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Permit li a " CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2013 -00246 T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2013 Parcel: 2S102DC06500 Jurisdiction: TIGARD Site address: 13862 SW 90TH AVE Subdivision: GERTZ HOMES AT EDGEWOOD NO.2 Lot: 14 Project: Edgewood No. 2, Lot 14 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1622 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1762 sf Garage: 421 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3384 sf Value: $381,023.61 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays 1 Rain Drain 1 Urinals 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines. 100 Catch Basins: 0 Bckflw Prevntc 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvaes Air Conditioning: N Vent Fans: 5 Clothes Dryers 1 Natural Gas Heat Pump: N Hoods: 1 Other Units 0 Fum <100K: 1 Vents: 0 Woodstoves 0 Gas Outlets 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp' 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 6 201 -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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3384 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports (Conditions) 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503- 639 -4175 TUALATIN, OR 97062 TUALATIN, OR 97062 PHONE: PHONE: 503 - 692 -3390 FAX: 503- 692 -5433 Total Fees: $22,605.29 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 I requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1 -0010 through OAR -001 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or 1.800.332.2344. I Iss ed By: �� Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date/ Th is 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 I (i'It on. R. is 1'a•: ()NIA City of Tigard / Received li i 13125 SW Hall Blvd., Tigard, OR 97 Pla nReview� I 010-2v. �,' �• t Phone: 503.718.2439 Fax: 503.3 C 98.196 .� � Det e/B ; � Other Permit: • • I I �; :� IL D Inspection Line: 503.639.4175 - C,. 3 :Date Ready/ —! - . See Page 2 es' Internet www.tigard- or.gov 'CAN O C n 4‘(' t ifiedimaihod: / 3 J . �a Supplemental Infor*atloo • t ',{: * •: ,f,e' ` I.-ti f� ✓ rru 5 J r z r WORT( D • REQUIRED DATA: k: _3a=P • .7 t.T - OF ,J New construction ❑ Demolition- . r Permit fees' are based on the value of the work performed. El Addition/alteration/replacement Other: ' -' . ' Indicate the value (rounded to the nearest dollar) of all equipment, nikerials, labor, overhead, and 'the profit for the F ,1 , � * T y.r. fly i 3 j y � } y , �; Yr work indicated on this application. gr'4D 1./Ri+]1G : ..- .t, -... r.a �. <.��• �i1 1 I la�rl + i! ♦ Y t r .'c''t r� � T - 1 -and 2- family dwelling ❑ Commercial/industrial V 02-73, ' aluation: S ` ?3 J f - 6C. ry building • 0 Multi family, _ Number of bedrooms: • ©Accesso briiidin = [] Master•builder ❑ Other Number of bathrooms: - 3 • M' I,x '• e.1i .18 ti ;i Total number of floors: -A • Job site address: , / 3 le G Z S (t.1. if Q New dwelling area: 00 q square feet . • - City/State/ZIP: Tigard OR 97214 - Garage/carport area: y square feet Suite/bldgJapt. no.: Project name: . Covered porch area: TT square feet Cross street/directions to job site: (, 4 -K ` t' 4 u $eck area: square feet ( ' ✓ t� , Other stnc�ture area: �� square feet _ ] TIREDM' l!PAlt C 'Subdivision: • , Lot n o.: Permit fees' are b d � .� e+t~YO z__'. � � • ase,d on the value of the work performed. Tax map /parcel no 2 s' 12 C s Indicate the value (rounded to the nearest dollar) of all 4? equipment, materials, labor, overhead; and the profit for the : ,ax '... ' -ii + .'' c Ff b' '4. Bi.` "' : :t: • .. work indicated on this application. . • Ai-e.- % Valuation: S - ' • Existing building 'area: square feet. • New building area:. square feet. • T . , • r h } i C i ; 1 �. , r, c.'" Number.* stoke - .Name 6. >!//, Nom - 4 G . • • .. • Type of construction onstruction: • • , . • Address: • /12...E70 . <"a) Occupancy groups: City /State/ZIP: --7 eg , Coc...1,d; 4 . Z2 CV L • Existing: Phone: 50.3 ) • •• L— 3 Q' O Fax: (" 3) C f z. — .5 : ei 3 3 New: - ;:717,1..,',,' M. ,� d(. v'4.e a ... C[CONT.AYW- , Y ' 1; - $Wiheas Pame. . 4. ,~ ‘ / r • - Structural plan review fee (or deposit): Contact name: eA.' - _ Address: /1 Vac �� FLS plan review fee (if applicable): - / • Total fees due upon application:. City /Stae/ZIP: Tree[ a �r ... 02 9. 7 oe 2.— . . - ' • P h o n e : ( 0 3 ) 6 . 1 P / -33 f6 Fax:: (sei p a i L_3- c .3 , • - •- . '.- Alnount received: r E-mail: /Ceps o �ss'�71o,C_ ` • Commercial and residential prescriptive installation of j H i - ,. Y'2,� =t ?.,., -T s • r'' ::4., ,. „ ' . .. E, ,t :.+. roof -top mounted Photo Voltaic Solar Panel System. . Huainaas name: G' �� � r „, Submit two (2) of roof plan with connection details Address: 7 �� department access, along with the 2010 Oregon • . 5 e.J �G S o l ar I nstallation Specialty Code checklist. • Ci /State/ZIP: © G L . Permit Fee (includes plan revi l � / B� and administrative fees): x] 80.00 P h o ne : ( ) 4.1.2 .... r rK Fax: (_57/3 ) (Q 2 _ j Y 3 -; State surcharge (12% of permit fee): $21.60 CCB lic.: S 3 SZD Total fee due upon application: 5201.60 Authorized signature: 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 �p Print name: - , . Date: / -3 Service Board. I:\ Building \Peemits1BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(1 I /02JCOM/WEB) mbip2 Permit Application ilding Fixtures IOR OI I il USE ()NIA C. -City of Tigard � Received Permit No.: R 97223` „ • Date/By: /1--) ', / �L , j (.� �+Z(�, • . "13125 SW Hall Blvd., Tigard, Oj ' Plan Review r Phone; 503.718.2439 Fit: 503.598.19. Date/By: Other Permit No.: Inspection Line. 503.639.4175 + `` � • Date Ready/By: Jurin: Z See Page 2 for . , Internet:" www.tigard-or.gov \)C.-`-' ` , Notified/Method: • Supplemental Information � ` V For s.ecial in ormation use checklist w construction ' ❑ Demo ` �3\ - Ea. Total Description Qty. Other: . • New I- 2-family dwellings (includes 100 ft. for each utility connection) r idttton/.alteratton/replacement r.: ' Y g ( �' +wck ot 1 ,,• .1 i I ii I '•; + SFR (1) bath 312.70 • r w • . . SFR (2) bath =437.78 • and 2-family dwelling • .• ' ❑ Commercialindustrial ' • ,,.. SFR (3) bath . x 500.32 / - ' ❑ Multi- family , !.4 coessory building 5.02 -Each additional bathlkRchen f j aster builder. CI - . Other: • Fire sprinkler (• sq. ft.) • Page 2 •,P'- r»•, "" ' a ini i ro • Site utilities. ( '• .:' !u ' c � t ... a Catch basin or area drain 18.76 • ite address: d Drywell, each line, or trench drain • 18.76 State/ZIP: y ,a gt A �' 2 2 Z " . Footing drain (no. linear ft.: Page 2 . • / 50.03 • �: bldg./apt. no.: Project name: , . Manufactured home utilities • r- s street directions to job site: Manholes 18.76 - • / Rain drain connector . I 18.76 •".' � • ....... Sanitary sewer (no. linear ft.: ) Page 2 . "; ;_•�, • Storm sewer (no. linear ft.: • ) Page 2 • ' • Water service (no. linear ft.: ) Page 2 • ; :..e f • .ivision: 4 L .e e4)410-z& -Z Lot no.: Fixture or item: . Backflow preventcr I 31.27 .S �� :nap/parcel no.: G . 