(1 I /02 /COM/WEB) ( 1 3 Li Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard Received I IN Date/By: e ive Permit 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/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ 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 El El ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ El ❑ 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- ❑ ❑ El floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists El El El over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ El ❑ 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 a • . licable 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. ❑ El ❑ 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, ❑ ❑ El 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, ❑ ❑ El including decks, patio covers (over non - impervious surtace) 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) —' ,--- . . . . . al' Permit Applicat .. _ . W fu ' Electricion "^ FOR OFFICE USE ONLY . .. . . .City of Tigard Igt M S 7 .RCCCI■CCI D31C)BY al ? l' C.'' • ; .. AST(21 3 - 0 „) 0 101,9 . 1 1: 1312S SW He E3Nd. I '' )1\ '0 2 1960 7,0 3 Hall 'Et `,1eM llv: l .ii - --- ---• , l ;''.' Atcr 00dgi •.....PhOne SO 13 5 ) -- , pole/By • ----... . i( A1 .• Iii itt " 1 3 . Dare Ready/fly ' !■. • ' El ‘Mti• Page 2 fur Interat .tigard 8ON 0 CI 10 Notified/Method . ' 11 & Simplemenml Information . . — ' ' OF WORK ' 0 New conStrUetion ;kutij dlteltitioo/tcplaCemCnI F — - • . 1 • — . _____ . —. --....._ P1,AN RENTF.W ' 1 - 1 irle:sse check All that pp bl ow): f ' utorll', .4 • tl o' ;•.,r)• , A . 1 i 0 T's • (114 Mow)! I El semce or l'euder 414 .,p,o. ,,, :11, 1, , i•.di ■.,,.,v Ito ee stones rc Demolition ' ti 0,1111 - '-"--- ' 1 milleo: the r1.4,1ab d lo ho . :LI V, iNi ins AA , ,i•at vat ds • . . 01 ' ' Op' CONNTRucTION ' • ' RiclanItt----' ' _Z ' 1 c.x,.leds 10.000 =pc at . q volt. :.r i ; ' ',)Iltrq; bulidOVS less l r o u n ow d, or o ,,,,o,t , .. I t , El , 'cc'. •u agricultural k4 1. and 2-famil t vc,lI ,ng ID Conir _ tio Ciill'i - ntl ___ uStripl D ALcessoiy buildini — 1 amps for all other ith..ollsi on. r-ildina . 0 multi,fim Ily 0 N1acicr builder 1:1 Other I ID Fne p„mp. fl :„,,,,11.,... „, it KVA or - - 0 Emerseney system ;..1 ceparatcly derived RylleM JOB sat; INFoRmA rION AND LOCATION . 12 Addition of new multmutt,, 10Arl 1)( ---Z------- ' ! I OM? or morL ,,,ctipanev Job no.: ; or ih t..110 ac S: gar 6 i..) f KJ:. 0 ...., 1 , . so more ,e,identia '2 Nerreationa vehicle parks. City/S • tate/ZIP' . p 9 a k( i r, . onk ‘ith.igc. for more than • •• soils nominal .. . ,.__, 0 Hazarclo,.. [mall on, •.•Ico or feunci FM Amp, oi 1 d 7a Suite/blds /apt. no ; l'roiet'l name. 1 1-- • . . 1 YEE St 1-11.17t 1 F. Cross stree0directions to job site , L 1 Delollo, _ . (It.. _ _Ice 1 ... fORII. .2_ . . ...—'—' _ . - 1 I Nem residential single- or multi-laity's dwelling unit. li attached garage. . , . ___ _____.-_____ . .. ____ —,. — • — _ _. . bdiysion: ' i.o00 sq 11 or less :68 5 4 Sui Lot no.; . , - --- - -- -- Fa adel ;i00 sq l't, of portmo 3 4' I I Tax map/parcel no - . . I Limited enetgy, reside:1081 . 1 0 1 2 ",... • • , . 1 " . . . oFSCRIPTION"OF WORK I tyi above 9 0.. ) _ ...: ---_ _ , I 1 imard energy, multi 'family 75 CO I 2 • . /-1 k , rosidentlal (i. tibi.1% is. i, 11 I __ . Renewable Encrm• . ! 0. S Page 2 . • . . Services or feeders installation, ft Ire ra 0011, allId/Of relocation • " 2;; ',Le'', . '. DI fitoPflitn 0 FR I 0 TENANT 200 amps or lecs , 100 70 2 • • 't; : - . .., , .. , , 201 amps to 400 omps 2 11 5), Name: . 401 amps to Nil) amrr. 1 i NO 34 . ' 2 -- ---_ . ,--- . . . Address: • on I amps to t ,000 amps i 301 04 2 City/Statc/ZIP , -__.-- • ' • ' -- 1 Over I amp.; or x (AP, . is2 26 I2 . ' ._ __. _ — _. I Temporary sersiees or feeder X lost:Mallon. alteration. and/or .., ' ----- ; relocation , . Phone:( ) 10» ( , • ,..,__. . ____.______i ! ?Ill ) amps or In-, . 50 ,), QW11.er installation: This instollalim ;s hi-HT. make op property that I own which is n0t • 1 2( amps to .iti• amp. 12,115 , ' 2 ' intended for sale. lease, rent, or exehan0e act ()riling to (116 447. 444, 670. and 701 i . _ ____ _ . i - - 1 I 401 amps to 5' amps 165 ;.t.1 • 2 . Owner 'signature. ._ D4te: _ _ ..,_ ' hBranq circuits - non alto awn. or extension. per panel ." ,•'' - /0 APPLICANT I CI CVNTACT PF.A.SON rT for hrapcil t..lo.tua.. 1 ,'ffi , I • . .—_-...—. . - -1 I dflove scrNIte Of rf:CCA:I Ivc ; 12 Busincss name: r „„..L, LI,,,. --, 1 ,, ! .;Ich brdncli oirc Lot 1 . ■......a _i_N_ .., ( 1...—. ill L-%---" ' IR f.eo lot In un..,11 s if t 11i7 - "I • Contact name: D,_„,,,d. ,„v,cc or krl1C, 10: 11,4 5 :6 IS 2 i e" , 7 •---------- ----1 . br4,,,,, cu.: : ____. 4 Ado, 150 ,) { S t - I Each add'I branch L.110 .11 L — . s — 1 1 Miscellaneous (se! vire or kedernoi included) CiWState Ci/1 6.1 0 0 ' ., I Each manufactured ra modular — . - 7 C 1 . . t .... 1 1 dxyclitrice alr_Por! cede._ Phone: (5.3 /Z. (-. - () 7 -6 y I a , (5k0) Z1c4 - _)5Y . 1 n,.,,,,, to,1 2 . . E l ' irtail: 6 i PI pac71-- 1-, 4 ( ,.b_L . .' •irj,______.--,. 7 1 Pomp or irrigation ciie . 2 -- . , • • • O A 1 CNTRCIlkleg li ■ o7 84 . -- i 1 Sign 01 outline ptiriu . _ , _ i 2 - 1 ' cl .t.,, , I I • Business name , J„ ,„, C p ,- f ; ( i •••". fil c•-, a.......... . - Signal iututo.1 01 hpateu ......-J ',. panel or ,:,tcoron _I ,,...... _ _Par,e 2 ...., 2 Address, 1 (i - .1 J. 1 • _ ; 0 / C j: i ____,_.______...._ _______ 1. , . ,,, c , ■ :,n da ti . , t ,,, , ,.,,i, t i,,, ( ,, • , .r 11owl in any of the above or .`si hr City/State/ZIP ,_ 7,"/ . _. - . _ ... ...._ _ ; (ply) bt, Op:, — rj - 7 t ) ,o . ,..,,.„.,„..ii„,,,,,", . ,,,,,, ,, _ - ----- - ..... (./ Phone; ( 5 ' k3) L ( e 7 74 I ‘'` ' 5 ' /6 • S 5'1_3 r‘ktIZMtlill It'1:111 1 ' h. 1 i • t, CCB IA.: ill) • — - _ 7 • ..— ,—_.. _ -- . — - ; i• 11•Nlik)11' '0 " ' ' '" . . 0 1.. '1 I.( 7 1 ! s.,..,:.,). I is 3.. lizc.. ; !,111)n 1 IC ziz 3 5 • _ ,‘,„,1,,,, .,,,., • ...„ . _ I flt,, ,, i 1 )( i r ,....L_ _ - — tl Suprv. F.lectric,oi .I:•nato.r i`vok''' - ..i'l .i(' ,..,,,_,.../ 1 ' ..k,/ ----- •;:iol.11 ' 1— ... . - . ,,, ,. • ..„ , Print name , ,,,,t , ,,.,.. •, . 1 ), ,,, v .' i e ...‘ ; . LA 1..1 l x._•. „..../ . 1 , 4 l, i _' A— —, I ) .—. —.. -- __ ''.1::1(.. • r 1 ':.' 071'11 L.0 ... . •-•- ., ',',:CIII i — Authorind SP' ■,11 _ i .—.. .— . -- - -. • -- -- --- - ,,,L ,t , nut Ahmed withru 180 i his perion .innhi A•i••' e . Nii " i ! Date ' d.iss i'v 1; h.; , i „no] 3 ....,ipii te, I Print nainc, _ ..._, _ . - _ . .._ _ -- - • \:,,,,‘,„ ...‘,..,. „., .„,.. ) 11 ( MINk‘l• i . ..klui , ,i1,12,N•rrniol ' • Id WdSS:VO 2I0E 6 E 'JdU 2t7SS99E2OS : ON 2N0Hd ONI DIell013 AGNUO : WOeld Mechanical Permit ApplicatimRECEI ,/ i ; _ FOR OFFICE USE ONLY City of Tigard Received '! Permit No. ,,/� ° 131 APR 2 9 2 013 SW Hall Tigard,OR 97223 Date/By 44)4 '3 a) � � - (3 ' IN to 1111 11 Plan Review Phone: 503.718.2439 Fax: 503 598.1960 Date/By. Other Permit. c.4 .10( wog/ TIGARD Inspection Line: 503.639 CITY OF TIGARD Date ReadyBy loos See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method fl& Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 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: $ 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 I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: S6 p s 6 _ a A K ei.it_ Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: / � G �`/ 4— , Furnace 100,000+ BTU (ducts/vents) 54.91 J Heat pump 61.06 Suite/bldg. /apt. no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronlc hot water system 23.32 / // ,, 4 Residential boiler (radiator or 4 o.�Cti " .b y , f hydronic) 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 Other fuel appliances: Tax map /parcel no.: Water heater 23 32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas ,4-Vd S--A"', S IL d- 1■445 Cfeez/,,.ye-e/ fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney/liner /flue /vent 23.32 .&j PROPERTY OWNER El TENANT Other: 23.32 Environmental exhaust and ventilation: _ Name: S,1-6 r!-t.-- Range hood/other kitchen equipment - 33.39 Address: 2_2_2:7 5 Cc.a U s— Sh�� / � (�, Clothes dryer exhaust / 33.39 City /State /ZIP: c oo., � , Single -duct exhaust (bathrooms, `, ' toilet compartments, utility rooms) / 23.32 Phone: (,, )39.9-- y3Le, Fax: ( ) Attic /crawlspace fans & 23.32 13 APPLICANT ❑ CONTACT PERSON Other: 23.32 _ Fuel piping Business name: l3- �� $14.15 for first four; $4.03 for each additional Contact name: *---z?�� 4e� Furnace, etc. Gas heat pump Address: 722 i S Se 43/'/� _ S'A-vr�v ,,0 , Wall /suspended/unit heater City/State /ZIP: J�..., c.-•-...,, cu.._ Water heater Phone: ) Ic giEFg .Y3 2_c Fax: : ($ ) 62g — s ,2„/ Fireplace Range E -mail: T 1C &, gj2/ 77 4A '/V 4 l 2-,A./C„. , ` Barbecue CONTRACTOR Clothes dryer (gas) Business name: 4/a� //e-dt' * , o4 ' Other: 'x'/ � � � MECHANICAL PERMIT FEES* Address: Subtotal City /State /ZIP: Minimum permit fee ($90.00) Plan review (25% of permit fee) Phone: ( ) Fax: ( ) State surcharge (12% of permit fee) CCB lic.: .2 ,) .D.,g 6 ( TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri -County Building Industry Service Board Print name: �,,¢ Date: I \ Budding \Permits\MEC_PermitApp_040113 doc 44046177 (I 1 /O2ICOM/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. 1:\ Building\ Permits \MEC_PermitApp_040113.doc 2 Plumbing Permit Application RECEIVE I Building Fixtures FOR OFFICE USE ONLY City of Tigard APR 2 9 2013 Received aq I ?) � Permit No M S7joI ? OO ID 6 U Ihi I to 13125 SW Hall Blvd., Tigard, OR 97223 Date/By a 'f� / `1 s(' Phone: 503.718 2439 Fax: 503.598.196 CITY OF TIGARD DatePlan BRey. vi ew Other Permit N S �1 c� T J aj O al T I G A R D Inspection Line 503.639.4175 BUILDING DIVIStOP1 Date Ready/By 'ill u 5 / � S ®See Page a 2 l In for formation Internet: www.tigard - or.gov Notified/Method upplement TYPE OF WORK FEE* SCHEDULE 11 New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total A l Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Commercialindustrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other:5 "e47-77/ Fire sprinkler sq ft.) Page 2 JOB SITE INFORMATION AND LOCATION __ Site utilities: Job site address: 8 S ,ai� a sr Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: —, 4 „„.–al 4:-;!--e- 5772Z)" Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: 6 /'17 f Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /ice �Ne `7:4- 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: 1 Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31 27 DESCRIPTION OF WORK Backwater valve 12.51 �B n )� 117 �,, � Clothes washer ( 25.02 !� �� Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 AI PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: g / 2 e LL� Fixture /sewer cap 25.02 / p / ,�, Floor drain/floor sink/hub 25.02 Address: 2_2_2_'7 S' 5....) SLAM= CMS= , 0 X../ Garbage disposal 25.02 City /State /ZIP: c .r•.voD Z714 Hose bib 25.02 Phone: , ) je. 9 - .../72_6, Fax: S )4;27 • s yz..( Ice maker 12.51 iiil APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: S '9 A t a Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: S &/'f I.4Q 60 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 / 12 51 E -mail: Urinal 25.02 CONTRACTOR Water closet 25 02 Water heater / 37.52 Business name: - ,ej, -�/j7y /04. .1f Water piping/DWV 56 29 Address: Other. l'Ce, r se 25 02 City /State /ZIP: /Ce S'".go - ar`�' Subtotal Phone: ( 5 3 fly- 76 yL Fax: ( ) Minimum permit fee: $72 50 Plumbing Lic. no.: P� Plan review (25% of permit fee) / State surcharge (12% of permit fee) Authorized signature: I 06(0 , TOTAL PERMIT FEE Print name: t 49,70. Date This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn -County Building Industry Service Board I \Budding\Permits\PLMU- PermitApp doc 10/01/09 440W616T(I0 /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 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 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 tall 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: - Lav/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 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 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 320 Plumbing rough-in 05/13/2013 00:00 MST2013-00106 FAIL 1. Floor drain trap requires a primer. 1007.4 2. cleanout needed: on auto washer 2" pipe. It has over 135deg horiz turns 707.4 3. Retest DWV 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 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 322 Shower pan 06/03/2013 00:00 MST2013-00106 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 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 05/16/2013 00:00 MST2013-00106 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 8605 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 05/16/2013 00:00 MST2013-00106 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2013-00106 David Young Not ready, not all ﬁxtures installed. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 275 Framing FAIL MST2013-00106 David Young Not ready, wrong permit number called in. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2013-00106 David Young Not ready, wrong permit number called in. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2013-00106 David Young Not ready, wrong permit number called in. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2013-00106 David Young Bathroom only. See approved inspections on other must permits. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2013-00106 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2013-00106 David Young No shower curtain or panel installed. Electrical outlet in wet location area. Provide waterproof cover per 406.9 or install shower closure. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8615 SW PINEBROOK ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2013-00106 David Young This inspection resulted with corrections and inspections from MST 2014-00146. Corrections done, ﬁnal approved. Violation Summary: Inspector Contractor