Permit (176) ,� CITY OF TIGARD ' ' MASTER PERMIT
COMMUNITY DEVELOPMENT ire *i''
= 7 Permit#: MST2017-00234
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 07/12/2017
Parcel: 2S 103AA01001
Site address: 10980 SW WALNUT ST Jurisdiction: Tigard
Subdivision: ECHO HEIGHTS
Project: Nguyen Lot: 5
Project Description: Relace(5)trusses&repair rear wall tree damage;deck&guard rail does not require permit.
11/16/2017: REPRINT to add(1)exhaust fan. 1/10/18: REPRINT to add(1)exhaust fan.
BUILDING
Stories: 0 Floor Areas Required Setbacks
Bedrooms: 0 First: 0 Re_paies' _
Height: 0 Bathrooms: 0 sf Basement: 0 sf Left 0
Second: 0 sf Parking Spaces: 0
Dwelling Units: 0 Garage: 0 sf Front: 0
Third: 0 sf Smoke
Total: 0 Right: 0 Detectors:
sf Value: $30,000.00 Rear 0
PLUMBING
Sinks: 0 Water Closets: 0
Washing Mach: 0 Laundry Trays: 0
Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0
Tubs/Showers: 0 Floor Drains: 0 Sewer Lines: 0
Garbage Disp: 0 Water Heaters: 0 SF Rain Storm Sewer o
Footing Drain: 0 Water Lines: 0 Drains: 0
Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Catch Basins: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes Air Conditioning: N
Vent Fans: 2 Clothes Dryers: 0
Heat Pump: N Hoods: 0
Furn<100K: 0 Other Units: 0
Vents: 0 Woodstoves: 0
Furn>=100K: 0 Gas Outlets: 0
ELECTRICAL
Residential Unit
Service Feeder Temo Srvc/Feers
1000 sf or less: 0 edBranch Circuits
0-200 amp: 0 0-200 amp: 0
Ea add,500 sf: 0 p W/Svc or Fdr: 0
201-400 amp: 0 201-400 am : 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600p W/O Svc/Fdr: 0
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
Other: N Other Description: Garage Opener: N All
Ecompasing: N
BUILDING INFO
Class of Work:
Type of Use: Type of Constr:
Occupancy Group:
Square Feet
ALT SF
VB R-3
Owner: Contractor: 0
NGUYEN,ANH-TUYET T& CHINOOK RESTORATION INC
NGUYEN,VINH N Required Items and Reports(Conditions)
11010 NE 37TH CIRCLE SUITE 110
11017 SW BRENDEN LN VANCOUVER,WA 98682
TIGARD,OR 97223
PHONE: PHONE: 360-823-1388
FAX:
Total Fees: $1,011.82
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 •, -r r'tir 090. 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: - j ty
Permittee Signature: 67/1/ -6"'G! 6,..47-7e,\,/
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.
Mechanical Permit AnnlicattrEc FivEn FOR OFFICE USE ONLY
q SW Hall Blvd
City of Tid • - Received/V
/ /kft.- .... Permit
13125 gar..Tigard.OR 97223 Date/By:
: 11.. Phone: 503.718.2439 Fax: 503.598.1960,1 0 2018 gre/RBe,,v.' Other Permit
TIGARD :
IN
Inspection t.ine: 503.639A175 .A N 0
Date Ready/BY: Juris, et See Page 2 for
Internet: www.tigard-or.gov
Notified/Method: Supplemental Information
,, .*,e,,,,,,:,, ,, xx--x,-..,, 1ii'24(7F:vilCT'AISR;1$47-7,--,,.,,:,,,„,..,,,,,,,, 4,Aeji*iklio,4,4tv,ititbto, ,t,:weifibi,-
!,,;: w,,.,,,,,.4.„' ,,,,i,',,,.,,!i-;:il:ii ii, -,.,,,, , ,,, ,,:. ,, f. -,.:,,, , ,': ., ,:;:j ' : '-.':.',- ,—:,,,S,,, , 2j r4att " ., - :jj,, UST?,:
Mechanical permit lees are based on the vslue of the work
0 New construction Addition/alteration/replacement
pert:brined.Indicate the value(rounded to the nearest dollar)of all i
Lj Demolition 0 Other: mechanical materials,equipment,labor,overhead,and_profitValue:S
,_
I
Bur I-and 2-familv dwelling 0 Commercial/industrial 0 Accessory building F;.spee.'ialinf'o'r'in'a'il'ott ;;;ze'ek'iiv;.''''''''''''':';
.....
0 Multi-family 0 Master builder 0 Other: Description 1 Qty. Ea. 1 Total
W°° 111
Air condifioninu 46.75
Job site address: „i/C27,k4-) .4.5'''' ',/ zth/1,--.)' 4,:z' r" ,.........)7' '
Furnace 100,000 tyru(ducts/vents) 46,75
..--",--) 4 .., , , 4/.2 + ,,..
City/State/ZIP: fr ---- 49/ .,. i , ei ricea,3
Furnace 100,000+Bill(duets/vents) 54.91
-- Heat pump 6106
Suite/bldg./apt.no.: Project name: /4-f:-;:+i.'V/1'-"/.2 Duct work 23.,2
.„.“., /
Cross street/directions to job site: Hydronie 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: I.:ot no.:
-- _Other fuel appliances:
fax map/parcel no.: _Water heater _23.32_
lia.a..J.J0001.100*04fARMWOMMg Gas rirePlacciinsert -------,I3,J9-IIMI
y- ' Flue vent for water heater or gas
74'- /--1.---2 t ';`-''''' fireplace 23.32 '
2."_..._____zy i 1 --1
Log ligluctigas) 23.32
__________
. __
_________ _ ____Id Wood/pellet stove 33.39
./ /7/'67-/-2..? .(:7//1/1_, ..1'„,."- Wood tire.pjace/inscrt
4./-2 .,/,-.2 4-,a "„//2,fr---4v --2-v
-iz
23.32
Chinmey/1 iner/fluelvent _23.32
._;i * ,13.1W1'-'?..1.M0,,,,,V,M! °P the1r:
,rivironmental exhaust and ventilation:
Name:_ .lit2A - -71 (41/4,417- ,r/V-72/7.41:71;17,/-11:12 Range hood/other kitchen
equipment 33.39
Address: / 7 ), s7d ,,,,-;..z„„.:,/,17/2; ,.f i./1, (1.72--
Clothes dryer exhaust 3339
City/State/ZIP: 7/,..- --ii...,//z,(e../;,„.._,/ K"),,,,, ,::: a. -,77,2single-duct exhaust(bathrooms,
toilet compatems.utility rooins) 23.32
Phone:(- :w3-7,--51/7 ?„. , ii?„5„-S" Fax:c.;., . 1,,/ 1_,„--1,„,-11-11,-1111.---711-,..1. _
, r ,: 3-6 Attleierawlspace fans
23..3
2
Other 23.32
Business name: ; A...?/
2/2.y.4/1/:A. Fuelittpingi
--.....
2 . / / .„ „., „ ____ $14.15 for first four$4.03 fore lich additional
Contact name. (- ,-, 7/74
• l''61./41:L2:7,11.(Z2I/,,i•I Furnace,etc. _
Address: /4/) i',,) , , , ,- -- Gas heat pump
. w_a_t.eizip: .- 42/2e: , ) ..,, ,.... „__,7c,,..,e,m, Zle/rstiisepaetretrdeellunit heater 21.1111
City/St ii
'-'7/ "'
P11Mie: " :,-(2/2 • 7). >- /,-,/ Fax: , •) (../i. „2„..5 ... - -1- FirePlace IIIIIII
-'-'-------- Ranoe
t E-mail:
Barbecue
1
-,'::' 1,:„N'''s. -,-•:,-:: :•::: 1,„-!g:,!,,:1.M:V:4?1 ,00-444:00,-* -:, .:: ,...:';:i- : :::::.t,?"-+.1,-'-'::?-1.:,;, 7:''i; -:',;k1';.1, :-. ;;:.':1.':,:. !'i Clothes drycr( as)___
• 2:--.) / 1'.t/ ' - -;,,,,,/,',.2 / i ; Other: - 1
Business name. -`, k` . ).,.--,C.: e2,-/-,-2,1Z-221----4.---- .,+,‘,./-1 .:<:.:'„,'....,,,,.„„-:;..„.-..„..,,...-
44 , /-- 4 -/P,/ /1-t ,,,,,,
I Address: //el/4 ,„/ -tiit ,,,..S.-9,47.7 , c 4/77....4, 0'//z)
_
Subtotal
__....
1 City/State/ZIP: t.; 7 / ,,,(,,„. c2,,p4.,..y2 Minimum permit Re($90.)0)
• '....,y/ F .rj2,•:-4 -, „":"2„,,,--* ---2—' --,r—sr---, ____ Nan review(25%of permit fee)
Phone:( ,.1) ''' '--'e? . ..„. ' ' Fax L ,-t,) 67 . . , . ,,,
........ ., .
State surcharge(12%of permit fee)
CCB lie.: 71,,.27 --.:.;,.- :;,2/1 ..:.,,..-=-7, '- 1 TOTAL PERMIT FEE
-----1 Ibis permit an.plication expires if a permit is not obtained within 180
i, 7/ i .)7 , , „, , days after it has been accepted as complete.
Authorized signature: _,.../ 40,2-- / '/- " ',,,?:,
. Fee methodology set by"Di-County Building Industry Service Board
F P • t e2//' 71:71.,///47k7 71 7) Da :
e
1\Budding\Permits\MEC_PermitApp_040 I 13 dm 440-4617T(1 1102/COMAVEIT)
11111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00234
Date Issued: 07/12/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 25103AA01001
Jurisdiction: Tigard
Site address: 10980 SW WALNUT ST
Subdivision: ECHO HEIGHTS Lot: 5
Project: Nguyen
Project Description: Relace(5)trusses and repair to rear wall due to tree damage. Repair of deck and guard rail does
not require permitting. 11/16/2017: REPRINT permit to add(1)exhaust fan.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $30,000.00 Rear: 0
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 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: 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:
ALT SF VB R-3 0
Owner: Contractor:
NGUYEN,ANH-TUYET T& CHINOOK RESTORATION INC Required Items and Reports(Conditions)
NGUYEN,VINH N 11010 NE 37TH CIRCLE SUITE 110
11017 SW BRENDEN LN VANCOUVER,WA 98682
TIGARD,OR 97223
PHONE: PHONE: 360-823-1388
FAX:
Total Fees: $1,011.82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Al
Issued By: -__. Permittee Signature: d/V."7","4/€�T7 d
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica> 1 FIVE FOR OFFICE L SE O\L.l
City of Tigard Received
Date/By:`t IE /7 �4=0. Permit No/47S /7-e9Or.,;,37
13125 SW Hall Blvd.,Tigard,OR 97;23 No,U 1 3 2017 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Date!Bp: Other Permit:
TI G A R D Inspection Line: 503.639.4175Criy of- G ARD Date Ready/By: Jul is H See Page 2 for
Internet: www.ti and-or. ov ' S 1
g g P ` 1. DING ^$MSIC}�� Notified Method: Supplemental Information
T1''I'E OF WORK COMMERCIAL 11f t* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATtGORY;OF CONSTRUCTION y.'
RES><li?LN1131 EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building Fos special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB 51TE INFORMATION AND '�: Heating/cooling:
Air conditioning 46.75
Job site address:10980 SW Walnut St. Furnace 100,000 BTLJ(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61 06
Suite/bldg./apt.no.: Project name:Nguyen 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
2. (las freplace/insep �SCIinno} OF'w#ottiC cgi .* rt 33.39
y pz .
Flue vent for water heater or gas
replace existing fan due to damage by tree hitting house fireplace 23.32
(.9"-6V v 7"0 iS 77'G ,O �/ Log lighter(gas) 23.32
,yS� �/ CJ Wood/pellet stove 33.39
--a102.37 Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
9 ,.,. Other: 23.32
pt;m~ E -4 Environmental exhaust and ventilation:
Name:Anh-tueyt and Vinh Nguyen Range hood/other kitchen
Address:10980 SW Walnut STequipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 O
Phone:(503)914-5138 Fax:( ) Attie/crawlspace fags 23.32
A6.I4 `Q. :10 'A ,, R5tJIiT lr : R;) Other: 23.32
Fuel piping:
Business name:Paul Davis Restoration
$14.15 for first four;$4.03 for each additional
Contact name:Scott Furnace,etc.
Address:11010 NE 37'h Circle Ste 110 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)823-1388 Fax::(360)695-5632 Fireplace
Range
E-mail:rcanham@pauldavis.com Barbecue
RA.CTOH Clothes dryer(gas)
Business name:same as above Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit tee($90.00) 90.00
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) -1-(/'48- /0,Pe
CCB lie.: 117149 TOTAL PERMIT FEE $
This permit application expires if a permit is not obtained within 180
�r days after it has been accepted as complete. /00, P(.9�
�-yy'�/ /4 / �
Authorized signature: cr !Y ` • Fee methodology set by Tri-County Building Industry Service Board
Print name:Scott Alexander Date:11/13/17
I
\Building\Permits\MFC_PermitApp_0401 13.doe 440-4617T(1 I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valu ,, 3 " rmi t see
$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:\BuiIding\Permits\MEC_PerflhitAPP.P401 I3.doc 2
11.,,, ,i
CITY OF TIGARD MASTER PERMIT
11' ' COMMUNITY DEVELOPMENT Permit#: MST2017-00234
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2017
T t G' 9 Parcel: 2S 103AA01001
Jurisdiction: Tigard
Site address: 10980 SW WALNUT ST
Subdivision: ECHO HEIGHTS Lot: 5
Project: Nguyen
Project Description: Relace(5)trusses and repair to rear wall due to tree damage. Repair of deck and guard rail does
not require permitting.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $30,000.00 Rear: 0
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 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: 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:
ALT SF VB R-3 0
Owner: Contractor:
NGUYEN,ANH-TUYET T& CHINOOK RESTORATION INC Required Items and Reports(Conditions)
NGUYEN,VINH N 11010 NE 37TH CIRCLE SUITE 110
11017 SW BRENDEN LN VANCOUVER,WA 98682
TIGARD,OR 97223
PHONE: PHONE: 360-823-1388
FAX:
Total Fees: $911.02
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. ' 6 •,. •regon law requires you to follow the rules adopted by the Oregon Utility Notificap9n Center. Th.s.- rules are set forth in OAR
952-6.1-0010 through 0,' 9 .:111/
r
90. You may obtain a copy of the rules or direct questions to OUNC by c- 'ng 60.232.19: .r 1.:.0.'62.2
111
Iss ed By: �/ i' Permittee Signature: . t A ' / i 1+t
Call 503.639.4175 by 7:00 a.m.for the next available insp: tion,ate.
This permit card shall be kept in a conspicuous place on the job site until omp:tion of the project.
Approved plans are required on the job site at the time of eac 'ns,ection.
Buildin Per 't A lication
Residents /- 101(OH I( l: t is OM.) oil'
�fi f Received (# �9 /7 a�5ro i?,��M�
Ity of Tigard 11 V Date/B Permit No.:
y:
3125 SW Hall Blvd.,Tigard,OR 9 Plan Revie
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: `� Other Permit:
t-i C;A K D Inspection Line: 503.639.4175 ` 1. 9 x.017 Date Ready/By: /,/ /�j( Juris: H See Page 2 for
Internet: www.tigard-or.gov �� Notified/method: ,(� !G��14 9Z. I Supplemental Information
CITY OF Tt`GARDs
TYPE OF s' D1NG D1\1510 REQUIRED DATA:I-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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ig 1-and 2-family dwelling 1:1Commercial/industrial Valuation: $ (`,, a('Q
12Accessory building ElMulti-familyNumber of bedrooms:
El Master builder 13 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 101 S O tJ WNI'Olt.^j(AT 5-r New dwelling area: square feet
City/State/ZIP: ( ' ca0 GI(29, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: I V`Q(4 14 W (re,.g,� Qersv,jelg. Covered porch area: square feet
Cross street/directions to job site: 1'^► j7plvf Deck area: square feet
w fit tit/t1- a v F t j vJ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
^�.. rcx. ct c ��tt4351.x,G-5 e...... �1t,1 arz. ( sirf71Z Valuation: $
10 c ti.- vJ .- g e.r 4 R 0 2.( K , Existing building area: square feet
chit :�" Ni D ur. r� r is E.i- ,PlIvA g New building area: square feet
q5) PROPERTY`KY OWNER 0 TENANT Number of stories:
Name: Nim 4£' Type of construction:
Address: 1 Q g g 0 5v\I or At.t.1 v.1 c,r Occupancy groups:
City/State/ZIP: er 1 c.. kg,D 6 R q'7`..5 Existing:
Phone:( ) / Fax:( ) New:
AI APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
name: �g,�- �� { Ni ��' !�)�'C,T
/ ,r� J 7 Structural plan review fee(or deposit):
Contact name: 04rig L.rQ„
f � `� ,-'' C--m A t $r
/" FLS plan review fee(if applicable):
Address: r Total fees due upon application:
City/State/ZIP: O 6 t%.6-l.Olsl C%-rt ) C 0 000145
I Amount received: #3 3p, 8
Phone:(�"J 0� (057'191 0 0 Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
v� i
`n 1�'U `�`' e'�`� 144:, C a Commerc'al and residential prescriptive installation of
CONTRACTOR roof-top ted Photo Voltaic Solar Panel System.
Business name: FAvit--Q�.. (s R a s y�,6J or..) Submit two( ets of roof plan with connect'• •etails
' )" and fire departmen -ss,along with •- 010 Oregon
Address: 1(010 Al 1 3)1t e ircdr Su f /0 Solar Installation Specialty :• , cklist.
Permit Fee(include .an review
City/State/ZIP: (Z VUOsE�p^4 Y2 $180.00
and.� nistrative fees):
Phone:(3.0) Z 1 3 4 6' s Fax:( ) State s - arge(12%of permit fee): $21.60
CCB lic.: j-71 / ' / 74_5"—L , _ Total fee due upon application: $201.60
Authorized signature: t This permit application expires if a permit is not obtained
1 tit within 180 days after it has been accepted as complete.
Print name: p 41A f Date: �j -' $_ (. *Fee methodology set by Tri-County Building Industry
ptN -y"`13 i Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR MFR. I. l SI. 0111
City of Tigard d Received
IN
g Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ■ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑
3 Verification of approved plat/lot. ❑ 0 ❑ ,
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot an4 building setback dimensions;property corner elevations(if ❑ 0 ❑
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;ayd
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc. •
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ' ❑ ❑ 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. ,
20 Manufactured floor/roof truss design details. , . ❑ ❑ 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped'by an engineer or ' 0 0 ❑
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. •
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ El
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) ,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10980 SW WALNUT ST, TIGARD, OR, 97223 April 17, 2018 at 7:14:11 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00234
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Bath fans complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10980 SW WALNUT ST, TIGARD, OR, 97223 April 17, 2018 at 7:15:39 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00234
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor