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Permit CITY OF TIGARD MASTER PERMIT m, r .,..„ , Permit#: MST2017 00229 COMMUNITY DEVELOPMENT Date Issued: 07/11/2017 T t ct�:RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ! ' parcel: 2S11/2017 500 �A Jurisdiction: Tigard Site address: 12851 SW PARKDALE AVE Subdivision: OLSON WOODS .• 1 Project: Olson Woods, Lot 1 Project Description: New SF. 1/30/18: REPRINT to add backflow preventer for landscape sprinkler. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1640 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1844 sf Garage: 585 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3484 sf Value: $422,665.71 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 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: Y Vent Fans: 5 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 add9 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 3484 Owner: Contractor: WINDWOOD CONSTRUCTION INC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $32,315.11 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 OA': -001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 50 1987 or 1 0.33 344.0" Issued By: Permittee Signature: Call 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. C'i Plumbing Permit Application- : 1 y, l 4 Building Fixtures , ?� FOR OFFICE USE ONLI City of Tigard Received _ gIII y / A Permit No.: /t�) U/�ct��� Date/By: 13125 SW Hall Blvd.,Tigard,OR 97221 t s plan Review ` • Phone: 503.718.2439 Fax: 503.598 I960 Other Permit No.: Inspection Line: 503.639.4175 t`r r •a ;„;u- Date/By: T I G A R D p a�c, t 3 f r \d _ :l Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SC`IEOULE ; New construction 0 Demolition For special information use checklist Y _ Description Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,ti. CATEGORY OF CONSTRUCTIOS '" SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 Accessory building ❑Multi-famil 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: Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: ` '1 Footing drain(no.linear ft.:_) Page 2 W Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: / Fixture or item: Tax map/parcel no.: Backflow preventer ' 31.27 DESCRIPTION OF` ►!ORK r Backwater valve 12.51 zfi =�x. . ..,:: 444- 44 Clothes washer 25.02 5,',/(7- Dishwasher 25.02 sDrinking fountain 25.02 Ejectors/sump 25.02 ❑ ''PROPERTY f',o R 1 k 0 TENANT 1; Expansion tank 12.51 Name: / Fixture/sewer cap 25.02 l,,../.......„_. Floor drain/floor sink/hub 25.02 Address: A)(,() / -t, _J 1-- Garbage disposal 25.02 City/State/ZIP: / 1 5,t-V� Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 C APPLICANT, 10% 0 C{)NI t1CT P N Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 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 , f %CONTRA OR - `" Water closet 25.02 �,, � �-- - N� �, Water heater 37.52 Business name: � err.t'vt- (?"./.‘/,./. .6%2p Water piping/DWV 56.29 Address: /a-LI g>3 S w t 7 N� RS- Other: 25.02 City/State/ZIP: - 1 fZ D4' " J"tt�� Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: SZ gl Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: -' / TOTAL PERMIT FEE 33-'.C). This permit application expires if a permit is not obtained within 180 days Print name: ri- g-(..)L r l GO Yv u o,t� Date: (3 t3 (k after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: :Site Utilities <= • Fee(eat Total Square Footage: Permit.Feet . Footing drain-151 100' 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 Valuation permit Fee; 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 Fee."( Total Other Inspections or Fees Qty each additional$100.00 or fraction thereof,to .wn: o 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*. plan Review for plumbing fnifountious Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engine Car Wash: -Each Stall 0 New exxr. terior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" _lsomet c or< ser i ra nn a ,,z 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT rte. COMMUNITY DEVELOPMENT Permit#: MST2017-00229 TI A 7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2017 c..,-,ARD Parcel: 2S104AD06500 Jurisdiction: Tigard Site address: 12851 SW PARKDALE AVE Subdivision: OLSON WOODS Lot: 1 Project: Olson Woods, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1640 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1844 sf Garage: 585 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3484 sf Value: $422,665.71 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 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: 5 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 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 3484 Owner: Contractor: WINDWOOD CONSTRUCTION INC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $32,280.09 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. : , : • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 401-0010 through••' 9 :01-.090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ed By: , •/� 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 Application Residential City of Tigard , /, et RECEtV. ;. [4 /ii '37 PermitNo.: `�r /' 1OR 97223 MST %? V .nIPhone: 503.718.2439 Fax: 503.598.1960 ew �� Inspection Line: 503.639.4175 Date Re .•i/ Other Permit:51,4(0,...4-_--)1 r Internet: www.tigard-or.gov ?nn Date ReadyBy: / / Juris H See Page 2 for JUNC lJ / Notified/Methoc�L ; 4 /f j '"�✓ Supplemental Information ._, ..... - '� ^ars xi¢+ LL(i i Vew construction ti,', ...,..�: x. t; 4,1 ❑De , 4i :r I , e 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 mittio „i work indicated on this application. „,rte _21-and 2-family dwelling 0 Commercial/industrial Valuation C! ❑Accessory building 0 Multi-family Number of bedrooms: �( tc s- ❑Master builder y ❑Other: Number of bathrooms: 3 Total number of floors: a / .. I ! Job site address: 2 e'6 j', ,c)frtg,0,41. /_/9/1/4-- New dwelling area: 3 ,,` square feet City/State/ZIP: -77, 6/4/,/) t v 7 '2- Z Garage/carport g arport area: ��' square feet Suite/bldg./apt.no.: I Project name: (-.-5Z....5-0,4,7 w i)s Covered porch area: asquare feet i 8 (( Cross street/directions to job site: / '! Deck area: square feet pc.-r,o cov,e ,��is 1640 Other structure area: ' square feet Subdivision: ;1,11/ kit , I Lot no.: 7fees* the s> kper �� Permit are based on the value of work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the I. work indicated on this a.plication.,�r �q, x�w�i*; ;Y 3 Nett., c l p�, . .>n Valuation: s Existing building area: square feet New building area: square feet -.xi. . 4 * Number of stories: Name: `J f,ai 0,640 € #'s J'4/c.... Type of construction: Address: ,/.0,4,,,S7-5'”' S 4,671„,7,9 v�i �jTA 5 - .7- Occupancy p y groups: 7,44,--.44,i4 City/State/ZIP: ,�^ r � "�'�� " "'�_ y Existing: Phone:c 7.4 7,6_4/3 2 Fax ( ;,,, ) ',...--,:',2J- /1 e a `. New: Business name: _. . ,.. ..- a "-' ;-- ^ ,.,,,.. _ `. ,,.,M. '_ ? �,. . . Contact name: Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone (5-D5) 7 a _ L 3 7 Fax:•($ , ) _ „ Amount received Email /tl �J✓dC1 ''''''.,:':(A/- Jt 2 ' a Commercial and residential prescriptive installation of ,, „ .-_,, «• _ =, f. roof-top mounted PhotoVoltaic Solar Panel System. Business name: (,j/_, t1/)(N0d.L) teal,,,7 J C..-, Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) Fax:( ) and administrative fees): $180.00 State surcharge(12%of permit fee): $21.60 CCB lie.: /- G Total fee due upon application: $201.60 Authorized signature: a- rte This permit application expires if a permit is not obtained III within 180 days after it has been accepted as complete. Print name: t = ` *Fee methodology set by Tri-County Building Industry 0 ;e ,,,... ,,f-r-. , 3i 6 - Date: ( `�-' /. "� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application 1.1'T:.; lY r_ �1 City of Tigard , 13125 SW Hall Blvd.,Tigard,OR 97223 PermitNo.: -v,4,n ",,!oceit,fRvedv. n Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Date Ready/By: runs: I H See Page 2 for j t!N 'I 4 2 i0 Notified/Method: Supplemental Information � a r lJ f COMMERC �`,T g i „�. 3;�x«i«;th ' '���f � ,�'�l)►�t ��, IA)<.•FEE* SCREDLILE:— USE(:LCN,CKLIST w construction 0 Addition/alteratl, s a i t * Mechanical permit fees*are based on the value of the work ', a �, ra e ict. f' 1 - _ performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. t" , /;-. ",::4.';.;',";`D $` ::+,,t,..,.'i' �� tl; t4 tom 4 value:$ '1=and 2-family dwelling 0 Commercial/industrial 0 AccessorybuildingRESIDENTIAL EQ NT/SEMS PEES* For special information use checklist. 0 Multifamily 0 Master builder ❑Other: Description m�ly a 4'au,AV,1a S'xx r, r^'^:"rf k3 .,p t t98 ;y. t8 -� Heating/cooling: Qty. Ea. Total Job site address: /?�1 /I, .1'L)�l 1' /14/2/1°."'--- I Air Furnace 100,ng I. 46.75 .C..G �� 100,000 BTU(ducts/vents) / 46.75 City/State/ZIP: 7C4¼2,6) 02 Z--- 72,2-3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: ,---1/3. j /1.,, ,- Heat pump 61.06 `� `� Duct work 23.32 Cross street/directions to job site: UJ 4' ''y/ Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fueI-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: �-/. ) art) ( ,;43„...�'�. Lot no.: / 23.32 Subdivision: Other fuel appliances: Tax map/parcel no.: I Water heater23.32 "F.+'" . ' ,< w < l:or* RK Gas fireplace/insert / 33.39 Flue vent for water heater or gas,� 1 if‘,'.:._., /,'•. fireplace 23.32 Log lighter(gas) / 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 N' mr F';''''''''',''''''''.." ,.4-1'1'''':'••, ,t-'‘,'-',,-,.. ❑. Other: A� 23.32 Name: / Environmental exhaust and ventilation: 1- ✓,'1 d r`,l , ,..,,. x 'C. Range hood/other kitchen Address: /;, w1Ir' ' 1 7f equipment 333.39 3.39 r ' .. �. '_ .. ...' ., � � � h. Clothes dryer exhaust �' City/State/ZIP: ;2'72-7 -' Single-duct exhaust(bathrooms, _r toilet compartments,utility rooms) 3 23.32 Phone:( ;) . ��. =� Fax:(� ) S c -7� Attic/crawlspace fans 23.32 Ii�' at ,;k id 0 COVtACT.PE1t#SON Other: 23.32 Business name: 4,,,, Fuel piping: / $14.15 for first four:$4.03 for each additional Contact name: e 1Z 4...- /! 2-• v 5 1 Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater --- Fireplace cePhone:( ) Fax::( ) Range‘,Lit 1� `..c'Uc/Ci// ©/11��/✓`-' '4'7 F7'-c } l: F� Barbecue "i ` , i,- 4 �^'�t,;** *-aClothesd ryer(gas) Business name: //7 Other. MECHANICAL:PERNLTi'FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone: ( ) I Fax:( ) State surcharge(12%of permit fee) CCB lic.: -5---E)�('� TOTAL PERMIT FEE // This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sign * Fee methodology set by Tri-County Building Industry Service Board Print name:y/`?72',�// <j Date:3f//10/A7 I:\Building\Permits1MEC_PermitApp 040113.doc 440-46177(11/02/COM/WEB) Eiectrica! Permit Application ~• City of Tigard `-' -` Permit No.: 13125IN SW Hatt Blvd.,Ti Dat/BY: gard,OR 97223 Plailleview it, ' Phone: 503.718.2439 Fax: 503.598.1960 JUN m /01, DateBy: Other Permit: C A r, Inspection Line: 503.639.4175 Date Ready/By: ions. B See Page 2 for Internet: www tigard-or gov `+" 71.; :, r '��' y witted/Method:y. r �` Supplemental Information xk t z ffi 4'g4. '�Y L ;.A. ` ,rallew construction ■ Addition/al. sae o 4 p acement e M Please check all that apply(submit sets of plans w/items checked below 0 Demolition Oiler 0 Service or feeder 400 amps or more ❑Building over three stones where the available fault current 0 Marinas and boatyards. - " ='a"^ fs.