Permit •
o CITY OF TIGARD MASTER PERMIT
II
• a COMMUNITY DEVELOPMENT Permit #: MST2013 -00119
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2013
Parcel: 2S 111 CD02900
Jurisdiction: Tigard
Site address: 15620 SW 98TH AVE
Subdivision: SUMMERFIELD NO.9 Lot: 541 •
Project: Eischen
Project Description: Interior remodel and reconfiguration of master bathroom
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: 1 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $6,500.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 4 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs /Showers: 3 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: 3 Clothes Dryers: 0 c -
Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum > =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 addl 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 8 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:
EISCHEN, STANLEY & ELIZABETH TL REMODEL AND CONSTRUCTION INC Required Items and Reports (Conditions)
9445 SW BRENTWOOD PL PO BOX 1996
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
PHONE: 503 -440 -2095 PHONE: 503 - 984 -2783
FAX:
Total Fees: $826.24
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 suspe d for more the 180
days. AT ' ION: e egon . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule re set forth in OAR
952 -001 0 010 through OA - • 2-01 1 ' 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . 9 7 .800.33 4.
A C
Issue. By: an Permittee Signature: r ."-- -
Call 503.639.4176 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.
4 7 Building Permit Application
Residential RECER/ED toll OFFICE USE ONLY
City of Tigard �, 2 0 2013 e s 0.20 �� I Permit N°. /"'T2o/3 7 / 9
i Q Phone: 503.718.2439 Fax: 503.598.1960 Plan : /
° 13125 SW Hall Blvd., Tigard, OR Plan Review'.
.. VNira�� Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Date R .. ^- / kris ® See Page 2 for
T I G A R D Internet: www.tigard -or.gov BUILDING DIVISION Notified/Method: l f) /l 3 l l Supplemental Information
eaL 7 1
TYPE OF WORK REQUIRED DATA: I- 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
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ y�,�l
1- and 2- family dwelling ❑ Commercial/industrial / cW
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1562,0 SILL l D t• Ave New dwelling area: square feet
City/ State/ZIP: f a0 m / d q7�q Garage/carport area: square feet
Suite/bldgJapt. no.: J Project name: z tk, 7 Covered porch area square feet
Cross street/directions to job site: 3g.,„ aF,i4 1),-. 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.
i n - feri Or- 4Q.+1w4 ( I / / . RCOr^'Y loc..l+.0/) Valuation: $
v Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 5.6 6. - 41. „, es , 1/4 Type of construction:
,1
Address: 15765 .S t.J (R K 14 +U b yip.. Occupancy groups:
City/ State/ZIP: 'T a a r . /0 0- q7z..cN Existing:
Phone: W ) 9118 7-61 S Fax: ( ) New:
❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES`
Business name: �"� l (Please refer to fee schedule)
/ 1 Structural plan review fee (or deposit): // r //
Contact name: -r tM L b kl
Address: Q� €O' J / / L FLS plan review fee (if applicable):
City/State/ZIP: fo � O 0 9'7035 Total fees due upon application:
Phone: (3) ` Y- 2.7g �/ I Fax:: ( ) Amount received: /1 7,1/
E - mail: Tj eyt•KY�P , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES`
L �� S 0" 1 Commercial and residential prescriptive installation of
C roof -top mounted Photo Voltaic Solar Panel System.
Business name: -r L R , ' 1 J C Ytw Submit two (2) sets of roof plan with connection details
'�+ �1 and fire department access, along with the 2010 Oregon
Address: fo 131>le ;QQb Solar Installation Specialty Code checklist.
City/ State/ZIP: fid lite O,I,,. / Og I �t s Permit Fee (includes plan review $180.00
D and administrative fees):
Phone: ( 3) y • 1 I Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: l'1 9
dpo: $201.60
Authorized signature s This permit Total application fee ue u expires n application if a permit is not obtained
/ , within 180 days after it has been accepted as complete.
Print name: �46 4 Date• 15s .
* Fee methodology set by Tri -County Building Industry
►`1 •v/ly Service Board. 7d • /5
I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(1 I /02/COM/WEB)
2 Ir " Plumbing Permit Applicatio ECENED
Building Fixtures MAY 2 0 2013 FOR OFFICE USE ()NEV
City of Tigard Received Permit N - .STo /3 OD // 9
0 13125 SW Hall Blvd., Tigard, OR 9722GITYMM F TIGARDp� Plan Review Phone: 503.718.2439 Fax: 503.59 QDIIVG DIVISION Date/By: Other Permit No.:
T I G A l: D Inspection Line: 503.639.4175 Date Ready/By: kris: RI See Page 2 for
Internet: www.tigard -or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description j Qty. I Ea. I Total
ddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (l) bath 312.70
.1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi- family SFR (3) bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 62 0 (.
