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Permit (33)
CITY OF TIGARD MASTER PERMIT IL Permit#: MST2017-00172 COMMUNITY DEVELOPMENT ,�. Date Issued: 06/06/2017 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB19200 ran= Jurisdiction: Tigard Site address: 8015 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 9 Project: Corbin Estates, Lot 9 Project Description: New SF. 10/24/17: REPRINTED permit to remove(1)sink, (1)lavatory, (1)tub, and(1)hose bib. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1289 sf Basement: 818 sf Left: 0 Parking Spaces: 0 Smoke Height: 32 Bathrooms: 4 Second: 1404 sf Garage: 915 sf Front: 0 Detectors:SmSmke Yes Dwelling Units: 1 Third: 0 sf Right: 0 Total: 3511 sf Value: $442,957.32 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer 100 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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: 7 201-400 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 Type of Constr: Class of Work: Type of Use: yP Occupancy Group: Square Feet:3511 NEW SF VB R-3 Owner: Contractor: Required Items and Reports(Conditions) JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Ersn Cntrl 503-639-4175 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 1Geotechnical Inspection TIGARD,OR 97223 TIGARD,OR 97223 Required before foundation PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $32,595.31 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: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. obtain a co y of the rules or direct questions to OUNC by calling 503.232.1987 or 11.800132.2344. B : Permittee Signature: v [� 4,"re Issued y 11 503.639.4176 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. CITY OF TIGARD MASTER PERMIT '- COMMUNITY DEVELOPMENT Permit#: MST2017-00172 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2017 t74R.L 9 Parcel: 2S112CB19200 Jurisdiction: Tigard Site address: 8015 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 9 Project: Corbin Estates, Lot 9 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1289 sf Basement: 818 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1404 sf Garage: 915 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 3511 sf Value: $442,957.32 Rear: 0 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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'I 500 sf: 7 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3511 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 2 Geotechnical Inspection Required before foundation PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $32,550.31 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. ATTE : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth 'n OAR 952-001 10 through 0'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or .2344. Issu d By: 1 11-!.... ..4.... : Permittee Signature: --ex-s--4 / ,- - 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. I Building PermitApplica IVE D Residential �A V FOR OFFICE ISE ONLv of IV'QI 20'l Received _ �y r 1�3�125�SW Hall Blvd., hF: DateBy: .7 / /7 , 1 Permit No.:�hlO�bl 7 iQ I 2. '' Phone: 503.718.2439 F b�1% TIGAR� Plan Review,t )1 ) 7 ,y) Other Permit: /7-00/65--- Inspection 1_ R DateBy: v J T I GARD Inspection Line: 503.639.4f75' DIVISION Date Ready/By: / Juris: El See Page 2 for Internet: www.tigard-or.gov ,`� Notified/Method: Co/(/%7?2177Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ID 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 Cl Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-family dwellingValuation: $ Tta 9 4'7 4-3) ❑Commercial/industrial 11Accessory building ❑Multi-family Number of bedrooms: . 0 Master builder Number of bathrooms:...1'4...,I (.f ❑Other: JOB SITE INFORMATION AND LOCATION Total number of floors: /5 4 4„a.b Job site address: �1g Sw � C. New dwelling area: 1)C)} square feet City/State/ZIP: ,Y,,dr b, ? 7 3 Garage/carport area: Clt el square feet Suite/bldg./apt.no.: ' Project name: Cei,s,\,„,-k.,., e-S Covered porch area: 32_, square feet)14.Q 4. Cross street/directions to job site: Ste► . , / sl,, « ,A. . Deck area: lr e6t\ square feet iaS C1 Other structure area: square feet g' g REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 9 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Ej PROPERTY OWNER ❑ TENANT Number of stories: Name: 4 f c Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) `� t4 fs�'t Structural plan review fee(or deposit): Contact name: ,il/'1 FLS plan review fee(if applicable): Address: 7 -�t(4 , 1',i R City/State/ZIP: /74_ / ji Total fees due upon application: (�3 ) 3-t �` ..cid (� ) Amount received: rV } 06 Phone: Fax:: 0C� t� 7� E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: ' -"1-- 1 1 / j ,4„51 Submit two(2)sets of roof plan with connection details `-`a vl and fire department access,along with the 2010 Oregon Address: I c56 Ste, '9-,i ,— Ave 1 ki . Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review / �land administrative fees): $180.00 Phone:(5(y 3 )�„3 el- (9(-j1 Fax:( o3)(,4L/_&13 7 State surcharge(12%of permit fee): $21.60 CCB lic.: '.1 1lr76 /3 1/19 Total fee due upon application: $201.60 Authorized signature: 1d This permit application expires if a permit is not obtained `..,. within 180 days after it has been accepted as complete. Print name: 4.0 ' Date: 5-it- j 3- *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 RECEIVED MAY 1 2017 Electrical Permit Arittlication FOR OFFICE IS,SE ONLY. CITY OF TIGARD City of Tigartl3u .,-- I.1125 SW Mill Blvd. ,-• 14.BINIG DIVISION 2 Phone. 503.718.24,39 Fax: 503.SgS.290 MI 1 R4:4-1,0:-! I Darz.11,-. Pim-A.:view Daie:Eiv: Pcnnir gt.: , I Cirier P,,T1.11 ItrpeCrIr.r.Liu: $33 6:9 4 17; t Dale Rrndyil)...-. .,r6 - ill S.rug,e2 Srr TIGARD ' ' .6 • •' ` Internet wsvor.tigard-or.tpv I N.,.....illeitiP4 abed. Su pill ..11 al la ill rnutionI I '''.....'r' ' ' ." .......''' .::'..:•''•:•';,:,,..ijr.k.t:iti.#'*6.1.k.:V.gr'ri'3.?.?i:::....: 7'.'1-i•::-::::''.'''":,".:-':,..-..:•-• -:.•':•:••••,•••...... . ...".•... IIA'•••' N'itleir.W..• 1...„.... _ P:er......c ....(c4....iiconstration - 1=1 Addi;io nialterationircp:iacernerd D Siii,,,,,i:fezdet 400 an pc fir ot:ire 1,..:&dd.,1 ..I.e:rh:zr..;-........... 0 Ikniolition El Other: 11,:-,i-,211:11;Cati.1 crrenr .171..Mamas:LW tory:L..1s I - ..'.'<Arkeoriii:oF edirkiiii;e1i6K.4:-.1::',:••••:,:,".,'-'' -,.'.'-- '..-- ...-.,..-:,,.i. i 3,000 tun ps a;15f;...e.li,or 9 riuiriii.t:I:xi:J.0o • ;CNN voliikr......,,,,,,i.i 1,01.0 ,...11CL.-11,0c::;•1•11-u.e.I.e.it.1 111(4. Nt 7_,-„„;;;:,,.:„..„,..11;„1., 0 Crnmitercial:i :LI tidititlrittl 0 Auoitssori building i..7,7 11 Z,1:1d,IlaillblIC:11. ht$11.11.71 ON 0 Mt:Ili-Family 0 Master builder El Other ! 0 ,,,, p. 0 Iiictrirst..5.1.5.r".-5 i<VA.3* • • 4011ISiTEillvnitlIKIATION-AND•ii054.TKIIN•:.-'. •''':.:',-:-::.:'''..,::1'.' . 0 A oo,.....,;1...,..:4,::i....1,.:i . . .. . . . ' }i A cA. 1:41-IP w:more.10b.5 fir::7.1.3cIretsS. 4,.. ,. te C)k S- .c.-,„j ,„„::„..,.iii.s. 0-ii,,,,,,::! 1- ' .... ....."' i I n Sapply;°Iry rc.-(iilyiStrittsf qr; ) k_CS e..--...id 1 ot, c1.1 -,3-3 Diir„kh.caro , ',,,.-..,,,.,Li!1.,...,,,i,,,,,, ! f Sniir.--:11111.1.,apt.no.: PL.010.,:l nam,.. Cer ;k.\0,. ..4.,44e._ . i . ,.. ,,,-„,..,.o,1.„k,t:C.k:a;,vs 0,,,•,.::,•,..% ,•• •., - • • . .. ... FEE SCUEDULE _....- - - Ii (.n.):;,.::;...recudi ractior:s to job sii4: ,. :Lj . - tie......r......3 .-_ Su_i. .. , _t _ rif v New recitir n fiat sirvile-..r raulti-rarnily lis;riling quit 1 1..cliglet,211(4 c-brii garage. , i i 1 i• - . . Subbit• m: (..---6-Y-inif k il Ljfitt->. ' 1 Lo:no.: 1'1 , I Fa scid'l 5C,0 sq.thor porn er; x ', _.. 'rumi.i,pi'parcei no,: tio.3,,,1....n..t.:Fty.reside-ea) ; )p,s;cjiinjckilbli. %Or1 ••••.......:•1•••:•• •••.-:••••.•:•••••.:....:.-:--.:.I 1 mi.ii,,I..m.-.: i.1 II.:- • I lii-.0,4144,4r ,-,4h-bitul- (win-,a'rAwe ' Services or feeders;avian:.lion.itIlt;rsit 10n.il miler relecnOwl . t . ti. 2.X•orn.,..:.s.Cr IZA..4 1 i 'UU.7.1 1 ' :2•.".5s. ; 0 TROPTAT*.0"1,31. 1'1..:!-...I.:•••: i.'..•'.... Cl i:;ti.:,L.1,.t,rt. .:• •:'. .. :ill amp.;m...c.•-;):,,,ps .••••.-- •- . . . ••..• .,-.• .• ,- • I - _,_________._._. . ._.__ 1-- -• -- 13i amps IC 1:45...3.1174: ,-;,...,.. I Niutte: 7ce-5 ot--.09(t Ca-in 't 1 ,f.,,,.)1 amps to;.D.tit t.;rips . t-ti I J".4 l• ...._ ! A diare)--s: i , 0,er 7„jttc.:;;;;Iip or',Wt., 552 2f. I 1 Tr rnprao ry.,;services Dr ilNd ell;at s to i tar i on,11111;r2lit).....40 Ct.-......'S-.102,11': - • Fax:( ) :ur2-smps 131 imps Le 4.:41 amps Owner iltstallatikill:This instailutrzn is being made on prnpCity that I i:p.;:11-4..-ii:b is 1111t 431:Imps to fitt,4 ir...ms t I u8.54 • ir: I II1ECIICCd:or sale.lease,rent,orexchange,aceordin8 to ORS 447,449,-570,and 701. l Brsurit 1(1 UI( -new.il 14e fit licip. tir e.tC31ti!SItt,p.cr p11 el. Owner siz7.nah,r2: Date.: A.Ft.::itc tram::h cjrc".jit.),.11J, .. . • . ••• '. •::';'01:44.1'.04,7g. *;i:::,j: :•*••:•••:•:.Jj`...:'' '••j••:.•.:11,:CON.t.4.CTi:P...E..4$.0.ti'i:''•..••.::'':•'' i above stn..Ii:c.or 1:5.5..1er lee. 1 I 7 4, • 1,...11 11.,,,,,f•t..•••:, il Fit.r5irl.t6S 1%.:1111t: 1 - ! B.F.:4 l'or brutc...etrnutl,,•4;:.1.,.....i I service;ot.....eir..tr tem,rust I : .4-11‘ • i se,is I. .7711:1.::1 ilarrIC: 1 .7 V12-------k‘d i ------ -- --.- had)ilric,I t-itnch Z.;71:/..11 i 42 __. Addretrs: e , „ Ac. A, Miscellaneous iservice or feeder tr.oi included) ; _ I- cit,•'s....:-Jciz.lr: Pci.e .1.,, 6 / 7 31.-3,.." J.,-..0.11=Lir3C tura!....r moLlIcr I I, &xi:II:714,,7,..,TVIC...ar.d.o:reuder 67 84 . . -. . .C.teu,....r.....1 iidy:0 4 ! MOM::1.60) q-,;(1.- e)avo ; Fax::(563) 644/..6;g37 ........__ .. „, •,..11,p Ilr 1.111.,i1: 11 k,:::. i...i..c ..1.:1114111:. /2t74.(11/1.3(:(7 . lAY.7.-3 t 1 12.. 4.: S;,p 01,Fill i::,:411:1,,g i ' . ..- .; :,"',,,'1:'''.0..NI.,1•EfACTUFt '...:‘,'....... . :::.*:?.::.'11":.:..:'.,.'',.:.:.:!.:.• ..'''!:-.:'. '..., , Cr ; s,,,.. , 1 I I I .....1,clic.1.1'111, 1111:01.t.e tf."1,y . . ::11riti di...farion.c.4 L---sensirul I l Pto.2 13..6111,.'ziS riam : Dream House Erectris%LLC _ _II.C.I.il--...0)1!11..'116E51-don un•ctr rakr....4.171,e In.•03:1:of the;Lbw.r - - , r 1 •;;44: I 4.:1:Ire,45.: 221 SW Moonridge Place I 1 Ad:3;1.1XL.!1174.....;11DrI:1 b!VW! ; t.. 25:.hr I I -I S:a:4-'Llit ?oral,nit,OR. 97225 . ! ...11,,:liguor,r.(1 h:mon, Ad 25•Lr ! ....,__ . Phone,i 503'.,519-6711. , FuN:t 503)6.48-9723 1 nthistriai p;i1111..:1 te rcin , -or IS tit 1: 1 .' Cli I.C.' 196726 I Elenrical tic...: C-84S .,Supre.Lie.: 4560S Imp:Tim:1;ror 40•QZ.'Al I ANC:HZ:My I154.:Ci r.1 Kr nyin. I Supry Elecrlii-in signature,1-,:..quil „...-.,.,--77-' ......,../4:,.., .... r- '-::-...s• - liEtc:TiticAL.ri,11NIII:"FELS___ ______..) Print 55010. Chris Mahoney I Date: ..7(.,---, - . --- ,---,,,, ; ,. .P.I...r.re,ic v.•i 25%of pent!!!rce) A : t Stzlis....,..a.r..L...,:t i I?.%uf p.-..nit 'CI .uthoriecslsinoiaure: - .- TOTAI--Ta.`,111 FEE : • . Pr:rni:lame: Dalt: - - - : Li,dir...:'..1‘..0.i....ELC.P.:,......,;•••,....,..Ont.," -;:;--4.“-7:t 14".•M•07,41....•..i. Plumbing Permit APP1QCEIVED Building Fixtures MAY 1 b 2017 1-t0 011-1C IL 1 SI L/NLI. 1 .. Ci3iit2y5 so,af,TigaBrdkc Tigard: _ F TIGARD RD:et-1;1 -" PLes Review I Phone: 5°17132439 F ' ti5M DIVISION Date Br 4.:t',-, M Inspection Line: 503.639A'1411 Internet: WWw.ttgard-or_gav Date Ready fty: 10 1.;:ocifisilllothod: 14.W3A- Plixal IC'''. Other Penni No: Jen 21 Sae Paa42 far .- Supplemental lafarmalian TYPE OF INEIX EU*SCHEDULE kI For special lafarisualare gm checklist NEIN construction M Demolition Description I Qtr. I Ea. 1 Total 0 Addition:alteratithyreplacesnent 0 Other: New 1-2-fandi y dwellings(includes 100 ft for each utility connectio 020010", 0 CTITEIREILICIIIIXA SFR(1)bath 312.70 437.78 CM 1-and 2-family dweltine M Commercil industrial SFR(2)bath SFR(3)WW1 1 500.32 0 Accessory building 0 Multi-family Each sailitinunl bath:kitchen il.., 25.02 Master builder M Other: Fire sprinkler( -4 sq.ft) Page 2 MIN NEE INNE***Th IN AND LOCATION Site utilities: Catch basin or area drain 18.76 Drvwelt leach line,or french drain 18.76 cjoit,b,s,sittatze ad,drzipess:- ' 8. 1.1.-kkC:01 crs„.-7), 72):cs9Cv‘ s\e.... %.4-‘47-11 ;4-',)ti Footing drain(nolinear 6 1‘,I) Page 2 Suite/bldg-apt no: ;',.;;;,:,:, I Project name:'06,-,t-'1/40;kr,, ,C.--S ., xfaaufactured home:ate/nits 50.03 Cross street'directions to job site: Sk..i.,1) f2S ir Manholes .", 18.76 ‘ '.\C-LAA q‘04C-'1'' • Rain drain connector 1 '''' 18.76 Sanitinv sewer(no.linear ft.: t/4..Page 2 Storm sewer(no.linear fL: ::=.:.A I ../'Page 2 Water service(no.linear ft.:=,i) 1 1.--"Page 2 Subdivision: ,--14.Co\r‘,614,‘ Eyi-c,44 Lot no.:14 Fixture or item: Back:Bow preventer 31.27 Tax inapparcel no.:,:,:tlin, - „, ,-- , , * Back-water valve 12.51 • 1 25.02 Cc.iro;4,4%.,-Q.-kis,v-) ni.thw.h.- 1 ...". 25.02 Drinking fouraain 25.02 .., Ejectors sump 25.02. 0 PEOPENTE OHM= I 0 Tower Expansion tank , 12.51 ‘p Fixturesewer cap Name: ' 01...„`S. "i' tk4:.,-0-Ar‘..4, Floor draincfloor sinLItub 25.02 25.02 Address: Garbage disposal 1 ,./..- 25.02 City!StateZIP:''''';,°1-14 Hose bib t. ../-25.02 '"'i",%,. Phone:( ) Fax. '-:--rti'') ,(-44 Ice maker t ,./".' 12.51 a.an.rt a coma away Interceptor grease trap 25.02 . , Medical gas(value:S-1'. '*:) Page 2 Business name: :.''''''';:z4-c'T Ck-k (1, ....*4 C.1/1 Primer 12.51 '... ' Contact name: AAt.A u,..E. VI V\ Roof drain(commercial) 1151 .08 itliS Address: I, 2-to c›O 31/4.,, v .' lacy L g,,,...;, .., 0 Sinkbasinlavatory t5 25.02 V City..Statelld3: '' -;°;fo,r --\.ALA,ok ) 4. ct 1 aa-3 Solar units(potable water) 62.54 7,11 Fan::6c3-3) ''.-14q,,,. og.,3 7 Tub.shower shower pan 1151 , , , • 111.1•IM ' Urinal 25.02 E-mail: rtk.sS.-i-V\e(9' Water clnset L.\. .V-25.02 A Water heater I V 37.52 Business name; -, . 3E2 79I Per'ZI 4A4 h i le A Water piping,DWIT 56.29 Address: el )2:70'.-. E /s(If Other:r...,s, 25.02 cityistat622: --,,,.,,,, riLigteiciay v ‘&7:(.>) Subtotal a blinimurn permit fee: $72-50 Phone:( - ,,) ,'---;- ,l'.- Fax(,..,4-4-Z ;;;;0"..:4 Plan review (25%of permit fee) a CCB Lic4VINg gy Plumbing Lic_no ft:\ $ 7_ Mute nucharge(12%of permit fee) n Authorized signature: 0,11/ 0 , TOTAL MR/0T FEE Date: This Pellat VP'' 0 Print name: ' ..,,I. 6060- -------- 1(/ . . if 1 permit n 110t obtained while 1811,tlax 4 *7l5)//6 IRE?;mar. t.a as complete. 4... *Fe*=ethnical:Ty net by Tri-Cousityll.ilahlE Industry Sartioe BOXId.. ::(1,1V ;4::,,4 ,11-0,, ilvi)--,71 I i i kv9 . a,C11‘ 4/I/I 747: . . Mechanical Permit Application_ IIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIII . .. 13/23 SW ILA BI' .Tigard. City of Tigard • - Phone. 503 218.2419 Fax 03 Ili 50R,,,,,,,F,Co. EIVED Received Date'13 : Plan Review r'' ''i W600/7-"a) /7 Other Pernliti WA-1 1 )) 2017 Datc3By: 0 L.Nap Inspection Lite- 501.539.4173 t Dete R eiiirty iiii.i inn, 1 0 See Page 2 fur Internet: www tigard-or.go‘ N(lifted Niiict:oril I scipplementai Information CITY OF TIGARD sic:ghat:Heal permit fees.at,:based on the‘aluir of the work performed Indic i TYP4341161361G DIVISION rhe nearest Joilari OE a LI illi,11:1i11,:d;inatO as.equipment,labor.merh.zad,,.b New construction i Eil . , , El Additiomalteration.,replactment • Value:5 RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Demolition 11 Other: for special information use checklist CATWORY OF CONSTRICTION Des,:ciption Qty. Ea $" Ileatinglcooling: and I- 2-family dwelling El Commercial industrial 0 Accessory building Air conditioning 46 75 ID Multi-family . 0 Master builder 0 Other: Furnace 1(53.000 BTU dgets,enist I w ..1.6.-:5 _ JOB SITE INFORMATION AND LOCATION Furnace 100.000- BTU iaacts.entJ 5.4 91 Heat pump 51 tits Job site address: (?)6,'i,S- 5„, Sy.44v.„...4,,,, 6.-V Mg --- Ott,,cirk City State•ZIP7Tvirre\ 1 e)( q -4-aat.4 lisdronic hot seater sy Stern 2332 ....._. I 1 Residential boiler(radiator or -I— 23 32 Suite bldg:apt.no„ ' Project name: C.: , oic,....)t.e. hvdromo _____ Cross street'directions to job site: 1/4, !..; .5\p4 0,4k KskA vui,he,,,,s(fuel-type,not i elect:del. 43 75 i in-cvall.in-duci.sus ended. Flue em fur any of:Move . 23 32 .... _ r- 1 Other EEO - 1 Other fuel appliances: Water heater I I /211,2 -- Lot no.: 1 Gas fireplace insert I Hua%en!for water h ____ It, or gas i 223 32 Tax map/pareel rto: I tire Ilacc I or lighter(gust 2332 DESCRIPTION OF WORK . Wood pelter stove 33.39 tiiiskz?.:54i,Is It - II•'.. '''t,t",„ !:a c-,._,...._. ,_=_ __\,,.--' _______. .....,(__...s, „..„S_AY....____• __________Ciat:Th. ,k_' . l,,t----(1a Wood fireplace'insert 23 32 L._ — Channe,-linerflue sent 23 32 _ Other: ' i 2332 Environmental exhaust and N entilation: Range hood other kitchen / 1 ' 13 19 / 1 C,1.1 i 1 II,:n I, i 0 PROPERTY OWNER F"-----0lotb TENANT c es kir„er eha xust i Mal Name. S cvs_fist-4Z_ its.S (' rtt,Clis...,".rk Soido-sithzt exhaust t bathrooms. 23 32 toilet cam.artments,utility rooms Address: Attic.erase Ispace fans _ 23 32 Othr: 21.32 CityState ZIP: e — - Fuel piping: Phone t I Fax I I S14.15 fur first four;54.03 for each additional 0 APPLICANT 0 CONTACT PERSON Furnace.etc:. Gas heat pump Business name: SIK 1(2_,,A-IN CALivt01Yko1/4-kAli C,is,"\ Wall suspended unit heater Contact name: LAS sk-lvx Water heater 1 dfsdi Fi replac e __a. Address: I,3 L cro sv- q...o- - A-4i._ SA-Lk 4,..,100 Range City State'ZIP: (zLitet.164 .01 M ?3719... Barbecue Phone: 93,( -q-j.G.... pcc)44/D I Fax: :(36.3) 644(..-..).?3 1 Clothes dryer(gun Other iu-Stivw- Q. iftrb-l-iet;etc, , c c,34-.... MECHANICAL PERMIT FEES* `"" CONTRACTOR Subtotal 1 1 . ! Business name:All Time Heating LLC Minim:tin pcnnit fee I59000i — Plan re,iew t 2.3%.of permit fee) Address; Po Box 1341 State surcharge t 12'6 of permit fee) C ity'State ZIP:Lake Oswego,OR 97035 TOTAL PERMIT FEE This permit application expires if a permit is not obtained a ithin inn disys abet Phone:(503)208-2276 Fax (503)206-6912 complete. ' lee niertioki,kig Fief ith,.Tri-Coient iiiiiiiditiF Indurir:i S:pi ne He CCB he.: 184575 Authorized signature, •.•,,,,:,----„,, -77;7d. Print name:Aron Svobo# }"r4, - 1,___,,,,2_,.._ Date:4/1/3/2017 C.---- 1 COMMERCIAL PEE*scums -USE mown f fiftfhltfy l'ermit,-,411_I'eniniiiapp ri-lin f.k,k,{ City of Tigard II q COMMUNITY DEVELOPMENT DEPARTMENT T 1 GA RD Building Permit Review — Residential (k; Building Permit #: 7—(9-0/7— 04 /7 Site Address: eO 5 i i,t) �^ Project Name: t rib;>n E5$-e. Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: metz Fick, J Verify site address/suite#exists and active in permit system. gJ River Terrace Neighborhood: lA No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan _ e plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished v 1 rawn to scale(standard architect or engineer scale) �or elevations L North arrow L1 Utility locations(required for new,may apply for additions) ❑Site address,project or subdivision name and lot number pplicant information(name and phone number)eig ■ __ ;-:.. _ _ Lot dimensions and building setback dimensions s • - ' ' •- = -' ' - =• -. -:- •'- and treet tree size,type and location =o. :: - " '- '- -40). S reet names TJ Property corner elevations(2 foot contour lines if more than Vtorm water quality facility,if>1,000 sf of impervious 4 foot differential) area is created or replaced. On site plan: ❑ Yes ❑ No •r, . - ,• .; • •I . -I Ir• • I • cant was no Receivek fl V No Public Fac. -s Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: d Yes Cl No,stop intake ❑ Land Use Case#: old ❑ Zoning: ❑ Required Setbacks: Front 2C, Rear 15 Side 5 Street Side ( Garage 20 T andnve4terretremerri--- ❑ Building Height: Maximum Height 3C) Actual Height 2 Q► esernerrts–' ve an s: ❑ Yes ❑ No Type 0'Urban Forestry Plan Ef Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: KNA,670..fe Date: 5 /` 1.5 (i7 Revisions (after Building Submittal only) r Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTonns\B1dgPermitRvw RES O42017.docx Building Permit Submittal Original Submittal Date: 5/S�7 Site Plans: # 3 Building Plans: # J Building Permit#: Er building permi above. Workflow Routing: Planning ngineering Permit Coordinator Building Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review) Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: l �i_L ,/A��. i Date: 5 __ / En ineering Review Slope at building pad: B . _,•;,,i,_ -11*. _ "i4 i.s — __ • 40 . Conditions "Met"prior to issuance of building .e 't Easements (encroachments)per engineering conditions of approval and plat ✓✓✓ r Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: El Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4 p Date: .5-//-1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: %4 es ❑ N/A Tigard Trans SDC: 00 es El N/A Parks SDC: Q"Yes ❑ N/A LIDA ❑ Yes ❑ N/A N/•K to Issue Permit Approved by Permit Coordinator: j0g -Date: s? /4?------- I:\Building\Forms\BldgPermitRvw_RES_091216.docx Plumbing Permit Application Building Fixtures REGEW En City of Tigard _ Eew ed 11413125 SW Hall Blvd.,Tigard,OR 97223 (� T 2 ? / p I Phone: 501718.2439 Fax: 503.598.196 P Date/By: Other Permit No.: 1.l C_ R D Inspection Line: 503.639.4175 CITY OF T•I GSA D Date Ready/By: luris: Ed See Page 2 for Internet: www.tigard-or.gov p NotiSed/Method: Supplemental Information TYPE OF WILDII�C+ IVISI ` FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: D)i5 3t vk%.,_.-"... Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:I `esc:1� 1.1-37'3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: C fy+' t A E.„Sk-r3._ -e_,S Manufactured home utilities 50.03 Cross street/directions to job site: oc.s ) I Si Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) i Page 2 Storm sewer(no.linear ft.: ) 1 Page 2 Water service(no.linear ft.: ) t Page 2 Subdivision: C.ti/LTA.'. .-j 4-z.- I Lot no.: 9 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 Backwater valve 12.51 DESCRIPTION OF WORK ,/� � j Clothes washer I 25.02 Rev) 1ie .>I 1 I C .-s tYa c4-10,-)0,-) Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: (304,4--....et .A',op(r c-6-NevFloor drain/floor sink/hub 25.02 Address: Garbage disposal I 25.02 City/State/ZIP: Hose bib 1 25.02 Phone:( ) Fax:( ) Ice maker I 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 11 �.E-k ( j am 'a n Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: S h ' Roof drain(commercial) 12.51 Address: 1 .i6) ,s,,,, -.1-- �✓e i$,,,,f- °.