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Permit (38) CITY OF TIGARD MASTER PERMIT '' COMMUNITY DEVELOPMENT Permit#: MST2016-00277 T FGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 1S 135CD09000 Jurisdiction: Tigard Site address: 11451 SW GREENBURG RD Subdivision: 1994-102 PARTITION PLAT Lot: 1 Project: European Classic Homes Project Description: New duplex, 11451 & 11455 SW Greenburg Rd. 6/28/2016: This permit replaces MST2015-00290 and all fees shall be assessed at the rate of the original submittal on 12/24/2015. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 8 First: 1499 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 6 Second: 2014 sf Garage: 420 sf Front: 11.25 Smoke Dwelling Units: 2 Third: 0 sf Right: 4 Detectors: Yes Total: 3513 sf Value: $415,151.57 Rear: 12.5 PLUMBING Sinks: 2 Water Closets: 6 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 2 Urinals: 0 Lavatories: 8 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 2 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 2 Hose Bib: 4 Backwater Value: 2 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 2 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 8 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add,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 3513 Owner: Contractor: EUROPEAN CLASSIC HOMES LLC SCANDINAVIAN GENERAL CONTRACTING Required Items and Reports(Conditions) 7608 SW PINE ST 7608 SW PINE ST 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 PHONE: 503-452-9457 PHONE: 503-452-9457 FAX: 503-452-9457 Total Fees: $22,787.75 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. • TENTIO a egon law requires you to follow the rules adopted by the Oregon Utility Notification C-- er. e rules are set forth in OAR 95x'001-0010 through OA" 9 -00 :•-S. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 ' •:7 .80•x.332.2344. Is ed By: •�� !� Permittee Signature: r i �U' 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. = y 'Pao/0-©oat3 Building Permit Application - 5e 2) k 0 C" --z,r Residential moi oiiici t si OAl,A City of Tigard Received �� Date/By: Permit No UPI13125 SW Hall Blvd.,Tigard,OR 97223 -� ye6 002 77 e Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 7//,/,j / ,A` Date/By: l(/ !6 Other Permit: iC;t20 6-' All TI G A 1 U Inspection Line: 503.639.4175 Date Ready/By: ,,..,/,114, Jur s: I See Page 2 for Internet: www.tigard-or.gov , •, Notified/Method: i Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING Q New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. In 1-and 2-family dwelling Valuation: $ 7 1'W' � 0 Commercial/industrial / .. 0 Accessory building 0 Multi-family Number of bedrooms: " 4 ) 0 Master builder 0 Other: Number of bathrooms: ID - ' 1 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i' I y �f/�fS S ir'vl i'-e-e�L�tukcNew dwellingarea: �5 square feet City/State/ZIP: C ( ' h' 1 7 i U"�� C'Jr-- f(7 ZZ� Garage/carport area: 1-/-2 Ci square feet Suite/bldg./apt.no.: Project name: Covered porch area: 56, square feet © )9. Cross street/directions to job site: L�; (..,SM1.-1,1.._ Deck area: square feet , LI.99 Other structure area: square feet / REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: j j -4(C.,lS C e/ors C, 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. 1'lUL-Vt) Dc Valuation: $ Existing building area: square feet New building area: square feet t1 PROPERTY OWNER 0 TENANT Number of stories: Name: e Li,VZ.'PCL1 N (, tel it. i'i- >✓ .-s t LLC- Type of construction: ' Address: "7(.,c cc, .'- \Ai Pr Sr Occupancy groups: __ C-2"77-7---Ci /State/ZIP: Po h o, 114 Vi f t Existing: Phone:( Si,` C-27 Fax:( ) ... t1 New: 0 APPLICANT 0 CONTACT PERSON Business name: �' I'J BUILDING PERMIT FEES* ,N f' f L (Please refer to fee schedule) Contact name: Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: v C. 1 iI Total fees due upon application: Phone:6(2'1 C(g 61'--t I Fax::( ) Amount received: E-mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of ( roof-top mounted Photo Voltaic Solar Panel System. Business name: c i<1;; ✓r�I t tfc v1'�i 6e I'�Yt`;/ Cc i,lF,,,t,,i!i,u Submit two(2)sets of roof plan with connection details Address: (..:,C)), y' /� IA-L_( ...1- fire department access,along with the 2010 Oregon .mI IA-L_ 1- Solar Installation Specialty Code checklist. r City/State/ZIP: ,' c:;,114-IC,'tao( C iL 6) '7 ZZ .' Permit Fee(includes plan review and administrative fees): $180.00 Phone:(,j7(. 