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Permit INn CITY OF TIGARD % MASTER PERMIT COMMUNITY DEVELOPMENT 111,44440/ Permit#: MST2014-00157 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014 Parcel: 2S102DC00202 Jurisdiction: Tigard Site address: 9320 SW OMARA ST Subdivision: EDGEWOOD Lot: 13 Project: Schroeder-Brandt Project Description: Garage conversion. 8/27/15, REVISED to add(1)exhaust fan&(1)water heater. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 361 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: 361 sf Value: $24,513.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 25 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: 1 Clothes Dryers: 0 Heat Pump: Y Hoods: 0 Other Units: 0 Furn<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: 3 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: ADD SF VB R-3 361 Owner: Contractor: SCHROEDER,ROBIN OWNER Required Items and Reports(Conditions) BRANDT.SETH BRANDT,SETH 9320 SW OMARA ST 9320 SW O'MARA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-639-8936 PHONE: 503-639-8936 FAX: Total Fees: $1,721.82 . 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 don- • - • •- 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 d- . ATTENTION: Ore" -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 2-001-0010 hrough OAR ••:-001-009. You may obtain a copy of the rules or direct questions to OUNC by callin• • 232.1987 or 1.800.332.2344. � D-sued By: - /� /�` Permittee Sign. ure: -� /��.tIs — a - Call 503.639.4175 by 7:00 a.m.for the next available inspec ion date. This permit card shall be kept in a conspicuous place on the job site until completi• •f the project. Approved plans are required on the job site at the time of each inspection. v CITY OF TIGARD MASTER PERMIT 11111 ■ COMMUNITY DEVELOPMENT Permit#: MST2014-00157 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014 Parcel: 2S102DC00202 Jurisdiction: Tigard Site address: 9320 SW OMARA ST Subdivision: EDGEWOOD Lot: 13 Project: Schroeder-Brandt Project Description: Garage conversion BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 361 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: 361 sf Value: $24,513.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 25 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: Y Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 3 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: ADD SF VB R-3 361 Owner: Contractor: SCHROEDER,ROBIN OWNER Required Items and Reports(Conditions) BRANDT,SETH BRANDT,SETH 9320 SW OMARA ST 9320 SW O'MARA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-639-8936 PHONE: 503-639-8936 FAX: Total Fees: $1,634.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other al), 9=ble 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 - ,-n.-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those,.'i' -s.,.:-re set forth in OAR 952-001-0010 through 0 2-00 -0090. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 o r-- :33� . Issued By: Permittee Signature: - / ∎ ,7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 RECEIVED Property Owner Statement SEP 2 4 2014 Regarding Construction Responsibilitimf TIGARD Oregon Law requires residential construction permit applicants who are notft[HISiOrj Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. rv( or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. galOff Print Name of Permi pplic !/6 / Signature of Permit Applicant Date Permit#: Mcir 'N-04/57 Address: 756io c W O1/114-,4- -. X427), Og 97113 r.r..,,..r8,, Issued by: L.4j%/ Date: /002/7 44 This Copy for Permit Offices Buildfne Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard DateBea •- 4 7��• Permit No.: 'WNW, /57 II13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review►�i r Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : AlW�/1_ �'�j •her Permit: Ih 9,01 4_00 t U 1 R n Inspection Line: 503.639.4175 SEp 2 4 2014 Date Ready 1y: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ITV OF TIGARD VISION TYPE OF � � ' 'I*1!� REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ■ Demolition Permit fees*are based on the value of the work performed. II— Indicate the value(rowided to the nearest dollar)of all f R Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the r CATEGORY OF CONSTRUCTION work indicated on this application. gE t-and 2-family dwelling ❑Commercial/industrial Valuatiot '2. ,d-3-(-3,c0' `•�i��`,�-' ,t,‘ / ❑Accessory building El Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: th Job site address: 9020 <Vla/ DiAiAkA 57 New dwelling area: 5 /41 square feet City/State/ZIP: 774A R t e)/ .. °►7Z Z 3 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: Covered porch area square feet Cross street/directions to job site: eµeeeiDE2- &Atkj Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: E J76c-wpp jj Lot no.: /3 Permit fees*are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all Tax map/parcel no.: ,'Z f(001)c, (5f Z0(z, equipment,materials,labor,overhead,and the profit for the ',y` DESCRIPTION OF WORK work indicated on this application. inir RAtej f oNYE�.d/ - /NA`_7E e_ p f UcvI^ Valuation: S 1 r 47/,4 UT/L/ ,' / • Existing building area square feet 4 ` ��// New building area: square feet LTPROPERTY OWNER nn❑ TENANT Number of stories: I Name: 66 t1-/ /3i. ,id /pop/J Jft?O1` LE-/( Type of construction: Address: c.77,3 ,-...,/7-E ? Occupancy groups: r■ City/State/ZIP: --7 �� 9 —g��F_ 5 Existing: C Phone:(�j 4(�+ Lo`/'- r,�e9?i 'Fax:( ) 4 L / New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: 4 er�/ ( Ai ek> (Please refer to fee schedule) �r / Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): 4 Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: /710 3 ► ' E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation o■ roof-top • nted Photo Voltaic Solar Panel Syst-• . Business name: </ot kr/ O(i11NE/z> Submit two( . of roof plan with corm•• on details and fire department .• .ss,along wi . e 2010 Oregon Address: Solar Installation Specia • ode -cklist. City/State/ZIP: Permit Fee(includes p eview $180.00 and admin. ative - Phone:( ) Fax:( ) State surcharge( /o of permit fee): $21.60 CCB lic.: Total -- due upon appication: $201.60 Authorized signature: Thispe It application expires if a permit is no .1 btained `\ ,;/ - ii wi in 180 days after it has been accepted as co .plete. de *Fee methodology set by Tri-County Building Industry Print name: - I-AN Date: I$�ly Service Board k I:\Building\Pernits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) t A A Building Permit Application Checklist t c . One- and 1Dwelling FOR OFFICE USE ONLI Received III City of Tigard Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T I G A R D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1"es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent re‘ievvs. _ ❑ ❑ ❑ 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. 4 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. I. 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'on and shall be shown to be ap p licable to the .ro'ect under review. JURISDICTIONAI. 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(11/02/COM/WEB) Electrical Permit Applicati RECEIVED I()R (alit I I SI (ICI 1 City o f Tigard Received 0 2� Permit#_h,:9r:oe,/,J_,e1 S /DateB / • 13125 SW Hall Blvd.,Tigard,OR 97223 4 2014 Plan Review = Phone: 503.718.2439 Fax: 503.598.1S))p 2 Y Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Soria Ei See Page 2 for I I G A R D Internet: www.tigard-or.gov CITY�FTIGARD Notified/Method: Supplemental Information TYPE, E o t iNG DIVISION PLAN REVIEW ❑ New construction Addition/ rep cement 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 ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. and 2-family dwelling Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural y g ❑ CI building ❑Multi-family ❑Master builder ❑Other: amps for mall other installations. Installation❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 9'3 y(7 %1/ a'44/91?� s1 ❑100H Addition of new motor load of system. ♦� ,.r 100HP or more. ❑"A° "E° "1-2" "1-3" City/State/ZIP: T fre DI 0D 97'2 2-3 ❑Six or more residential units. occupancy. rl '` ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than t ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 6e/1-i .CI D f2 —8ite¢/Si)T.- FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: ep4 vevp Lot#: 1 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Z 5 t 4(2 Dc_00 Z0.2 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential y/'�, ei E CO>,!I/E%�i.1 dx) 7a M 195 rC F-C D,PUcf�•I (with above sq.ft.) 75.00 2 { Limited energy,multi-family 75.00 2 e�)/.) } (j/ )1 / . residential(with above sq.ft.) Renewable Energy ❑ See Page 2 PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: -7 z) A ;07/A., ,,j f SC t?( -J)e-R. 200 amps or less 100.70 2 Address: 4 7'0 be .. /re) 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 • Phone:(ct:03 413/—fifitsv Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installat'• i a a. a, made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,ren h..'14;, • cording to ORS 447,449,670, .ad 70 . • 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 [APPLICANT I ❑ CONTACT PE' O Branch circuits—new,alteration,or extension,per panel 9, )PL�� Fk A.above for sbranch or feeder with Business name: T L above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first 1 56.18 2 Address: branch circuit n City/State/ZIP: Each add'I branch circuit !� 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: > V r6R7'/ aco JER > 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(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Email: - Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES 4 Suprv.Electrician signature,required: Subtotal: 7/.C'2- Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): A TOTAL PERMIT FEE: Authorized signature: #- � , �� This permit application expires eina permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building1Permits∎ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 440-46151(1I/05/COM/WEB 1 e Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. Each 1 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 with OAR 918-309-0040) 552.26 2 ❑ 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: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr mm) 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: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations Ilauilding\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 Mechanical Permit Applicatio lOK (,l1 1( t. I SF ()NI 1 City of Tigard tECEIVEI RDeacteived VP/MIN/ Permit No.: �l -eV/57 IPI 13125 SW Hall Blvd.,Tigard, 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: I !GA A tt a Inspection Line: 503.639.4175 S E P 2 4 2014 Date Ready/By. Juni. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information CITY OF TIGARD TYPE OF ISM COMMERCIAL FEE* SCHEDULE— USE CHECKLIST DING DIVISION Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alterationIreplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1 al-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: w t��M� Air conditioning 46.75 Job site address: CT2o �j /2� sj Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tipl KD t Qk 9'722,? Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump / 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: c e!L�E.T)ix._ _/3 Hydronic hot water system 23.32 `fir Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: gtjleS E 1 f 67)D Lot no.: /3 Other: _ 23.32 _ Other fuel appliances: Tax map/parcel no.: 25/VZ L IV 20 . Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 �G Flue vent for water heater or gas 9f�2AgE ��vEQ /1 u 7 M/STEIe P L) i/1! fireplace 23.32 t 1 UTl Llry Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert _ 23.32 Chimney/liner/flue/vent 23.32 riefROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 6E 74 ej'RMDT1A0BiM 5e%/AIDE f)e-p. Range hood/other kitchen �� !��} equipment 33.39 Address: 4 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ` 23.32 Phone:( 'j O��beg, 3.7342 Fax:( ) Attic/crawlspace fans 23.32 lE APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: 11P/20 PE-R1 per)&-R Fuel piping: 514.15 for first four;54.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: FkOrEP y O-t4)0 ER > Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) •• ( ) State surcharge(12%of permit fee) •CCB lic.: / TOTAL PERMIT FEE of/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: / '/ " Fee methodology set by Tri-County Building Industry Service Board Print name: �� zoi Date: //r/ 1\Building Termits\MEC_PermitApp_040113 doe 440-4617T(I 1/02/COM/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. I:\Building\Permits\MEC_PennitApp_040113.doc 2 Plumbing Permit Applicati °°�� _ Bulding Fixtures j"'t'Ll Building City of Tigard Received permit No.: t • 13125 SW Hall Blvd.,Tigard,OR 972UP 2 4 2014 Date/By: 9�fw iY Cap, th/'`�id (el/s7 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 CITY OF TIGARD A GAR l7 Date Ready/By: Juris• la See Page 2 for Internet: www.tigard-or.gov ��) Notified/Method: Supplemental Information TYPE OF AIDING DIVISION FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist • Description I Qty. I Ea. I Total ddition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 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: 9.320 1,1d D24A� L� Catch basin or area drain 18.76 City/State/ZIP: T/91/2b1 CJQ. 7 23 Footing 1.leach line,or trench drain 18.76 Footin drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: 6:-(4 t-# ED I`-- 13'7 Manholes 18.76 • Rain drain connector 18.76 $ II Intl a. I i' . a • 1 r If . A. 1G\ Sanitary sewer(no.linear ft.:f�.� I , Page 2 a),5--'1 r e:c-N Shire. n)-i-cl IS4r,G t ey;/YS an/ Nede",Ser- cifz - lie /y� -� Storm sewer(no.linear ft.: ) Page 2 (, II 4 I) 1OI 1910 ! 's T f ,e_* 9/311(p_, 4 jTh Water service(no.linear ft.: ) Page 2 Subdivision: Ep$E hJ J s ,/ f no.: /� Fixture or item: Tax map/parcel no.: �5 192 DL OSo i 9Ti Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 q�'�,�y� Clothes washer 25.02 /'►f/7e3E Comve /o a r 7 AlAs EI t Dishwasher 25.02 /iA' /, 4 IA 7--/Z.4.71, Drinking fountain 25.02 Ejectors/sump 25.02 rialitOPERTY OWNER l ❑ TENANT Expansion tank 12.51 Name: € -7f j��j�/ROB/N Poe-_rEle Fixture/sewer cap 25.02 Floor drain/floor sine/hub 25.02 Address: 7073 /' � Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( 5-413 1pq9- a9310 Fax:( ) Ice maker 12.51 [-PPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 9p0 11) t E(� ) Medical gas(value:$ ) Page 2 Business name: 7 v�^+N CI\ Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory J 25.02 5..a DOZ. City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan J 12.51 a,' I E-mail: Urinal 25.02 CONTRACTOR Water closet / 25.02 5'...02.. Water heater 37.52 Business name: 4 PRopefiTy 0l1 F A > Water piping/DWV 56.29 Address: Other: 25.02 yy City/State/ZIP: Subtotal J l)5.cif Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Li Plumbing Lic.no.: State surcharge(12%of permit fee) 15-. 0 I " /Authorizeze d signature: / .01 TOTAL PERMIT FEE J%10 Print name: � � Date: / if This permit application expires if a permit is not obtained with 180 days ��/ •L/, d after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-46 I6T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard r Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1a 100' j 50.03 50.01 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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $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: 50.03 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 engineer. -Jacuzzi/Whirlpool 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 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 Filer 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 • - City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ l I G A R D Building Permit Review — Residential Building Permit #: H37-02-6l4 -0016-7 Site Address: 9 3g,o s W U 'vvt a,—r..- Project Name: Br ct,-‘d{- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review (� Proposal: S►-,n c�l� ct.d-d. 6 11 c -ti`s SFR- , c-c j'C':5, a,- v€ c) ay-al . t n-Iv VI 0,10;4-6_6v Se c12.-. Verify site address/suite #exists and active in permit system. Site Plan Elements: AThree (3)copies of site plan Existing structures on site J (Site plan must ha on 8-1/2"x 11"or 11 x 17"paper (Footprint of new structure (including decks)with finished 4Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations(required for new,may apply for additions) cicSite address,project or subdivision name and lot number Location of wells/septic systems )]Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence pLot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and (Street names impervious area(applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location /Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: - ,/ -s No - Received: ❑ Yes /Land Use Case#: q t+ XZoning: --4 .5 XSetbacks: Front - Rear 1 5 Side - Street Side — Garage -- Landscape Requirement: ,Z Lot Coverage Maximum: A Building Height: Maximum Hcight 30 Actual Height ) 5-fin XVisual Clearance 3c.Easements Sensitive Lands: ❑ Yes g. No Type Urban Forestry Plan 71 Conditions Met Notes: Approved By Planning: t!~' a cc.;.-n..,-_ Date: q - / v Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\B ui lding\Forms\B I dgPermitRvw_RE S_042914.docx • Building Permit Submittal Original Submittal Date: 0///9 Site Plans: # 3 Building Plans: # 3 Building Permit#: "Enter building permit#above. Workflow Routing: EVPlanning 2'Engineeringermit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: G "ngineering: (1) copy of permit application, (1) site plan, (1) building plan and on nal plan review routing form. uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: A 4ti .r ' o-.`_ g ,V C�.v�, _ 11 _/"!111�1�. _ •�s _ By Permit Technician: tic),C Date: 7.04/ /y Engineering Review 0 Actual Slope: ❑ Conditions Met Notes: Approved by Engineering: Date: 9 alS" O Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit p, Approved by Permit Coordinator: / 77/764/‘- Date: / Z 'S I:\Building\Forms\BldgPerm itRvw_RES_042914.docx 9 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III ■ Reimbursement District Payment Worksheet 1 I c;A k il 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503.718.2439 • www.tigard-or.gov This completed worksheet is to be submitted along with payment for sewer connection and plumbing permit application by expiration date below. ENGINEERING TO COMPLETE: Site Address: 93 , D S GIJ O'1' Sr Reimbursement District#: /2 Parcel#: asoc p.2oQZ Amount Due: $ -o- Amount Due Expires On: 19 Zo i if Applicant: ,51-7--# g/24--A/A f Daytime Phone: Si3 -63 p- 2 ❑ Sewer Loan Processed (journal entry to follow for payment) Deferred Accounts (if applicable): Owner: Daytime Phone: Legal Description: Amount To Be Paid: $ — Amount To Be Deferred: $ — ❑ Deferral Agreement (signed prior to completion of worksheet) By: A g Date: i ', to ./4. BUILDING TO COMPLETE: Reimbursement Amount Paid: $ Receipt #: SWR#: PLM #: Enter parcel conditions in Accela (check all that apply): ❑ Enter "paid" condition. ❑ Enter "deferral" condition,if applicable. By: Date: Attach this worksheet to sewer permit for records scanning. I:\Building\Riembursement Districts\ReimDistPaymentWorksheet 021014.docx ° Can W 417A 1111111110 0\11 o� 98'I 199' I I 8'8" 10'x12' Shed A 25' 10'x8'6' Patio V 19'4" I/t 60' -110-41-5. Master Bedroom Bath FFE 100.8' FEE uu)n' p Shaded Area Identifies 00 Project Boundary 2 r Residence FEE 100.8' Utility Storage FFE 100.2' FIE 100.2' Concrete Walk 4'Sanitary 3/4'Water Line Line 2 5' 17'4'x25' • Asphalt Driveway • • \\\. • ir • \\N••■.. /7/1 97'I 84'4" 199' Project Name:Phase 1-Garage Conversion Site Address:9320 SW Omara St.,Tigard,OR 97223 Casa Schroeder-Brandt Parcel:2S 1020000202 Legal:Edgewood Lot PT 13 Site Plan Latitude/Longitude:45.4218272/122.773025 Scale:1'= 10' Revision 1.0,2014/09/15 Lot Area:15,174 SF Building Coverage Area:1,799 SF North Submitted By:Seth Brandt,Property Owner (503)639-8936 Percent Coverage:11.8% Other Impervious Area:1,370 SF CITY OF TIGARD Approved by Planning Date: Q —t Initials: CeA-e