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Permit
q CITY OF TIGARD MASTER PERMIT 11111 12 COMMUNITY DEVELOPMENT Permit#: MST2013-00198 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2013 Parcel: 2S114BC04300 Jurisdiction: Tigard Site address: 10468 SW BONANZA WAY Subdivision: RIVERVIEW ESTATES NO.2 Lot: 80 Project: Ellis Project Description: Add a cantilevered niche opening within an existing window opening for tub conversion to shower. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $4,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines. 0 SF Rain Storm Sewer: 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 0 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: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<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 add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ' ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: ELLIS,KATHERINE A CRAVENHO CONSTRUCTION&BUILDING Required Items and Reports(Conditions) 10468 SW BONANZA WAY PO BOX 20492 TIGARD,OR 97224 KEIZER,OR 97307 PHONE: PHONE: 503-819-3450 FAX: Total Fees: $319.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 111 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 ,re the 180 days. AP • t!,' Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi-- Center. Tho _ rules are set • h in OAR 952-06 -0010 through •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. 503.2 .1987 or 1.8'6.332.2344. Issued :•. � Permittee Signature: _ Call 503.639.4175 by 7:00 a.m.for the next available inspection.Cr This permit card shall be kept in a conspicuous place on the Job site until comp of the project. Approved plans are required on the Job site at the time of each inspection. Building Permit Application RECEIVED Residential I oR olisict: t'SI:t1NI.V City of Tigard AUG 2 8 2013 Received `/ Date/13 : 3 � Permit No.: f r , —0 � /Qp 13125 SW Hall Blvd.,Tigard,OR 972��'''''ii Plan Review ' o Phone: 503.718.2439 Fax: 503.5981gK¢TYGFTIGARD DateB ; J. ij Other Permit: T I G A 1 D Inspection Line: 503.639.4175 LDING DIVISION Date Ready/By: , kris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: ii ( ;j Supplemental Information G.Vdr• t,/, 7r, ln. TYPE OF WORK Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑New construction ❑Demolition equipment,materials,labor,overhead,and the profit for the ©Addition/alteration/replacement ❑Other: work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $4,000.00 ■ I-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: Multi-famil ❑ ❑Accessory building Multi-family Number of bathrooms: ❑Master builder ❑Other: Total number of floors: JOB SITE INFORMATION AND LOCATION New dwelling area: square feet Job site address: 10468 SW Bonanza Way Garage/carport area: square feet City/State/ZIP:Tigard,OR.97224 Covered porch area: square feet Suite/bldg./apt.no.: I Project name:Ellis Bath Deck area: square feet Cross street/directions to job site:Pies Landing of Durham rd Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Permit fees*are based on the value of the work performed. Subdivision: I Lot no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no.: work indicated on this application. DESCRIPTION OF WORK Valuation: $ Add a cantalevered niche opening within an existing window opening for tub conversion Existing building area: square feet to new shower. New building area: square feet Number of stories: . ❑ PROPERTY OWNER 'I ❑ TENANT Type of construction: Name:Katherine Ellis Occupancy groups: Address: 10468 SW Bonanza Way Existing: City/State/ZIP:Tigard,Or.97224 New: Phone:( ) Fax:( ) BUILDING PERMIT FEES* (Please refer to fee schedule) © APPLICANT © CONTACT PERSON Structural plan review fee(or deposit): Business name:Projective Bldg Design,LLC FLS plan review fee(if applicable): Contact name:Terry Hellem ' Total fees due upon application: Address:PO Box 6542 Amount received: f g 7- S City/State/ZIP:Beaverton,Or 97007 Phone:(5032706128) I Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation . E-mail: probuild101 @gmail.com roof- .. • ted PhotoVoltaic Solar Panel Sys - . CONTRACTOR Submit two(2 - . of roof plan with . -ction details and fire department a - . alo t • t the 2010 Oregon Business name:Jason Cravenho Construction Solar Installation Specia • •checklist. Address:PO Box 20492 Permit Fee '. udes plan revs- . $180.00 d administrative fees): City/State/ZIP:Keizer,Or 97307 State I charge(12%of permit fee): $21.60 Phone:(5038193450) I Fax:( ) Total fee due upon application: '!1.60 CCB lic.: 185859 S'///I17 This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complete. Authorized signature: •Fee methodology set by Tri-County Building Industry Service Board. Print name:Terry Helle I Date:8.28.13 I REQUIRED DATA:1-AND 2-FAMILY DWELLING I:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Plumbing Permit Application Building Fixtures RECEIVED I OR Ol i ICf: USE ONLY ��"''1 V� I Received (/ City of Tigard DateBy: O a� I h Permit No.: Gj%e40l 5_60/9 lia 13125 SW Hall Blvd.,Tigard,OR 97223nn 0 Phone: 503.718.2439 Fax: 503.598.1966i G 2 8 2013 Plan Date/By:eW Other Permit No.: - Inspection Line: 503.639.4175 Date Read JSwig: ® See Page 2 for TI G n R D Ready/By:www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WBIMi.DING DIVISION FEE* SCHEDULE El construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION . SFR(I)bath 312.70 ❑ 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: Job site address: / C) / g 5(,) /JN4�z,"s- l [/ Catch basin or area drain 18.76 City/State/ZIP: 7------ A,---„,(/ O� 22 i / (( Drywell,leach line,or trench drain 18.76 `7 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: � /1S 4, / ,j 4- Manufactured home utilities 50.03 Cross street/directions to job site: \ Manholes 18.76 P]GS AA/d/,' G "* 1)0,6c4-4, wo/ 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 Clothes washer 25.02�v�r/ e) -R/& 5/ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 cg PROPERTY'OWNER I ❑ TENANT Expansion tank 12.51 Name: Q /,5 Fixture/sewer cap 25.02 [ Floor drain floor sulk/hub 25.02 Address: laq 6b.- �[�� N,q,�e7 Z� (,1J Garbage disposal 25.02 City/State/ZI/P: ),A.. ( ®�" G) 224 Hose bib 25.02 Phone:( ) ` Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan a 12.51 E-mail: Urinal 25.02 CONTRACTOR "Wt. Water closet 25.02 • Water heater 37.52 Business name: J 6 ` m 1 r i oa, \L / i) _ Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 q 1d Plan review (25%of permit fee) CCB Lic.: i grS e5/ �// t S Plumbi Lic.no.: p6 1Q `4 ,�///�`/ State surcharge(12%of permit fee) Authorized signature: , T TOTAL PERMIT FEET Print name: /el Dater / This permit application expires if a permit is not obtained within 180 days L tG/ 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-1st 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 • Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 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 El Any new commercial building with water service 2"and Bapti stry/Font -Tub/Shower greater,except systems designed and stamped by licensed Bash 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: -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 WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2