- ' 7 Sink/basin/lavatory 4 25.02 City/State/ZIP: -oir+- 64- 41 ,x.3 Solar units(potable water) 62.54 Phone:(9?) L,3_7- 3 9 Fax::(S63) 4,414/-4,3 i Tub/shower/shower pan '3 12.51 E-mail: t el e kyr, i Zt� p00-` Urinal 25.02 ` L Water closet 4 25.02 Li CONTRACTOR Water heater 1 37.52 Business name: Water pipingfDWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.dec 10/01/09 440-4616T(l0/02/COM/WEB) FOR OFFICE USE ONLY–SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 'PI _ I' Transmittal Letter I ;(,n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: :© 1#11 ij DATE RECEIV : DEPT: BUILDING DIVISION RE v VEL) ICT 242017 FROM: AVs1%n CITY OFTiGARD COMPANY: / R o y-L BUILDING DlViSION PHONE: t By: V RE: IQ Address)4b r !3 v wc.r h I .�. Y _ . -.O - '- it `um.er #r . vt i '•)! a � 'meet name or su:*tvision name an. of nu .- k. ATTACHED ARE THE FOLLOWING ITE S. 9) 4 \ • Copies: Description: Copies: Description: Additional set(s) of plans. \ Revisions: Cross section(s) and detai .. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. B am calculations. Engineer's calculations. Other(explain): 0 /h`il -6 flirt_ REMARKS: FOR OFFICE USE ONLY Routed to Permit -chnician: Date: 1 o – a Initials: 1) Fees Due: [I Y s ❑No Fee_ Description: Amount Due: S • 14 r p)c v rc t: a , $ tkC—' $ $ $ Special Instructions: Reprint Permit(per PE): 5) Yes ❑No [ Done Applicant Notified: Date: /04//r 7 Initials: ', 7, r I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. CityCiof Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 'NS 1 • ransmittal Letter r 16/1 1-i n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: j vr' DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 2 2018 FROM: �ttthll ied177 COMPANY: ✓� f £i BUILDING DIVICITY OF SION ON PHONE: l .7 3� �.Z(o— By:�W�• RE: D 1 9— si...J &r�GO-) S / 77S7 2 )07-C�UI 7 ( ite Address) (Permit Number) cb>1 1---- )�S) 1 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: J Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 'Si'�'`P� 1-r.c L s®-�f -.S G rdAr�c, G?JV I�, FOR OFFICE USE ONLY Routed to Permit Technician: Date: -Ar Initials: /�'� Fees Due: ❑Yes o Fee Description: Amount Due: : V‘) Special $ Instructions: Reprint Permit(per PE): 11Yes Q,No Apone Applicant Notified: /. Date: zdz�f- /\ Initials: 87-y-, I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 April 25, 2018 at 8:46:05 AM Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: See previous inspection. Provide permit for ac installed without permit. No minor label posted at time of electrical connection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 April 25, 2018 at 8:43:44 AM Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: See previous corrections. Fire place not done. Provide permit for ac installed without permit. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 399 Plumbing final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Contractor on site installing window fall prevention devices on windows less than 24" from from finished floor and greater than 72" to grade. Living room windows left, dining window ok. E mail pictures with backflow devise test report. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test report checked. Insulation certification checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 April 26, 2018 at 9:06:17 AM Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8015 SW BARNUM ST, TIGARD, OR, 97224 April 26, 2018 at 9:08:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00172 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor