Permit (54)1. , CITY OF TIGARD t MASTER PERMIT
t ;
till 2..'- COMMUNITY DEVELOPMENT ®1=11Permit#: MST2017-00162
Date Issued: 05/25/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CA09900
Jurisdiction: Tigard
Site address: 7428 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 25
Project: Smith
Project Description: 432 sf addition,single story, adding (1)bedroom and(1)bathroom.8/14/17, REPRINTED to add
vent fan,duct work&contractor information. All other trade work under separate permits.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 432 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Yes
Dwelling Units: 0
Third: 0 sf Right: 5 Detectors:
Total: 432 sf Value: $48,664.80 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 1
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD
SF VB R-3 432
Owner: Contractor:
SMITH,ERIK&GINETTE OWNER Required Items and Reports(Conditions)
7428 SW ASHFORD ST ERIK&GINETTE SMITH
TIGARD,OR 97224 TIGARD,OR 97224-7142
PHONE: 971-212-7447 PHONE: 971-212-7447
FAX:
Total Fees: $2,011.28
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. AT NTI•N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 -0010 throu• OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue y: i �,.tA—, Permittee Signature: --� .kt/A/ , _ dr
NIIIV
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
w.
Mechanical Permit Application FOR OFFICE ESE ONLY
Cl of Tigard Received T� �J Permit No.. k 3•/7_4064 y
`,7 g ""� Date/By: 7
13125 SW Hall Blvd.,Tigard,OR 979 r"' i n Plan Review
C Phone: 503.718.2439 Fax: 503.598. 9 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 1 AUG i 4 7 f,7 Date Ready/By: Ju is. 13 See Page 2 for
Internet: www.tigard-or.gov ,� I Notified/Method: Supplemental Information
CITY OF (i RCOMMERCIAL FEE* SCHEDULE — USE CHECKLIST
TYPE OT�V ) � ���` ® E Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7 y2-i- 5w ,4- -i f/o,2b . 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 1 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: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRION O WORK.
Gas fireplace/insert 33.39
'''-' ' Flue vent for water heater or gas
P(PD) w t 1_i-r- r—C4- t.
A-t• J .li/Iti3l Q fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other; 23.32
;CEN
A, _� R '._ v �� , s.:3 , . '
Environmental exhaust and ventilation:
Name: 2 .(f till-- Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
° Q APPLICANT ,*ac i Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Fireplace
Phone:( ) Fax::( ) Range
E-mail: Barbecue
CONTIi TOR , , M Clothes dryer(gas)
Business name: ,, `` 2/
Other:
Q(.�N �'` �` VIECI NVICA ,MRMIT F `.
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
/ This permit application expires if a permit is not obtained within 180
' � days after it has been accepted as complete.
to
Authorized signature: z�- * Fee methodology set by Tri-County Building Industry Service Board
Print name: t 1/'t/G Stvi Date:
I:\Build ng\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_PennitApp_040113.doc 2
CITY OF TIGARD MASTER PERMIT
tlm COMMUNITY DEVELOPMENT Permit#: MST2017-00162
T F GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2017
Parcel: 2S 112CA09900
Jurisdiction: Tigard
Site address: 7428 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 25
Project: Smith
Project Description: 432 sf addition, single story, adding(1)bedroom and(1)bathroom.All trade work under separate
permits.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 432 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right 5 Detectors: Yes
Total: 432 sf Value: $48,664.80 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Bckflw Prevntr: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add''500 sf: 0 201-400 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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF VB
R-3 432
Owner: Contractor:
SMITH,ERIK&GINETTE Required Items and Reports(Conditions)
7428 SW ASHFORD ST
TIGARD,OR 97224
PHONE: 971-212-7447 PHONE:
FAX:
Total Fees: $1,910.48
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law, All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: 0 on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug 952-OQ1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '``' f ✓"'C___— Permittee Signature: -"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applic
Residential IIREIVEP
City of Tigard Received
2017
Date/B I � Permit No.: L' s�4
13125 SW Hall Blvd.,Tigard,OR M *3 $ y' >17�'tt ,—e94/7//:71,
S Plan Revie yr- p
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: v - 7 )7 # Other Permit:
T 1 i !'I D Inspection Line: 503.639.417�1` '��/OF G Date Ready/By: <77//.7 .c,/i Jun See Page 2 for
Internet: www.tigard-or.gov Notified/Method. I Supplemental Information
BUILDING DIVISION t/r-7fi6-7A/&7-/-&_.--':TYPE OF WORK UIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms: 1 9. J 6 9
[ ..
❑Master builder ❑Other: Number of bathrooms: 1 -4
9 /
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:7428 SW Ashford St New dwelling area: 432 square feet
City/State/ZIP:Tigard,Oregon,97224 Garage/carport area: 0 square feet
Suite/bldg./apt.no.: Project name:Smith Addition Covered porch area: 0 square feet
Cross street/directions to job site:79th Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Durham South Tigard Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S112CA09900 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
z715 ,6 cuacQ, ,N• ,_- 'toyT Valuation: $
/ Existing building area: square feet
---7;;;;; r.e..jC> tzt.)-beoe e fna r, PeQ/yt r5. New building area: square feet
►+ PROPERTY OWNER 0 TENANT Number of stories:
Name:Erik Charles Smith,Ginette Ida Smith Type of construction:
Address:7428 SW Ashford St Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(971)212-7447 &f ArFax:( )
New:
APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name:
Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received: l
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
'n „ roof-top mounted Photo Voltaic Solar Panel System.
Business name: \ 0 V , (� v ( r ,1 c y) 0 Submit two(2)sets of roof plan with connection details
Address: --7/1 /� S �+ jJ1rj� and fire department access,along with the 2010 Oregon
lJ c Lv - ���1 (2-
i
� Solar Installation Specialty Code checklist.
City/State/ZIP: tt 0ti� / / � 7 2Z2f Permit Fee(includes plan review $180.00
Phone:(_ (,`.2g) CiCJ c.; Fax:( ) and administrative fees):
CCB lic.: (� E-, /- j� State surcharge(12%of permit fee): $21.60
./ Total fee due upon application: $201.60
Authorized signature: ^' --24'..z.. ._____--' This permit application expires if a permit is not obtained
/4(/7
within 180 days after it has been accepted as complete.
Print name: y+, C �/, i/?4 Date:5 *Fee methodology set by TriCounty Building Industry
` Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IIIIICity of Tigard
Il COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: H 6-r9 17-or / a—
Site Address: 7 41 2`s S w AJ k F-or ( S-} ,
Project Name: SNn i-iln A d dA hen Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 1f c rU h o v -ho ki 0 ryL2.,
Verify site address/suite# exists and active in permit system.
,fl River Terrace Neighborhood: /1 No El Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,?]Three(3)copies of site plan Existing 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
--❑Drawn to scale(st ndard architect or engineer scale) floor elevations
North arrow I01 rp.At r. fia n� -Iv J Lc..Ca.
- Utility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number ❑Lut-ation of wells/septic systems
Applicant information(name and phone number) BBxisting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions protection measures
El Lot area,building coverage area,percentage of coverage and fftSn'artree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) i.Street names
—p1 Property corner elevations(2 foot contour lines if more than
4 foot differential)
0 Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
fl Land Use Case#:
Al Zoning: 12- 1 S
ARequired Setbacks: Front 1......D Rear l S Side s Street Side I S Garage 2,,O
Landscape Requirement:
Z Lot Coverage Maximum: --
Building Height: Maximum Height 3 0 Actual Height I f• 2
16 Visual Clearance
❑ Easements
❑ Sensitive Lands: El Yes El No Type
❑ Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 71/2 2 9'L- -. c„.---\......-...„____ Date: S/4 jl 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingWorms\BldgPermitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: 610�� 7
Site Plans: # 3
Building Plans: #
Building Permit#: --"Enter building permit#above. /
Workflow Routing: 2"Planning Engineering Id'Permit Coordinator ErBuilding
Workflow Sign-off: la'Sign-off for Planning(include notes from planning review)
Route Application Documents: Er Engineering: (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: 1 _•/!__,/A e -/ , Date: 547/7
Engineering Review
ope at building pad:
Conditions "Met"prior to issuance of building permit
❑ SlEasements (encroachments)per engineering conditions of approval and plat
❑ ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4> Date: 1.--?—ilf
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes )'' 1V/A
// Tigard Trans SDC: ❑ Yes �'N/A
Parks SDC: ❑ Yes N/A
7
OK to Issue Permit
/ /
Approved by Permit Coordinator: ate: 4)/
I:\Building\Fonns\BldgPemutRvw_RES 091216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7428 SW ASHFORD ST, TIGARD, OR, 97224 December 12, 2017 at
1 :36:06 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00162
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved plumbing final inspection.
Re schedule plumbing final PLM 2017-00256 with building final.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7428 SW ASHFORD ST, TIGARD, OR, 97224 December 28, 2017 at
11 :30:02 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00162
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor