Permit 1111 Ca
ITY OF TIGARD MASTER PERMIT
S COMMUNITY DEVELOPMENT Permit#: MST2014-00138
T 1 G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2014
Parcel: 1S136AD03600
Jurisdiction: Tigard
Site address: 7008 SW PINE ST
Subdivision: VILLA RIDGE Lot: 4
Project: Hayward
Project Description: Widen doorway between kitchen and living from 3'to 6'. Replace panel and alter(15)branch
circuits.
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: Yes
Total: 0 sf Value: $2,000.00 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckfiw 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 Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'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:
JERED&DOMENICA HAYWARD OWNER Required Items and Reports(Conditions)
7008 SW OINE ST JERED&DOMENICA HAYWARD
TIGARD,OR 97223 7008 SW PINE ST
TIGARD,OR 97223
PHONE: 971-600-8845 PHONE: 971-600-8845
FAX:
Total Fees: $428.23
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 perm . expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to foll•• - adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop • .- • or direct questions to OUNC by calling 503.232.19 or .800.332.2344.
Issued By~----.... _--- -
_ Permittee Sig • re:
C4 r 5 by 7:00 a.m.for the next available inspec ate.
This permit card ept in a conspicuous place on the job site until cotnpleti project.
Approved plans are required on the job site at the time of each inspect on.
Building Permit Application
Residential ctivED l OIt (1Ft,( 1 I ,l t).l l
City of Tigard Received Q
Date/B : J 1� Permit No.: "5T
J!3
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 50A 1 2014 DateBy: -Z• y i Other Permit:
i i t; \R I Inspection Line: 503.639.4175 Date ReadyBy. ���s ® See Page 2 for
Internet: www.tigard-or.govC1TY OF TIGARD Notified/Method:ly �y ,3T Supplemental Information
CITY kt- c. �VVi''�lc:.t
iiii<iiI1Y11 N 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.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ /0UU
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 4-
JOB SITE INFORMATION AND LOCATION Total number of floors:..
Job site address: 10 Uz ` `1)11‘k sr New dwelling area: square feet
City/State/ZIP: ; 4 O Dila.3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Y w�,,,( Covered porch area: square feet
Cross street/directions to job site: '12},.It) i \1 ,I [Dil,k. _S`� Deck area: square feet
C "L Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
��1 2,^ �� 31.2 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: , 3 Ut equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
NIAZ.V\I1\\( dti\ M L.1V1Nil RIM 1Cqc40.■ Valuation: $
XDh�1•,E p 1x\A 3/;0 li t Existing building area quare feet
t� New building area: square feet
DI PROPERTY OWNER ❑ TENANT Number of stories:
Name: Migth 1 NUMr„1( A ANA) Type of construction:
Address: /up w ,W 1�V"' `` Occupancy groups:
City/State/ZIP: OT'(-1�q� IA Q'172, �" �" Existing:
Phone:( fl )\JLtU— $K45 ! Fax:( t,,Q) 3u t -1 '7 New: l
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee sckedale)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Amount received: # 6,7 68'
Phone:( ) Fax::( ) -
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive instal . ': of
roof-top • nted Photo Voltaic Solar P.•' ystem.
Business name: O/1.),.) EX--- Submit two(2 - of roof plan •"• connection details
and fire department ac •- : I ng with the 2010 Oregon
Address: Solar Installation Si--ally ,.• checklist.
Permit F-- includes planrevn
_City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( )
St. surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $21 60
Authorized signature This permit application expires if a permit is not obtained
,� within 180 days after it has been accepted as complete.
Print name:3-2e. ta.441a (f
Date: p 11 *Fee methodology set by Tri-County Building Industry
O ,Z� �IN Service Board.
I:\Building\Pcrmits�tsur-n ESPermitApp.doc 02/ 24/2011 440-4613T(1I/02/COM/WEB)
•
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
lig City of Tigard Received
Date/By:• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
T t G n k n 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 1:1 P�mnbur ❑ htcd. oral
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 'i es 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.
I 1 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 ❑ El ❑
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 on and shall be shown to be a licable to the ro'ect under review.
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. ❑ 0 ❑
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.
-
1:1Buil ding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
, Electrical Permit Application FOR OFFICE I `,I: ONLY
• City of Tigard Received �/®2�� /)a /r1•1,111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit#:
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/B
Inspection Line: 503.639.4175 1 rj (EIVE1) Ready Date/By: ruris 63 See Page 2 for
I I i, \I:O Internet: www.tigard-or.gov (\jJ Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction Sil Addition/alterAtIqrt$IFF004 Please check all that apply(submit 1 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current
��A u ❑Marinas buildings.
boatyards.
CATEGORY OF [11� exceeds 10,000 amps at I SD volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling ❑Commer � f�ry 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 derived
J `�� ❑Addition of new motor load of system.
Job#: J Job site address:
S� R� 100HP or more. ❑"A" "E" "1-2" "I-3"
( ❑Six or more residential units. occupancy.
City/State/ZIP:
1 i c1 t `r O 7 2,15 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: "11 Qt\>, 1 \v\T STRa( FEE SCHEDULE
Description I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: f Lot#: Includes attached garage.
Tax map/parcel#: _13i u.Ab ?All R52. 1,000 sq.ft.or less 168.54 4
N Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION WORK Limited energy,residential 75.00 2
�M( (with above sq.ft.)
M)u �\( • N1 U ■• .4 Limited energy,multi-family
residential with above sq.ft. 75.00 2
n t I E�L 1N�1 -SWtTC11C5 ( y )
l a • n ^ • 1I\A DANt t 'L Renewable Energy ❑ See Page 2
• PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: \L O�n ���\N 6 200 amps or less / 100.70 f�, 7U 2
Address: 1 u f Sw 1-.)‘1.\\k- ST(f�T 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 71cl Is* 601 amps to 1,000 amps 301.04 2
Phone:(91I) Uuv-�'g�t� Fax:(V tn) 3Li j - 1-113 Over 1,000 amps or volts 552.26 2
V lurk Temporary services or feeders installation,alteration,and/or
Email: 1\M` x f_�p � N� �� \1%• (01\k relocation
Owner installation:this in tallation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,re ,or exchange, ording to O 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature:_ lined Cf j ,{,/ li Date: M 2-511 14 401 amps to 599 amps 168.54 2
❑ APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with f
Business name: above service or feeder fee, 7A2 1/1
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: :Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: 06())j eg- Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(/hr min)
ELECTRICAL PERMIT FEES •
Suprv.Electrician signature,required: Subtotal: as
Print name: Date: ❑Plan Review Required(25%of permit fee): —
State surcharge(12%of permit fee): p25,H41
Authorized signature: TOTAL PERMIT FEE: i)?37. /4/
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.does Rev 04/21/2014 440-4615T(I1/05/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
Description ty. I Each I Total I •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
D Other: Each additional inspection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014
Debbie Adamski
From: Domenica Tabares <domenica @alwaysnative.com>
Sent: Thursday, August 28, 2014 12:16 PM
To: Debbie Adamski
Subject: MST2014-00138
Hi Debbie, this is Domenica and you called me about the number of branch circuits yesterday. I finally got the
number for you, 15.
Thanks so much for your patience.
1
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7008 SW PINE ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
FAIL
MST2014-00138
Herb Stabenow
Provide room. In the front of the panel 30"wide and 36"in front of it to floor level
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7008 SW PINE ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
FAIL
MST2014-00138
Herb Stabenow
Provide room. In the front of the panel 30"wide and 36"in front of it to floor level
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7008 SW PINE ST, TIGARD, OR, 97223 January 23, 2019 at
10:29:17 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00138
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Provide correct light and trim inside master shower, not part of previous inspection.
Correction from previous final electrical inspection complete, washer and dryer removed
for panel clearance.
Note: schedule final inspections for open mechanical and electrical permits for gas line
to range and electrical service.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7008 SW PINE ST, TIGARD, OR, 97223 January 30, 2019 at
11 :14:16 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00138
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor