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Permit n CITY OF TIGARD MASTER PERMIT °F1- 2: COMMUNITY DEVELOPMENT Permit#: MST201300199 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013 Parcel: 25111 CD02500 Jurisdiction: Tigard Site address: 9660 SW SUMMERFIELD DR Subdivision: SUMMERFIELD NO.7 Lot: 340 Project: HIGGINS Project Description: Bearing wall removal and bathroom expansion. BUILDING Floor Areas Required Setbacks Required Stones 0 Bedrooms 0 First 0 sf Basement 0 sf Left 0 Parking Spaces 0 Height 0 Bathrooms 0 Second 0 sf Garage' 0 sf Front 0 Smoke Dwelling Units 0 Third: 0 sf Right 0 Detectors Yes Total 0 sf Value' $50,000.00 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. 2 Clothes Dryers 1 Heat Pump N Hoods. 0 Other Units 0 Fum<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 6 Mfd Home/Feeder/Svc: 0 401-600 amp 0 401-600 amp 0 601-1000 amp 0 601+amp-1000 • 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: HIGGINS,NEAL&JUDITH LHL HOMES INC Required Items and Reports(Conditions) 9660 SW SUMMERFIELD DR 11580 SW 67TH AVE TIGARD,OR 97224 TIGARD,OR 97223 PHONE PHONE. 503-348-3003 FAX 503-639-5523 Total Fees: $1,642 49 This perms • subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be •• e in accordance • th 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 •-ys. ATTENTION Orego law .quires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 9 ,, %01-01.:s You may obtain a copy of the rules or direct questions to OUNC by callurg 3Q 3.232 1987 or 1 800 2 2344. I d Issued By: / / Permittee Signature: A' b iin J Call 503.639.4175 by 7:00 a.m.for the next available Inspection c . 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 �� Residential r„ 0 FOR OFFICE USE oNLY City of Tigard ''•. I Received 7( DateB • (/ !►� :1i Permn No / V/ `U 1 4 . fs q 13125 SW Hall Blvd.,Tigard,OR 9 23 ,\t V �f �O� plan Review I I U Other Permit Phone: 503.718 2439 Fax: 503.598.196( �j� \S DateBy I3 I'I G r1 li D Inspection Line: 503.639.4175 OD �� Date Ready/By Juns ® See Page 2 for Internet. www tigard-or.gov c) ` -- Notified/Metho •p�/ /3 4' 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 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 3 / o-��' I-and 2-family dwelling ❑Commercial/industrial $ 54*to ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: Z JOB SITE INFORMATION \AND\LOCATION Total number of floors: Z Job site address: q6,66 5,6i Sum•�+,.,'cm0 D(. New dwelling area: square feet City/State/ZIP: -6664 (SR— 1'72 2 3 Garage/carport area: square feet [� Suite/bldg./apt.no.: Project name: 3 G a t —S Covered porch area square feet Cross street/directions to job site: NN 3 41•%7 ✓(/ 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. r� Q„�y Valuation: $ 't'niAb m),-, 1reoc),Ay 10 1 1 ust.► eX pJimicFl t"" 't / Existing building area square feet t7(af1, ()-I Dif New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: N e-aL g 104 x1196(rr) / Type of construction: Address: 1Lp//j 51j con, -1,,f11`i .i'k) tic. Occupancy groups: City/State/ZIP: 7(,n& f C32_ G 7 2 Z) Existing: Phone:6d j) Fax:( ) New: APPLICANT J CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: LJ{L 14„,All a/M L / Structural plan review fee(or deposit): Contact name: '14y(D 7A Rytf Address: l 17t6 5w row` FLS plan review fee(if applicable): Total fees due upon application: M y City/State/ZIP: -rI L,-prt)l Q — 51 2 Z3 Phone:0543 ) `3 ,.... o--5 Fax: :(J 3 ) 4,3 3 Amount received: /� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �L E-mail: d JANij N(../44,4.5, ed,sq CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Address: 6enmd( Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: and administrative fees): $180.00 Phonc:( ) Fax:( ) o State surcharge(12%of permit fee): $21.60 CCB lic.: /597,2 7 3/24// Total fee due upon application:_ $201.60 Authorized signature: 6 , / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ^. / Date: *Fee methodology set by Tri-County Building Industry �``741QARu>S 2�i 13 Service Board. 1:\Budding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist , One- and Two-Family Dwelling FOI2 OFFICE USE ONLY City of Tigard Received Permit No 51,1 Datc/By. a 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits. 0 Phone: 503.718 2439 Fax: 503 598 1960 24-Hour Inspection Line: 503 639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical I'I G A It D Internet www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes No N/A I 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 Ion and shall be shown to be applicable to the .ro'ect under review. URISDICTIONAL 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(I 1/02/COM/WEB) Mechanical Permit Application Foil OFFICE: USE ONLY Received City of Tigard Date/By. Permit No n.,S7 8l()/ —ov Q q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 C Phone. 503 718 2439 Fax: 503 598 ���� Date/By Other Permit. Inspection Line. 503.639.4175 Juns RI See Page 2 for I I G \It D p 4 Date Ready/By g Internet www tigard-or.gov �`\C^� �`���GkQ Notified/Method Supplemental Information TYPE OF WORK ��� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ��� Mechanical permit fees*are based on the value of the work El New construction t.11•ddition/alterati ement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition • Other: <Z70 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 0 Master builder 0 Other: Description I Qty I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: , Air conditioning 46 75 Job site address: 5`�) �jd"..--r p Ai Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: "1104 d 6 (J` 4 t Z) Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: N f f/(4) rPeno:5).e, Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23 32 Residential boiler(radiator or 61.2, I^ purr c,ft,,,, 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 I CRIPTION OF WORK Gas fireplace/insert 33.39 M„� �g �� Flue vent for water heater or gas f i 4'J oCt( n t". vjti fireplace 23 32 Ara6 0 J `(CA/M / Log lighter(gas) 23.32 Ali /11 (� Wood/pellet stove 33.39 Wood fireplace/insert 23 32 Chimney/liner/flue/vent 23 32 ❑ PROPERTY OWNER I ❑ TENANT Other. 23.32 Environmental exhaust and ventilation: Name: / (f4( "3 Z J y th,9/4s Range hood/other kitchen Address: / gaol �• J 161, .ofcr. / 0 r Clothes dryer exhaust 1 33.39 City/State/ZIP: -Z6,a d Single-duct exhaust(bathrooms, �' ` toilet compartments,utility rooms) Z 23 32 Phone:( ) Fax:( ) Attic/crawlspace fans 23 32 ❑ APPLICANT ❑ CONTACT PERSON Other 23 32 Fuel piping: Business name: N C 46 ) /k C $14.15 for first four;$4.03 for each additional Contact name: 044'4 I d TA 9,Li i) Fumace,etc. Gas pump Address: 1(rf C� G 9A Aa2 Wall/sus petide d/unt heater City/State/ZIP: - c .J f O k '-7 Z-1.7 Water heater Phone:(*,)) 7 yg 36 13 Fax: :(50-9 (,34 6'z 3 -Fireplace Q Range E-mail: or jl t R.,i 5 � I a Li/6 f(a ). (fM Barbecue v CONTRACTOR Clothes dryer(gas) Other:Business name: /AiO '7 eArk. Ail" / 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.: q' l 1// I/1 TOTAL PERMIT FEE / / This permit application expires if a permit is not obtained within Igo days after it has been accepted as complete. Authorized lature 6 4.