5} �(S L4'7'i/> 7 Fax:( ) tt✓' State surcharge(12%of permit fee): $21.60 CCB lic.: S'7 C,L/ Total fee due upon application: $201.60 Authorized signature: ((,) This permit application expires if a permit is not obtained z/�� within 180 days after it has been accepted as complete. Print name: 0v'G �� i7 = l Date: �,13 c./j t" *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 ISG Oy►.v City of Tigard Received Permit No.: Associat � 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical ❑ Plumbing ❑ Mechanical 24-Hour Inspection Line: 503.639.4175 TIC A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l cs yo y/:v 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 0 0 0 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 0 ❑ 0 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. 0 0 0 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 0 0 0 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- 0 0 0 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. 0 0 0 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. 0 0 0 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. 0 ❑ 0 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 0 0 0 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 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 0 0 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 0 0 0 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". 0 0 ❑ 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 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑❑ 0 000 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 0 0 0 Street Tree List. 0 0 0 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. 0 0 0 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) Mechanical Permit Applicat> ° A i }' FOR OFFICE I:st O\LV City of Tigard Received Date/By: Permit No. �� .,,Y �t 13125 SW Hall Blvd.,Tigard,OR 97223 y <) ?- 01,2 ■ Phone: 503.718.2439 Fax: 503.598.1960'' Plan Review T I G n R D Inspection Line: 503.639.4175 Date/By: Other Permit: '3 Date Ready/By: Ju*s: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ".-._ -< tee.. TYPE OF WORK COMMERCIAL PEE* SCHEDULE USE CHECKLIST /New constructionMechanical permit fees*are based on the value of the work LfJ, 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ 41-and 2-familyRESIDENTIAL EQUIPMENT i SYSTEMS 1 EES* dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total , JOB SITE INFORMATION AND"LOCATION Heating/cooling: '' Job site address: Air conditioning 46.75 S A / s 4aN,Z h�,i✓f1 t Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T/94 v L p jZ )723 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: �iA: F ci✓( 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no t S/ '�C CP C)9 Ir, (,t Water heater *� 23.32 RF � ,. - , . .:. , 1 , ,DESCRIPTION O wow( .: `r' " x3 trig u � Gas fireplace/insert 33.39 �� '1i°- "'" Flue vent for water heater or gas Vu Lk) E'rt it p LA fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PR'OPERT`Y OWNER ' „ ti TENAN`I`' <,,: Other: 23.32 Environmental exhaust and ventilation: Name: Gi.c 1'L' -eli-frr �Gr <_S l I f c ��C:�'2t� .(.-� Range hood/other kitchen Address: '7 !( r 7 �•1( r [.� equipment 33.39 � �I�u J l 1�� Clothes dryer exhaust 33.39 City/State/ZIP: 17(4 i+-if 0 V ti CCK �'7z 3 Single-duct exhaust(bathrooms, Phone: t -- toilet compartments,utility rooms) 23.32 ( �G )S Li /Y5 ) Fax:( ) s S 4 '(...4:_ Attic/crawlspace fans 23.32 T h❑ APPLICANT. ti 0 'CONTACT°•PE ^O1V�. Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) Fax::( ) Fireplace E-mail: Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: D Ct,d l 111 iir 1 i1 s 1-le. '1 Pt, Other: Address: ' t ll k;`=, f h !/ MECHANICAL PERMIT FEES* r Subtotal City/State/ZIP: V v1 irxe L j,I Vit tit/7i %C,Ci?" Minimum permit fee($90.00) Phone:( �� ) G'^ Fax: Plan review(25%of permit fee) > �' ( ) State surcharge(12%of permit fee) CCB lic.: f C)-2 5 e TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: r days after it has been accepted as complete. �' Fee methodology set by Tri-County Building Industry Service Board Print name: 0 1!2 P&7?a-e-t) Date: t%.) �34/i I:\Building\Penmits\MEC_PernutApp_040113.doc 440-4617T(1 l/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_PermitApp_040113.doc 2 - Plumbing Permit Application : - x Building Fixtures FOR OFFICE 1SF ONE) City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223ihi Date/By:• Permit No /�fr- �� „„49,277 I Phone: 503.718.2439 Fax: 503.598.1960- Plan Review Inspection Line: 503.639.4175 '' Date/By: Other Permit No.: T I G A R D Date Ready/By: Internet: www.tigard-or.govJuris. H See Page 2l for w � Notified/Method: Supplemental Information ; . TYPE OF 'WORD FEE* SCHEDULE tHiNew construction 0 Demolition For special information use checklist. ❑Addition/alteration/replacement 0 Other: Description Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) .. ,.: > , CATEGORY QF CONSTRUCTION _ SFR(l)bath 312.70 a1 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ' ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 1OB SITE`INFORMATION AND LOCATION Site utilities: Job site address: i i 4 5/i 1 4c/ Slit? 1„-, b LAY,e. 72.4."(/ Catch basin or area drain 18.76 City/State/ZIP: j 1 9 A vCtl LZj� L%72-2_3 ( Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: S uc F5 a Lt Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 1 „Si '3- CO 05 e,o c, Backflow preventer 31.27 ties .1.1,* Backwater valve RIPTO WORK 12.51 j1 / Clothes washer 25.02 klUZ L.,.:, arm(,Ly i, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 'ROPERtY,O ,, �, ,.,.. 4 t ,: 11 le ,� 4- , AN It. t t. Expansion tank 12.51 Name: 8,4_Y"�'r( g.--/ +t!r��i t ti� � Fixture/sewer cap 25.02 S i C(_C, Address: Floor drain/floor sink/hub 25.02 0 `., Yv P(ht�c1 _- City/State/ZIP: rt,Imo/ (G kt ,l 4)/72--Z, Garbage disposal 25.02 Hose bib 25.02 Phone:( cc-J tfc 2, `P YS`-7 Fax:( ) maker � � �- Ice12.51 4 APPLICANT Cl CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 �> CONTRACTOR Water closet 25.02 BusinessWater heater 37.52 name: D . 1 ' °1 Piw,h12 U/ Wateri m 56.29 Address: 1 2-2-er S c' I O..;fisq,,,,,_sq,,,,,_� b P P g/Dsq,,,,,_ Other: 25.02 Ci /State/ZIP: ty `pp% �.1 i �'r r%� Subtotal Phone: C, 5) i (<i! -L')t-�l Fax: ( - ( ) Minimum permit fee: $72.50 CCB Lic.: / z 'y- b u(y,\,' Plumbing Lic.no.: ri3 C-(-,'G Plan review (25%of permit fee) Authorized signature: Lc ( TAL(12%PERMofpermiITtFEEfee) Print name: 0 �, �5L I Date: ' t 3 C I I State surchargeTOThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-Permitppp.doc 10/01/09 440-4616T(10/02/COM/WEB) PPagelumbing2 Permit ApInformationplication - City of Tigard - Supplemental Fee Schedule: Residential Fire Suppression Systems: Site'Utilities 1 '., Fee(ea), 'Total . • Square Footage:' Permit Fed: 50.03 0 to 2,000 $121.90 Footing drain ls`100' 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 each additional$100.00 or fraction thereof,to Qty` Fee(ea) Total and including$10,000.00. Other Inspections or Fees •= � 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for 90.00/hr Additional plan review for revisions each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to • . ,. accurately report fixtures could result in increased sewer fees*. an Review for PlumbingIrltstaliat o s h 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 RlOC*t 0 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 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -3"-3" Isometric or Riser Diagram 4>' 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Comments regarding fixture work: Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 I , ;1',''f ' Electrical Permit Application roll u i i i c l: t s l:o\1.1 City of Tigard Received Date/B Permit#: ^f ry,// y ea' 7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review eT : 0 Phone: 503.718.2439 Fax: 503.598.1960' ,t Date/B Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: .kris: ® See Page 2 for TI G A R D Internet: www.ti and-or. ov g 1; Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ( 'New Construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ig 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 amps for all other installations, buildings. Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LO ATION 0 Emergency system. larger separately derived ] / l ❑Addition of new motor load of system. Job#: Job site address: I yS s- 1 i 7 S 4b� dpi,e_j'f bi4jr- 100HP or more. El City/State/ZIP: 1 / / Six or more residential units. occupancy. /Ei✓C)� C?/2 9 7Zl 5 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: s tL'3 /7-.7 < ' ✓( FEE SCHEDULE Description I Qty• I Each ITotal New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less , 168.54 4 S/ 'SC C-i) C IO(t Ea.add'I 500 sq.ft.or portion 6 33.92 1 DESCRIPTION OF WORK Limited energy,residential with above sq.ft.) j 75.00 2 t,,)yulel Limited energy,multi-family residential(with above sq.ft.) 75.00 2 PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: e u Vc1 cL,41.1 L f.,.„( L f s z'l..Q.S", �t_..( 200 amps or less 100.70 2 Address: 76Cj L, t 201 amps to 400 amps 133.56 2 , 9-72_2.3 401 amps to 600 amps 200.34 2 City/State/ZIP: r 1K t'1� p/�- 601 amps to 1,000 amps 301.04 2 Phone:( ' (p.c-2 --C,L S ? Fax:( ) ei VyA.., Over 1,000 amps or volts 552.26 2 �r ' n Temporary services or feeders installation,alteration,and/or Email: C v / � `c tC�,(`;1 relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, Contact name: each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax: :( ) Each manufactured or modular dwelling, 67.84 2 Email: service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Fe,I 1 i 67 I ay(C i Irl L Sign or outline lighting 67.84 2 Address: c� j � S _ Signal circuit(s)or limited-energy g A; panel,alteration,or extension. 0 See Pa e 2 2 City/State/ZIP: et Li_01 C r q7 (�-- L 0 2-..--? Each additional inspection over allowable in any of the above Additional hr min inspection(1 66.25/hr Phone:((;C-)) 'S's('. -C S Fax: P ) ( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: �.Sr`'C7 Electrical Lie.: specifically listed 'V5 hr min) 90.00/hr ?5 ySuprv.Lic.: �- P� Y ( Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES ` �' 4V Subtotal: Print name: VY,/n& t '"TT O b)o,,, ,, T ate: 6 So/1` 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: 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.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB A EPagelectrical2Supplemental Permit ApplicationInformation—City of Tigard — Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL.WORK ONLY: FEE SCHEDULE Description I Qty. Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 133.56 2 5.01 to 15 kva ❑ 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 n 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 min) Inspections for which no fee is 90.00/hr specifically listed(h 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 n Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT !PI 0 . T 1 G A R D Building Permit Review — Residential Building Permit #: /`f j'7 , /( z9O 7 7 Site Address: //' .71,s / ,SGL �r2e�,f2 ,r . Project Name: �-j� C3s;c � si LL- Lot #: (New dwelang=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /,10 ( 2je/ Verify site address/suite# exists and activii e/ permit system. i5/ ver Terrace Neighborhood: LIG No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: Olgyhree(3)copies of site plan ' •io 'sting structures on site IILI ite plan must be on 8-1/2"x 11"or 11 x 17"paper 'T Footprint of new structure(including decks)with finished (Vrawn to scale(standard architect or engineer scale) i•.or elevations F �rth arrow II.Utility locations (required for new,may apply for additions) address,project or subdivision name and lot number 'te ation of wells/septic systems .plicant information(name and phone number) .•'t°��sting trees to be retained with drip line,and tree 1, .t dimensions and building setback dimensions rotection measures 7 it area,building coverage area,percentage of coverage and 0 eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names roerty corner elevations(2 foot contour lines if more than i4 oot differential) Clean Water rvtces-Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: Yes ❑ No Public Facilities Improvement(PFI) Permit: VLequired: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake and Use Case#: ,6 .2eleG- 06900 716 OOv zoning: e_/'oR VA > Vi° /J etbacks: Front ,,?S-Rear /Q Side Street Side F3 Garage QO andscape Requirement: .,,,,20� 0/0 ot Coverage Maximum: V Building Height: Maximum Height Js---- Actual Height c1 I Ili ' � isual Clearance IR Easements OPSensitive Lands: ❑ Yes ❑ No Type aibrban Forestry Plan 0 ikonditions "Met"prior to issuance of building permit Notes: Approved By Planning: _ . - ___=,,, ,62 . Date: < . t Revisions (after Bding Submittal only) Reviewer _ Dat- Revision 1: t Approved ❑ Not Approved �___ �,, Revision 2: ❑ Approved CI Not Approved 4. Q Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 060116.docx Building Permit Submittal Original Submittal Date: 6' f /$ Site Plans: # Building Plans: # Building Permit#: a-Enter building permit#above. Workflow Routing: Planning 2"-Engineering Permit Coordinatording Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: Z Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _ _!!_1 �/ 62 Date: %tel 2 Engineering Review /Slope at building pad: �/O ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approved by Engineering: Date: Notes: Approved by Fngineering: /4> j7 Date: t .- 22-/ Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: ?, SD Fees Entered: Wash Co Trans Dev Tax: 4 Yes El N/A Tigard Trans SDC: Yes ✓/N/A Parks SDC: 4 Yes El N/A OK to Issue Permit Approved by Permit Coordinator: / i Date: 4' 3e J‘, Ote' I:\Building\Forms\BldgPermitRvw_RES 060116.docx . �� Clean Water Services File Number "w C1eanWateer Services 15-004146 S Sensitive Area Pre-Screening Site Assessment fi 1. Jurisdicti, d. 2. Property l ation (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Ove Petersen 1S135CD09200,1S135CD09100,1S135CD09000 Company: Scandinavian General Contracting Address: 7608 SW Pine St. Site Address: City, State,Zip: Portland OR 97223 City, State,Zip: Tigard OR 97223 Phone/Fax: 503 515 9464,503 452 9457 Nearest Cross Street: SW Esau E-Mail: lop8318@aol.com 4. Development Activity (check all that apply) 5. Applicant Information • Addition to Single Family Residence(rooms,deck,garage) Name: Ove Petersen ❑ Lot Line Adjustment ❑ Minor Land Partition Company: j Residential Condominium ❑ Commercial Condominium Address: Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: Other Phone/Fax: 503 515 9464,503 452 9457 one duplex to be built on each lot of record E-Mail: 1op8318@aol.com 6. Will the project involve any off-site work? ❑Yes Xi No ❑ Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Ove Petersen Print/Type Title ONLINE SUBMITTAL Date 12/21/2015 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law, ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law, ❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date 12/22/15 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org Peat is �f 5 ,1 Demo Credits for Duplexes on Greenburg Rd European Classic Homes LLC Ove Petersen, 503-515-9464 12/29/15 Parcel #1 1S135CD09000 11451 & 11455 SW Greenburg Rd MST2015-00290 & SWR2015-00218 Needs to apply for demo permit for existing house. Once this demo finaled demo credits can be applied. Sewer connection for existing house paid for under SWR94-00395. Parcel #2 1S135CD09100 11463& 11469 SW Greenburg Rd MST2015-00289 &SWR2015-00217 No existing structures, but sewer SDC paid for the lateral under SWR94-00395. Demo credits available for sewer SDC fee. No demo permit required. Parcel#3 1S1.35CD09200 11477 &11481 SW Greenburg Rd MST2015-00291 &SWR2015-00219 Structure and sewer connection purchased in 1996, MST96-00378 & SWR96-00361. Foundation installed, no further construction done. Permits voided 11/5/98 (should have been expired). BUP2015-00325, demo permit to remove foundation, upon approved final inspection, demo credits can be applied for all SDC fees. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal a Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION ' �E � JUL 1 4 2016 FROM: �/ Ci CITY OF I;LiARD BUIL..DIN : n Pp„ COMPANY: / PHONE: 5-03- 5/5-- @" o g By RE: Il se �- 11�5s- £o K Q/ / - 775 (SiteAddress) 0 (Permit Number) 01 471ft4-6' ro.Wnn evision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: _ Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Routed to Permit Technician: Date: EMEMIRMI Fees Due: • Yes 0 No Fee Descri tion: Amo t Due: $ Special Instructions: Re.rint Permit •er PE : ❑ Yes ❑No ❑ Done A. I licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11451 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2016-00277 Inspection Type: Inspector: 399 Plumbing final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11451 SW GREENBURG RD, TIGARD, OR, August 30, 2017 at 10:08:35 97223 AM Record Type: Record ID: Residential - Master Permit MST2016-00277 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction from previous inspection complete, gfci installed at dining area. Violation Summary: Inspector Contractor