C/41121. All*. ` Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City/State/ZIP: T3ar A •D 1727 ti Footing drain (no. linear ft.: ) Page 2
Suite/bldgJapt. no.: Project name: III f 3± Z Manufactured home utilities 50.03
Cross street/directions to job site: Swwtr,,lr4, dot ( .. Manholes 18.76
t'� 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: I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
_ L 1 0^ Clothes washer 25.02
7. r icJe- w\Cr4 I imElP (- � -ti, veins i J G1�T - Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: c � I Fixture/sewer cap 25.02
S�cl Lo k SC " ' " , ' , . -rn Floor drain/floor sink/hub 25.02
Address: ) c ? 5'S SL, i Qelk 1.1-4 11 `C. w Garbage disposal 25.02
City/State/ZIP: it� ..J �u4 Hose bib 25.02
Phone: ( 03) is () . 20c7-• Fax: ( ) Ice maker 12.51
❑ if CONTACT PERSON Interceptor /grease trap 25.02
�Q yr� Medical gas (value: $ ) Page 2
Business name:
� � " ' r ` A Primer 12.51
Contact name : 1 L a L f,.hski
Roof drain (commercial) 12.51
Address: ft3 14;96 Sink/basin/lavatory y 25.02
City/State/ZIP: " ex _ p , (�Q 97 Solar units (potable water) 62.54
Phone: (5‘13 ) ( 48Y. Z ? g3 Fax :: ( ) Tub /shower /shower pan 3 12.51
E -mail: Re.rh3ol61() ``1�,,`l� - t , Urinal 25.02 -
CONTRACTOR Water closet 25.02
Water heater i 37.52
Business name: A II crop.. et ,,,,,-4, 4 ) C_r- ,t 4. (-Lc_ Water piping/DWV 56.29
Address: i ?D 5 S b , nk+ 5+• Other: 25.02
City/State/ZIP: B 51-4/ eave ►h OR 9 7(b7, Subtotal
Phone: (503 ) 'Z.7 .07). , Fax: ( ) Minimum permit fee: $72.50
;� Plan review (25% of permit fee
CCB Lic.: � 9 ? 7 ZR Plumbing Lic. no.: Pg I2. 1 State surcharge (12% of permit fee)
Authorized signature: _ / ` TOTAL PERMIT FEE _
/L
l This permit application expires if a permit is not obtained within 180 days
Print name: 7; f /p /1 ems, O,+e� - ✓ Date :s. / /3 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)
Mechanical Permit Applicati I d V rt)li °Frier usf: ONLY
„ t>n/ R ived City of Tigard Permit . N
/ III ° 13125 SW Hall Blvd., Tigard, OR 97223 DatelBy: B�3 �Q��/9
Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 0 2013 Plan Review
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date ReadyBy: Juris ® See Page 2 for
Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: Supplemental Information
RI ill DING DIVISION
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
1 J
Job site address: cc p
6 S ,w D - Ave. Furnace 100,000 BTU ( ducts/vents) 46.75
City /State/ZIP: 7 aret ^ g1 Furnace 100,000+ BTU (ducts/vents) 54.91
/
J A Heat pump 61.06
Suite/bldg. /apt. no.: Project name: �•'nd.- it, 7' Duct work 23.32
Cross street/directions to job site: Sv....,w.e- .c U� p Hydronic hot water system 23.32
t
Residential boiler (radiator or
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
Other: 23.32
Subdivision: Lot no.: -
Other fuel appliances:
Tax map /parcel no.: Water heater i 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
T., let i (7 ' - elet DAP.t / Al tut , 1 :).4 - 4 etc SJh` ! + LJ1oi - i - - in fireplace - 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
y 3 PROPERTY OWNER I ❑ TENANT Other: 23.32
1 Environmental exhaust and ventilation:
Name: S -au, E i 5l. y Range hood/other kitchen
equipment ` 33.39
Address: I S 7 SS Slr Oe'K WO ( Jc, ,,, Clothes dryer exhaust 33.39
City/State/ZIP: i 4 OR 977-.4 Single -duct exhaust (bathrooms,
t�JJ Z toilet compartments, utility rooms) 3
a23.32
Phone: 3) vi Z.09 Fax: ( ) Attic/crawlspace fans 23.32
❑ APPLICANT ". CONTACT PERSON Other: _ 23.32
�'� Re. 4
/� Fuel piping:
Business name:
�V/� C 514.15 for first four, 54.03 for each additional
Contact name:? Lcd--)t1ASK_ / Furnace, etc.
Address:
& x /AR F r Gas heat pump
WalUsuspended/unit heater
City/State/ZIP: �: ;, -. in {,(�, ( " `J 03L„ t D [\ . ( ri" ^)BS Water heater
Phone: (503 ) 9 k L • Li 83 Fax: :• ( `') Fireplace
Range
E -mail: 71..... R d 1k e I 6 . O)P Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ' �),vtA 4-k7 � � J - Other
r MECHANICAL PERMIT FEES '
Address: \U3Q3 C 1 �36'ii.- .3 k Subtotal
City /State/ZIP: V. Co U tier" W Cl 9 b•(* Z Minimum permit fee ($90.00)
Phone: ( 563) Fie/ - g Fax: ( ) Plan review (25% of permit fee)
()S State surcharge (12% of permit fee)
CCB lic.: i 9 75'f4' 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 m ethodology set by Tn -County Building Industry Service Board
Print name: a b� / I Date: S 3
I:\ Building \Pamits\MEC_PemvtApp_040113.doe 440.4617T (I 1/02/COM/WEB)
"Iectricai Permit ApplicationRECEI V I/ E.. FoR orris r t.st: (i\I..).
II City of Tigard MAY 2 0 2013 Nq7S732oi 3 00//9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.7182439 Fax: 503 . 59819 19ITYOFTIGARD > r. Other Permit:
T I G r\ It ll Inspection Line:
Internet . ,75 BUILDING DIVISION Nom: '" I Supplemental for
uP fl�mtal Information
TYPE OF WORK PLAN REVIEW
❑ New construction ddition/altetffilon/r+eplticement Phase chat all that apply (submit 2 sets of plans wfeems checked below):
0 Savior or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating building&
is 1- and 2- family dwelling ❑ Commercial/mdustrial ❑ Accessory building to ground, or i nceeds oim. 0 Commercial-use agricultural
for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
AND LOCATION
JOB SPI E INFORMATION AN ❑ Emergency stem, larger separately derived system.
/ N 0 Addition of new motor load of 0 "A ", "5", "1-2 ", "1 -3 100HP or more.
Job no.: I Job site address: S IjZV Si) A C Q VV. p Six or more residential snits ❑ Recreational vehicle parks
city /stete/aP: 1 i (' a r� / o ( ��Z 2� 0 B la ❑ � tome than
Suite/bldg./apt. no.: ` Project name: y ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: S.an
i1..,t4 iC' Id of,. Description I Qtr. I iw, I Total I
New residential single- or multi- family dwelling tout
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 16834 4
Es. add'I 500 sq. ft_ or portion 33.92 1
Tax map/parcel no.: _
DESCRIPTION OF WORK Limited with above sq. Rt) 75'00 2
L Limited energy, multi- family 75.00 2
-L ,3- er; 0"- !'F. v,- r Ae,1 /Mark- T'f - bei-1, isei -o ' C e < V Energy i 4 ,In Re e i a ti (with above sq. R)
gy p See Page 2
Services or feeders installation and/or relocation
PROPERTY OWNER , ❑ TENANT 200 amps or less 100.70 2
Name: S-t--n 201 amps to 400 amps 133.56 2
1 F,1 S c,3r, 401 amps to 600 amps 200.34 2
Address: I575S St,/ ()aid-ht) Jct.< 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: f , • „ J oR 97 7.21,\ Temporary services or feeders installation, alteration, and/or
Phone: ( ) `/L 26 A ,r • I Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which is not 201 > 5936 1
201 amps to to 4000 0 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 m 599
amps amps 168.54 2
Owner signature: Date: Branch circuits new, alteration, or extension, per panel
. ❑ APPLICANT I CONTACT PERSON A. Fee for branch circuits with
Q above service or feeder fee, 7.42 2
1 Business name: ' , , I a C or‘s .}., each branch circuit
B. Fee for branch circuits without
Contact name: ` L.) � service or feeder fee, first
I 56.18 2
Q J branch circuit
Address: f0 rX 1 94 ( Each add'I branch circuit i 7.42 2
City/State/ZIP: Mic OS UU 1Q . ( Miscellaneous (service or feeder not induded)
U / V+ l J W Each manufactured or modular 67.84 2
Phone: (job ) q$k , 2.1) I Fax:: ( ) _ dwelling, service and/or feeder
T �/ Reconnect only 67.84 2
E - mail: / s g. irsoil40 I 0 'A : 60A-- \ Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy
Business name: �` L{ 1 _ „' P I f /' p li anel, alteration, or extension. Page 2 2
Address: pc, g c ,� � v r c-f o 4y 1 P: �- � Each additional Inspection over allowable in any of the above
Additional inspection (1 hr min) 6625/ hr
City /State ZIP: (A) ao d b r r O - 6 1307 - f Investigation (1 hr min) 6625/ hr
Phone: (f j) 33 O ' gL( 801 I Fax: ( ) Industrial plant (1 hr mm) 78.18/ br
3�3s5 Inspections for which no fee is
90.0W hr
CCB Lic.: 1Cr6l b' I Electrical Lic.: (d� Suprv. Lic.: specifically listed (54 hr min)
I- r,, ELECTRICAL PERMIT FEES
Suprv. Electrician signature, � re } quire
I d: gal h "r� 5tsev, Subtotal:
Print name: j e `_ (' � I Date: s_ ? , ' Plan review (25% of permit fee):
v, v J State surcharge (12% of permit fee): TOTAL PERMIT FEE:
Authorized signature: / • . -
j _ V___
Print name: 14 h g Tt� Ul �,0 S r I S — a — r 3 I bis permit a te expires if � ia c orn o � d within t80
after r it has been
• Number of inspections allowed per permit.
LaaldmglPamitoELC_PermitApp o4o913.doc 440.4613T(I U051COM/w®
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15620 SW 98TH AVE, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
2013-11-22 (null)
MST2013-00119
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15620 SW 98TH AVE, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
2013-11-05 (null)
MST2013-00119
FAIL
No access to the electrical panel. No access to service the out let or the motor on the jet
tub no info about the extent of the electrical work
Violation Summary:
Inspector Contractor