• t • Fee methodology set by Tn-County Building Industry Service Board Print name:i ` \/ Date: g 27,�, /•� 1\Building\Per \MEC_PermitApp_040I doc 44 -46177( 1/O2ICOOM/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. • • IABuildmg\Permits'MEC_PennitApp_040113.doc 2 electrical Permit Application FOR OFFICE use ONLY i Received City of Tigard Received Permit No. ��!3 'CJU v 13125 SW Hall Blvd.,Tigard,OR 97 '. Plan Review f q '� C • Phone: 503.718.2439 Fax: 503 ' 1',i �3 Other Permit. Date/By: Inspection Line: 503.639.417 , 0 Date Ready/By .iuris ® See Page 2 for I't G A R l� p Internet: www.tigard-or.gov ,. 09 Notifed/Method. Supplemental Information TYPE OF WORK ���G��S� PLAN REVIEW gl New construction �Addition/alterati i p •Q:.: -nt 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 CON,— UCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately denved system. ❑Addition of new motor load of ❑"A","E","1-2","I-3", Job no.:.is , 4.� Job site address: c7� II,.) 3-v"00)06 I� boor or more residential occupancy �/� ❑Six or more residential units ❑Recreational vehicle parks City/State/ZIP: 71& -J r OR. / -ZZ ❑Health-care za d facilities ❑Supply voltage for more than I ❑Hazardous locations. 600 volts nominal Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more �ylry (Pt,?O�tl FEE SCHEDULE Cross street/directions to job site: Description I Qty, I FK, I Total I • t New residential single-or multi-family dwelling unit. 1)1 01)r h*/ Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less 168 54 4 Tax map/parcel no.: Ea add'I 500 sq ft or portion 33 92 1 Limited energy,residential 75 00 2 DESCRIPTION OF WORK (with above sq.ft.) _ _ ( Limited energy,multi-family 75 00 2 (A'A re f fCr/l,M KTell&//PRA 1f krvA/1a4 residential(with above sq ft) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 . 201 amps to 400 amps 133.56 2 Name: l PS 7 fro, 401 amps to 600 amps 200 34 2 Address: '66 a .5-a fIiv 7 -r 4i a 01• _601 amps to 1,000 amps 301 04 2 Over 1,000 amps or volts 552 26 2 City/State/ZIP: 're erd, d I- 17 2 Z-7 Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation - 200 amps or less 59 36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125 08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168 54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel Sa APPLICANT I CONTACT PERSON A Fee for branch circuits with fit above service or feeder fee, 7 42 2 Business name: t.fits dam,", (/y C. each branch circuit / B Fee for branch circuits without Contact name: 94 pin jil K,V0 service or feeder fee,first I 56 18 2 branch circuit Address: r/4-80 yam) 61 7\ Each add'l branch circuit 5- 7 42 2 / � Miscellaneous(service or feeder not included) City/State/ZIP: / ICJ.%ri, dv- 4 7 Z.2 7 Each manufactured or modular 67.84 2 Phone:(5 ) '7 Y8 pa 3 Fax: :(5 ) c 34 S.5 Z 3 dwelling,service and/or feeder _ f�' 0 1...