12485 SW MAIN STREET-3 IS NIVW MS 99KI,
cn
z
a
3
cn
co
N
r
12485 SW MAIN ST
I LO
H H
fE--1+C) P
16
rl
c
C24
tT
N
-Oz
w
ri
J V-) 'f� h
FO G O H
J
ti w i ' N
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)631"175
MST
INSPECTION DIVISIO�I�� Business Lin 3)638-4171
SUP
_
Received Date Requests _ ISM_ PM OUP
Location Ll VL —Suite_— MEC _
Contact Person Ph(_15_70_��?) 40*6036_r L g PLM
Contractor—___ —._ Ph(_. ) SWR
BUILDING - Tenant/Owner �T,�I e r 5 n U�)'►�}i Je EL_ T QTY I
Footing ELC i��.1 te_y ►1 q
Foundation Access:
Ftg Drain ELR
Crawi Drain
Slab Inspection Notes- 8R
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - - -
Fire Alarm
Susp'd Ceiling -
Roof
Other: -
Final
PASS PART FAIL -
PL'IMBING
Post&Beam - -
Undvi Slab -
Rough-In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain —
Shower Pan
Other: --
Final -------
_PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
IL Gas Line
Smoke Dampers - -
Final
N PASS PART FAIL -
C ELECTRICAL
J Service
m Rough-In
UG/Slab
JI ow Voltage - .. ---- ---- - - -
_ Alarm
PASS PART FAIL Reinspection fee of$__._ _ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
�- Please call for reinspection RE: ❑ Unable to inspect-no access
Fire Supply Line �J _ i�nnn
ADA Daae�J �-���s. Inepeator hma Lam-lJ _Ext _
Approach/Sidewalk �-
Other: _
Final DO NOT REMOVE this Inspectlon record from the job site.
PASS PART FAIL
CITY OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2004-00110
AO 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3/17/04
SITE ADDRESS: 12485 SW MAIN ST PARCEL: 2S102AB-02800
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE ZONING: CBD
BLOCK: LOT: 1-9 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 75 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks. Repair water system
FEES
Owner:
Description Date Amount
THOMPSON, DENNIS C
9295 SW ELECTRIC AVE [TAXj 8%State Surcharl 3/17/04 $5.80
TIGARD, OR 97223 [PLL1Mt3i Permit l ce 3/17/04 $72.50
Total $78.30
Phone : 503-620-2184
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone : 503-598-4798 Water Service Insp
Fi-2y/!: LIIC 152736
PLM 34-356PB
a
oc
JThis permit is issued subject to the regulations contained in the Tigard Municipal Code, :hate of OR.
W Specialty Codes and all other applicable laws. All work will be done in accordance with approved
aplans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: Permittee Signatur .
Call (503)636-4175 by 7:00 P.M.for an Inspection no ed the next business day
Building Fixtures
Plumbing Permit ApolMV E Q
City of Tigard ReC01Ved rn,nit N�/,�24-M ��
13125 SW Hall Blvd.,Tigard,OR 97223 ry �rlo� Date/By Lq o—_
Phone: 503.6394171 Fax: 503.598.1960MAR 1 / U DaefByReview
nate/B Other rennit No
24-flour Inspection Line: 503.639.4175 Date -y/By 0 See Page I for
Internet: www.ci.tigard.ot.us C11Y OF TIGA Noti(kd/Method Supplemental Information
❑N construction ❑Demolition _ For special information use checklist.
Den - Qty. I Ea.
scptioti Total
Addition/alteratiort/replacement ❑Other: New t-2-fomlly dwellings(includes I W Il.for each utility connection)
SFR(1)bath 249.20
❑ I-and 2-family dwelling Commercial/industrial SFR(2)bath 350.00
❑Accessory building ❑Multi-family _ SFR(3)bath 399.00
❑Master builderEach additional bath/kitchen 4500
❑Other. Fire sprinkler(_sq.(t.) Page 2
Site utilities --��
Job site address_ , 2 ({ $S Vi W Pt w _%TrReu r Catch basin or area drain 16.60
City/State/ZIP: � ^� O Q �s Z 2 Drywcll,.each line,or trench drain 16.60
Suite/bldg./apt.no.: Project name: 'r L EAS A V MO Footing drain(no.linear R. ) Page 2
Manufactured hone utilities I ()0
Cross street/directions to job site:
o(�/�L ��1 sT — ss Manholes 16.60
V t�/4 FAA tty\ - ���T/,1R� v Rain drain connector 16.60
Sanitary sewer(nolinear ft.: Page 2
Storm sewer(no.linear R.: Page 2
Subdivision: Lol no.: Water service(no linear ft.: 7 Page 2 •00
Fixture or Item
Tax snap/parcel no.: t {((( y Absorption valve 16.60
� i.1,11
Backflow preventer Page 2
Backwater valve 16.60
/ Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
rs' ,� $ z ; , Ejectots/sump 16.60
Name: ���S TnV�/��s o e� Expansion tank 16.60
Address: 4 W e7ec_T p(_C Av.� Fixture/sewer cap 16.60 -
City/State/ZJP: TIG AIL 1) 7 Z,2 3 Floor drain/floor sink/hub 16.60
Phone:(SO) 6-20 - of IS 4 Fax:( ) Garbage disposal 16.60
F; y Hose bib 16.60
Ice maker 1660
Business name: ^ T Interceptor/greas►trap 16.60
Contact name: Medical gas(value:S ) Pae 2
Address: Primer 16.60
City/State/ZIP: Roof drain(commercial) 16.60
Phone:( ) Fax: :( ) Sink/basin/lavatory 1660
J — Tub/shower/shower pan 16.60
E-mailUrinal CQ � nna
. 3 � „ Wat_rcloset i6.60
W Business name: S v Water heater 16.60
J _
Address: 6.(� - Other:
Subtotal
City/State/ZIP: ! r 7 7� Minimum permit fee: $72.50
Phone: ) S !� Ll Fax: Residential backflow minimum permit fee: $36,25 _
CCB Lic.: J 2,-1 3 F Plumbing Lic.no.:j - 5 6 F Plan review (25%of permit fee)
State surcharge(8%of permit fee)
Authorized signature:, G_G ---- TOTAL PERMIT FEF.
rPrint name: f� Date:J-1-7-() y This permit application expires If a permit Is not obtained within
kJ 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Buil%.ng Industry Service Board.
i�Buildin6\Permna\PLMF-PermhAppdoc IV03 110.1616T(10/0VCOM/WBB)
Plumbine Permit Application - City of Tigard
►'age 2 - Supplemental Information
Fee Schedule: Residential Fire uppes Ion Systems:
ON!OVA
Footing drain-1"100' 55.00 0 to 2,000 $11.`.00 _
Footing drain-each additional 100' 46.40 2,001 to 3,600 $16000
3,601 to 7,200 $220.00
Sewer-I st 100' 55.00 7,201 and greater $309.00
Sewer-each additional 100' 46AQ
Water Service-I st 100' 55.00 Medical Gas S stems'
Water Service-each additional 100' 46.40
Stoim&Rain Drain-1st 100' 55.00
_ 51.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Thain-each additional 100' 46.40 55,001 00 to 510,000.00 $72.50 for the first$5,000.00 and$1 52 for each
—..p, T i ,, additional$100.00 or fraction thereof,to and
:u 1�K3 �d�
including$10,000.00,
Commercial Back Flow Prevention Device 46.40 $10.001.00 to$25,000.00 5148,50 for the first$10,000.00 and$I 54 for
Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to
minimumpetmit fee$36.251 27.55 and including$25,000.00.
Rain train,single family dwelling 65.25 $25,00100 to 550,000.00 $379.50 for the first$25,000.00 and$1.45 for
-- each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or and including$50,000.00.
s eciall re nested ins ections-per hour 72.50 550,001.00 and up $742.00 for the first 550,000.00 and$1.20 for
n
Subtotal: each additional$10000 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Comments regarding fixture work:
Baptistry/Font _
Bath -Tub/Shower
-JacuzzVWhirl ool
Car Wash -Each Stall _
-Drive Thru
Cuspidor/Water Aspirator
Dishwasher •Comttwrcial
-Domestic —
Drinking Fountain
Eye Wash -- _
Floor Drain/sink 2"
3„ -- - — — —
4,. — -
L Ca Wash Drain
C Garbage -Domestic
Disposal -Commercial *Note: If the fixture work under this permit results in an
-Industrial increase of sewer EDUs,a sewer permit will be issued and
Ice Mach./Refri .Drains _
3 Oils arator Gas Station fees assessed for the sewer increase must be paid before the
0 Rec.Vehicle Dump Station plumbing permit can be issued.
Shower -Gang
-Stall
J Sink -Bar/1-avatory Quantity Total
-Bradley Isometric or riser diagram is required if fixture quantity
-Commercial total Is>9.
-Service
Swimming Pool Filter _
Washer-Clothes
Water Extractor _ Pian Review
Water Closet-Toilet Plan review is required if fixture quantity total is>9.
Unnal
Other Fixtures:
\Buddmg\P"mee\PLM-PemmApp dm 3103
ELECTRICAL
CITY OF TIGARD
PERMIT#: ELC2003.00641
DEVELOPMENT SERVICES DATE ISSUED: 10/20/03
13125 SW Hall Blvd.,Tlaard,OR 97223 (503)639-4171 PARCEL: 2S102AB-02800
SITE ADDRESS: 12485 SW MAIN ST
ZONING: CBD
SUBDIVISION: ELECTRIC ADD.TO TIGARDVILLE
BLOCK: LOT: 1-9 JURISDICTION: TIG
Project Description: Tenant Improvement
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.
MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADO'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDP.: 1 PER HOUR:
401 - 600 amp: EA ADWL BRNCH CIRC: 6 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/F11R>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
'THOMPSON,DENNIS C L.E. ELECTRICAL
9523 SW 62ND DRIVE PO BOX 33706
PORTLAND,OR 97219 PORTLAND,OR 97282
Phone: Phone: 503-997-6352
Reg#: ELE 26-11220
LIC 150790
FEES SUP 49215
Description Date Amount
_ — Required Inspections
CITY OF TIGARD MENTI 10/20/03 $86.75
ITAX)8%State Tax 10/20/03 $4.28 Elect'I Service
Elect'i Final
Total $91.03
This Permit is issued subject to th, regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. 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 N work Is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344.
0. Issued I3y: _ �l 'Q� Permit Signature:
f
U) OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
m OWNER'S SIGNATURE: _ DATE:
W
-.1 CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. E EC'N: — _ DATE:
LICENSE NO: Q21 — — — _ --
Call 639-4175 by 7:00pm for an Inspection the next business day
Electrical Permit Application Received Electrical
-- --- Date.'B : Permit tlo.' _�I7
City of Tigard Planning Approval Sign
Date/By' _ Permit No.
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/B : PcnniI No _
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
ate/B Case No.:
Internet: www,ci.tigard.or.us U
Contact lulls.: See Page 2 for -
24-hour Inspection Request: 503-639-4175 Name/Method Supplemental Information.
TYPE_OF WORK PLAN REVIEW Please check all that apply)
New construction Demolition Ll Service over 225 amps- Health-care facility
Addition/alteration/re lcommercial [I Hazardous location
acement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in
I &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure
AccessoryBuildin Multi-Family ❑Building over three stories ❑Feeders,400 amps or more
_ —__fixamY ❑Occupant load over 99 persons ❑Manufactured s'ructure;or Rb'park
Master Builder Other: ❑Fgressnighting plan ❑Other.
JOB SITE INFORMATION and L ATION Submit,sets of plans with any of the above.
y T—-- � The above are not applicable to tempora- construction service.
Job site address tN 1K� 1 - FEE*SCHEDULE
Suite #: _ Bld ./A t.#: Number of ins ectlous per permit allowed
Pr!�ect Name: jf;ZY`J F)Ult)j M a_1 I V€ bescrl tion Qty Fee(ea.) Tout
New resldentlal-single or multi-family per
Cross street/DireC ions to job Site.: dwelling unit.Includes attached garage.
Service Included:
1000 sq fl.or less 145.15 4
E-chadditional 300 sq.111 or thereof 33.40 1
Limited energy,residential ___ _ 75.00 Z
Subdivision: LOt#: _ Limited ener non residential 75.00 _ 2
Tax map/parcel #: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and'ar feeder 90.90 2
Strvices or feeders-Installation,
a:eratlon or relocation:
200 amps or less _ 80.30 2
--- ----- 201 amps to 400 amps 10685 2
_ 401 amps to 600 amps 160.60 2
PROPERTY OWNER TENANT 601 amps to 1000 amps 240.60 2
Name'
(her 1000 amps or volts 454.65 2
Reconnect only 66.85 2
Address: Temporary services or feeders-Installation,
City/State/Zi--./State,iLI alteration,or relocation:
200 amps or less 66.85 1
Phone: Fax: 201 amps to 400 amps i _ 100.30 - 2
APPLICANT CONTACT PERSON 401 to 600 am 133.75 2
Branch circuits-new.alteration,or
Name: _ extension per panel:
A.Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 6.65 2
City/State/Zip: B,Fee for branch circuits without purchase of
7 service or feeder fee,first branch circuit 46.85 2
Phone: L,ax: `-- Each additional branch circuit 6.65 2
IL E-mail: Misc.(Service or feeder not included):
— CONTRACTOR ! Each um or ini anon circle 53.40 2
NEach sign or outline lighting 53.40 2
Job No: ,rSignal circuits)or a limited energy panel.
Business Name: L,r , ii�LE C� �jF I C� alteration,or extension Pa 2 2
_J Address: O, �.Be)( 330 Description:
m _
City/State/Zi �p'"t'Zt R OR_ �7 2Q Z Each additional inspect on over the allowable In an of the above:
_ Per inspection per hour(min. I hour) 62.50
W Phone: 763 W:F-63!.T2-- Fax: 5& `.2 5-1—�Op Investi tion Fee:
J — - other: ----
CCB Lic. #: PSD 7 L.ic. #: (�—12,7 G Ellectrk„I IsWMIt Fixe•
Supervising electrician Subtotal S 3,
si nature reqttired: , , Plan Review(25°%of Permit Fee) 3
Print Name: PTS 05 y Lic. #: q _ State Surcharge(8%of Permit FK S—
_ TOTAL PERMIT FEE: S $ " I FL
Authorized Notice: This permit application expires If a permit Is not,htalned within
Signature: Date:-----.-- 180 days after It has been accepted as complete.,
.Fee methodology set by Tri-County Building Industry Service Hoard.
(Please print name)
i°Dsts`,Permit Fotms\Etc PermitApp.doc 01'03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL.WORK ONLY:
Feefor all systems............................................................ $75.00
Check Type of Work Involved:
ElAudio and Stereo Systems*
u Burglar Alarm
❑ Garage Door Opener*
Heating,Ventilation and Air Conditioning System*
Vecuum Systems*
Other
_COMMERCIAL WORK ONLY:
Fee for 10c l system.......................................................... $75.00
ISF.F OAR 918-260-260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
nBoiler Controls
Clock Systems
Data'Telecommunication Installation
Fire Alarm Installation
HVAC
Instrumentation
El Intercom and Paging Systems
ElLandscape Irrigation Control*
Medical
IL F-1 Nurse Calls
NOutdoor"ndscape I.rghting*
Protective Signaling
El Other— —-- --_�
__Number of Systems
* No licenses are required. Licenses are required for all
other installations
i\Dsts\Permit Forms\ElcPermitAppPg2.doc 01'03
CITY OF TIGARD 24-Hou` ?
BUILLVNG Inspection Line: (503)636-4175 LOW `
INSPEZTION DIVISION Business Line: (503)639-4171 —�-
6UP — —
Received __ _ Date Requested AM PM BUP
Location ��.-1} Ct✓l _ Suite MEC _
Contact Person —_ kAA"y t..' ca– Ph PLM
Contractor Ph( _) _ SWR
BUILDING —_ Tenant/Owner ELC
Footing
Foundation Access:
�tg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam —
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing T
I Insulation � �t{� N 5 I Q►�.�� I�i� ��`' '1 S
Drywall Nailing
Firewall pj�q FT -
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling - — -
Roof
0".G.
I_,
IIIV ,
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service -- — —
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain -- - - ---
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL _
Post&Beam
Rough-In —
IL Gas Line
AC Smoke Dampers —----- - —
t- Final
47 T FAIL
LECTRICA
-� Sery ce
W Rough-In
W UG/Slab —
a Low Voltage
FimAlarm
Reinspection fee of$__ required before next Inspection. PaV at City Hall, 13125 SSM Hall Blvd.
PART FAIL
SITE — Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA Approach/Sidewalk Dib � I� r Inspee#or
Other:
Final DO NOT REMOVE this Inspection record from the job sib.
PASS PART FAIL
. .. ,CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00627
DEVELOPMENT SERVICES DATE ISSUED: 12/6/02
1312:SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102AB-02800
SITE ADDRESS: 12485 SW MAIN ST ZONING: CBD
SUBDIVISION: ELECTRIC ADD.TO TIGARDVILLE
BLOCK: LOT: 1-9 JURISDICTION: TIG
Project Description: Installation of(2)branch circuits in recessed lights in awning. Job No.884661
RESIDENTIAL UNIT _ TEMP SRVC/FEEDE_P,S MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FOR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amplvolt: >-4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: __
Owner: Contractor:
THOMPSON, DENNIS C NORTHWEST PUMP i EQUIPMENT
9295 SW ELECTRIC ST 2800 NW 31ST
TIGARD,OR 97223 PORTLAND,OR 97210
Phone: Phone: 227-7867
Reg#: ELE 26-852C
LIC 64567
FEES SUP 11555
Description Date _�— Amount Required Inspections _
(ELPRMTj ELC Permit 12/6/Pl $53.50
(TAXI 8%State Tax 12/6/02 $4.28 Rough-In
F
_ E!ect'l Final
Total $57.78
--J
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if won;is not started within 180 days of issuance,or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility No ification Center. Those
rules are set forth in OAR 952-001-0010tt01�lu OAR 952-001-0100. You may obtain copies of these rules ordirect qu i n to OUNC at(503)
2466899 or 1-800-332-2344,, � -
a. Issudd By: Permit Signature: Al
OC --
tl) OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
J
CO OWNER'S SIGNATURE: —_ _ DATE:
0
W CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPE. ELEC� / �.� T . -- DATE:
LICENSE NO: —
Call 6394175 by 7:00pm for an inspection the next business day
Electrical Permit Application
lFatereccivrd: Permit no.:&,4AWA-60697
City of Tigard Project/appl.no.: date:
07 o/'Tigard Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Date issued: rB—yal Receipt no.:
Phone: (503) 639-4171 -- -
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or acressory Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other:_ __U Partial
Job address: Bldg.no.: I Suite no.: ITax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project namc� Description and location of work on premises:
Estimated d^te of completion/inspection: r ayJ S (T
"KIWI
no: ulFee Max
Business name: .- _ 'IP — ►iia city. (a) total ro.ltr
Address: Newtttraldeatlal-trbtpkorrtadll-(■wily per
Jr dwelihgunit.Inclodeaattachdraratte.
