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Permit (239) CITY OF TIGARD t= , fwseMASTER PERMIT IIS` COMMUNITY DEVELOPMENTlihi 4 Permit#: MST2016-00514 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2016 Parcel: 2S112CA08500 Jurisdiction: Tigard Site address: 7568 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 11 Project: VANDEHEY Project Description: Deck addition and master bathroom renovation. 6/22/2017: REPRINT to add(2)200 amp service and(12)branch circuits. BUILDING Floor Areas Required Setbacks Reauired Stories: 3 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $22,409.28 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 Tvpes 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: 2 0-200 amp: 0 W/Svc or Fdr: Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 15 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: VANDEHEY,MARK A METKE REMODELING&WOODWORKING IN Required Items and Reports(Conditions) 7568 SW ASHFORD ST 17428 SW BOONES FERRY RD 1 NO GAS LINE IN PERMIT TIGARD,OR 97224 LAKE OSWEGO,OR 97035 FOR BBQ PHONE: PHONE: 503-534-0985 FAX: 503-534-0983 Total Fees: $1,632.45 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through•+R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , tif Oki , g X1710 19/7,6/(41- 7t�&1' Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. To: Page 2 of 2 2017-06-22 18:20:04(GMT) 15032101110 From: Metke Remodeling Electrical Permit Applica: , i FOR OFFICE USE ONI . City of Ti rd `'I N 2 2 2017 Date)�' / Mat l b a 13125 SW Hail Blvd.,Tigard,OR 972g3 t iniad Etevie Related Permit s: Phone: 503.718.2439 Fax: 503.598,1960 [ D .e- Seelhage2far Inspection Line: 503.6394175 V1-IV O. flGI\Re) Ready 1 1. 0 7 .,,,F, �� tarormatiom riuAitb. Internet wtvtvtigsrd-orgov g-yl�3/ t\j �,';O ro 611'���E� 1zT� -*,s r,` -- z=," ..lit,. �JLIsP h.o.z.z. TADAV" • '��.�'t`u' '" c.Y ;i -i ....47 121?'„�t ra kir•r�t �'.`1kn,. .$vc..P.. a.+,_1''sigr,+a.trr i y,o fi � °' �` * Mao-cheek anther apply(submit lien ofpiansWit=checked): QNew construction Addition/alteration/replacement QService or feeder 400amps ormore 0 Building Maritime stories. ❑Delttolitten QOther 3 where the available fault commit (;J Marinas and boatyards. +1- .•K.� i�`p"r,�L :5,1 Q xt?e.. z+( 7'"� "r� S .:E ,e,.S b exceeds 10,000 amps at 150 4olts or i floating buildings. =3�,;ay +t_.",4'_ ec,l-+,.,/� f .:. �•^F_?-.. s�::��.dira lesstaground,tuaxeoedal4,000 i_iCoromcreiei-use.a8riwid±ro! 1-and 2-fa niiy dwelling 0 CominereiaUlndustflal 0 Accessory building amps for all ohms installations. builders. Q:Auld-family QMaster builder 0 Other El8[repomp, 0lnsratlationof10KVAor £� �ti .';.4 ❑Fmergatorsystem larger levant*derived 'w''`�S'Ty`'`y,.`Fer'#t�y`r`.+4iws..�bj3 -.d •e.._ 4: 9. aF `.r.. - n+n �. c, ' Addition ornate motor toad of system. Jnbfi: Job site address:--I5 % 4 }- . i/V 100HPormIore, 0"A","ti12","14", 'y�^� Ci Six or snore residential wails. occupancy._ City!State/ZIP: `'"',. ("5 . { O Heald snore residents. ��` incelo parks. care Ilea t ❑R Suite/bldg./apt0: Project t eP'p(e_ ,kr1t e.Yle, 0Harardouslocations. PB 0Su0 lytsrw `L, -- -i Servioa or feeder 600 am or mare. z� '""`� __._. __ 4.T13 4:► * tg�PP ```....• nomads", g Qty,, s'A Doi, •Tod I •} Cross erect/directions to Job site: New residential aln Ic-or multi-fondly dwellingunfit, i • k Subdivision: Lot if: _ Includes attached garage. 1,000 sq.R.or less 168.54 .4 Tax maptpgrcct#: Ea.aad'tS00 sq. or � _33.92 1 ., r u ' ' >F4;" 1. -11-1,,..,2.,---,g. nli�r�ttom ;. � _ �4 ,,. ;:,�,.-341 ,:. c last a�i. f Limited Etlei'8R ',tie 75.00 2 (with above,mita _ 7V 5>c/_$A/G . /©x"724-/, 7r „� Li With above sq. 75:00 2 residential(withabovesq.RJ Xenerrabie Ene v 0 See Page 2 4r4'.-A�;, ;(:e 1:141 , � ,rr :., •"x4,,,T �i y Services orfeeders installation,alt grottos,and/or relocation Name: t f- 200 env or less 2. 100.70 'oi -0 2 � 4'T} , j 20E atn(St at 400 AmpsE 33.56 2 �l ..{t � "f ' --• 401 a to 600 am Address: trips amps 200.34 2 City/Statc/Z1P: "i frd )1, el 72-24- 601 amps to 1.001)amps 301.61 2 -.-- , Over 1,000 amps or voila 552.26 2 Phone:( ) 5-72,c)42,_ Fax:( ) p - - Tcm orary ptorservices or feeders installation,alteration,and/or Email: __ _ _......_.._. - 59.36 I Owner instaNAtinn:This installation is being made on property that I own which isnot _2W amps or fess intended for sale,[case,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 4,�I ,4717-4. Branch eircnits-new,alteration,or extension,per panel {+e3; cr4 ,-,t.....a,ri„>-1t-- '`'ild C,.''- ';1;!_..^Sr'.,..-- ; To: Page 1 of 2 2017-06-22 18:20:04(GMT) 15032101110 From: Metke Remodeling FAX COVER SHEET TO COMPANY FAXNUMBER 15035981960 FROM Metke Remodeling DATE 2017-06-22 18:19:45 GMT RE permit#MST2016-00514 electrical information COVER MESSAGE Please see attached to update the electrical portion of our combo permit. Thank you! Crystal Elder Project Coordinator Metke Remodeling&Luxury Homes 17428 SW Boones Ferry Rd Lake Oswego, OR 97035 www.metkeremodeling.com 503-534-0985 WWW.EFAX.COM CITY OF TIGARD MASTER PERMIT 11, . r . 2: COMMUNITY DEVELOPMENT Permit#: MST2016-00514 T iGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2016 Parcel: 2S112CA08500 Jurisdiction: Tigard Site address: 7568 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 11 Project: VANDEHEY Project Description: Deck addition and master bathroom renovation. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $22,409.28 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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: Ea add!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 asin N Other: N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: VANDEHEY,MARK A METKE REMODELING&WOODWORKING IN Required Items and Reports(Conditions) 7568 SW ASHFORD ST 17428 SW BOONES FERRY RD 1 NO GAS LINE IN PERMIT TIGARD,OR 97224 LAKE OSWEGO,OR 97035 FOR BBQ PHONE: PHONE: 503-534-0985 FAX: 503-534-0983 Total Fees: $1,361.77 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 throu R 952-001-0090. You in a cop • •-_rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344., Issued By: yr/ . •• tee Signature: G\Jl fr _• .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 . project. Approved plans are required on the job site at the time of each inspectio Building Permit Application • . ResidentialFOR OFFICE USE ONLY e� City of Tigard }`il ;t Received - Date/By: // Permit No.. IIIW 13125 SW Hall Blvd.,Tigard,OR 9722 `` '' ���, 7}-15",--.).0/4„,, -Ct2 Plan Review 7 Phone: 503.718.2439 Fax: 503.598.1960 �" Date/By: 1' ^0,...c._ ) if Other Permit: TIGARD Inspection Line: 503.639.4175 \ Date Ready/By: ��ff //,, luris: 0 See Page 2 for Internet: www.tigard-or.gov ia� -. Note Ready/By: r7 �/�49/ -27.1Z-- Supplemental Information h 41.�` :,:;',M �:, M�N� ii �kKa "-,10:44t 4 h +`�.ri��`�Y, �� p �,,�� �a 7;. � ,, .a .w1 ., � 't°.,ti v .f( -WAS ,i ' ra--A - � _ tMR D A Y A 2 AM YD�EJ NG ❑New construction ❑11 ''` Permit fees*are based on the value of the work performed. t`' 'STIndicate the value(rounded to the nearest dollar)of all XAddttion/alteration/replacement 0 Other: equipment,materials,labor, r,overhe ad,and the profit for the 4 ? h r f ` - laT eOR 0gy d m 4 " oNir work indicated on this application. A '`,k .: ,�7 a "! .. � a� �'4 r .. uti`'- irk ,IN _NIPMi,,'..: jk1-and 2-famil Y weg dllin Valuation: 4 oQ $ I J ❑Commercial/industrial ) !! J ❑Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 4 V '4,,v0. II�OALo11 AT ONi &gee t , Total number of floors: . , Job site address: -7r,4,8l).�AS iZu 54. New dwelling area: C) square feet City/State/ZIP: -rt C;1 al.-elfj le.- q-71.2 4 Garage/carport area: O square feet Suite/bldg./apt.no.: Project name: v IA 61.4_,1/1 ei Covered porch area: Go 7 square feet Cross street/directions to job site: --7t,„4" Aitl.. 4r, As oco z D Deck area: square feet tier t u ure ared _ 9 square feet 3 9 7 ," Subdivision: J 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 �, „G �qy equipment,materials,labor,overhead,and the profit for the (�' ite i rt # R = , ' - work indicated on this application.,4.s ., .,m,. ,,, ,,vs,:,-, .,40.7.-.,45,c,.. Fdy,. .� ,� fir ` o.r.A.,0..V-e- 16k A -Lv to , (ca-avt-b Valuation: $ — Existing building area: square feet New building area: square feet s ` .. q„e 1 .S KN ja_` 0*Vt:. Number of stories: Name: .yka\,1, Va(A61 ('� i Type of construction: Address: <j jo �rw �OJ�st�izJ,,rd rG Occupancy groups: City/State/ZIP: —r �A,� p iZ Ck11: -4 Existing: Phone:€ ) 6 L)Z O Fax ( ) �g New: 0 ,.. a ` . C <sTfkT ER N '�t' r�s.. t „. l „.,, .. 1,.. . n;vi i -- ,. .,,k,s :, RCI,,.- .I I"E�.� Ti`."* 1 ' Business name: IVC 2”-L, t +-� flg e e rto ees Jl dalr)'..� `s ::.: (-�Q �A� , r � 1 Structural plan review fee(or deposit): Contact name: 3'P w l -e"T Address: ��� !_ _ i C � FLS plan review fee(if applicable): City/State/ZIP: 19�- Total fees due upon application:' y 7L/ /y Phone:( ) Fax::( ) Amount received: E-mail: x £% IC3 OV0TAOC SAR SPAN ,S '> 'tFI" a :h...' ..: . td.- tiNa a3M1":M d�.R Nl,�'. t"tr "' FP ' �� "" `k �% �u�% Commercial and residential prescriptive installation of r '` : � ,`A ` iw�$. . . v r roof-top mounted PhotoVoltaic Solar Panel System. Business name: e, ICS .el tdL.q Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: viAz e' e S Y�u Solar Installation Specialty Code checklist. L ^�"p _ City/State/ZIP: �� 06 0 1 -?c.e� Permit Fee(includes plan review $180.00 ` -,J�, � and administrative fees): Phone:( 3 4) S 3 0 at GS Fax: e l(�'7� S�3 4 ,,3 ct s, State surcharge(12%of permit fee): $21.60 CCB Iic.: -1 ci 1-7 0Total fee due upon application: $201.60 Authorized signatu'� This permit application expires if a permit is not obtained Y f within 180 days after it has been accepted as complete. Print name: J-o CLC 1 2 Wt 4_,....F6,„ Date: ,l I q 1 `Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Cityof Tigard Received L . 5 g By Permit No.: S _/C4z �.Ir/ Ili " 13125 SW Hall Blvd.,Tigard,OR 97223 "' Phone: 503.718.2439 Fax: 503.598.1960 �s - ? 11118/ 11 Other Permit: T I GARD Inspection Line: 503.639.4175 ... Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 2. '�"r�`�a pCRY"-4 xy'�F e r t iaia ��,y i,,���'' al �1� r Ww., v Pt, Wa y2+ r 1n d . RCIA I Hr o, g Y s + ,. p a l I'-' I ... ` ad 's ; _ 4 T, „ !.,,, ,, 4�-. �..R,.- -! '� = Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/repl4eariteht ` f r. iI,I}. performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition E:1 Other: ,' d t \I1 mechanical materials,equipment,labor,overhead,and profit. Value:$ ,." vMm?.�., �d,k'."�� ,:,,,,,A09',7 ,,,' EOR vp cQN � cD .� 011,,a „�,� ¢ - ..,..,,,,,,,,op....,.. - v vri -, rAfOr w.. $ibl� tr�Ir1P�I>� �SY�rE�vis�IAl� S��.���� 71 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total F,4, it ,,c ITP-.h.® ATIO),*° " LoeA a ,- Heating/cooling: "dom "'" . , .'...,0",` X0,6 ,.... h s Air conditioning 46.75 Job site address: ^7S(o S S ' ,ASL , S‘-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1-TI I A,`Gt 'Z q1.7-7-4- 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: --1(_4 ,41.3 Ash 4 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 V�" UE crap o VY � : . Gas fireplace/insert 33.39 ' a, " : : , Ai Flue vent for water heater or gas K-erAJ i00 4Qv-CrIrr 1 kALN4 frk,I1 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 e p a :. �itItr Other: 23.32 .a..,� PRO'# �' ,,44aIt ,1nrvs .e ry ae ._ r .� "'N t Environmental exhaust and ventilation: Name: Kt a�,. L f a _e1. Lia Range hood/other kitchen equipment 33.39 Address: -7 S G C S-LAJ -44 Clothes dryer exhaust 33.39 City/State/ZIP: •--. 1,v,--d o eA-1 7.:1-4 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) t 23.32 Phone:( 3) E, -Lo to Fax ( ) Attic/crawlspace fans 23.32 17043mz `PPLIr 0F 'OTA1i4ON l 23.32 4.4'...i:-..'.-, i N $ ii Other: Fuel piping: Business name: 4'��f < b L l+ $14.15 for first four;$4.03 for each additional Contact name: ,At Vt&e- Furnace,etc. Address: -7�-L UKt c Y Gas heat pump rt 1 ;� Wall/suspended/unit heater City/State/ZIP: A.03.-t„ (J(" C). 0 12 '1d 3S Water heater Phone:607 Com-,4 cy71 S Fax::( ) Fireplace Range Email �� C04t t;�1M-- Barbecue tkf4'" ill _ ..J.,-,101A',,,,,,,,,ori eTQR Aix,,,,,, ; � Clothes dryer(gas) �ar�o- ; Business name: Other: Qi 4ivtn.o� i n ,a`r.1omog*.N.001 ,�1i1t�7t4go* .W..amgrai4-.- Address: Subtotal City/State/ZIP: �00' � Minimum permit fee($90.00 Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: / -�Gl t� 4p TOTAL PERMIT FEE �P This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signal -' 0 * Fee methodology set by Tri-County Building Industry Service Board Print name: ,...‘Q I^-1 k Date: fit lel 1ie, l:\Building\Permiis\MEC_PermitApp_0401 I3.doc 440-4617T(11/02/COM/WEB) 'gym • ` Electrical Permit Application ` ,' '. : FOR OFFICE USE ONLS" ti r' k. Received Permit#: i "�iJ i City of Tigard t,' Date/By: MIL 13125 SW Hall Blvd.,Tigard,OR 97223' Plan Review Related Permitil: Phone: 503.718.2439 Fax: 503.598.1960 (it Daze 7urra 1 t3 for Seee Page 1 Inspection Line 503 634 4175 ��`t Date/By: WI S Page I Information TIGARI3t.v'\' fied/Methnd Internet: www.tigard-or.gov gov �� �``�E+� ��� A) 't. �i '` `��" i (submit 2 sets of plans wlitems checked): .ev �.." Piease'check all that apply ❑New construction Other:onlalterationfre { t t gt" 0 service or feeder 400 amps or more ❑Building over three stories. Demolition ❑Other where the available fault current 0 Marinas and boatyards. ❑ exceeds 10,000 amps at 150 volts or 0 Floating buildings. t ,')'EGrtSR'!,()F �"0 i " ' w; less to ground,or exceeds°volts 0 Floating b al din agricultural 1-and 2-family dwelling 0 Commerctal/indtlstriai 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or 1?B51E XNTQliA,tErt l ':00". ; � W1 . : -iii Sig ❑fimerhancy system. ❑larger e.r"separately d"e1n� ❑Addition ofne motor load of syem. Job 4: I Job site address: 5tQ Y 10011f'or more. " occupancy. tzz, . 0 Six or more residential units, 0 oRecreationalnnY. vehicle parks. City/State/ZIP: ti .a tIi ©Health care facilities. Supply voltage for more than V jj ❑Hazardous locations 600 volts nominal Suite/bldg./apt #: Project name: t"1eCC; J p ice or feeder 600 amps or mom ,ta a" ;%.f,, k4r�,rt„+a'�,;,,. . HT D1.1L i n rF,...E',..,H,. .�2 �• Cross street/directions to job site: aeseripti°n I Qty. I. Each I Tout I New residential single-or multi-family dwelling unit. Lot 4: Includes attached garage. Subdivision: 1,000 sq.ft.or less 168.54 4 Tax map/parcel iib Ea.add'i 500 sq.ft.or portion 33.92 1 ,IEJi,6 VW4,,•Z u" Ur S F R. s. Limited energy,residential 75.00 2 (with above sq.ft) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) a Renewable Energy 0 See Page 2 a ,y b e s y s : 4 .' ? Services or feeders installation,alteration,and/or relocation ,41' 1; Y, z �, 100.70 2 ""° a 200 amps or less2 Name: r} 201 amps to 400 amps 133.56 Address: ,,,..7,:„.) 401 amps to 600 amps 20034 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 552.26 2 Phone:( ) Fax:( ) Over 1,000 amps or volts Temporary services or feeders installation,alteration,and/or Email: relocation 200 amps or less 59.36 1. Owner installation:This installation is being made on property that 1 own which is not 400 amps 159.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps o599 amps 168.54 2 2 Owner signature: Date:g � Branch circuits—new,alteration,or extension,+er panel Q C IVT t En '; ,,*.,z�,,.f A.Fee for branch circuits with :,� > a ]���.� .<.� .� 7.42 2 ?•`"��`. .° ����� " � above service or feeder fee,Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first t 56.18 2 Address: branch circuit Each add'l branch circuit ,.)\ 7.42 2 City/StatelZlP: Miscellaneous(service or feeder not included) 1Each manufactured or modular 67.84 2 Phone:( ) i P ( ) dwelling,service and/or feeder Email: Reconnect only 67.84 2 fj Pump or irrigation circle 67.84 2 B " }' Sign or outline lighting 67.84 2 Business name: Q e .1 1 C,. Signal circuit(s)or limited-energy 2 Address: „:„..,,e., panel,alteration,dil r extension. 0 See Page 2 L�., y, Each additional inspection over allowable in any of the above City/State/ZIP: i, Cvy) i, t e_ C)Q, -7, '1(3 Additional inspection(1 hr min) 66.25/hr i '� 90.00!hr Fax:( .o ,5 eNt�t,,y Investigation(1 hr min) Phone:( ),► C� Industrial plant(1 hr min) 78.18/hr 1 ° Email. {�4? :,C {{ + 1 Inspections for which no fee is 9000/In specifcally fisted('h hr mm CCB Lic.: 1511 , Electrical Lic.: _ ` Super ic.:;� � ` ' rai 3JE0t ..� rO'r. . ,.a O„ .: Suprv.Electrician signature,required: � ,,,,,,�{ Date: q ,;f Subtotal: � - , ❑Plan Review Required(25°/u of permit fee): Print name: ,`t—c-- . i��3 k- & t l� State surcharge(12%of permit fee): • TOTAL PERMIT FEE: Authorized.signature: This permit application expires if a permit is not obtained within 180 Date: '' ''t x days after it has been accepted as complete. ' Print name: Number of inspections allowed per permit. t:\t3uilding'Bermlts\ELC PermrcAp._E1.R ERE.ducAevo6l77t2at5 440-46i5T(1iros?COM1WFB Plumbing Permit Application Building Fixtures , *, kit : FOR OFFICE USE ONLY City of Tigard ; s Received - Permit No.: ft I�T]a4 � �"/tom .1111 w 13125 SW Hall Blvd.,Tigard,OR 97223 - Date/By: .✓/cTt� J 1 I1 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 11 f`l Date y: Other Permit No.: Inspection Line: 503 639.4175 .�y' TIGARD ) e eady/By Juns 0 See Page 2 for Internet: www.tigard-or.gov ‘ 'NOV' ethod: Supplemental Information i.J. 1 'ti,„, 6i�` - �li� r ' ,74:4 irh,� >e �s �r, ',=..:5;';',-,i, y� % p r:0=4,= S U. + tR } W...... x,i '$litr 4i7 4 yid h� �I a low -'4,t;: ::',-.:,,, n. -..gfi"�^'. ..��- „" 7' ,.,,.`l .i. Ba�ti Yk.,. ,I� ;tr. 9 .Sc VLE 4' i '"A `' f�' ,ij .`!000 f . w� i,. �+.a. .o�i�"�+,� t,wR�ra�,�.- - 4..n'i: ❑New construction 0 Demolit tib tt r. For special information use checklist A?,-, - Description I�Q Addition/alteration/replacement 0 Other: p Qty. Ea. Total ,-� �, New 1-2-family dwellings(includes 100 ft.for each utility connection) .., :44, Y : .4' ,61 Ol - iiN,,,,,,,I,..!-4,,,'T'iC C 5 ,' n SFR(1)bath 312.70 ,%%,:,,,,:,-%,:41.4.' Pb4, Jnr „�1. :do KI 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 i - °. � OI;l',/r.,E. -°y vitird jON )(�� -r n.D;,I x hr.: .,w� £`- Site utilities: sem- lad W: Catch site address: /S&S `.,in/ A-5A-Foi� 3.1Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: --t-y q vd ©\Z on ZZzi 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: '760 4� S 14-FO E?in 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.: Backflow preventer 31.27 i '� irr Ar; Backwater valve 12.51 'A, �p,,/ Clothes washer 25.02 .F-.QVxcA/to k VSA -e• ?A- ) 1, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '§' iv r: . Ji + n ▪ '3v a, w � r Expansion tank 12.51 _,,L.,!.1",,:. 10 riY ; . mss -e4a-;�.: �µ.,.- , �2 9 ▪ n Name: A e vat, 61.4.11„I, Fixture/sewer cap 25.02 A_ Floor drain/floor sink/hub 25.02 Address: '7 S4,0 Ste, /�S_11., Garbage disposal 25.02 City/State/ZIP: �--i 7-1 l t C�dL►- d �2 Hose bib 25.02 Phone:(4,03)(p j4 ,j.o (, Fax:( ) Ice maker 12.51 f iI� P ` .O r ❑o coll� S = Interce torrease trap 25.02W.: . � ,� . �. a � t kga. �,,z �i Business name: IAA e.,-Tit..‘ '6 ft..' a3 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: ,A i. It WI Q.714-C Roof drain(commercial) 12.51 Address: i '7 4 f 6,14..-4 S ,4-irr..l ' Sink/basin/lavatory 25.02 City/State/ZIP: kr-GU- OS o 0 Q °\10-35 Solar units(potable water) 62.54 Phone:( ),0-73) lj2 4 O cl S S Fax::(Q2) S34 o eib 3 Tub/shower/shower pan t 12.51 E-mail: Urinal 25.02 iia t0 .0 it i.,0;i4;.,,.,,,,,,,,,::y+ tt0 yr Water closet i 25.02 a � � , . fWater heater 37.52 Business name: � /mei yj� ip / tQ��✓I 462/ Water piping/DWV 56.29 Address: 33 3 5. 5--/a...4, 5/ ,r�V.,vide, Other: 25.02 City/State/ZIP: Zee_d�t�e�o 470 3 Subtotal Phone:(�'�) ‘Zfj_ /41.0-. )e Fax:( ) Minimum permit fee: $72.50 CCB Lic.: i 5 8 Plumbing Lic.no.:[ 7 r�qi�• Plan review (25%of permit fee) `-� State surcharge(12%of permit fee) Authorized signature. ( TOTAL PERMIT FEE Print name: P� i r y g i", c 0}�� Date: This 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-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) r- City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT / T 1 c A R o Building Permit Review — Residential Building Permit #: ,✓rj,5 j '( =0 -/ Site Address: —15(Pg Svc Art46Yrci & , Project Name: VAMQ,,.herMelt-NWLot #: (New dwelling=sul ivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Dec 4V- 41 ST12— ' Verify site address/suite# exists and active in permit system. 4- River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Ian Elements: 1/4 ree(3)copies of site plan *xisting structures on site 1r,� f - plan must be on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished din rawn to scale(standard architect or engineer scale) oor elevations ' orth arrow // tility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number '//A ..cation of wells/septic systems 4110/0 splicant information(name and phone number) i1,A xisting trees to be retained with drip line,and tree rq .t dimensions and building setback dimensions 9,09yj feat. protection measures t •t area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) reet names N/roperty corner elevations(2 foot contour lines if more than r 4 foot differential) �❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑'No Received: [�7 es ❑ No ,,Public Facilities Improvement(PFI)Permit: ,sjb it; Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: IJ j fry oning: '1 .'equired Setbacks: Front p Rear i 6 Side 1 Street Side IV A Garage 20 t 1/ q andscape Requirement: a eli of Coverage Maximum: w�� wilding Height: iyo Maximum Height Actual Height ((/ �i NM-Visual Clearance 1 f., WVEasements N f .Sensitive Lands: ❑ Yes AK No Type WM...Urban Forestry Plan N IA- NI, onditions "Met"prior to issuance of building permit 1 •tes: Approved By Planning: Date: /f .2 f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # Building Permit#: [tenter building permit#above. Workflow Routing: E ranning [ gineering it Coordinator Bceding Workflow Sign-off: g-'Sign-off for Planning(include notes from planning review) Route Application Documents: Ki- gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: m Date: /71. -W Engineering Review 8 7a fid' Slope at building pad: ❑ 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 No Assess Water Quantity Fee in-lieu: ❑ Yes .rJ N0 LIDA Facility on lot: ❑ Yes i1� N0 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: AMG 4/ 4V Date: z - 2 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 ❑ 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: IC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes ?=>N/A OK to Issue Permit Approved by Permit Coordinator: 1* Date: »7 o/�& I:\Building\Forms\B1dgPermitRvw_RES_091216.docx CleanWater Services December 23, 2016 SPL expires on December 23, 2018 METKE REMODELING 17428 SW BOONES FERRY ROAD LAKE OSWEGO OR 97035 RE: Deck addition CWS file 16-004552 (Tax map 2S112CA Tax lot 08500) Clean Water Services has received your Sensitive Area Certification for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project will not significantly impact the existing Sensitive Areas found near the site. In light of this result, 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 letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at (503) 681-3639. Sincerely, Laurie Bunce Environmental Plan Review Attachment(1) 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 Phone: (503)681-3600 • Fax: (503)681-3603 • cleanwaterseryices.org City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7568 SW ASHFORD ST, TIGARD, OR, 97224 June 13, 2017 at 10:52:54 AM Record Type: Record ID: Residential - Master Permit MST2016-00514 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7568 SW ASHFORD ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00514 Inspection Type: Inspector: 199 Electrical 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: 7568 SW ASHFORD ST, TIGARD, OR, 97224 July 7, 2017 at 8:34:35 AM Record Type: Record ID: Residential - Master Permit MST2016-00514 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Deck stair landing built up with rock at this time. All else ok per approved plans. Violation Summary: Inspector Contractor