(-11- Reconnect only 67 84 2 E-mail: A ( (-far,e5,e0,to Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 - Business name: biar(C A rdd i r'0e7ric Signal circuit(s)or limited-energy See panel,alteration,or extension Page 2 2 Address: 3/440/ -.5. e giger /e-da Each additional inspection over allowable in any of the above City/State/ZIP: �e4 �LL�- el ie 7,01.5? Investigation gat inspection(I hr mm) 66 25/hr 9 investigation(1 hr mm) 66 25/hr Phone:(503) t7 ,,0 6 3,„2 eo Fax:(.663)Jag-5-02-0 7 Industrial plant(1 hr min) , 78.18/hr / u Inspections for which no fee is 90.00/hr CCB Lic.:/sg7s-0 Electrical Lic.:3'9 3�ej Suprv.Lic.: 39 5- s specifically listed(/z hr min) - signature Suprv.Electrician required: ELECTRICAL PERMIT FEES Subtotal: Print name: reLT/`7 Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature /�/7�/� TOTAL PERMIT FEE: Print name: 010 6_ p I 15 Date: g`v /2 ' This permit application expires if na permit is not obtained within 180 �(' //!!!! / J days after it has been accepted as complete. • Number of inspections allowed per permit. I\Building\Permiis\ELC_PermtApp ELR_ERE doe Rev 05/21/2013 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5 OI to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 5'52:26 2 >100 kva(fee in accordance with 552.26 2 ❑ OAR 918-309-0040) Heating, Ventilation and Air Conditioning Solar generatioon n ssyst ystems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100.kva-no additional charge 0.0 3 ElOther: additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr I Inspections for which no fee is 90.00/hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ▪ Data Telecommunication Installation---- - -- ❑ Fire Alarm Installation i ❑ HVAC • ❑ Instrumentati'on - ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* • ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Budding\Pertnits\ELC PermitApp_ELR_EREdoe Rev 05/21/2013 Plumbing Permit Application Building Fixtures FOR OFFIC1.1 USE ONLY Received City of Tigard C �3 Permit No lig 0 13125 SW Hall Blvd,Trgard,OR 9,`., � ��0 Date/By Review /�ST�ll"Od«� C Phone' 503.718.2439 Fax 503.5' •.I `� Q,�C fllateBy Other Permit No.. Inspection Line. 503.639.4175 `. �G S� Date Ready/By Ready/By Jung VI See Page 2 for Internet: www.tigard-or.gov 1 `` Notified/Method Information TYPE OF WORK �� o��v FEE• SCHEDULE ❑New construction ❑Demol, 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 V I-and 2-family dwelling El 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 C—sq ft) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: a66,10 ILA/ f'UinArlif- (e/J Dry Catch basin or area drain 18.76 �� Drywell,leach line,or trench drain 18 76 City/State/ZIP: `r(Gt4rd Q(� ZZ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: N 4110 /f.j)p f Manufactured home utilities 50 03 Cross street/directions to job site: qt Manholes 18.76 /©vrh pf Rain drain connector 18.76 �r�� 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 PCG v� fA rim /?ver a� Clothes washer 1 25.02 y n ( �"// �r7 Dishwasher 25 02 I LjJndf" / / (" Drinking fountain 25 02 ' Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: 11"4 f ) ')' i f4 Ito) Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 9664 fc_/ f�/,t/),f If f(yio1 04 Garbage disposal 25.02 City/State/ZIP: -7-?6,16) a/I_ 97 1.1,3 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12 51 f`-' APPLICANT I 'CONTACT PERSON Interceptor/grease trap 25 02 Business name: 1_1,04, tt-avo /41 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: '04-0,0 i' n '/5 Roof drain(commercial) 12.51 Address: I i'5 b 9',..4) 6.-I.7)L 4 Sink/basin/lavatory I 25.02 City/State/ZIP: `mowt Cr t- Solar units(potable water) 62.54 Phone:(4 ) ,`ig -70p-17 Fax: :(rjQ j>. (p 3q_ ilZ 3 Tub/shower/shower pan I 12.51 E-mail: cc"SA R,u 1,Ca �,r. t..},3t„y, ,.(,,,,. Urinal 25.02 CONTRACTOR Water closet l 25.02 Water heater 1 37.52 Business name:.-" //' ,?, Water pipmg/DWV 56.29 Address: Other 25.02 City/State/ZIP: Subtotal Phone ( ) Fax:( ) Minimum permit fee. $72 50 CCB Lic.: /63 I Plumbing Lic.no.: of PPS Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signatur . J f TOTAL PERMIT FEE Print name: 94 Q(/ I S Date: e/1j�/�, 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 Service Board I.\Budding\Permits\PLMU-PermitAppdoe 10/01/09 440-46I6T(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 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 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath. -Tub/Shower -Jacuzzi/Whirlpool engineer. 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 MachAtefrig.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 aid before the Water Extractor p WaterCloset-Toilet plumbing permit can be issued. ' „E\ Urinal - .• .r5 Other Fixtures: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 09/11/2013 10:07 5035981960 Electrical Permit Aonlicadon City of Tigard 11 13125 SW Hall Blvd.,Tigard,OR ' „.,, . Phone: 503.7113.2439 Fax: 503 .4, ' # Inspection Line: 503.639.417 % Internet viww.tigard-or.gov '. 1- f0 CITY OF TIGARD PAGE 01/01 -....„,...--,tv--...., ... , 14-4.14,4.).4.y.Lty il,J. :Ir4447.,:,4,_::;,...:::,,,47,12.2i:,:,,,•=:,--,..,,4 .4r3,..f.,..,-- Received • IN, ;.. Man Revisv ontefitr Date Readyley: Nutificd/Adethorh Permit Noiruriii 3-,,,.,)ill Caber Piratic kris 1 IA See Pagel for I suPPkolelto"nimigan ). 7prev'''.t.11''t f:-::*:::":"7'7 iligtrilplAVORIV.&.4W . ' : . 'i=:.f i:,.:z. .,;; .:...:.:;;::::;::::::i;Z!f:2;;:. **101W:;:..-".113.:3EP. : i;:"...' •1 % Nem check all that apply(submit Leda of plana idiom chcctccd below); fig New construction IPtAddition/alteratttly :,2'4, '',1t 0 SOIVin Or fader 400 amps er awe DEnikling net three moo 0 Demolition 0 Other: edottowittei . . ... .. where the available fiat current 0 Madras and boatyard& 4.:•:'fi :' !.,..":.;..•:...: l0,0*t;p:p.• '. . ...,. .. •. .. . . . oteeeds 10,000 smpa m 150 volts OT 13 ti Floang benritage. .• less re grimed,QT=cats 14,000 C3 Commacial-ere agricultural •1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for on other insrallatforts. buildings. 0 Multi-family 0 Master builder 0 Other; Prim pump. 0 lesollation of 1501CVA or : . .. . 1:1Fmergeney arms larger separately derived systan. .";';:sf''.:.:;..:::± 1.411411":114131/40/14$1411811fraMliSIOCATIOte. '. ' •::,-'' -,: 0 Addition of new motor load of El-A",vi,°1-2","I-3". 10001,or mere. eemspeeey. Job no.: 33, z Job site addremr ' ;.,./ pj 50,4 (Atli I , 0 Six camera residential units. 0 Rearadkynnl vehicle perks. City/State/ZIP: 116,01rd cp._ 417221 1:11fetddr-eare facilities O 0 Hanniaus location. SoltplY voltage kr n wee than 600 volts nominal. e Suite/bldg./apt no.: I Project name: 1.41114 remade! a Service ot feeder 600 amps or more. : .- ::...i.'. . ".:.4; :. 1)§1PACHErar''' . %"""4.. ' s..' Cross greet/directions to job site: _. .........____________Linkina ' New residential single-or multi-family dwelling wit. i01)t/OZ)(hAtA !minden attached garage. _ Subdivision: I Lot no.: 1,000 sq.A.micas 168,54 4 Ea.add'1500 sq.ft,or portion 33.92 I Tax map/parcel no.: Limited energy,residoriel 75.00 2 .....:. - : •••''.f''''::::.• .• ... ',010:101/41041::011'VOIK. • (with above aq.ft.) "' ' Limited energy,multi-family 15.00 2 ,4 l'A, biffi i 'I ferV . 1,,,A renidential(with above sq.ft.) Renewable Energy 0 Ste Page 2 Services or feeders Instalbdiontalteration,and/or relocation ..::.'