City: State: ZIP: IDserrkelnel.dd:
Phone: Fax: --mail: 1(11)sq.0.or less 4
CCB no.: (�� Cleo.bus.lie.no: Each additional 500 sq,ft.or portion therm(
Limited energy, residential 2
City/m ro ic.n Limited energy, non-residential 2
� L` tach manufactured horn or modular dwelling
Signaturc M s perk •lectrician rc ufted) I)ete /d Service and/or feeder 2
Sup.elect. Warne(print): (,l License no: S servlcnorfeedera–Instatlrllon,
aheratfon or relocation:
2W amps or less _ 2-
Name(print): 2011 amps to 4(11 amps 2
— 4011 amps to 600 amps 2
Mailing address: _
601 amps to 1000 amps 2
City: —Mate ZIP: Over 10(11 amps or wilts _ 2
Phone: Fax: E-mail: Reconnect only I
Owner installation: The installation s being made on property I own Temporary aervlceaorfeeders-
which is not intended for sale,lea rent,or exchange according to Installation,alteration,or relocation:
ORS 447,455,479,670,701. 200 amps or less _ 2
201 ams to 400 ams 2
Owner's signature: Date: 401 to 600 amps 2
Branch careoltb-new,alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: _ service or feeder fee,each branch circuit 2
City: State: ZIP: B Fce for branch circuits without purchase
Phone: Fax: F.-nlail: of service or feeder fee,first branch circuit: _ 2
Each additional hmnch circuit:
M Ise.(service or feeder not Included):
U Service over 225 nmps-comnwmial U llcallh-carr facility Each pump or irrigation circle 2
U Service over 320 amps-rating of I&2 U Ilarardous location Fach sign or outline lighting 2
family dwellings U Building over 10,W0 square feet four or Signal circuit(s)or a limited energy panel,
U System over 6011 volts nominal more rrsiderdinl units in one stnahtr alteration, or extension* 2
U Building over three stories U Feeders,400 amps or more •I)cscri tion:
O Occupant load over 99 persons U Manufactured structures or RV park F.achaddhionaInspection over the allowable iannyofthe above:
0 Egress lighting plan ❑Other:_, - per inspection �-�---�
Submit-e_sets of plans whh any of the above. Investigation fee _
fhe above are not applicable to tempoe..ry construction servire. Other T
Not all jurisdictions accept credit cards, lease call jurisdiction for more infn"nation. Permit fee......................S _ -.✓�
I <p p r Notice: This permit application °/a
t w( _ )
viea
U Visa U MasterCard expires if a permit is not obtained plan re $
-
Credit enrd number: T._ _ / / within 180 days after it has been State surcharge(8%).....S
Name of cardholder as shown on credit card mrocs L_
t:
_ accepted as complete. TOTA .......................$
5
Cardholder signature ..__ Amount 440.4615(fi=1('0M)
CITY OF TIGARD 2"OU
BUILDING Inspection Line: (503)636.4175 MST
INSPECTION DIVISION Business Line: (503)636-4171 BUP a , - _
Received _ Date Requested_ J 7 AM_ — PM BUP
Location __ Suite_ _ MEC _
Contact Person --. Ph(—) CO a PLM
Contractor _ Ph( ) SWR _
BUILDING Tenant/Owner _ _ ELC
Footing ELC
Foundation
Ftg Drain Access � 2 S (j e77 U ✓,p ELR
Crawl Drain
Slab Insper-lion Notes: SIT _
Post&Beam
Shear Anchors — ---
Ext Sheath/Shear
In!Sheath/Shear
Framing
insulation
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling - - -- -
Roof
O r:M
O
4SSPART FAIL `—
PLIMMONG
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - — - ---
Shower Pan
Other._ --
Final ^
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers — - —
Final
PASS PART FAIL --
ELECTRICAL
Service -
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final Reins on fee of$ required before next ins
PASS PART FAIL t -_ eq ' inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE F] Please call for reinspection HE:_ __ Unable to inspect-no access
Fire Supply Line
ADA L,r--� �� L
Approach/Sidewalk Daft— — ------- Inspector iti d
Other:
Final DO`NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL
OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4176 �
INSPECTION DIVISION Business Line: (503)639.4171 MST —
Received -- Date Requested_— r ` 3y
BUP
e9 _. _ Mil__.,PM DUP �
Location - f o1 � �)a -
8urte MEC _
Contact Person=--� — ph� _� � — F,LM
Contractor - Ph � $WR
BUILDING r - TenanUOwnerP�n�� c1 . ELC
Footing
Foundation Access: ELC -
Ftg Drain ELR —
Crawl Drain --
Slab Inspection Notes: SIT — ---- _
Post$Beam
Shear Anchors --------
Ext Sheath/Shear _
Int Sheath/Shear -----1-
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---- -.- _
Fire Alarm
Susp'd Ceiling -- -- - -- --
Roof
Other: - - --
Final -- -� -�- -
PASS PART FAIL
PLUMBING
Post --
Under Slab -
Rough-in
Water Service _-
Sanitary Sewer
Rain Drains - ---- ---- ------ --- --
Catch Basin/Manhole
Storm Drain - -- - -
Shower Pan
Other. —---------
Final
PASS PART FAIL -- _
MECHANICAL -
Post&Beam
Rough-In
Gas Line
a Smoke Dampers - - - -- ------ ----------- ----- --- -
Final
N PASS PART FAIL
ELECTRICAL __ — --_ -- ----- ----- - --- -------_ s
J Service
F1 Rough-In
i5 UG/Slab
W Low Voltage
J - -- -- ------------�._� ---
Fire Alarm
_�4S PART FAIL r] Reinspection fee of$ require ire next Inspection. Pay^t City Hall, 13125 SW Hall Blvd.
F] Please call for reinspection RE: Unable to inspect-no access
Fire Supp!y Line
ADA � �
Approach/Sidewalk Dnt/,j �2k1��j._[l -� ._ Inspector -..—
Other
Final DO NOT REMOVE this Inspicdon record from the jab sib.
PASS PART FAIL
CITY a TIft�RD24-Hour
DIIG - 0 Inspection Line: (503)630.4175 • `
INSPECTION DIVISION Business Line: (503)638-4171 MST
BUP
Received Date Requested (aAM PM OUP
Location 5 _ uite MEC
Contact Person — Ph( ) 0I PLM
Contractor_—_ _— Ph( ) SWR
BUILDING TenanVOwner ELC
Footing ELC
FoundationAccess:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam _
Shear Anchors
Ext Sneath/Shear _
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab - - —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Dram
Shower Pan _
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
d Gas Line
Smoke Dampers
Final
CPASS PART FAIL
ELECTRICAL
J Service
W
j3 eftTOW
IBJ
-r Low Voltage
Fire Alarm
Reinspection fee of$ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE— _ Please call for reinspection RE: F] Unable to inspect-no access
Fire Supply Line
ADA �
Approach/Sidewalk DO% �— inspector� Ext
Other:
Final DO NOT REMOVE this Inspection mwKw l from do fob sit.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING ! Inspection Line: (603)630.4175 MST
INSPECTION DIVISI49N Business Line: (503)kz39-4171 SUP
' BUP Ld"?--yo MJS
Received Date Requested /G L AM PM BUP
Location . 1 Z 3 w /st 446k _f t _ _Suite MEC
Contact Person Ph(--) �f'� O� z y�_ PLM
Contractor _ Ph(-) _ SWR
Tenant/Owner �_ _ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors — r
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Root
Other: I�P0_0
PASS PART_ FAIL
PLUMBING
Post&Beam
Under Slab
Rough-in
Water Service —
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In —
IL Cas Line
Smoke Dampers --
Final
N PASS PART FAIL �—
ELECTRICAL
-� Service
W Rough-In
(3 UG/Slab
J Low Voltage
Fire Alarm
Final r] Reinspection fee of$� _required before rsxt inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE r] Please call for reinspection RE:___ Unable to inspect-no access
Fire Supply LineADA f /)
Approach/Sidewalk Date-�—=—L / Inspector Ext
Other:
Final _ DO NOT REMOVE this Inspection rmmrd from the job alb.
PASS PART FAIL
CITY OF TIGARD BUILDING PERMIT
PERMIT*: BUP2002-00454
DEVELOPMENT SERVICES DATE ISSUED: 11/19/02
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PARCEL: 2S102AB-02800
SITE ADDRESS: 12485 SW MAIN ST
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE ZONING: CBD
BLOCK: LOT: 1-9 JURISDICTION: TIG _
REISSUE: b FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 14,000.00
Remarks: New facing and awnings
Owner: Contractor:
THOMPSON, DENNIS C OWNER
9295 SW ELECTRIC ST SIGNED RESPONSIBILITY
TIGARD, OR 97223 FORM IN FILE
Phone: 620-2086
Phone: 620-2086
Reg 0:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUPPLN] Pin Rv 10/15/02 $115.51 Final Inspection
[FLS] FLS Pin Rv 10/15/02 $71.08
BUILD] Permit Fee 11/19/02 $177.70
[TAX] 8%State'rax 11/19/02 $14.22
Total $378.51
a
NThis
permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
U) 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 than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by fhe Oregon Utility Notification Center. Those rules are set forth in OAR
m 952-001-0010 through OAR 952-001-0100. 'Yo-1 may obtain a copy of these rules or direct questions to OUNC by
0 calling (503)246-6699 or 1-800-332-2344.
LU
I4uoa By:
Pe m►ittee
Signature:--"
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
City of Tigard �� Datcrcceived: )
• Address: 11125 SW Ifall Blvd,Tigard,OR 97221 Projeci/appl.no.: Expircdate:
City q igard
Plume: (503) 519-4171 Dale issued: By• P I Receipt no.:
Fax: (503) 599-1960 as file no.: Payment type:
Land use approval:-fis�2.�41i�►— 1&2 family:Simple Complex:
U I &2 family dwelling or accessory WCommercial/industrial U Multi-family U New construction U Demolition
U Addition/alteration/rcplacement U Tenant improvement U Fire sprinkler/alarm hdr0,her:9,KT1Elft 0 R_fFN-QVAT1__
Joh address: 2 c , MAl g Bldg. Suite no.:
Lot:: Bhoxk: Sululivision: Tax map/tax lot/account no.: Lbio tAts 2800
Project name: "T''1' _ it'y AUTomIiTy*
Description and locatio of work on premises/spccial conditions: F—W"OVe t IH At �CMIT�C ILIMA&V
_ - K
Name:
Mailing address: 9 29 5 5 •L4J . -Ct itiG 5T. _ 1 &2 famlly dwelling:
City: 11 bA W 0 State: ZIP:diilla,& Valuation of work........................................ $
Phone: Fax:&84-IB5 E-mail: Nit.of bedrooms/baths.................................
Owner's representative: RU.0 tt mln_ "Total number of floors.................................
Phone: Fax: I-mail: New dwelling area(sq. ft.) ..........................
Garagelcarport area(sq. ft.).........................
"Name: ILPIAL Covered porch area(sq. ft.) .........................
Mailing address: Deck area(sq. ft.) ........................................
City: Stale: ZIP: Other structure area(sq.ft.).........................
Phone: Fax: Email: Commercial/industrinUmultl-family:
Valuation of work........................................ $
Existing bldg.area(sq.ft.) .......................... _
Business name:).6r Dytr2mimwNew bldg.arca(sq.ft.)................................
Address: Number of stories
Cil State: ZIP:
City: Type of construction....................................
Phone: Fax: E-mail:
Occupancy group(s): Existing: __ WA.
CCB no.: New: .-I
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
a Address: jurisdiction where work is being performed.If the applicant is
F City:
State: ZIP: exempt from licensing.the following reason applies:
U) Contact person: Plan no.: —
Phone: Fax: E-mail:
J_
fn Name: ntact person• ees due upon application ........................... $_
Address;
Cox SSIA4 W -p, Date received: _
-J City: Statco r- ZIP: Amount received ......................................... $ --
Phone: Fax:(, . mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all jurisdiction%accept credit cards,please call jurisdiction for mote information.
• attached checklist. All provisions of laws and ordinances goveminp,this U visa U MasterCard -
work will be co tplied with w ether g(�C �(lCd(�C ,l Credit card number:
.{^ yf�FAU•la Fai�Oti. t:zpires
Autho F,(�. _ Date: 16•_?� -- Name of cardholder as shown on credit card
Print name: JIM �3N11V=jkLjg1 - Cardholder sltrrtlure Amoum_
Notice:This permit application expires if a permit is not obtained within 180 days after it hes been accepted as complete. a,th-*l t(&WCOM)
SITE WORK PERMIT CHECK LIST .
Commercial, Multi-Family (R-1 occupancy) and Residential: •
Please complete all items below, unless otherwise noted.
Excavation Volume: — _ _ cu. yds.
Grading Volume:
Soils report required for >5,000 cu. yds.) cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to 90%of
maximum density) _ cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other
❑ -
*Total new impervious area including all buildings,
sidewalks, and paving: sq. ft.
Site Utilities Plumbing Work:
Complete the"TAN" Plumbing Permit Application for site utilities plumbing work.
Plans Required: See"Site Work Permit Application -Plan Subrhittal Requirements"
attached. The following must acoompany accompanythis a Iicatlon:
Site Plan with Vicinity Map showing *Pa g (including ADA)and
ADA compliance Lig g Plan
Grading Plan and details *U(ndscaping Plan •
Erosion Control Plan and details S'blls Report if required)
Retaining Structures
*Does not apply to 1 and 2-family dwellings.
W 1.W- 1
Commercial 4
L Multi-Family R-1 Occupancy 4
C
One- & Two-Family Dwelling 4
3
NOTE: Plan review Is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes(for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire& Rescue).
IMsts\tor„Msltecheddlst.doc 09/24/01
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2002-00435
DEVELCf!MENT SERVICES DATE ISSUED: 10/4/02
13125 SW HAW Blvd.,Tigard.OR 97223 (503)639-4171 PARCEL: 2S102AB-02800
SITE ADDRESS: 12485 SW MAIN ST
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE ZONFNG: CBD
BLOCK: LOT: 1-9 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONS'r: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEF'. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR;ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Demo service station island: canopy, cashier station and gas pumps.
Owner: Contractor:
THOMPSON, DENNIS C OWNER
9523 SW 62ND DRIVE SIGNED RESPONSIBILITY
PORTLAND, OR 97219 FORM IN FILE
Phone:
Phone:
Reg#:
FEES REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 846-8
BUILD] Pernut Fee 10/4/02 $62.50 Final Inspection
[BUILD] Permit Fee 10/4/02 $0.00
[TAX] 8%State Tax 10/4/02 $5.00
[TAX] M/n State Tax 10/4/02 $0.00
(additional fees not listed here)
Total $110.40
L
C
2 This permit is issued subject to the regulations contained in thb Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordanots with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
3 requires you tD follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
0 952-001-0010brDAh OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
J calling (503)246-6699 or 1-800-332-2344.
Issue By: �
Pe rrn ittee
Signature: (p
Cali 639-4175 by 7 p.m.for an inspection the next business day
Building Permit Application
City of Tigard
Itetoceived: 0 3 Ot Permitno.:JU
City qffigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Pmject/appl.no.: Expire date:
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: 77
Land use approval: _ 1&2 family:Simple Complex:
U I &2 family dwelling or accessory U CommercieJ/industrial U Multi-family U New constniction ®Demolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
Job address: �� — Bldg.no.: Suite no.:
Lot: Blcx k: — Sutxlivision: _ __— Tax map/tax lot/account no.:
Project name: -- -
Description and location of work on premises/special .-onditions: 60aloIt Sal(nIU'1�' erGi►1e70►.t
Name: °nnt S ry� ��_
ism
�____ _-
Mailing address: _ — e°C- l C f 1 alt 2 family dwelling:
City: State: r 2,IP: ?2Z Valuation of work........................................ $ _
Phone: Fax: G-mail-: No.of hedrooms/baths.................................
— --
Owner's representative: Total number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq.ft.) _ —
Garage/carport area(sq. ft.)......................... _—
Name: Covered porch area(sq.ft.) ......................... _
Mailing address: Deck area(sq.ft.)........................................ —
City: State: ZIP: Other structure area(sq.ft.)......................... —
Phone: Fax: E-mail: Commercial/industrial/multi-family:
Valuation of work........................................ $_
Existing bldg.area(sq.ft.) .......................... —
Business name: ���� p r �'��� —
Address:
—�44# —4 S tip�r�------ New bldg.area(sq.ft.)............................... _
-- - - Number of stories........................................ _ --
City: _ State: Z,IP: Type of construction....................... _
Phone: Fax: E-mail: � """"""'
Occupancy group(s): Existing:
CCB no.: —
New: _
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
rNa provisions of ORS 701 and may be required to be licensed in the
IL j►trisdiction where work is being performed. If the applicant is
Cit State: ZIP: exempt from licensing,the following reason applies:
U) Contact person: Plan no.:6 —
Phone: Fax: E-mail: —
J
m Name: Contact person: Fees due upon application ........................... $
LU
Address: Date received:
--j City: State: ZIP. Amount received ......................................... $
Phone: Fax: E-mail: Please refer to fee schedule.
1 hereby certify I have read d examined this application and the Not ill judsdk*m accept credit carde,plwe call iudirliction for more idonrAlion.
attached checklist. All p v' ions of laws and ordinances governing this U Visa U MasterCant
work will he complie i ,whe specified herein or not. Credit card number.—_____
P,xplres
Authorized signatu Gt late: 11—
-�
— QNsmv nf canbolder as damn on credit card
Print name: Y%iSp Car�tal8u atjear�e --- S Amoam
Notice:This permit application expires if a permit is not obtained within 180 days after P nas been accepted as complete. "1 Au(ISAdRW
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-4171
Fax: (503) 598-1960
I Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Mood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved platllot.
4 hire district__--approval required. _
5 Septic system permit or authorisation for remodel. Existing system capacity
6 Sewer permit. _
7 Water district approval.
8 Solis report.Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required. Include drainage way protection,silt fence design and location of
catch-hasin protection,etc. _
10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-sire
sheet attached to the plans with cross references between plan location:rod details. Plan review cannot he completed
if copyright violations exist.
I I Slie/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
their is more than a 4-ft.elevation differential,plan must show contour lines at 241.intervals);location of casements and
driveway;footprint of stmcture(including decks);location of wells/septic systems;utility locations;direction indicator;lot
area;building coverage area;percentage of coverage;impervious arca;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
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 franming-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,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new constriction;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.
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.
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation. _
18 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 design values for all beams and multiple joists
L over 10 fee(long and/or any beam/joist carrying a non-uniform load.
C 20 Manufactured floor/roof truss design details.
q 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in Orrvon and shall be shown to be applicable to the project under review.
D
9
U 23 Five(5)site plans are required for Item 11 above Site plans must he 8-1/2"x 11"or 11"x 17"
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 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 in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale. _
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. —
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440-4614(6MCOM)
rr r. 2
f'1Pe ha*diall j
y
: c
It
s-
° 3 v
fr