12.27 r- Backwater valve :•:'''' I:.. •_r :. Clothes washer 25.02 1\ke t... ?!"`e- • Dishwasher 25.02 - Dnnking fountain • • 25.02- • ' Ejectors/sump 25.02 • R • 15'!•: tr '' , -w y 4?�n�-.tr.•.!v 1 It-,: !!• ;' ▪ •. ! ". rJ r i` • =v i, ais , tv . 4: Expansion tank 12.51 • : E'er `s. I "-r ail, ua6 "� io ,l. : ',... :i 25.02 /� _ F ca •I ne: G ��.f�- /'� G ` !~"�+ Floor drain/floor sink/hub 25.02 iress: / ! y d a f C.a.) 4 ( 4.41 Garbage disposal 23:02 y /State/ZIP: t1i4, 2( a2 ! 2e. C Z Hose bib 25.02 me: (P3)G4Z - 33 9a Fax: ($ G ?Z -5-Y3., lcemaker 1251 :1 " 1 -.ww., v r - . , : car Interceptor /grease trap 25.02 Kr . , ANIFI :+ a ' t. ' .A ' wa M . i4 3. .. , �/.t(:r, at, . 7-0- . �asIMnr- • Medical gas (value: $ ) Page 2 • sinew riame: e4.... ivS 'E` C l t.. t Pnmer 12.51 ntact name: - /6,.,..1 6 i ie.`.. Roof drain-(commercial) 12.51 • Idress: e Z a- a C4-) ' 1 14 4-L7 . Sink/baairvlavatory • j 25.02 • ty /StatdZIP: / r! 1 V CI l a 64. Z- Solar units (potable water) • 62.54 pan 12.51 , one:(Sd • 3) 4 9Z - 3 3 Fax :: (503) G ?2 - ,�"`f 33 Tub/shower/shower 25.51 Urinal - _ _ mail: p K z ltiz -G C • C 0 " Water closet 25.02 IM •.1. `ilA'1.!ry. +4i4,WirNn/ S UM ' r«� n ,t ic.. 37.52 ui T .'� „, .., ' t water n ea i er asinine name: -"IZA., {-vrf ` p 6.1...44.1 1 1 4y Water piping/DWV . 56.29 i n 2 7 Other: 25.02 udress: ? 0 ( 0 Subtotal (, j e s t 4 H OF,N ` ` q 7 cc-8 Minimum permit fee: $72.50 i hone: (863) SS 2 - 7 r 8 S Fax: (54:13)4, Z Plan review (2.5% of permit fee) ;CB Lic.: 1 63 7 T Z P ...bin • Lic. no.: 3-21-/ A4 State surcharge (12% of permit foe) / / TOTAL PERMIT FEE .uthonzedsignanu e: Y appends. h paned appends. aspen i f a pry is oot obtain/ within ten days Date: AZ -( a it h t� ae aeonsed as capiota 'ant name: 4 .f �/ _ :j J _ • fa methodology w by In-County Bunt.. Mammy Service Booed. v Bu 4 0PvmaiWLMU•Psm *MV.d« ■0/0109 4404616T(1O102/COMAVEM --b' , 3uppiementai information • • • Fee Schedule: te: ri iii -- ,- : • ::.a,�•: , f t . N ; t Residential Fire Su ste _:;= .4 - - , .,• , , • ,, �a ress>ton S ms Footing drain - 1° !00' . F . . .� t; , i =.;' r ni f' — 50.03 - ; „-.1.i 'u.:.. M t! - , ' •, ,'..;' r i !+ .. ; 0 to 2,000 $121.90 Footing drain -each additional 100' . 37.52 2,00'1 to 3,600 . * • Sewer,- 1st 1,00 3,601 to 7,200 62.54 - $233.20 • Sewer . each :additional 100' 7,201 and '4- .•.er: • 37:52 - ' = r , ' Water Service - lit 100' • - . 62.54 Water Service -each additional 100' -Medical Gas S stems: 3 }.52 Storm &Rain Drain - 1sta0s' . • . StoQrr 8c Rain Draih , 8dditiorial ! 00; ; $1:00 ta$5;000.00. Minimum fee $72.50. 34.52• .. $5,001•.00 to $10 00.00 $72.50 for the -, '''" , _ .g first $5,000.00 and $1.52 for each additional-SI0000 �7fr;: ` •': ' dot; . or traction thereo Inspection of existing plumbing or for s: �` f; to • which no fee is specifically indii aced. and includin: $10,000.00. 90.00/ht_, $10.001.00 to j$35 0.0.00 : e ach 48 the fi onal $100.00 or rst $10,000.00 and $1.54 for • minimym-char_e - 1/2 hour) : • .. . • t % i e additi • Inspections outside of normal business 5,001:00 to 850 and iiicludin': $25,000.00. fraction tion thereof; to . • hours minimum char: e = 2 hours - 90 .00/Iv $2 0 i 0. hou sp Fees • 90.00/hr •' 00' $ h a d di or the first 00 or 0.00 afrd $1.45 for • . - • -* 'each additional $100.00 of fraction thereof, to • Additional plan review for revisions 90.00/hr $50,1'. and u a $742.00 fo t e first 5 :e l v 1/2 hour 0000 minimum ch: P $742.00 for the first$SO,OA0.00 and $1 20 for Subtotals each additional $ 100.00 or fraction thereof. - • +� Commercial Fixtur W e ork:...: • • Are you. capping,` adding or replacing fixtures? If "Yes",. • please'indicate work performed by fixture. Failure to - • = accuratel . re ort fixtures could result in increased sewer fees *. (1<aantlty by a, FI>itnre:.T�rpr.pa.. Fi____ B e , 7> , ,� a r Work pea®cmed: ..dm,< ..�, ' ' . ... ,P: � - B ' /Font - ` • w ed: ituna.a: Plan review tszegwred for any of the following. _ Bath Please check all that apply, - - - - Tu b/Shower ❑= Any b u i ldi n with Ja irl ool . h g water service is 2" and • Car Wash - Each Stall - , except systems designed and stamped by licensed • - Drive Thru . • engineer. Cus idor/Water As irator ❑ New exterior plumbing site utilities for an7lcomplex structure Dishwasher - Commercial Is defined in OAR9J 8- 780 -0040. • • - Domestic ❑ Medical gas'and vacuum systems for health care facilities. Dunking Fountain ❑ Any multipurpose fire sprinkler system. El Eve WasB .Any complex struchirs as defined in OAR91 &780 -0040: Floor Dratn/sutk . 2^ - 3" - ' • Submits sets of Plant with any of the above. -4 " • • • Car Wesh Drain ��l Garbage. Domastia —non -food ■ Isometric or riser � • D • isposal - Domestic_food related diagram is required for.new buildings . - Commercial - food related that meet the. • ualifications above. • - Industrial -food related Ice Mach✓Refrig Drain • • • Uhl Separator (Gas Station • Rec. Vehicle Dum station. Comments regarding fixt work: . ' Shower -Gang � ' Stall Sink/Lav - Non -food related - Bradley - Commercial -food related - Service - Swimming Pool Filter • wavner clothes *Note: If the fixture work under this permit results in an water Extracto increase of sewer EDUs, a sewer permit will be issued and . water Closet - Toilet fees assessed for the sewer increase must be paid before the other Fixture Urina plumbing permit can be issued. http : / /www,tigard -or, gov/ city_ hall/departments /cd/docs/PLMF- PennitApp2doe • Mechanical Permit Application FoR Orr• Icl: us!: ()NIA City of Tigard " a ' ' Received ,)• A • . "UN Permit No.: ms . _ p , , 13125 SW Hall Blvd ' 9743 P l an R Other Permit: Phone: •503.718.2439 -Fax: 50��98.1960 "' " • Date/By: .. Inspection Line: - 5Q3.639.4175 ' ��1� . Da te ReadyBy: ® See Page 2 for C 1 L. IL U Supplemental Information Internet: www.tigard- or.gMe O0. -• 7 ,� Noti Met pP 'OF � . ... 4.. COMMERCIAL FEE'", S€REDULL` 41 -�st� �. .� � - . � , ( Mechanical permit fees* are based on the value of the work New construction ❑' Addition /alteratibn/replacement performed. Indicate the value (rounded to the nearest dollar) of all Demolition ❑Other: ' _ - mechanical materials, equipment, labor; overhead, and profit. p . 4, Sc 2; ` � .}+ i, R L'1�i'+e'� . Value: vpy 1b 11 'r^'?$y^'� '�..w:3 ❑ 1- and 2- family dVelling 0 Commercial/industrial ❑ Accessory building ` For special information use checklisr. . •D Multi - family ❑ Master builder . ❑ Other: Description .1 Qty. l . Ea. Total . MM � Jo� sip Il e` a :'rariF La A`I 1; 2 ; ; Heating/cooling: . -4 ,y„ t -, •_• Air conditioning • • • Job: site address: CG . / / 7 G } . sJ [ M G C '-.7 (requires site plan show placement) 46.75 ` 46.75 ' . ' Furnace 100,000 BTU (ducts/vent§) ' EityfState/ZIP: T �� OA g ? 2 z y Furnace 100,000+ BTU (ducts vents) 54.91 'Suite/bldgJapt. no.: Project name: . • . Heat pump . (requires site plan showing placement) 61.06 Cross street/directitms "to job site: A i t ` e t t• 44 t o ' Duct work 23.92 • Hydronic hot water system 23.32. • • Residential boiler (radiator.or hydronic) . 23.32 • Unit heaters (fuel -type, not eiectri4 • ' in -wall, in -duct, suspended, etc. . 46.75 . , � Lot no ; /e, Flue/vent for any of above 23.32 • • Subdivision: � �,Crs�'pDa[ Z ` ?7 . Other: 23.32 Tax map /parcel no.: • .2 r e.2. kit! . Other fuel appliances: "' ` DES:tTI0f9 Q)F::VO1tIC • . , Water heater 33.39 23.32 . • '' Gas fireplace/insert .• .. I . M - ft) N-.� Flue vent for water heater or gas • fireplace 23.32 ' _ , Log lighter (gas) . 23.32 • • Wood/pellet stove • 3339. - • • • - Wood fireplace/insert - 23.32 ' • c pry' ,ti est 4 " +"'t h° s tom r r r i ` Chimney/liner /flue/vent • 23.32 �� . ,r : •? .23.32 . • Other: - Name: v 6;844 Ca M sit • (p,L • Environmental exhaust and ventilations Range hood/other kitchen 1- • Address: .1 f 2� 5' YG l equipment c 33.39 City/State/ZIPr • m 6. le; 6k 5 ) O 4. 2-- ' . Clothes dryer exhaust . ' 1 33.39 .. • Phone (` 2 Single -duct exhaust (bathrooms, Jq ) b L 3 Z _ 3 6 F ax: (S ,� v ). 2. compartments, comparents, utility rooms) 5 23.32 •, e ACT PE Attic/crawlspace`fans 23.32 " r "~ rrx` =! `�` � 41 t�,'', '� ,.� �� � � .� 23.32 ,ax �n �t Other: Business name / tom .' _ (� y ,c+ <<Y Fuel piping: Contact name: _ A 4,...1 :•c A Z • $14.15 for flrsttour, $4.03 for•each•additiooal " Furnace, etc. � - Address: • Gp Z 543 'IC G nn • Gas heat pump . • - • City/State/ZtP: 4. t ..(sn.•(r,) D/` T 2 d C � . • Wall /suss ended/unit heater'' 0 : (�b3 C 5 X3. Water heater 1 _ Phone: (fj03) L 3 3 'rl • - Fax: ) �� Fireplace • • ! • E -mail: /..(.e A ) - G ri,'FLC o , 4:17 Range yy��-, r r r, •r- �,y _ - _ Barbecue • • Business name: �, 1 (,6.G cW ^ { /(� Clothes dryer (gas) J� Other: Address: Ps C • ' L!7 K g z ! to q 1V�F. I :74 Subtotal City/State/ZIP: Y4 K e o4O A. WA g g el. • Minimum perm fee ($90.00) Phone: (S03 ) L ss . b 22( Fax: (5413 ) ti so - Zf?3 Plan review (25% of permit fee) CCB lic.: 4 /2 5-1 el State surcharge (12% of permit fee) • TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 Authorized signature: G days after it has been accepted as complete. / 3 /3 • Fee methodology set by Tri- County Building Industry Service Board Print name: �^��� Date: / •Z- / .. e Service _ . - -... 440.4617T n 1/O2iCOM/WEB1 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • • Commercial & Multi- Family Fee Schedule: • t iL�''` :w: if Pe , i, `4 ,, woo 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 fit. fraction thereof, to and including • $5,000.00. - `. _, $5 to $10,000.00 $207.21 for the first $5,000.00 and ' 8 $2.81 for each additional $100.00 or fraction thereof, to and including ' $10,000.00. • . - $40,000.01 to $50,000.00 $347.71 for the first $10,000.00 arid _ V • $2.54 for each additional $100.00=or • fraction thereof, to and including _. V , V $50,000.00. • . d • $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 J , • fraction thereof, to and including $100,000.00. • . $100,000.01 and up . $2,608.71 for the first $100,0199 and • $2.92 for each additional $400.00 -or , •' ' " } • fraction thereof. - • ±: Note: All new commercial buildings require 2 sets of plans.. - - • • • • , . • • I:\Building\Permits MEC- PermitApp.doc 03/07/12 2 • Electrical Permit Application ,. FOR OFFICE USE ()NIA City of Tigard --0. 