7745 SW GENTLE WOODS DRIVE �1
�P
U1
m
z
r
m
O
O
;v
3
7745 SW GENTLE WOODS DR
\
CITY
�� �' wG��� MASTER PERMIT
C ! PERMIT #: MST7.003-00521
DEVELOPMENT SERVICES CATEISSUED: 11171'03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 07745 SW GENTLE WOODS DR PARCEL: 2S112CA-01500
SUBCWISION: GENTLE WOODS ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: Ti/;
REMARKS: Completion of existing unfinished rooms.
BUILDING
PItEISS'JE: STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: of BASEMENT: at LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: at FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLINn UNITS: TwR of RIGHT:
972 no
OCCUPANCY ORP: R3 eDRM: BATH: TOTAL: 0 of VALUE: 14. REAR:
PLUMBING _
SINKS: WATER CLOSETS: WASHING MACH: LAI 1u DRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: %OOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
rUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCAFLW PREVNTR. GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL _
_ FUEL TYPES _ FURN t TOOK* BOILICMP<7HP VENT FANS: CLOTHE:DRYER'
FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP btu FLOOR FUF ,ANCES! VENTS: WOJOSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp 0 - 200 amp. WISVC OR FDR. PUMPIIRRIGATION: PER INSPECTION:
EAADD'L 6'/nSF: 201 400 amp 201 - 400 amp. lot WIO SVCIFDR: I SIGNIOUT LIN LT: PER HOAR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EAADDL BR CIW L SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 toot)amu: 801+ampr1000v: MINOR LABEL'
1000•amp/volt
PLAN REVIEW SECTION
Reconnect only
>=4 RES UNITS: SVC/FDR-22S A. >800 V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENtIAL B.COMMERCIAL
AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING OUTDGOR LNDSC LT
BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL OTHR
HVAC. DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS
Owner: Contractor: TOTAL FEES: $ 388.99
This permit Is Subject to thea regulat.ons contai Ted in the
HARVEY,KIRK W AURA R MORSE&NEWMAN Tigard Municipal Code,State of OF:. Specialty Codes and
-1'745 SW GENTLE WOODS DR 7717 SW CIRRUS DR. all other applicable laws. All work will be done in
T'GARD,CR 97224 BEAVERTON,OR 97008 accordance with approved plans. This permit will expire If
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: Phone: SUZ_62G-6O4G Oregon Utility Notification Center. Those rues are set
forth in OAR 952-001-0010 through 952-001-0080 You
100 w: I� 142357 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Underfloor insulation
Electrical Rough In
Insulation InsF
Electrical Final
Final inspection
Issued By : r%1 Permittlte Signature _
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bu3lt.�-ss day
FO It OFFICE I'S F ON LY
Bwl{1inw i?'Erm><t Ximlication Recencd Building
Date By t( Permit NoA/tci'
••. Planning Apfirovil Other
City UI 1 Igall-d Date/By: i Permit No,: _
13125 SW Hall Blvd. Plan Review Othei
Tigard,Oregon 97223 Date/By. Permi No: —
Phone: 503-639-4171 Fax- 503-598-1960 Post-Review Land Use
Internet: www.ci.tigard.or.us Date/By: Case No.
g Contact Juris 0 See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/N ethod: Supplemental Information
TYPE OF WORK ._.__ REQUIRED DATA:
New construction El DemolitionI &2 FAMILY DWELLING
Z.Additioii/alteration/replacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees•are based on the total valu^of tnt work performed. Indicate
1 & 2-Famil dwelling, F-1Commercial/Industrial the value(rounded to the nearest dollar)of all equ,^n, it,materials,labor,
— overhead and profit for the work indicated on this opplic icon
Accesso Building Multi-Famil
Master Builder Other: Valuation....... .................................................
JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:_ _
Job site address: '� � 5�) E,UT(, 'liJ p Total number of floors................................. ..
New dwelling area(sq. ft.)............................
Suite#: Bld .�A t.#: -- -�"
�'_ Garage/carport area(sq.ft.)............................ ---— --
Project Name: h"Z ��_�,l Covered porch area(sq. ft.)... .... ....................
Cross street/Directions to job site: Deck area(sq. ft.)......................................... ..
WN III*/SW7A1 CMJ 71? 6T OJV Other structure area(sq. fl.).... ......................
6FAJ74#W00 SOS 'j��c'. REQUIRED DATA:
Subdivision: Lot#:
COMMERCIAL-USE CHECKLIST
—
Tax map/parcel#: Site: Pe mit fees*are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the%slue!rounded to the nearest dollar)of all equipment,materials,labor,
, G� EXIST/tif�-
overhead and profit for the work indicated on this application
o/bl 1Lh _ _
% /�/�i�1J R •. _ Valuation.......................... S_
Existing building area(sq.ft.)........ ................ _
__-- New building area(sq.fl.)...............................
Number of stories....................... ............ .......
PROPERTY OWNER I El TENANT Type of construction.............................. ........
Name: rj It I ef'� R l Occupancy group(s): Existing: —�
rAddress: /4 9, r New:
�' _
Cit /Stair''ZI : /7&0y Yk) 04 '5�2 7— . 7,
Phone!Z .-(?A-eq 11 ) I Fax: -- NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: C�17.S� tftl•vtrH e�IV _ jurisdiction where work is being performed. If the applicant is exempt
Contact Name. t(4 //Z#495. from licensing,tiie following reason applies:
Address: Ulge --
City/State/Zi : Ot 177C08 -
Phone: iAlrry ^y
E-mail: BUILDING PERMIT FEES'
Please rr!er to fee schedule.
CONTRAC'i OR --
Business Name: ' K k.)i*AVJ Fees due upon application..........................
_. S
Address: 07 21 ? 'SLS - /2fer S D2 —
City/State!Zip: &4�JlIIr-tC&) 00$ Amount received.. ............ ............... ........ 5 _
I
Phone: (cam` 81c'!y' _J I Dat(:received:
CCB Lic. #:
�` J L --
Authorized Notice: Thl;permit application expires If a permit Ie not obtained iflthin
Signature: L� "��/'�_�A�� ����—Date:As 43 P110 das+after It has been accepted as complete.
/ / i .,�f. (G�
A_.��(11 �_ �.__—_ Fee methodotolo set b%Tri-County Building Industry ScfvlCe tAlaflf.
(Please print name)
i'OstsTermit Forma BldgPermitApp doc 01'03
One- and Tvvo-fj snnily Dwelling
Building Permit Application Checklist Relerrnceno.:
—^— -r Associated permits
Citycirvn(7i��ard oTigard Ti�, d J Electrical ❑PlumhinE 'J�Ic�hann,i�
Address: 13125 SIA I l all Blvd,Tigard,OR 9l" J Other:
Phone: (503) 6394171
Fax: (503) .599-1960
REQUIRED FOR
I Land use actions completed.Sec.lurnsdlctw .rr .ria lair concul,rut ccs leaks.
2 Zoning. Flood plain,solar balance points,SC1,1111C soils designation,historic district,etc.
3 Verification of approved platllot. _
4 Fire district_ approval required. _
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
R Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control J plan J permit required.Include drainage-way protection,silt fence design and location of
�0 :3
aiJomplete
asin protection,etc.
sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
g codes. Lateral design details and connections must be incorpor-ated into the plans or on it separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed
if �opyright violations exist.
11 .'fe/plot plan drawn to scale.The plan must show lot and building se back cf;nensions:property comer elevations(if
� -vw:i more than a 4-ft.elevation differential,plan must show contour Imes at 2•ft. intervals);location ofeasements and
eway:footprint of structure(including decks):location of wells/sepic.ystems;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 reinf.-roil.,-pads.connection details• cent
site and location.
13 Floor plana.Show all dim^rasions,room identification, window sue, location of smoke detectors,water heater.
furnace.ventilation fan3,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 he required to clearly portray construction.Show
details of all wall and roof sheathing,rooting,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 Gar additions and remodels.
Exterior elevations must reflect the actnal 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 pians. 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/root'assemblies,indicating member sizing,spacing,and beari•ag
locations.Show attic ventilation,
IS 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 lesign values i :all beams and multiple joists
over 10 feet long and/or any beam/joist carry ing a non-uniform load.
20 Manufactured floor/root truss design details.
21 Energy Code compliance. Identify the prescnptive path or provide calculations.A gas-piping schematic is required
for four or more appliances.
2222 Engineer's calculations.When required or provided,(i.e.,shear wall.roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to he applicable to the project under review.
23 Five(5)site plans are required for Item 1 I above. Site plans must be 4.1/2" x I I"or I I"x 17".
24 Two(2)sets each are required for Items 16, 19,20& 22 above.
2J Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined 1n the Permit& tis stem Development Fees document.
27 "Drawn to scale" indicates standard architect or engineer scale.
28 Site plan to include tree size.type&loo:ulon per approved project street tree plan tit applacahl:i.ano COT Street Tree List.
Checklist must be completed before plan review start date. Minor changes or notes on uhlnitted plans maN he in blue or black ink.
Red ink is resered for department use onla aur 4614 iMUCONt)
Electrical Permit Apflication '
-- — Received I Electrical
—Date/By: /�/ i �) Permit No.:M`711.10 )
CityCit of Tigard Planning App oval Sign
g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Case No.:
Internet: www,ci.tigard.or us Contact 5ts' 0 See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: I I C� '�AyPlemenlol Information.
TYPE OF WORK PLAN REVIEW Please check all that apply)
LJ
New construction DemolitionService over 225 amps• Health-care facility
— commercial ❑Hazardous Iv"tion
Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square lett.
CATEGORYOF CONSTRUCTION I &2 family dwellings four or more residential units in
i & 2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure
❑Building over three stories [i Feeders,400 amps or more
ACCesso Buildin Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑F-gress1ighting plan ❑Other: _
JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above.
The above are not applicable to temporary constru-tion:,ervice.
Job site address: �'�-5_ L�� ',r 4 C 1,c�S /
FEE*SCHEDULE _
Suite#: Bid ./Apt.#: — _ Number of ins ectlons per ermit allowed
(
Project Name: '/i9Uf_ Description � Qty Fee(to.) 'rout
CCOSS Sir Cf/DlreCt10n5 t0 Ob site: New residential-single or multi-family per
1 ,) dwelling unit.Includes attached garage.
00,E 7! /, /X/ A-U Service Included:
46 1., 1000 sq,11.or less 145.15 4
Each additional SW sq.Il.or portion thereof 3340 1
Limited enerity,residential 75.00 2
Subdivision: LOt#: Limited ener ,non residential 75.00 2
Tax map/parcel #: Each manufactured home or modular dwelling
DJESCRIPTION OF WORK service and or feeder 90.90 2
Sen ices or feeder% inuallation,
AXI S- "" ' ■Iteration or relocation:
100 amps or less 80.30 2
✓tip —N' c� �� t ,t y�' ' 201 ams to 400 amps - 106.85 2
401 amps to W amps 160.60 2
PROPERTY OWNER TENANT 601 ams w 1000 ams 240.60 2
K Over 1000 amps or volt _ 454.65 2
Name: t r L,. V �—G Reconnect only 66.85 2
Addre.,o. I?1/5r Sift, ��'�„� FcC(�'�� ALL Temporary services or feeders-Installation,
CII /State/ZI alteration,or relocation:
t� G7 C tr t Z 2t)0 amps or less 66.85 1
201 amps to 400 amps 100.311 2
Phone: ,'_ ' �s r "tI �ax: 401 to 6W amps --- 13375 2
APPLICAN J CONTACT PERSON Branch circuits-new,alteration,or
Name: 11/11"4.-i"4.-E �106t.."111'/ ' extension per panel: 7
A.Fee for branch circuits with purchase or
Address:
7[ cx Ll ['�/2L service or feeder fee,each branch circuit 665 2
r.- B.Fee for branch circuit without purchase of
Cit /State/Zip: /�lJr�tiTPJti r C�
service or feeder fee,first branch circuit 46.85 2
Phone: Fax: Each additional branch circuit 2.. 6.65
E-mail: Misc(Service or 1"eeder not included)
CONTRACTOR Each pump or irrigation circle _ $3.40 2
Each sign or outline lighting _ 53.40 2
Job No: Signal circuits)or a limited energy panel,
Business Name: vi* 7S t" rc e ,_ alteration,or extension Pae 2 2
Description
,kddress:
ClI /Stale/Zi g �j)Z[) Each additional inspection n%er the allowable in an`of the abo%c:
_ Per inspection per hour min. I hour) T 62.50 _
Pht.11e: Fax: Investigation fee J v
CCB Lic. #: Lic. #: Other: _Electrical Permit Ftp*
S;,'LiPr :;i;,b electrician
Subtotal S
signature required: Plan Review 25%of Permit Feel S
Print Name: Lic. #: State Surcharge(8°0 of Pemut Fee) I S �.
TOTAL PERMIT FEE I S
Authorized /�� Notice: This permit application expires If a permit is not obtained w.ith{lt�
Signature' %/`Date: r✓ IRO dais after It has been accepted n complete.
•Fee methodolop set b%Tri-Count% Building Industry Ser%Ice Board.
(Please print name)
i°Dsts\PermitForms'FlcPermit4ppdoc 0103
Electrical Permit A a >>icatiott.- City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all systems............................................................ $75.00
Check Type of Work Involved:
Audio and Stereo Systems*
M Burglar Alarm
Garage Door Opener*
DHeating,Ventilation and Air Conditioning System*
F1Vacuum Systems*
M Other
_COMMERCIAL WORK ONLY:
Fee for each system.......................................................... S75.00
(SEI;OAR 918.160.160)
Cueek Type of Work Involved:
Audio and Stereo Systems
UBoiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
HVAC
I___' Instrumentation
U Intercom and Paging Systems
Landscape Irrigation Control`
Medical
Nurse Calls
DOutdoor Landscape Lighting*
Protective Signaling
Other __,--
Number ol'Svstem,
* No licenses are required. Licenses are required for all
other installations
i',Dsts\PermrtForms`,ElcPermttAppPgl.doc 01'03
t
I
I
8 �! C
i O
mow,» nn
r �l I • • ••. 1 1 .
I I It
•
r . •.••
'dX., r • • •..
Ilee •
d�80� �, •
it
61 CZ"
t 7
e
oar
NNN
WWW
NVOOT
SOC
� •111
1 I • •
4X I "
� •1 1
O �Xc,ST/- -��r
�` CNS �"u�.�.►�G, I .-�-
2x�o ZY"UC.
Ex�s"i7&IL-W
Towjorrio."
V)# " 4
i
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD. OR 97223
IMPORTANT PERMIT NOTICE
KELSO ELECTRIC INC
545 SE 3RD
HILLSBORO, OR 97123
Electrical Signature Form
Permit #: MST2003-00521
Date Issued: 11/7/03
Parcel: 2S112CA-01500
Site Address: 07745 SW GENTLE WOODS DR
Subdivision: GENTLE WOODS
Block: L )t 007
Jurisdiction- TG
Zoning: R-4.5
Remarks: Completion of existing unfinished rooms.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this ElectricLI Signature Form prior to the
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until this completed form is received
M N F R 11[_FCTRICAL- CON-I'RE\(:;TOR
GARVEY, KIRK bV + LAURA R KELSO ELECTRIC INC
7745 SW GENTLE WOODS DR 545 SE 3RD
TIGARD, OR 97224 HILLSBORO, GR 97123
Phone #: Phone #: 503-648-6360
Reg #: H( 11(,254
I' 4270s
i
11 34-433c
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
n ure of Supervising Electrician
If you have any questions, please call 503.718.2433.
s�
CITY OF TIC^:Rb 24-Hour
BUILDING Inspection Lite: (503)639-4175
INSPECTION DIVISION Business Li� (503)639-4171 MST _
BUP —
Received _— __—__ Date Requested--_ AM ___ PM__ BLIP
Location -7 —Suite MEC
Contact Person � Ph (_ ) 3 17 Som _ PLM _
Contractor - -- -_ Ph ( ) ---- — SWR --- - -
BUILDING tenant/Owner _---_ _ —.�__-- _-_ _-- ELC --
Footing-- --- o ELC —
Founda'.'nn Access: J
Ftg Drain l(/ •�� /4t� ELF!
Crawl Drain
Slab Inspection Notes: SIT --
Post&Beam _
Shear Anchors
Ext Shoath/Shear -
Int Sheath/Shear -
Framing '
Insulation /f cl tvN
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- —'
Roof
OthgL' -----
PASS ART FAIL-PLVM —
BING
LL Post& Beam-
Under Slab — -
Rough-In
Water Service
Sanitaiy Sewer
Rain Drains -- - -— -
Catch Basin/Manhole
Storm DrainShower Pan
Pan
Other:
Final
PASS_PART FAIL
MECHANICAL _ 7 �� �
Post& Beam
Hough-In ---
Gas Line
Smoke Dampers --- -- - --`
Final
PASS PART FAIL_ - T'
ELECTRICAL
Service
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required Before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS _PART FAIL
SITE j Please call for reinspection RE:_ _�__ ._ �. Unable to inspect-no access
Fire Supply Line
ADA Data Inspector _
Approach/Sidewalk
Other:
Final DO NOT REMOVE Wis Inspection rec d from the job site.
PASS PART FAIL