Permit (121) CITY OF TIGARD MASTER PERMIT
*
III
' -. COMMUNITY DEVELOPMENT Permit#: MST2017-00386
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2017
Parcel: 2S112CA07100
Jurisdiction: Tigard
Site address: 15396 SW THURSTON LN
Subdivision: ASHFORD OAKS Lot: 25
Project: Padarath
Project Description: Bathroom remodel and add new window.
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: No
Total: 0 sf Value: $8,000.00 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
Bckfw 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
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:
PADARATH,ROSHINI K&ARVIND OWNER Required Items and Reports(Conditions)
PADARATH,SWASTIKA
15396 SW THURSTON LN
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $418.06
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 Notifica' n Center. Those rules are set forth in OAR
952-001-0010 through R 95 10.1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling$03.23 1987 r 1.800.332.23 4y.
i
Issued By: ' ~ ,.6,7,- -- Permittee Signature: N
Call 503.639.4175 by 7:00 a.m.for the next available inspection a //'
This permit card shall be kept in a conspicuous place on the job site until completion of tl project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatio
Residential wtenv . a = FOR 01 I kV I,SI:OvI.1
Cityof Tigard ceived /
11 ' 131SW Hall Blvd.,Tigard,OR 9722�i 11%11/7
/ s �/By' /6///// e _, Permit N 1 l j�7 �f �j
Phone: 503.718.2439 Fax: 503.598.19.1 Date/By:an Review ) _!7 J
�'!'� �, Other Permit:
TI G A R D Inspection Line:8503.639..4175 VOA*
�, Date Ready/By: Juris: 0 See Page 2 for
Internet: www.ti and-or. ov f Notifies ethod�0 /l/47 Supplemental Information
$ * i 1 a 'p % `
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
. ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ecKl-and 2-family dwelling 0 Commercial/industrial Valuation: $ g 000 7
CIAccessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 5-3 c (� .S i.J -�L,,4c,� l� ( Pk-L. New dwelling area: square feet
City/State/ZIP: D i C,q 0-A9 ")�L4 Garage/carport area: square feet
Suite/bldg./apt.no.: (� Project name: leada rat, 14.0(d Qty.. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
45� Levy 4 I �L--f`� f'97 , a)f A/�C7-0
Valuation: $
Existing building area: square feet
New building area: square feet
JPROPERTY OWNER 0 TENANT Number of stories:
Name: Ag\if AD gOSLt 1 n 1 QaCk&r A Type of construction:
Address: \is3 G\ (,, S i....0 W(i*O I'". Vv. Occupancy groups:
City/State/ZIP: of 49\1Z://L-{- Existing:
Phone:(50, 54 (A31 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:
Structural plan review fee(or deposit): /,2, 7, c3
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ,' 7 /AIL:7Z_ Submit two(2)sets of roof plan with connection details
l� and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
Phone:( ) Fax: and administrative fees):
( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signature. ., This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: M' n y))1Q-k!, P J 1," Date: ('OA ( I 1`] *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)
Building Permit Application Checklist
One- and Two-Family Dwelling Folz ofrlcl: use ()NIA
City of Tigard Received Permit No.:
Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T I G A R D
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Aes 10 1/N.
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 ❑ 0
4 Fire district approval required. Name of district: • ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 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 0 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 and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.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;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 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 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 0 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- 0 0 0
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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ 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 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
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. 0 0 0
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. ❑ 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 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 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\Perniits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
CEIVIED
RE
Electrical Permit Applicatio FOR OFFICE 1 sl:O I.V
Cl oflJ Tigard n 1 2017 Received
•111111 I 13125rS Hall Blvd.,Tigard,OR 97223 l! Date/B : Permit#t5r ►f 7,-00 j(f ,�
Plan Review
Phone: 503.718.2439 Fax: 503.598. TIGARD Date/B : Related Permit#:
Inspection Line: 503.639.4175 OF 1�v� � Ready Date/By: kris: Ed See Page 2 for
T I G A R D Internet: www.tigard-or.gov �` ryjN('DIV SIO Notified/Method: Supplemental Information
i TYPE OF ' I PLAN REVIEW
❑New construction tj•.Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
ElDemolition El Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1$1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ ❑Accessory building
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: 0 Fireum .
p p 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 3C1 b, W 'tl-t t lO_ I ❑100H Addition of new motor load of system.
1 S' 1�1.+rl-�I rV � 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: \ GOtQ�, ZZy ❑Six or more residential units. occupancy.
v^ `, 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ?Oka ck{a/ WS\df V\p 0 Hazardous locations. 0 Supply voltage for more than
�• ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: StA5 '-1 C(4' SL <S .S..6 r- L K.. FEE SCHEDULE
/1-L
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
'1
residential(with above sq.ft.)
4 PROPERTY OWNER Renewable Energy 0 See Page 2
❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: \2 v'i tJ i') f Art4 7(0 200 amps or less 100.70 2
Address: / 5 39 b jto /-F4 lu 7 o A) C/v� 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 7 J&-/)i2 -r) 0 l'7 2 ?7cj' 601 amps to 1,000 amps 301.04 2
Phone:(563) j 14IL.1 6 i 6'1 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installatio . is installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale leas ,re exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature:' Date:VV/"11) 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
❑ APPLICANT ❑ CONTACT PERSON
A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first
Address: branch circuit 56.18 2
City/State/ZIP: Each add'I branch circuit / 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: I':? / J/t-- L� Sign or outline lighting 67.84 2
l Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of pennit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCIIEDULE h:
Description I Qty• I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(1/2 hr min)
ELECTRICAL;PERMIT a'FEES#
COMMERCIAL WORK ONY: r.,
Fee for each commercial system: $75.00 per
l SubtotaEnteron Page 1):
3' * Number of inspections allowed pepermit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15396 SW THURSTON LN, TIGARD, OR, 97224 January 26, 2018 at
10:28:27 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00386
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15396 SW THURSTON LN, TIGARD, OR, 97224 January 26, 2018 at
10:29:11 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00386
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor