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Permit
�� CITY OF TIGARD MASTER PERMIT IN 1 , COMMUNITY DEVELOPMENT Permit#: MST2015 00087 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2015 Parcel: 2S104CD02200 Jurisdiction: Tigard Site address: 13714 SW HILLSHIRE DR Subdivision: HILLSHIRE ESTATES Lot: 22 Project: Loop Project Description: Add a window and move a door opening in a bearing wall. Replace existing bath fan. Plumbing and electrical work under separate permits. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $22,000.00 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 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: N 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 add9 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: CURT&CAROL LOOP RIGGS&MARTIN INC Required Items and Reports(Conditions) 13714 SW HILLSHIRE DR 14200 SE MCLOUGHLIN BLVD STE C TIGARD,OR 97223 MILWAUKIE,OR 97267 PHONE: PHONE: 503-650-6786 FAX: Total Fees: $835.53 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 law requires you to follow the rules adopted by the Oregon Utility Notification Ce ter. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of th<es or. questions to OUNC by calling 503.232. '87 o ':00.332.2344. .- (/ Issued By: "_..�� � Permittee Signature: �� Call .'k1- •IUII5 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 comple o • the project. Approved plans are required on the job site at the time of each inspecti. Building Permit Application Residential RECEIVED I (Ht ul l I( I I ., ()NI 1 City of Tigard 1� DateBe� a 8 mom Permit No.: I�A 5�7 U 7 liql 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie�e Phone: 503.718.2439 Fax: 503.5 8.1960 Q Date/13 : -.Ir • o= Other Permit: � S ZO15 T I G A R[� Inspection Line: 503.639.4175 Date Ready/f3��/_© �1 Jur s: ® See Page 2 for Internet: www.tigard-or.gov ■•ti6 . i thod• �/.�_ Supplemental Information IV UL 111,AKU .....,. :!, TYPRP ' DIVISION 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: $ �,Z 0b 0 -and 2-family dwelling ID Commercial/industrial / ID Accessory building ❑Multi-family Number of bedrooms: ['Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 3 7/)1 s.,,•, ,7/4.),,_ A-,•,.,_ New dwelling area: square feet City/State/ZIP: T•a A, / 7 Z 23 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area square feet Cross street/directions to job site: 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. ll Valuation: $ AO ; i et s (tea i J - Existing building area square feet ., New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: CAAY, .1-. 6. Ca,r,I t--o o p Type of construction: Address: Y Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: L!J APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: t, $ n4 �.�K {Pleas refer to fee schedwk� Structural plan review fee(or deposit): Contact name: Sco if 1-✓e�ve,r-- FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:(5p3 ) g)(9 — g/8 L Fax::( ) Amount received: /it!;?(p�' '�f E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top •ounted Photo Voltaic Solar Panel System. Business name: Qs MA."+1;,L Submit two )sets of roof plan with connect'.••.etails I ` 5� and fire dep. •nt access,alon• .•. i e 2010 Oregon Address: /!I2- S‘ /Yl e.-/ _4.11� �( .;.� t_ Solar Installation '..cial i ",,e checklist. City/State/ZIP: L "" 7 �y Permit Fee '• ••es plan review $180.00 M I�aK klg— o'� 7 7 .t d admini . .five fees): Phone:(�3 ) {,co — lv 7C3_co Fax:( ) o Stat> urcharge(12%of perm -e): $21.60 CCB lic.: /0 9 g z' ,,/e /I/r � Total fee due upon appication: $201.60 Authorized signature: /• •/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S",,,,,-t 4G V W Date: S'/'28/S *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received ;� • • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By iat a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical I I t.i \I:I) Internet: www.tigard-or.gov 0 Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 1\11 N/.% 1 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.on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x IT'. ❑ ❑ ❑ 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 theproject 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:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONIX City of Tigard Received r- /;., Datemy: 5 a 5//5 \,�.�•J Permit No.:H�a>"i,_� ;� 13125 SW Hall Blvd.,Tigard,OR 97 ��j ���j Plan Review ( J �! Phone: 503.718.2439 Fax: 503.598�1Q i�j 1/ Other Permit. Inspection Line: 503.639.4175 Date/By: T 1 G A R D Date Re ReadyBy: runs: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 282015 Mechanical permit fees'are based on the value of the work ❑New construction Addition( rpp a, performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: " °"'' 44 ': mechanical materials,equipment,labor,overhead,and profit. Value:$ -and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total Heating/cooling: Air conditioning 46.75 Job site address: / 3'7 r1L S 1�+1 ,J re_ „1/4 i v� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -7 90 9 ?2- 2 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: Duct work I 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WO'0 Gas fireplace/insert 33.39 r var.. Flue vent for water heater or gas It2.1.f..� i 5.i- e,)(45771,-, fireplace 23.32 — '–�J Log lighter(gas) 23.32 at t._-C,1.evui • Wood/pellet stove 33.39 eR 4pC l+- (.1) POD re) I R rva A-- Wood fireplace/insert 23.32 J Chimney/liner/flue/vent 23.32 Other: 23.32 II PROPERTY OWNE”. ❑ TENA Environmental exhaust and ventilation: Name: 4- e co.,-, ( L„oe Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 •Business name: Fuel piping: Rj M Gj S 4 M aril' $14.15 for first four;$4.03 for each additional Contact name: !VI a spa� wcaw, Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater _ Phone:(S3 3 ) 8`t 9 - 3)1g I Fax: :( ) Fireplace Range E-mail: Barbecue ( Clothes dryer(gas) / Other: Business name: g' I s ¢ Mae-1-6- t Address: r (Zp,� s P1 L„,.S k I,1, 8l v et- r .Sit. L Subtotal City/State/ZIP: frt; I t.►A►nk,e 97 z , 2 Minimum permit fee($90.00) Phone:(�3 ) g ,. 8 8y Fax:( ) Plan review(25%of permit fee) T'1 State surcharge(12%of permit fee) CCB lic.: )0 9' 8 2 9 TOTAL PERMIT FEE ' This permit application expires if a permit is not obtained within 180 / / days after it has been accepted as complete. Authorized signature: , •I / • Fee methodology set by Tri-County Building Industry Service Board t Print name: Seto f W• ,_ Date: S/2Bli s 1:\Building'Permits\MEC_PermitApp_' .113.doc 440-46` 17P(I 1/02/COM/wEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: $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_PermitApp_040113.doc 2 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 13714 SW HILLSHIRE DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00087 David Young 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 13714 SW HILLSHIRE DR, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS MST2015-00087 David Young Violation Summary: Inspector Contractor