Loading...
Permit (100) 114 CITY OF TIGARD '' MASTER PERMIT COMMUNITY DEVELOPMENT Natal Permit#: MST2017-00021 TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2017 Parcel: 2 S 103AC09500 Site address: 11410 SW FONNER ST Jurisdiction: Tigard Subdivision: 2014-023 PARTITION PLAT Lot: 1 Project: Bean Partition, Lot 1 Project Description: New SF. 7/12/17, Reprinted to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1878 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 2 Second: 0 sf Garage: 682 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1878 sf Value: $243,333.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 LaundryTrays: 1 Y Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 0 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 P W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Grou NEW SF VB P Y P Square Feet: R-3 1878 Owner: Contractor: LHL HOMES INC Required Items and Reports(Conditions) 11580 SW 67TH AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 PHONE: 503-624-7714 PHONE: FAX: Total Fees: $28,282.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR, Specialty Codes and all other applicable law. All wo will be done in acc ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is •ended for ore days. NTION: Oregon law re.uires you to follow the rules adopted by the Oregon Utility Notification Ce• - . Th•:- rule are s-' fort 1 180 OAR 952- 1-0010 through OAR 952-0: -0090. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .19; or :00. 2.240 g � ;�/ Is ued By: �� �t1toft / �� r Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecti, .ate. / This permit card shall be kept in a conspicuous place on the job site until completion of the�ct. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit 13125 SW Hall Blvd.,Tigard,OR FiE EIVED Date/By: r cn/, --w / Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 J U L 1 2 2017 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGI RD TYPAMAGING DIVISionl COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning i 46.75 4/6.7s.— Job site address: / t//0 5.0 4_,,,,,,,,, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 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: 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 Other: Subdivision: Lot no.: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I)EN PTION;,OF WORK Gas fireplace/insert 33.39 -:� fes. _ ..„ Flue vent for water heater or gas � fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 .,. ('PROPERTY .. Other: 23.32 4. ,; , .'. _ ENANT '; ' Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑`APPL :6 p ,ACT PE ' Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue , . :t CO R' . a ,, $0.k.' Clothes dryer(gas) Business name: Other: Address: -. N +6 IiA `L P' t pos. , Subtotal,7 s--- City/State/ZIP: Minimum permit fee($90.00) --* Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) 5.4/ CCB lie.: TOTAL PERMIT FEE 5,2. This permit application expires if a permit is not obtained within 18 days after it has been accepted as complete. Authorized signature, , * Fee methodology set by Tri-County Building Industry Service Board r.--- Print name: % Date: 7./Z,,'' I:\Buiiding\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:'Building\Permits\MEC_PermitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00021 Date Issued: 02/02/2017 -t-[C1A.p,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103AC09500 Jurisdiction: Tigard Site address: 11410 SW FONNER ST Subdivision: 2014-023 PARTITION PLAT Lot: 1 Project: Bean Partition, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1878 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 2 Second: 0 sf Garage: 682 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1878 sf Value: $243,333.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1878 Owner: Contractor: Required Items and Reports(Conditions) LHL HOMES INC 11580 SW 67TH AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 PHONE: 503-624-7714 PHONE: FAX: Total Fees: $28,230.59 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 issuanc , or if work is suspended for more the 180 days. AT • : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification e ter. Those rules a set forth in OAR 952- 1-0010 through 9AR•= 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2. 987 0�1.80 2.23 Is ued By: 1 0 44- /�.i. —i..-...•-a Permittee Signature: C /l . Call 503.639.4175 by 7:00 a.m.for the next available inspection da . 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. Building Permit Application R S1dential FOR OFFICE USE ONE)' ` City of Tigard Received Date/By:RECEIliED � /9 /2 Permit No.:�5� /7�a> ® 13125 SW Hall Blvd.,Tigard,OR Plan Review ^� _ Phone: 503.718.2439 Fax: 503.598.1 DateBy: -aC ' ) Other Permit: �9-0l7 Oc Zt 1.1 GARB Inspection Line: 503.639.4175 Date Ready/By:, . Juris: 0 See Page 2 for "r Internet: www.tigard-or.gov JA N Notified Metho4' I t 7 ./2 I Su.plemental Information 2017 '!� !! 50 l..J /J.G v ,/ A G7- H i ',--.'-'-',:;)--116;11--',1 '11._ ',,'i71' 1� t7 iii I 4 1 1 X0='' .6 �i i€ - ��� 'dde a r�r — 6 I' '' ff .idle.1*- d� SII" 'Ili 9'� ' 66- = _ ILII 1f ! New construction ��.,�'• t�t}�T�,t�+p �T Permit fees*are based on the value of the work performed. -1J°J N 3 S O1�' Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the IL a, ,� _' j , &r - ' `0~w _ ' ` j, , ,-1r-1,1 work indicated on this application. dwellingValuation: $'1 .3 3 ? El Ol J Number of bedrooms: -3 -1-) ❑Accessory building 0 Multi-family 1-and 2-family 3 ❑Master builder El Other: Number of bathrooms: fid` dr r yi dmi a� � i- } : ,� ° ' 'I � t. ,A _t ! Total number of floors: / Job site address: /j11//e S-6 Foyle;i,k S� New dwelling area: /�7 '� square feet��[� City/State/ZIP: < Garage/carport area: ! v T�!`4k�(, �i/�I— CJ722fjgL square feet Suite/bldg./apt.no.: II Project name: /s�� 1,y � A..°l Covered porch area: �O square feet Cross street/directions to job site: f/ /c civil //,, , L Deck area: � square feet �1.�►Q'�h�t f// �i ,Nlt1't Other structure area: — square feet Subdivision: • CGU Pak� .TIS I Lot no.: 7 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 �� e PI equi ment,materials,labor,overhead,and the profit for the dm. �I , „ work indicated on this application. XJLC/ Z i Valuation: $ Existing building area: square feet New building area: square feet ��" 0 �� ,-ii,„,,, J a' - 'AL Number of stories: oe w L �cyhe S. Ti7 Type of construction: Name: Address: /Kv W ' t. Occupancy sb 7 K•1't P Y groups: City/State/ZIP: 1 04 '7 2.7--3 Existing: Phone:( ) 6� Fes: ) 639 SS7. `Id, 0 ,. Tc ' }_ 'h1t New: Business name: L/4 ,(�__..e_i .7,7-41111,,,:-',. �.IHIII 7' d„ " �:�-t; ;�.�t: '�i, i., 0i ��`+n) Structural plan review fee(or deposit): Contact name: 6`k /4/71.72 ANG FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: / Phone:( ) I Fax::( ) Amount received: ` E-mail: .1 i' for 'fI,r''' 3, // L. A ��� .�/ J� - oU�, DI t lrye ,h:. t f rCommercial and residential prescriptive installation of �'i �ti- d.r ���- � .' --1-,,... - � ,_, , . „Gt_,t 1� roof-top mounted Photovoltaic Solar Panel System. Business name: 4401.... C S Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: /nit( Total fee due upon application: $201.60 Authorized signature: C This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: PpiCi Gy I 4 . l Date: //g/lf *Fee methodology set by Tri-County Building Industry G lz-4K7 Service Board. 440-4613T(11/02/COM/WEB) I:\Building\Permits\BUP-RESPermitApp.doe 02/24/201 Mechanical Permit Application FOR OFFICE USE oNEY. ity of Tigard ECEIVED Received li ® Date/By: Permit No.: a , 41,f7�GQ / 5 SW Hall Blvd.,Tigard,OR 9 2 P1312hone: 503.718.2439 Fax: 503.598.1960 Plan Review JANDDate/By: Other Permit: TI GARD Inspection Line: 503.639.41759 01 l 2 Internet: www.tigard-or.gov Date y: loris See Page 2 for Notified/Method: Supplemental Information CITY OF TIGARD � ,. I •� IC :f--,-. i c, ® i :r. , M� ,...„..j.,1,1_,-,„„:„,:,:0-,:a:,.,.. ,;:„.,, „;..> ” ® � ® `'�1.` A 4 .* ' o$ . " ,: trRa-' ; - ll n New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. L, tT '44:1'-i,*4;46—..n s `47424:1144444t 24:11 Value:$ ., d , ', 11 4.`. 7 ` r.0" , Eri_and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,i, e o ,1 it .n 1 # r ,t- # .I I , i ,^ - i 'r�7Aeating/cooling:1-''.:-- -',::-`.7-:''-. _ y , Ir Job site address: „ Air conditioning 46.75 //L /I. 5t'o ), -.4.)11y)t4 S�. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7"6.,Y-el D 4 fir,�,L' Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 'V KSI Project name: ! Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or a ' h 4 /l//y)Y►-t 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: /��_ � •fi I Lot no.: / Other: 23.32 �`�Yi Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ' � " 0 r i_ �„ ,I Gas fireplace/insert 33.39 �/� Flue vent for water heater or gas /v C iii .51/6---- fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 rp " '1, ),$":"T.' talr F -r r ,, Other: 23.32 ,ii A `. ' " - Environmental exhaust and ventilation: Name: L04/ L44144 r s , Range hood/other kitchen Address: 7 equipment 33.39 //��0 `S 4,, Clothes dryer exhaust 33.39 City/State/ZIP: � �„/J, QA 7 Z Single-duct exhaust(bathrooms, ``--�r toilet compartments,utility rooms) 23.32 Phone: )ei . 7 /w Fax ( ?) � � G +, j 1 Attic/crawlspace fans 23.32 `' � x —, Yr a , 4 a, !� Pt a.` �i, Other: 23.32 Business name: 4t. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) I Fax::( ) Fireplace E-mail: Range Barbecue 7 . -- i ! + 4 - �, .`, r 2 Clothes dryer(gas) Business name: &hi A/ p Other v Address: 7�9 NF /a1•Met Oil.0 ?3 � �� m. Subtotal City/State/ZIP: ()apt e ajw.ce1 IA.) qGi G Minimum permit fee($90.00) f A O o ( ) %.11,1,-g 6 c Fax:(360) Plan review(25%of permit fee) Phone: $SI/ 6 66 State surcharge(12%of permit fee) CCB lie.: y 7„..s-' d TOTAL PERMIT FEE 7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized si;•.tore: * Fee methodology set by Tri-County Building Industry Service Board Print name: I � i` ' Date: I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: �i r�wir" $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE USE ONLY poi City of Tigard [ Received C f\ „.... DateB : Penn": c 7 - 2 -/ % - • 13125 SW Hall Blvd.,Tigard,OR 9 ZZZZ33 Plan Review Phone: 503.718.2439 Fax: 503.598.1196660N 9 Date/B : Related Permit#: T 1 G A R D Inspection Line: 503.639.41752 Q 17 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ^'Tr ^ - ! tlI li P - i ` 9"� a1""`•!' I !-,, „.,, . 'lli I. ,,i ,) ��t ., Illi �. ,:: 1 ,_ gip 441.011,1i.„.4.1.;,,::_,,,, 1,,:::t_iipily,,,40.1 G New construction 0 Additio a . I 1 meht` Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. „ �� where the available fault current 0 Marinas and boatyards. .. ET, :' Es ttM1-r'1 ,'6�s .. is , .. II ,„.i , . ,, p g g �'« d�� ,' im � �« � , exceeds 10,000 amps 150 volts or ❑Floatin buildin s. and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural ❑Multi-family 0 Master builder 0 Other: amps for all other installations. buildings. E r 0 Fire pump. 0 Installation of 150 KVA or ,) 211317111:11271742M197" 1 ! i ;i ' 2` ❑Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. �,N/o s(Jv ?runner? 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: -/ /AQ ..71.2.2 ❑Six or more residential units. occupancy. l%&GR o 7 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: '�' Ilii ! _ .) t ni nom's -t, - . a ,r // 1�/ �C Description Qty. Each 1 Total LA1/� Vt New residential single-or multi-family dwelling unit. Subdivision: igt4Y1 p4K771 h h I Lot#: 1 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I 168.54 4 _ i _ Z � Ea.add'l 500 sq.ft.or portion 41 33.92 1 , q i�� �� �_.��iil Limited energy,residential 75.00 2 ' (with above sq.ft.) �(W a ...•• fr' Limited energy,multi-family 75.00 2 residential(with above sq.ft.) �t� �t`' Oi Renewable ' - '," c , _ l 9 Energy ❑ See Page 2 "" " ` � i0 - �x' �� oi. 1 Services or feeders installation,alteration,and/or relocation Name: 44,/.1., / e S 200 amps or less 100.70 2 Address: ,,s-G o 6,A,, �.T� /fJtK • 201 amps to 400 amps 133.56 2 o g `-T 401 amps to 600 amps 200.34 2 City/State/ZIP: 7/GGh c4, D � �)-1.?j 601 amps to 1,000 amps 301.04 2 Phone:( )62 y,7 7 i L' Fax:(3J ) 6 39/--s1-1-1 Over 1,000 amps or volts 552.26 2 Email: �iQn N '7 // ///lTemporary services or feeders installation,alteration,and/or �/ c hooks_ emir, relocation Owner installation:This instta4lation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,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 i_ - i a= ,y Branch circuits-new,alteration,or extension,per panel ilmli-ZA.Fee for branch circuits with Business name: I.,/ .t s.._ _ S above service or feeder fee, /i�y�L each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 _ Reconnect only 67.84 2 .Gilt . ,_ 1 r _ A 1 - a4 '71 r s p ,ii Pump or irrigation circle 67.84 2 Business name: )(Ilckbnno .34.412.1GSign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 76 O! „� ❑ See Page 2 2 �. 4 G�f' kora fi� panel,alteration,or extension. City/State/ZIP: �O //� d V g 7O 3� Each additional inspection over allowable in any of the above ( I Additional inspection(1 hr min) 66.25/hr Phone:(5 ) g o-6 3 / Fax:(5V ) g^2.9^��O 7 Investigation(1 hr min) 90.00/hr Email: Lae v BQUO t/ 6 ;c. a jMa./. C, Off' Industrialspecs plant(1 min) 78.18/hr O Inspections for which no fee is 90.00/hr CCB Lic.:/� 7� Electrical Lic.: Y-�(/c Suprv.Lic.: s ecificall listed(%hr min) 3 gSy S — a �i Suprv.Electrician signature,required: � a! i� aigf/Y) V Subtotal: Print name: l x G Vl J L Date: ❑Plan Review Required(25%of permit fee): t` (� T N1/4-oJ / -/7-l 7 State surcharge(12%of permit fee): Authorized signature: I C /Y(' ---' TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: .. I` r A . 1 N /, ,,Date: ,Ig/7 days after it has been accepted as complete. : Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 a- 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: 4N+11 AO- , ► iu' Fee for all residential systems combined: $75.00 Description I Qty. Each I,o�,Total * Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/lrspect specifically listed( hr min) a � :47 m Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IABuildingWermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application 1I uikling Fixtures FOR OFFICE USE ONLY • City of Tigard l`,eceived u I`yf�y7- - RECEIVE. t ateBy: / /q// Permit No.: p/ a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 JAN 9 2017 Date/By: Other Permit No.: 1 T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for Internet: www.ti and-or. ov � - j ,,�Notified/Method: Supplemental Inf ormaition Ilaw. ( it 8011':'-',' M k•t, v ' ` _7" _ - ';';77- 71164. _ il L' ew construction 0 Demolition I For special information use checklist Description Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) r () = ?,'.0;:1111110'S 1.CONSTR E---I SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 -'1 1Y r l ,! #,,t' 1 _ - Site utilities: _ '�iq C' ,1 / Catch basin or area drain 18.76 Job site address: / ��J �n t k J City/State/ZIP: Or/ ©f� 9)22 Drywell,leach line,or trench drain 18.76 / ,` ! Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 W// .4/ntA 1/F Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 c Water service(no.linear ft.: ) Page 2 Subdivision: kir01 N k K 1 11-4.4. Lot no.: `/ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ..-';''';';:10[1;111:7/72.1-v-,71',.,..1111IT. Backwater valve 12.51 S . Clothes washer 25.02 kct') S • 1-- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 111'1i-tit' tll'u °I `' == Expansion tank 12.51 Name: L�L S Fixture/sewer cap 25.02 Address: f 6 �/ Floor drain/floor sink/hub 25.02 /�s�� S "' Garbage disposal 25.02 e City/State/ZIP: 7; , O 2 49-7 22.3 Hose bib 25.02 Phone:( ) r 7 7/Li Fax )6 S-s-13 Ice maker 12.51 F i iU = i 4( L , <<a, ,,ti g �� R �� _ e,i I;b'1 Interceptor/grease trap 25.02 /�frt. Medical gas(value:$ ) Page 2 l Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 t bli,p,r iil(i ' i' I11% ,Jr.. a ;171,11T,4 2' I Water ClOSet 25.02 !b 'FI j NP ,T I 1' = ... _« #Bill Water heater 37.52 MA L! W t Business name: M ntt-�o/- "Aim d IK r/ Water piping/DWV 56.29 Address: p©. i9©k �-7 9./ v!b Other: 25.02 City/State/ZIP: toe%1._L161,1\_\ . O R ,706r Subtotal Phone:( ) y` _�3£ 9 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: /a 3 7 9.1. PI bing Lic.no.:3..}Sri (3 State surcharge(12%of permit fee) Authorized signature: �` TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 days Print name: a<< 4 J��I � Date: ���/� I, after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard JPdge'2 - Supplemental Information Fee Schedule: e . Residential Fire Su Ys� i - Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 '71111,7:011V �1V Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for • � WAffirarmy ( . - rr4 0. each additional$100.00 or fraction thereof,to "NeJialtlE1' ;14 and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge 2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. i, �1 Qu 1 1 k t � * -° 1, ,141m, milmon s ap � � Plan review is required for any of the following. Please check all that apply. ont Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" ar= Car Wash Drain Garbage -Domestic-non-food LIIsometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\DHARTU-1.LHL\AppData\Local\Temp\PLMF_P ermitApp.doc2 City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: Yt 57-..2-of - ao o P/ Site Address: fPi to cSTViirter Project Name: 'Dean Par-'t-Iivt Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCO( - XVerify site address/suite#exists and active in permit system. rIt-River Terrace Neighborhood: 1,4 No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished 'rawn to scale(standard architect or engineer scale) floor elevations North arrow ,,Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number" AI 'cation of wells/septic systems X4pplicant information(name and phone number) xisting trees to be retained with drip line,and tree ›ilcLof dimensions and building setback dimensions protection measures �(o i ) Lot area,building coverage area,percentage of coverage and Street tree size,type and location-- "�� t41` ���5 impervious area(applicable if R-7,R-12,R-25&R-40)' 1 Street names 2-&re!/n IA- )Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No k Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified g No Applied For: ❑ Yes ❑ No,stop intake .Land Use Case#: MLP2OQ� "o000t...l I No-3—2Otto_oot -r Zoning: Required Setbacks: Front 5 Rear tCj Side 5 Street Side 10 Garage 20 Landscape Requirement: N!fk .Lot Coverage Maximum: Nips_ % Building Height: Maximum Height JU Actual Height 20 (jrn iA -- g Visual Clearance--Ttr-e...6 Yut..ec4 b h,f 3 r — l M m Easements 61 on nn�r ( 3` on pnvo a Sensitive Lands: ❑ Yes No Type lgt Urban Forestry Plan 4 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: �. c e0 -.z Q�, Date: t [ft I-7- Revisions (after Building Submittal .nly) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved Cl Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: //9/7 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Zr Planning Engineering Permit Coordinator ❑ Building Workflow Sign-off: Ca Sign-off for Planning(include notes from planning review) Route Application Documents: E "En ' eering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: k ) ad Date: /- /r i Engineering Review 4 Slope at building pad: 7i. XConditions "Met"prior to issuance of building permit Z Easements (encroachments) per engineering conditions of approval and plat 71 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes i No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: ..i0Date: /--21—f 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit O 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: ppC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: es ❑ N/A erLaK to Issue Permit Approved byPermit Coordinator: f 41 ate: VT/ � Z I:\Building\Forms\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW FONNER ST, TIGARD, OR, 97223 July 11 , 2017 at 1 :43:44 PM Record Type: Record ID: Residential - Master Permit MST2017-00021 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide permit for AC not on permit. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW FONNER ST, TIGARD, OR, 97223 July 11 , 2017 at 1 :55:37 PM Record Type: Record ID: Residential - Master Permit MST2017-00021 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide permit for AC installed without permit. Cap and label net aggregate length of dryer duct. M1502.4.5,6. Protect copper line set tubing from concrete contact. M1309 Provide tamper proof access port caps. M1411 .6 Note: for final inspection seal all mechanical penetrations in garage fire separation wall. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW FONNER ST, TIGARD, OR, 97223 July 11 , 2017 at 1 :44:26 PM Record Type: Record ID: Residential - Master Permit MST2017-00021 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide approved thread sealant on cleanouts. 316.1 Glue cleanout risers not glued. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW FONNER ST, TIGARD, OR, 97223 July 14, 2017 at 10:06:50 AM Record Type: Record ID: Residential - Master Permit MST2017-00021 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed. Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on front porch with approved plans Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW FONNER ST, TIGARD, OR, 97223 July 13, 2017 at 7:20:46 AM Record Type: Record ID: Residential - Master Permit MST2017-00021 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete from previous inspection. Violation Summary: Inspector Contractor