1 ��� • Received • 1 3125 SW Hall Blvd., Tigard, OR 97223 Date By NEMPIIIMMII • ■ �� Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ' Date /B . • Other Permit TIG, \!LU Inspection Line: 503.639.417 3 ' Date Ready /By ions H See Page 2 for Internet: www.tigard or.gov Noufied/Method: . Supplemental � - � 100,:k � � N 3 - s'sa meats t InformaInformation t'" le NeW COnst ctlon Please check all that apply ❑ Addition/alteration/replacement pply (submit 2 sets of plans w /items checked below), ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more (2) Building over three stories. .+,,,,, where the avdilable fault current 1 Ian ++' ! p n3 '4''!.''';' ❑ Marinas and boatyards. ;a°t' �i •, }, (� ! t y exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 • 0 1 -and 2- family dwelling ❑Commercial /indushial ❑ Accessdr building ❑Commercial -use agricultural El MUltl -famil amps for all other installations. buildings, Y ❑ M aster builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or n l nI� ❑ Emergency system. larger separately derived system. ' ❑ Addition of new motor load of Job n4.: Job site Address:" I J 6 ,, 2._ f G-1 C5 100HP or more. occupancy ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: y t' ❑ Health -care facilities. �,�Y � 4e/t- g � 2 2 Z ❑Supply voltage for more than • - ❑Hazardous locations: 600 volts nominal. • • . Sulte/bldg. /apt. no.: Project name: Service or feeder 600 amps m more. • 1 VIM n r.t, •,..5,.. ,,. } i Cross street/directions to job site: Q `,�•s 4 G Description - I • �� �V •�gaQO P I QtY ( •~ . Fee. 1 Total I New residential single- or multi - family dwelling unit. / . Includes attached garage. Subdivision: .Q1. t' d�� ; Z " - ' Lot no.: 7 1.000 sq. ft. or less I 168.54 4 Tax map /parcel no.: Z 0 Ea add'l 500 sq. ft. or portion 33.92 [ • A C rot. Limited energy, Vi r,I 1 {�! xi lad it nF, >. i z� ry��y, >(�, BY, residential / i. e. :. r. ,,.:.'_ rte, L5at7„?s]fiRrfr„R tiq : (wi th above sq. ft.) I ;75,00 Limited energy, multi - family /Vie 7 / V L - , residential (with above sq. ft.) 75.0{1 _ 2 • • : • Services or feeders installation, alteration, and/or relocation • r , : �,r.t • ^?rs'br sa ) u,t , 4 200 amps or less 100.70 2 ;' t i� `., IT P�,•' `' ra.�: n.;i.• iN Iai M ) `q ` ' • .i 201 amps to 400 amps 133.56 •2 tax Name: / 401 amps to 600 amps 200.34 . 2 „ ��� .tJ 1 ` i�P 601 amps to 1,000 amps • ' 301.04 2 q ( • ' Address: / F 2_,..n, • - C� � Over 1,000 amps or volts 552.26 2 - City/State/ZIP: `T,, - . Or I' 7 G Z Temporary services or feeders installation, alteration,.and/or relocation Phone: ( )6„ 72 Gi b . i Fax: l' z3,..3 200 amps dr less 59.36 400 ' O�yner installation: This installation isbeing made on property that I own which is not 01'amps to 599 amps 1 68 . 54 • 2 intended for sale, lease, rent, or.exchange, ;according to ORS 447, 449, 670, and 701. ao 1 amps to 599 amps 168.54 • Branch circuits - new, alteration, or extension, per panel • Owner signature: • - . Date; A Fee for branch cirCuits with l�,F' ��f f}r Q' �� above service or feeder fee, • 4 each branch circuit 7.42 2 • • Bllsiriess name :. ` +AIL _ �� 64 - (4,..._e____ � B: Fee for branch circuits without service or feeder fee, first Contact name: Ke.J r G rite - , • branch circuit 56.18 2 • Address: � ���� L f( . Each add'I branch circuit 7.42 2 L 1 .. Miscellaneous (service or feeder not included) . • Each manufactured or modular City /State/ZIP: :,,, 6R t AI • O� .7 2 c � 2 _ dwelling, service and/or feeder 67.84 2 • Phone: .( ?.) 6 1 , 2 _ 3.3 $ i Fax:: (5d.3.) C. Z • , t� - 'Reconnect only - 67.84 2 E -mail 041.J • �etiZ� �a Pump or irrigation circle ' 67.84 2 • v _ • , s; NR a ;. c. t - ''::";1:•': t , Signor outline lighting. 67, 2 • r• :, ¢t:,,r , t `," a �y, , , I ,..'r. c: i r ...•.. - .. t n # ' + "�'s � �� • ""t.„ . r;. Si circuit(s) or limited energy Business name: g� C 4,„<„, f ` panel, alteration, or extension. Page 2 2 /� n© Z Each additional inspection over allowable in any of the above If". l 'Address: /d Additional inspection (1 hr min) . 6625/ hr -;'', City/State/ZIP: SC ( '7•) 2 5-n-' Industiial plant (I hr mm) 78 1 8 / hr ta ! lndustriul plant (I hr min) 78.18 / hr (d ✓ , j) 2 t - 2 ce C� r F ax: ( /� Phone: ) M • 7.0 Inspections for which no fee is specifically listed ('/, hr min) 90 00/ hr CCB Lic.: /3 Z2.2Z Electrical Lie.: f '- Ygjc Suprv. Lic.: ft(' Y'r = 7.5 E ;B ' ;r: :7.:; • Suprv. Electrician signature, required: / I0 �l Subtotal. �'L a P lan review (25% of permit fee): / Print name: 4a ,� Kr-.0_ � �-e� /- ! 3 Date: . State surcharge (] 2% of permit tee) V 'TOTAL PERMIT FEE: Authorized signature: 4k'___ , i4. This permit application expires if a permit is not obtained within 180 Print name: �� e c4 i Dat ( / 2 4 days after it has been accepted as complete. a -2 Number of inspections allowed per permit. I: tB uild;ngiPermtulELC- PermnAped= 0T01/I 440 461 ST(t1 /05 /COM/WEB Electrical Permit Application - City of Tigard • • - , Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: i; �alt ;i Lii- (l,ty'.an Piii'•Id ': tTi�t Ii �- .p �.' ,' Fee for awl residential systems' combined a'^ ombined $75.00 Check Type of Work Involved: E Audio and Stereo Systems* - Burglar - `. Garage Door Opener* ., Er Heating, Ventilation and Air Conditioning System* • Vacuum Systems* • • El Other °.. r' - . .:. i...: z r,:as. (.:4 +n T n. c ti..r :: -,r, "d , P ot - , k , ,4 , - ;7.:p ,.ve'. i ,• , p _ Fee for eac commercial $75.00 system • .. :. (SEE OAR 918- 309 -0000) : r • Check Type of Work Involved: .. • tE . ❑ Audio and Stereo Systems. 0 Boiler Controls • • ❑ Clock Systems • • , . . a Data Telecommunication 0 mmunication Installation �; . • ❑ Fire Alarm Installation , ❑ HVAC • • ❑ Instrumentation - • . ❑ Intercom and Paging System's • ❑ Landscape Irrigation Control* - ❑ Medical • • ❑Nurse Calls .. ' • 0 . Outdoor Landscape Lighting* ' ` ! ED Protective Signaling . - ' • ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations MuildittgTermiq \ELC- PermitApp.dx 07/01/10 Building Division Development Code Provision Review T t n ti ° Residential Projects Building Permit No.: 7 sTdc 3 - Project /Subdivision Name: Fet war) Aid. 2 L;, i- lY , Lot #: Site Address: /31X(00 Sc.-) qv CWS Service Provider Letter: Required: Yes ❑ No Received: Yes ❑ No ❑ Plans Routed: Original Plan Submittal Date: 0/3 7/ 3 Routed By: U' 7 7 1' Revision Submittal Date: ❑ Site Plan Only Routed By: 2n Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact kJ= KOVJL2C Z. at (503) 718 - 2421 or Aryl '._ @tigard- or.gov) Land Use Case No. &4 12,200 7 'c6013 Zoning PA4 'S B Setbacks: " I �, Front Rear IS Side S Street Side N A- Garage Maximum Building Height: 3G Actual Building Height ±25 151/Visual Clearance N j pr 13 Cil/ Lands Type: LAN v4I lue blint- W trees Trees D' Protected Trees Notes: LI OI leflOj SV•100111 . Original Plan: Approved % Not Approved ❑ Date: 21 4 (I 3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (conta 503- 718 -2464 or MikeW @ tigard- or.gov) D Actual Slope: J� Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved Not Approved Oi Date: Revision 2: Approved ❑ Not Approved ❑ Date: • • • Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert @tigard- or.gov). ❑ Conditions of Approval Prior to Issuance of Building. Permit - Notes • Original Plan: Date Sent to_Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent Okay to Issue Permit: Yesy3 No ❑ Date Routed to Building: • • • • Page i -- -- I: \CURPLN \ Masters \ Development . Code - Provision' Review\DCPR RES.doc = Red: O] /- 16/.13—___ - .__ T_ _ -, -_ 5 U 5374 Elev. 200 , ev. 200 Ili FIN\IN Ce r14, RP --- - - - - -- 1 ," Fib e�,e I, F • , � 8 'i•OFT s.00 5.00 J �. I DT 141 i DEC 3 2013 rt ---•— PATIO I I CITY OF TIGARD Acaho n a - F ----- I I e p bl, i.P. 1' _ _ i BUILDING DIVISION , r o"-= Elev. PnOr f p p4 tll�a Conr 60 J r 22 204.5 I CD ,.0 REA Caorolih W, ProJec, G T he F • • LC O N RO OM � 4 '� eufkori s4- iv ael 1'116 SO ►l__ I �D (1.1 .! er 'i�e� aL C�� o az I DINING I CD (U .---_, 126zitg �1J0 KiAlitf1M S A 1 `—' hteded. 5.14 NI •■ 5.10 e ' 11111k GARAGE BEN �� Elev. 204 1 c , 0 1 1-r- � in � . p N N a , c. 0 1 L o 0e> a' y O 0 ° a • o ii liti., 3 A _ V lev 204 Elev. 205 1 . *9.82 .: 5.91 1117 ArbonSf , 213/13 * TREET LIGHT G ER TZ COMPANY INC. HOME SQUARE FOOTAGE ' MAIN FLOOR = 1622 SQ.FT. BUILDING UPPER FLOOR = 1782 SQ. FT. CUSTOM HOMES SINCE 1977 Street trees Tilia (503) 692 -3390 Ameranana 2" TOTAL = 3384 SQ. FT. 13862 SW 90th GARAGE = 421 SQ.FT. Lot 14 EDGEWOOD EAST SCALE 1" = 20' GERTZ CONSTRUCTION COMPANY INC. PLOT PLAN 12/1/13 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 13862 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 2014-04-16 00:00:00 MST2013-00246 FAIL NOTE This is a under slab inspection/consultation for re-plumbing the greasey waste lines, thru-out. 1. Provide fixture count for additional fixtures to be added to existing permit. 2. Provide drawing of proposed plumbing layout for changes to greasey waste plumbing showing: type of fixtures, size of venting/drainage piping, and length of runs. Submit to G. Heimos at City of Tigard Plumbing Department, 13125 SW Hall Blvd. Ph 503-367-7118 mobile dispatch@cps-services.biz 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 13862 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 2014-04-16 00:00:00 MST2013-00246 FAIL 1. Remove Arrowhead sill clocks, and replace with ones approved for use with potable water. 310.4 2. Recall when completed. All else ok Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13862 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 2014-04-17 00:00:00 MST2013-00246 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 13862 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 2014-04-18 00:00:00 MST2013-00246 PASS - C of O Violation Summary: Inspector Contractor