..' ..t1:010010.1r0tFAItt....0.-:.1..:1-, . • • 13 toorr. • 200 amps or less 100.70 2 . . 201 amps to 400 amps 133.56 2 Name: 141141 137k 1 g 14 A r f ft 401 amps to 600 amps 200.34 2 Address: (1660 4,a failiAlve-64,t) of. 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: C Ard / FL-- 7 7 Temporary services or feeders'nonagon,alteration,and/or relocation Phone;( ) FAX:( ) 200 amps or less 59,36 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according to ORS 441,449,670,and 701. 401 amps to 599 amps 168.54 12 Owner signature: Date: Branch circuits-new,alteration,or extensionour panel '"• ..:: .:.:.' ,•:V.A.114110.00. .. -:. •, .. ...,191 coNTAcrnxisoN.... . A.Fee for branch circuits with ' • ' above service or feeder fee, 742 2 Business name: LW. i-lativ, f Af t- each branch circuit t B.Fee for branch circuits wisdom Contact name: 94V ID TA kcit) service or feeder fee,fire I 56.18 2 branch circuit Address: tic.&_56t) Co ciN EaetIIrtdd' branch circuit 7.42 2 ,..1611seellanemui(service or(teder not included) City/State/ZIP: 1/6.1 4), (Am- 4 7 Vz 7 Each mandeonted or modular 6714 2 Phone:611 ) 7 y id§ . Fa1a c-.( .. dwening,Service and/or liteder Reconnotonly 67.84 2 E.... ..natZ/11t.e2... t.,.4g.__jVI Pump or irrigation circle 67.84 2 'f54,4.:74'4•;.'.;:Yie:14.1:',‘,;"1:':'::••'2.:.2:::.':=V4';';'..::.08/Makeraft:':7:.;-'s'.:.' 1....: • .. ....-:..'', ',..:; ''''.: Nen or Inc°O lighting 67.84 2 Business name: ISock 40Y F. (•e-Trx Signal circuit())or limited-energy panel,alteration,or extension. See Ng 2 1 2 Address: 3/4,0/ ...c ed/2,64,7-- ie46 Each additional Inspection over allowable in any of the above Additioned inspection('hr min) 6425/hr CitY/StnerZW: /tf# 09-4-4-41- Ole- 970-q, , Investigation(1 hr min) 6625/lir Phone:(93) etpo- _ .2 co I Fax:(SOS),PA9-SAO 7 Industrial plant(1 hr min) 78.18/hr 1npectons,W for ewSh ViUcA h nCo rIoUc Cs CCA Lic: Ma:trice'Lie.:. 9j el Svprv.Lie.: 39 cy..S areeifallY Had hr min Atra na. 90. hr h i :?lxsupry.ocencian 5 4rrequred. / , : i7 cj WV4A•;i.'-::•'. 17 Subtotal; . i Print name: 10kC-7fr ' I Date: Plan review(25%of permit tee): State surcharge(12%of permit fee): Authorized signature I •■■ x TOTAL PERMIT FEE: , This permit application eepiree if a permit it eat alatalart within 180 Print namc: ail re7Q A.. . 4 eA, Date: -,,, 00 .. f _;,..e days after it has bete accepted as complete. • Number of Mermen=allowed per permit. rAwklinawmniucT.I.C_Pcrmitapp_ELR.ERlidoe Res,mum, 1.10,1615T(11/05/COMAVEB tot_d a dd /' �1 O' 1 ® r r°XSd X Q X o $CU! 110 0--_--! , • I (01M� 0 �a ►J $ox Y° 2cnx I 1 t c I I 1 S1, }k^' f i I ,• 12cMovcu9R1( � r 1 rt ` ' , k I \I I , ) \ I I I I � j I { C �, M� i I ` I RO,n(rt 001,/ DR � fny,�1��A) I W' tiz>3•i Ca/C5 o f / : ! 0-_ , ,..k%L. A r, lir ki'l � 1 , C) .r �, , I I I .._ ,..../ -4--- — —. ___. ___,i ,T. 0 . . ',Tor — ... \___ - -- . i 1 _ ..... 26 6— . ,,,,„.., L y.:•. 1 — -T— 61 -4 .......•,.. I 11 11 I /':f,_- I 1 L---1 1 0 1 �- - _ 1 ` \ 1 • ()PA6 q 4 4(aim..ks Cz) 6°x4°SLD2 I '6'a2 II • LffL eS G L. , /V30 //PG /QT /49r-rJ 0�n d C"o 1 , /7 4v1 C k n cer c/G 7C.h • 7764770 ,, O/Z 97z7-3 CC) e) Gn - /it S fe co �ncrt _ q tz co 2 ,..._____, 1 c4 O_ 0 GO tv Z City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9660 SW SUMMERFIELD DR, TIGARD, OR, 2013 -12 -02 00:00:00 97224 Record Type: Record ID: Residential - Master Permit MST2013 -00199 Inspection Type: Result: 199 Electrical final PASS Comments: Violation Summary: Inspector Contractor