+ exceeds 10.000 amps at 150 oohs or ❑Floating buildings. -and 2-family dwelling ■Cottxmercialindustrial 0 Accessorybuildingless to ground,or exceeds 14.000 ❑Commes. use agricultural amps for all other installations. buildings. O Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 K VA or r n s ❑Em 1 tom.v A. „., `,; - tcncy system. larger separately derived system -. .. . ,,.,,� -� 0 Addition of new motor load of ❑..p","h"-,••I-2","1-3-. ! Job no.: Job site address:/2 /34def •/�,Q/,�L/✓1w�_ 100HP or more. Recreational ion J t"+r-rC/f/.^'rte _%7!L' ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP- - ,/>1 i0 M--4,-- 97.2...a.1 ❑Health-care facilities. ❑Supply voltage for more than Suite/bldg./apt.no.: Project!tame M l�Hazardous locations. 600 volts nominal. g• Pt - 3' ,t f / f ❑Service or feeder 600 amps or more. Cross street/directions to job site: l+ s>uo �' Qtr. I Fee. I Total i New residential single-or multi-family dwelling unit. 1 includes attached garage. Subdivision: t0 /5dr /} C I Lot no.: / 1,000 sq.ft.or less , 168.54 4 / ^^�1 Ea add'I 500 sq-ft.or portion 33.92 1 Tax map/parcel no.: Limited energy, ,a , y"-r ; *:,, see a a 'i'a,, s " residential / 75.00 # ... .; £ '` z # (with above Sq.ft.) l ,� / 5', Limited energy,muai ove iq. �"j�•� residential(with above sq.ft.) 75.00 Services or feeders installation,alteration,and/or relocation 200 amps or less • .v : s 100.70 ,'x � a ,' # 4 201 amps to 400amR5 133.56, a o �e ' ` '" .,, r ' , iI 401 amps to 600 amps •200.34 2 Name: 14.1,-Ptiv0 LiotaC.40 e0A T, 1/1 ! 601 amps to 1,000 amps 301.04 I Address: 426 /6T4. 44.3 111/dQ Yy rViifr 5 / 7 Over 1,000 amps or volts 552.26 1 2 City/State/ZIP: j 5 / Temporary services or feeders installation,alteration,and/or relocation Phone:(.9 " _44375— ( Fax:( J5)5"--,a-7e116 200 amps or less 20 t amps to 400 amps 125.08 Owner installation:This installation is being made on property that I own which is not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168•$4 '' Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with `, ` " above service or feeder fee, �: =i 7.4- , . • °�" �'""" each branch circuit � Business name: ,....._ ,,,/,-)c.- B.Fee for branch circuits wirhour ' service or feeder fee,first Contact name: T) :-gr/1" ,/. 4,14411;$-S 12 /// branch circuit 56.48 �� Each add'!branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 dwelling,service and/or feeder - Phone'( ) Fax::( ) Reconnect only 67.84 , E-mail Gu flap/<✓Z+d/+ , " ? " Pump or irrigation circle 67.84 , / t. S .y �r Sign or outline lighting 67.84 ,7 s . b Signal circuigs)or limitedtnergy Business name: DreamHouse Electric,LLC panel,alteration,or extension. Page 2 2 l Each additional inspection over allowable in any of the above Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Portland,OR 97225 Investigation(1 hr min) 66.25/hr Phone:(503) 519-6711 Fax:(503)648-9723 industrial plant(!hr min) 78.18/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv.Lic.: 4560S Inspections for which no fee is i specifically listed(V hr min) 90.00/hr Suprv.Electrician signature,required: w 3x Subtotal: Print name: Chris Maho Date: 2 Plan review(25%of permit fee): Authorized signature: State surcharge(12%of permit fee): Print name:t✓'t►'45 4r1U Ie//a/./.4i Date: TOTAL PERMIT FEE: 1 v.twits;mgwermctat•c-r«tnitrtppda 07/01110 f .z,o•aetmi trovcotH/wea Electrical Permit Application—City of Tigard Page 2„Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 °�CT1p"°" i Y Ewen ( Tota; I * Renewable electrical energy systems: 2 Check Type of Work Involved: 5 kva or less 100 70 5.01 to 15 kva 133.56 2 E 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 E Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 0 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 0 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 specifically listed CA hr min) 90.00/hr Fee for each commercial system: $75.00 subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Nnmber of inspections allowed per permit. Check Type of Work Involved: O Audio and Stereo Systems E Boiler Controls [ Clock Systems O Data Telecommunication Installation O Fire Alarm Installation E HVAC ❑ Instrumentation E Intercom and Paging Systems E Landscape Irrigation Control* ❑ Medical O Nurse Calls O Outdoor Landscape Lighting* O Protective Signaling E Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures r•-,---, of u cr, .t.... ..,-,: o'i. , City of Tigard '� __'' received 13125 SW Hall Blvd.,Tigard,OR 9722tc,i k4-1 .4 , ?ate/By: PermitNo.: kj ' Phone: 503.718.2439 Fax: 503.598.1960 '- tan Review _ Date/By:III Other Permit No.: Inspection Line: 503.639.4175 Date Read/B I� Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information .: .. 'pew construction 0 i it orl!. : i'4•x,'i. :31 For special information use checklist Descri.tion Qty. Ea. Total ❑Addition/alteration/replacement r a § a m 'f 1 x New 1-2-family dwellings(includes 100 ft.for each utility connection) .--77 SFR(1)bath 312.70 P: and 2-family dwelling 0 Commercial/industrial (2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other Fire sprinkler( sq.ft.) Page 2 w..�x �'a Site utilities: Job site address: /2 f} +' �r Catch basin or area drain 18.76 City/State/ZIP: 7" d �rF ii.,.; �^sr .� ,„ "`j� � Drywell,leach line,or trench drain � 18.76 /, r* `` `"`tt. Footing drain(no.linear ft.:___) Page 2 Suite/bldg./apt.no.: Project name:�,i/E Jr'„/ A,0,I b Manufactured home utilities 50.03 Cross street/directions to job site: '+j/L.,,' ,i Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_ J Page 2 Water service(no.linear ft.:__) Page 2 Subdivision: '1 ,' ,'-)/J i• ,, Lot no.: ` r,� . / Fixture or item: Tax map/parcel no.: Backflow preventer ■ 31.27 m - Backwater valve 12.51 „a ' ' x'' .'- Clothes washer 25.02 // -Gv 5 , ' Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '7 Expansion tank 12.51 Name: /i ' Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 / �. /1 / 9 .4 / City/State/ZIP: �� � �.-- � ;;� Garbage disposal 25.02 ty ,, :i ti r ) ,Z - ;,..2 ._.. Hose bib Phone:( �) � r. a 3 ),{ 25.02 F d (p,_e Ice maker 12.51 Interceptor/grease trap 25.02 t. Medical gas(value:$ ) Page 2 Business name: �.5 Contact name: a„,,,,,'„"),. �' Primer 12.51 ` " , , • 1,., Roof drain(commercial) 12.51 Address: ) Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:( ) Fax::( ) E-mail: I" �J 6, r /) I? ii`✓LA-,,t µ# u;d?, T, i e/i;', Urinal 25.02 Water closet 25.02 _... x 37.52 Business name: '4%G ie „ Water piping/DW V 56.29 Address: , .; '4. .r ' ,/ Other: 25.02 City/State/ZIP: /)¢L 7, 4 .,,is.) ._ , / , ..;„ Subtotal Phone:(.'„. 2) --1.:4_, 3 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 3 c 5706 Plumbing Lic.no.: / Plan review (25%of permit fee) � State surcharge(12%of permit fee) Authorized signature: , TOTAL PERMIT FEE r Print name: ti t. I.. 2�,,,.4 -) Date: f i/�: ' This permit application expires if a permit is not obtained within 180 days I J after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permiu\PLMU-permitApp.doc 10/01/09 440-4616T(10/02/COM/wEB) City of Tigard : II COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: f/57-/7....cj9y Site Address: 1 •Z c2I ()r1 i kc:1/4,1 e- Llf%i,-- Project Name: (70v1 6(.41'7 4l1'7 Lot #: i (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N "W t .. Verify site address/suite#exists and active in pen-nit system. River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: °111ree(3)copies of site plan ttlYxisting structures on site AK,S• ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished .brawn to scale(standard architect or engineer scale) floor elevations .North arrow ,. Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach ,,Applicant information(name and phone number) 1/, 'cation of wells/septic systems of dimensions and building setback dimensions V. xisting trees to be retained with drip line,and tree Nquare footage of buildings to be demolished protection measures Lot area,building coverage area,percentage of coverage and Street treenames size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street •Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? `Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? —Wes ONO .-Nr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified --11—No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified • No Applied For: ❑ Yes ❑ No,stop intake 0 Land Use Case#: Stii.6 2 bi L oubeit Imo-Zoning: 12 4 c" .Required Setbacks: Front 2c Rear 5 I Side 5 l Street Side NA Garage 201 14 Landscape Requirement: '/A— Lot Coverage Maximum: Nip ❑ Building Height: Maximum Height 7jl.> Actual Height- ,(Q __ Visual ClearanceN'f Sensitive Lands: ❑ Yes .No Type ,Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: tit- t G-Z Date: __WI/111____ Revisions (after Building Submittal onl Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 061417.doex Building Permit Submittal Original Submittal Date: 6// /t 7 Site Plans: # 3 Building Plans: #g-- ---: Building Permit#: nter building permit#above. Workflow Routing: lanning g---Engineering ©''Isermit Coordinatording Workflow Sign-off: ED 'tgn-off for Planning(include notes from planning review) Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and ori l 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: '-� �--' Date: , �r , Engineering Review [Slope at building pad: 0 12 (:onditions "Met"prior to issuance of building permit [XEasements (encroachments) per engineering conditions of approval and plat eater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes 2'No Assess Water Quantity Fee in-lieu: ❑ Yes 2"'N o LIDA Facility on lot: El Yes 1;--Ndo ❑ NOT Approved by Engineering: Date: I Notes: j.�-. I-' .7S latt.�, -1-c, et miT P2 L i<4.+!/ & r (dims Approved by Eigineering: 11....ti.L.1 Ks.A Date: t,, ,z_,10 ..-)---7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: Cl Approved El 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: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes El N/A LIDA ❑ Yes RN/A OK to Issue Permit /7// (Approved by Permit Coordinator: 47/a .ateco4------ I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12851 SW PARKDALE AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00229 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected Street tree certification and verified tree locations ETO site inspection certification High efficiency lighting form Moisture content acknowledgement form Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12851 SW PARKDALE AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00229 Inspection Type: Inspector: 399 Plumbing final Allyson Armstrong Result: PASS Comments: Corrections complete Back flow preventer report collected Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12851 SW PARKDALE AVE, TIGARD, OR, 97223 February 20, 2018 at 12:01 :00 PM Record Type: Record ID: Residential - Master Permit MST2017-00229 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12851 SW PARKDALE AVE, TIGARD, OR, 97223 February 20, 2018 at 11 :59:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00229 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor