Permit (9) CITY OF TIGARD MASTER PERMIT
71 ..
2 : COMMUNITY DEVELOPMENT Permit#: MST2016-00342
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2016
Tf�' 9 Parcel: 2S103AD00808
Jurisdiction: Tigard
Site address: 10980 SW PATHFINDER WAY
Subdivision: PATHFINDER NO.2 Lot: 46
Project: Dart
Project Description: Relocate kitchen, reconfigure hall bath&laundry room. Mechanical under this permit. Plumbing
&electrical under separate.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $72,500.00 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Natural Gas Heat Pump: N Hoods: 1 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: 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:
DART,CHRISTIE H JAMES K DEAN CONSTRUCTION Required Items and Reports(Conditions)
10980 SW PATHFINDER WAY 8712 SW 61ST AVENUE
TIGARD,OR 97223 PORTLAND,OR 97219-3117
PHONE: PHONE: 503-481-7357
FAX:
Total Fees: $1,734.21
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Y tain . •py• rules or direct questions to OUNC by calling 503.232.19: or 1.800.332.2344,
Issued B 6r�
Y 2�Y /f' Permittee Signature: ,{ ',~ar_
tom" '3.639.4175 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,v
Building Permit Application
Residential RE(3EIVED FOR OFFICE FSI:OyI.A
City of Tigard !Eiew
A / PermitNo.:r13125 SWHallBlvdTigard,OR 9722UG 22 2016
• e Phone: 503.718.2439 Fax: 503.59 .1960 Date/By: -&'J Other Permit:
in G A R D Inspection Line: 503.639.4175 �y�ITY OF 1 I 11 t Date Ready/By: Jug ® See Page 2 for
Internet: www.tigard-or.gov t-3(1It 1, f "� �.) Notified/Methodtie
�//& r I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 ew constructionPermit fees*are based on the value of the work performed.
0 Demolition
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-familyValuation: $ 7 Z 5O V
dwelling0 d
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: ,std
❑Master builder 0 Other: Number of bathrooms: 6
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `o 01
S i i ?-4 1 l;Y Y)`er W J New dwelling area: D square feet
City/State/ZIP: Ti (k O`Z 97 )- 23 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: pc:4(A-- Covered porch area: square feet
Cross street/directions to job site: ,J Deck area: square feet
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.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Q DESCRIPTION OF WORK work indicated on this application.
11e r)cd�L� �' 1.Y„t e� Valuation: $
Re eA.. 1- .;5 c t,-Ce1n
. C a_R b a k - l inAc.5 Cp 6 m Existing building area: square feet
P l 1 New building area: square feet
® PROPERTYP. ❑ TENANT Number of stories:
Name: c_Y l f f S ) -- Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 APDL 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: .3-())0,‘,425 K O eay.,_ C cn�,±t O IA. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: 6.. A-e5
� � {{ �AA FLS plan review fee(if applicable):
Address: Q 1 l 2. sl.V 6..., t .--. 3T- , .
City/State/Z OOIP: PO(-±k avI6t. 0 6_ 9 7 2\Gi Total fees due upon application:
Phone:(51)3) L.I r , .7 35-7 Fsax::( ) Amount received:
E-mail: 8 e >,,„ cg 1 l 2 @ u,'vt d D r C O PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mo • -d PhotoVoltaic Solar Panel System.
Submit two(2)s of roof plan with connection
iBusiness name: a,Y>,,e3 5 loo Je__ and fire department a ess,along with t
_he Oregon
_Address: Solar Installation Specia .Code list.
Permit Fee(includes `.••review
City/State/ZIP: $180.00
and a• 'strative -es):
Phone:( ) Fax:( )
State lurch. _e(12%of permit fee'. $21.60
CCB lic.: 5( 5Z5
Total fee due upon application: $201.60
Authorized igna ]K LcL,„0........ This permit application expires if a permit is n. obtained
/�r 15 within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name a rn e S >�2�.� Date: ZZ Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I
Building Permit Application Checklist
One- and Two-Family Dwelling mi[ o r is i c is t SE o'l.'
City of Tigard Received
Permit No.:
IN13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
! Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIG A R D
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N, 1
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 ❑
3 Verification of approved plat/lot. ❑ 0 ❑
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
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 ❑ ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
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.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 0
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
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. ❑ ❑ 0
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- ❑ 0 0
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 0 ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 0
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 0 ❑ ❑
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0
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. Cl ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 Cl ❑ `
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0
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, 0 ❑ 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings r
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
Mechanical Permit Applicatiep�,,C FOR OFFICE FSE O1L1
City of Tigard �r jj�� /fVED Received {/ f�
g '�✓ l Date/By: 0 r/r J0 Permit No.: ��16-e63
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review iew111Phone: 503.718.2439 Fax:
Other Permit:Date/By:
Inspection Line: 503.639.4175 1Q UG22UTIGARD
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY p y L I -,� � D. Notified/Method: Supplemental Information
AR
BUILDINGWDIM, COMMERCIAL FEE* SCIIKDULE - USE CHECKLIST
"... E OF WORK
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ jb of
CATEGORY OF COPVS'17tUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
] Air conditioning 46.75
Job site address: I O q 0 std PzJI
INCI N rl rte-, Li) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: „r`� O ok-7 2_2-3 Furnace 100,000+BTU(ducts/vents) 54.91
1 t)aj Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
P'TION OF=WORK , (. Gas fireplace/insert 33.39
-1%10- ' I ”' Flue vent for water heater or gas
.ekoCfil a e_ � C'Wlf5t'- e-)ch Bust J' fireplace 23.32
} 4/-
Log lighter(gas) 23.32
`
e CC3V\ `t,.jl''.(�- \3`"t 4 t— `f f V V *S Wood/pellet stove 33.39
Wood fireplace/insert i 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY 4 ,, 0 TENANT °, 3 n
..v-..4 4�`'- ' 4 ,..n 4 4 ,F d:. Environmental exhaust and ventilation:
Name: C V\sr1 S p[1 Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 1 3.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility roams) L 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
:.. Ei 40 CA i- CONT:', PE N... Other: 23.32
Business name: '�" ( (� Fuel piping:
. i Cath e`S 1i•De2d.A C-1�Y1 jt-(U1+t l 011. $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Q6 1 12- )1L l sii^ tavv,e_, Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 7or**a, 1>, 0R c 7 2 J G Water heater
Phone:6 3) (.-r<1 — 7 5 7 Fax::( ) Fireplace
E-mail: l� 'q Range
E� L�uit00 0 GOY✓ Barbecue
CON 3t . Clothes dryer(gas)
Other:
Business name: 5d ''le a5 ��lO/Jy�
C' MECHANICAL PERMIT FEES*
Address: Subtotal C1 U 19-c2-
City/State/ZIP:
c2City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lit.: 5 f 5,2,. TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
come.
Authorized signator ^ * Fee methodologydays after set byit Tri-Countyhasbeenaccepted Buildingas IndustrypletService Board
Print name: PS Date: q /,72. f //
I:\Building\Permits\MEC_PermitApp 040113.doc J/� 440-4617T(11/02/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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10980 SW PATHFINDER WAY, TIGARD, OR,
97223
Record Type: Record ID:
Residential - Master Permit MST2016-00342
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor