14121 SW NORTHVIEW DRIVE-1 ua M3IAHISON MS MK
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14121 SW NORTHVIEW DR
I� �� ����RD _ MASTER PERMIT
PERMIT 0: MST2005-00086
Aw DEVELOPMENT SERVICES DATE ISSUED: 3/14/2005
13125 SW Hall Blvd.,Tigard,OR 97 5031639:.171 PARCEL: 2S104BB-03000
SITE ADDRESS: 14121 SW NORTHVIEW DR ZONING: R-12
SUBDIVISION: CASTLE HILL LOT: 03 7 JURISDICTION: TIG
REMARKS: Adding second floor office over existing vaulted space.
BUILDING
RFISSUE CUSTOM STORIES: _` FLOOR MEA_S_ REQUIRED SETBACK! REQUIRED
CLASS OF WORK: At T HEIGHT: FIPST: 91 BASEMENT' of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: of FRONT: PARKING SPAZES:
TYPE OF CONST: 5N DWELLING UNITS: TMD el RIGHT:
VALUE: ,0,�,00OCCUPANCY ORP: F3RDRM: BATH: TOTAL- 0 of REAR:
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: IF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFL.W PREVNTR: GREASE TRAM:
O—OR FIVTURES:
MECHANICAL
FUEL TYPES TURN c 100K: BO,UCMP c 7HP: VENT FANS: CLOTHES DRYER:
FURN>-' 't: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLO011 FURNANCF-S: VENTS: WOODSTOVES: OM OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT _SERVICE FEEDER _ TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS AOCL INSPECTIONS
1000 IF OR t ESS: 0 - 200 amp: 0 - 200 amp: WIeVC OR IDR: PUMPIMRIOATION: PER INSPECTION:
EA ADD'L S093F: 201 -400 tarp: 201 -40D amp: 1et WIO eVOINCR: 00 SIONIOU'T LIN LT: PER HOUR:
LIMITED ENS":RGY: 401 $00■mp: 401 -!00 arnp: EA ADOL M CIR: SIGNALIPANEL: IN PLANT:
MANU"M/SVC./F11; 1101 - 1n00 amp: 4014,nlo*4000v MINOR LABEL:
1000.omplvoll:
PLAN REVIlW 84CTK7N
Reconnect only: 5-4 RES UNITS: SVC/FDR>-225 L: >•00 V NOMINAL: CLS ARENN SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL - _ B,COMMERCIAL
AUTNO&STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOWPAOING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALX- E/V C0 r 1 BOILER: HVAC: LANDSCAPEARRIO: PROTECTIVE SIONL:
GARAIF OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATArrELE COMM: NURSE CALLS: TOTAL R SYSTEMS:
Owner: Contractor: This permit is subject to the regulations r sifted in the
ULRICH MUELLER CREATIVE REMODELING INC Tigard Municipal Code,State of OR.Specklity CoLles
14121 SW NORTHVIEW DR 2050 SE 70TH CT and all other applicable laws. All work will De done in
TIGARD,OR 97223 HILLSBORO,OR 97123 accordance with approved plans. This permit-NNIeXpire
if work is not started within 180 days of Issuance,or if the
work is suspended for more than 180 days.
O. ATTENTION: Oregon law requires you to follow rules
Phone: 503-521-0787 Phone: 503-591-7185 adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through
Reg 0: LIC 92548 °52-001-0080. You may obtain copies of these rules Or
f OTAL FEES: $ 291.59 dlrf A questions to OIJNC by calling (503)246-6699.
REQUIRED ITEMS AND REPORTS
� l
Issu d By : � ___ — Permittee Signature :4
�- Call(503)6394175 by 7:00 p.m.for an Inspection needed th A next busiedfa�This permit card shall be kept In a conspicuous place on tha job site t111ti1 co project.
Approved plans are required on the job site at the time of each Mepecthn.
13>1 Lding Permit Applicatiop
City of Tigard J _ f"d ,
Permit No.
13125 SW Ilall Blvd,Tigard, K 97221 Plan Review
Phone. 503 6394171 Fax 503.598.1960 �AnS Date/B — Utbsr Permit
Inspection Line 503.639.4175 t"H" UvDate Ready/Hy 0 See Attached Checklist for
Internet www.ci tigardCITY OF
F TIGARD AEU MUM Notified/Method. 1u— -- Supplemental Information _
w LLING
v❑New construction [,Demolition requipment,
t fees*are based on the value of the work performed.
---- -- - - te the value(rounded to the nearest dollar)of all
Addition/alteration/Ieplacement ❑Other: materials,labor,overhead,and the profit for the
� g1, t <, indicated on this application.
Fi
Valuation: S /DQ U V
I-and 2-farnily dwelling I_-]Commercial/industnal -
❑Accessory building _ Elmulti-familyNumber of bedroom : - _
El Master builder — ❑Other: Number of bathrooms: l t ,
z Total number of floors:_ fW4
Job site address: 1 eiy New dwelling area: square feet
City/State/z1P: e)R r172-23 - Garagelcarport area: '2 :.quare feet
Suite/bldg./apt.no.: Project name: -X1177- �I /pn Covered porch area: �� square feet I;
Cross street/directions to job site: Deck area: square feet
u/Q W C S�tv14v' , Other structure area: square feet { f
f�F.C1{�IdS,
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
-- - ------- Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
a work indicated on thisVplication. _--�
lei 10 Valuation: S
Existing building sea: square fret
New building rca: v -square feet
Number of stories:
Name: L"�1 {C T - Type of construction:
`/ T
Address: x C it ay D.sh', _Occupancy groups:
City/State/LIP: a q'� 2 3 Existing:
Phone:(jo3) [y' Fax:( ` ) New: --
Business name: C !` t �P eyo � � y,(JC� All contractors and subcontractors are required to be
Contact name: �,�. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
J� -- applicant is exempt from licensing,the following reasons
City/State/zEP: g O 9 12 3 —
apply:
Phone:Q- ) i 8I Fax: :(S'a) '1 --
a E-mail: C CL FSI S a IhSN G« '
M
WBusiness name: (�. $Iii A)C'�
Address: ;Z,C) 5rc- �� / Ple se refer tofee schedule
City/State/zfP: N p� 971 3
�1� 2 Fees due upon application
Phone:('F03) - � Fax:( ` �� ----- ---
Amount received
CCB hc.: 9 2 - - --- - -
_�� Date received:
Authorized signature: This permit application explres if a permit Is not obtained
within 190 days atter It has been accepted as complete.
Prin.name: 8 r ��� Date: - ) x - O ; • Fee methodology set by Tri-County Building Industry
Service Board.
i\Buildinp\Permits\Btn'-PenvikApp doc 12103 440.1613T(I IWCOMM913)
One- and Two-Family Dwelling ,
Buildine Permit Application Checklist
City of Tigard Re«ived Fermit No.
13125 SW Hall Blvd.,Tigard,OR 97223 Dtte/HY.
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits
24-Hour insrction Line: 503.639.4175 ❑ Electrical ❑ Plumbing O Mechanical
Internet: www.ci.tigard.or.us U Other:
I Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain,solar balance points,seismic soils des!pation,historic district,etc.
3 Verification of approvedplat/lot.
4 Fire dis#-t"approval required. Name of district:
5 Septic i em permit or authorization for remodel. Existing system capacity
7 -7
6 Sewer permit. _ _�'l_
7 Water district approval.
8 Soils report. Must carry original_applicable and signature on file or with app lication.
9 Erosion control ❑plan ❑permit required. 11 ude drainage-way protection,silt fence design and location of catch-
basin protection,etc. N 14_
10 3 Complete sets of legible plans. Must be drawn scale,showing conformance to applicable cal and state
building codes. Lateral design details and connections ust be incorporated into the plans or on a paste full-size
sheet attached to the plans with cross references between lan location and details. Plan review car ,u be completed if
copyright violations exist. _
I 1 Site/plot plan drawn to scale. The plan must show lot and\owclls/septic
setback dimensions;property mer elevations(if Li Li Ix
there is more then a 4-ft.elevation differential,plan must shur lines at 2-f1. intervals);Inca on of easements
and driveway;footprint of structure(including decks);locatisystems;utility Inca ons;direction
indicator;lot arra.•building coverage area;percentage ofcovpervious area;existing stiu urea on site;and
surface drainage. _
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs a d reinforcing pads,con ection details,vent size
and location.
13 Floor plans. Show al dimensions,room identification,window size,loc tion of smoke detectors,water heater,
furnace ventilation fans,plumbing fixtures,balconies and decks 30 inches bove giadotc. _
14 Cross section(s)and details. Show all framing-member sizes and spacing ch as r beams,headers,joists,sub Ll
floor,wall construction,roof construction. More than one cross section may r fired to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,c ' Ing height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of eleva' ns for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade' greater th four foot at building envelope.
Full-size sheet addendum showingfoundation elevations with cro eferences area jeltable.
16 Walt bracing(prescriptive path)and/or lateral analysis pla Must indicate detail and locations;for non-
__pr:scri tivp a path analysis provide specifications and calcul ns to engineering standarcill. _
17 Moor/roof framing. Provide plans for all floors/roof mblies,indicating member sizi spacing,and_bearing T]
locations. Show attic ventilation.
18 Basement and retaining walls. Provide c . sections and details showing placement of reblir. For engineered
_ systems,see item 22,"Engineer's c ations." _
19 Beam calculations. Prov' o sets of calculations using current code design values for all be s and multiple joists
v or any bearn/joist carrying a non-uniform load. _
20 Manufactured floor/roof truss design details. _
` 21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping sch vatic is required
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be:vamped by n engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
a.
23 Five(5)site plans are required for Item t I above. Site plans must be 8-1/2"x 11"of 11"x 17".
p 24 Two(2)sets each are required for Items 16, 19,20 and 22 above.
au 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted.
J 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale'indicates standard architect or engineer scale. _
28 Site plan to include free size,type and location per approved project street tree plat:(if applicable),and City of Tigard
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval
30 H Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is rewired 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:\i3uildingU'ermits\One-Two-FamilyChecklist.doc 12/03
r
Electrical Permit r��,l L-D
City of Tigard � IM
Nwdt Ne:} �
13125 SW Hall Blvd.,Tiprd,M 97223 t per,Review'
Phone: 303.639.4171 Fuc: 51A' 398.1960" 1005 Kea p Mar Permit:
InspedionLine: 503.639.417'' VY OF 'IGARU DW ReedpW ill 8nhplM
Internet. w-,vw.ci.tiSwd.m.ur NaY1196Wb6104 allatlwt.auss
r
I ❑New construction Addition/alterati on/replseenletlt p m . dt Ow"Or.
U Demolition Q Other-
over 223 amps,comon'I ❑Naardous loadon
❑ssvice over 320 empe-ndii8 OBuildog ova 10,000 sq.R,
_ of I-and 2-6mily dweihngs 4 or mere new residential
I-and 2-11mMy dwelling Cammerdal/indintrW Aeoeawy building DSystem over 600 volts nominsl units in one structure
Multi-famil Q bIler builder []Other: ❑Buildin8 over three moria ❑Feeders,400 amps or mare
❑(kapent load over 99 persons ❑Msoubctured structures or
❑ESrtedlightin8 plan RV Fork
Job no.: — Jots site address: .Q a W ❑Halth-care 6cility ❑�:-- —
ii Submit J_sols of plans with may of the above.
City/State.T',P: j! y 2 3 The above we not applicable to temporary construction service.
Suitetbldg./apt,no.: Project name:
10-40-
Cross street/dirwtions to job site: (/� � New rodd@ del sMKle-err wnit silly dw*Nbg nk.
Is eltttMu atmebedarsems.
A.or less 143.13 4
Ea.edtt'1300 .tl.err on 33.40 1
Subdivision: � Lot na: —�— _
Limbed map,residential 73.00 2
Tax ntap/paroel rto: LiLimbed
aantaidential 73.00 2
nlsw err modahr
r dwelll service mdtor pleder _ 90_902
'U— � � � Servkss or Ikeden YntaNatba.abtemdesi,andlar refs alba
200 an jis or len 80.30 2
J 201 wqps to 400 amps 10683 2
401 wqm to 600 angle 160.60 2
Name: r` Iz � ' 601 imam to 1,000 Wnp 240.60 2
Addre3s 4 / / S NG✓`' ry/��� �� Ova 1,000 amps or volts _ 434.-63 2
►- — Reconnect only 66.83 2
City/StatetzIP: / Tef-f_ 9 2'Z 3 _ Tenponry servkn err 8eeden hnhlletim altentles,"No,
Phone:( 2 " _-n Masada i--- —
-_ 200 or lace _ 66.83_ 1
0"er lestallstioe:This installation is being made on property that I own which is not 201 avm situ 400 amps 100.30 _ 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.73 2
Owner signattrre: _mate: Mach cirvalts-new,shefudo or eshs dao, r posel
`ay i, t ea+,' A.Fee for bunch circuits wNh --
Business name: ' '-7^ ' service or feeder fee ash 6.63 T21
r- .L�j .C,Z� bnmch circuit
Contact name_ , B.Fa for havoc circuits
C9 tf-V' wlrhowi service or feeder Ecus.
Address- each branch drcuit 46.85 2
_— -_ Each add'I trranch circuit 6.63 2
City/State/ZIP: f?��s t Mlwelhrrcans(servke err k-der"t laeIs"
a Phone:( ) - Fn;;( ) pump or irrigation circle 33.40 2
---— Shu err outline
lighting33.40 2
E-mail: Signal eirmil(s)or limited-
11111 panel,ahentien,or
Business mune:
extension.Describe: Pape 2 2
��! N��e � /tjn-- r �� � --
Address: Eich addhiesal lospcetln over ullowoble Is soy of the above
--- - -- Per 1111Vection ^- — - 62.30
City/StaWZIP �f �.�y -_ Investigation per hour(I hr min) - 62.50
J Phone:( ) Fax:( ) Industrial plant per hour 73.73
CCD He-: -__ Electrical Lic: -- Sttprv.Uc.: -- Subtotal
Suprv.F,lectrician signature,required: Plan review(25%of permit be)
Prim nor a e, Q// G"��`' hate: _Sate surcharge(8%of permit he) -
TOTAL PFXMff FEE
Authodzed signature: 711s permM epp�eatlea aplm N s pertaM Y rel sttssired mulalls 1
I _ mete: Fa 64 a bass k bas bsaccyasd n holey
r'rint name: Service Berard
•• mber at iaspeaYawl per perwlt ellowait irMMy
!li
i.%AWMIneFWmi"%M r-PemhApp doe 12/03 440461571160WO&w®
MINOR
Electrical Permit Application - City of Tigard
Page 2 - Supplemental information
LIMITED ENERGY PERMITFEES:
Fee for I resklenda.systems combined........ $75.O0
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Doer Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other: --
Fee for each commercial system....................... $75.O0
(SEE OAR 918-260-260)
Check Type of Work Involved:
❑ Audio and Stereo Systems �.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
[j Fire Alarm Installation
❑ HVAC.
[] Instrumentation
❑ Intercom and Paging Systems
❑ Landscape In igation Control*
❑ Medical
S ❑ Nurse Calls
Ll ❑ Outdoo� Landscape Lighting*
❑ Protect ve Signaling
❑ Other_------
Total number of commercial systems: -
*No licenses are required. Licenses are required
for all other installations
�NWWnerWmWAFLc-r mftA"e«num
CITY OF TIG ARD •
BUILDING DIVISION PERMIT #: MST200&00086
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2P05
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 41151M TIME: 7:OBAIA PAGE: 12
SITE ADDRESS: 14121 SW NORTIIVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE=HILL LOT C 037 TYPE OF USE:
PROJECT NAME: MUELLER
DESCRIPTION: Adding second floor office over existing vaulted space.4/14105: Added low voltage- 81I1
encompassing.
OWNER: MUELLER,ULRICH PHONE#: 503521-0767
CONTRACTOR: CREATIVE REMODELING INC PHONE#: 503 591-7185
Inspection Request Scheduled For: Data: 4115/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Massage
199 Electrical final 00466fs03 503-330.3P42 Y
Co recti s/Comments/Instructions:
IL
3
(PASS ❑ PARTIAL APPROVAL_ ❑ CANCEL ❑ NO ACCESS
❑ FAIL. ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: —
per,; r� S'Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT#: MSTlOFr00086
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 311412.005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/1512005 TIME: 7:08AM PAGE: 15
SITE ADDRESS: 14121 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL LOT#: 037 TYPE OF USE:
PROJECT NAME: MUELLER
DESCRIPTION: Adding second floor office over existing vaulted apace.4/14/05: Added low voltage- all
encompassing.
OWNER: MI)ELLER, ULRICH PHONE #: 50`3521-0787
CONTRACTOR: CREATIVE REMODELING INC PHONE#: 50591-7185
Inspection Request Scheduled For: Date: 411512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Final inspection 00401 503-330.3842 Y
Corrections/Comments/Instructions:
a
a'S
❑ PASS PARTIAL APPROVAL ❑ CANCE: ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: '¢7�5�'-mss PhorMl► 8: (!! q t1A-_
CITY OF TIGARD
'13125 S.W. HALL BLVD.
TIGARD, OR 97223 �'`'��
FREC V
IMPORTANT PERMIT NOTICE ) , 2005
MAR
OLIVERS PRECISION ELECTRIC CO CITY OF TIGAHD
17035 SW HIGH HILL LN t3UILDING DIVISION!
PEAVERTON, OR 97007
Electrical Signature Form
Permit#: MST2005-00086
Date Issued: 311412005
Parcel: 2S104BB-03000
Site Address: 14121 SW NORTHVIEW DR
Subdivision: CASTLE HILL
Block: Lot: 037
Jurisdiction: TIG
Zoning: R-12
Remarks: Adding second floor office over existing vaulted space.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical
permit t^ he valid the signature of the supervising electrician is required. "lease have the appn;pita:e individual from
your company sign below and return this Electrical Signature Form prior to the start of the work to the address above,
ATTiq: Building Division.
No electrical Inspections will be authorized until this completed form Is received
OWNER: ELECTRICAL CONTRACTOR:
W-RICH MUELLER OLIVERS PRECISION ELECTRIC CO
14121 SW NORTHVIEW DR 17035 SW HIGH HILL LN
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone#: 503-521-0787 Phone#: 503-579-7747
Reg #: LIC 41435
SUP 2S39s
a ELE 34-521C
H
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.