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Permit (77) il4CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00412 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2017 Parcel: 1 S 135 D B05601 Jurisdiction: Tigard Site address: 11385 SW 94TH AVE Subdivision: MILLER Lot: 9 Project: JAKO Project Description: Interior remodel: (2)exhaust fans for bathrooms; (7)branch circuits for bedrooms, kitchen, and living room; (1)ice maker, (1)sink, (2)tub/showers, and(1)water closet for bathrooms and 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: $0.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 1 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 Drains: 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 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: 2 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: 7 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 0 Owner: Contractor: JAKO,TAMAS J OWNER Required Items and Reports(Conditions) CSOKAS,HAJNALKA TAMAS JAKO 11385 SW 94TH AVE 11385 SW 94TH AVE TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-887-8247 FAX: Total Fees: $311.66 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the - :•..ted by the Oregon Utility Notification Center. Th.-e rules set forth in OAR 952-001-0010 thr R 952-001-0090. You .-• ..am- ••,sof the rules or.irect questions to OUNC by calling 503. • .1•:7 or 1.:..332344. Issued B • - — __ • .s'ttee Signature: k� Call i '.4-175 by 7:00 a.m,for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the proje' Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application RECEIVE FOR OFFICE USE ONLY CI of Ti ar(� ',•eceived g Date/By: r Permit No.: III a 13125 SW Hall Blvd.,Tigard,OR 97223 2 3 � l r 7 poi 7' jr� Phone: 503.718.2439 Fax: 503.598.1960 C ZO1� Plan Review DateBy: Other Permit: TIG ARD Inspection Line: 503.639.4175 ��• OF y� ate Ready/By: Juris la See Page 2 for Internet: www.tigard-or.gov CITY 1 MJF .I 1G 8 1 led Method: Supplemental Information BUILDING DIVIS TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction R Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: -mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* IY 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. 1 ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: '1 SgS 9,N1 ¢4.e.S2-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7 by 1 09— g 3-22,'3 Furnace 100,000+BTU(ducts/vents) 54.91 aI Heat pump 61.06 _ Suite/bldg./apt.no.: Project name: Duct work 23.32 _ Cross street/directions to job site: pj- 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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 6) Log f Log lighter(gas) 23.32 - C ItNetu,'�� '� 6 -6'r (4 bGTh l Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: -T-pcMPCS cc-. V Range hood/other kitchen equipment 33.39 Address: "t.k 2:4` SW c_ {ZD Clothes dryer exhaust 33.39 City/State/ZIP: f th A-k A 1 0 dZ 31.0 03 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 2- 23.32 gl - 0/ Phone:('0Z) g -- c-Zti. - Fax:( Attic/crawlspace fans 23.32 _ ❑ APPLICANT gsCONTACT PERSON Other: 23.32 _ Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: H el b 1 GSo k4t S Furnace,etc. Address: ztZq.1 S 1 �.. k— Gas heat pump _Wall/suspended/unit heater City/State/ZIP: �H IN 1 0 Fs_ 0.3 ab Water heater Phone:(3o3) gal-- a-2_4 i- Fax::( ) Fireplace (� Range E-mail: \k cs G gifts @.. G-t1 i-fj I_ . CD`t..1 i Barbecue CONTRACTOR Clothes dryer(gas) Business name: e. Other: MECHANICAL PERMIT FEES* Address: Subtotal 14( .4+,/ City/State/ZIP: Minimum permit fee($90.00) L(3 '3,, review(25%of permit fee) Phone:( ) Fax:( ) State Plan surcharge(12%of permit fee) id_iv CCB lic.: TOTAL PERMIT FEE /t);: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sigje4 * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: (o 2 Z,i 9" I\Building\Permits\MECPer113.doc 440-4 17T(11/11802/COM/WEB) 1�, 72/, ) Electrical Permit Application FOR OFFICE USE ONLYCity of Tigard tq�E1,:'eceivedpermit#: LIN . 13125 SW Hall Blvd.,Tigard,OR 97223 Date/PlanRee v:iew r /�plusf n}/� Phone: 503.718.2439 Fax: 503.598.1960 017 Date/By: Related Permit#: T I G A R D Inspection Line: 503.639.4175 OC1 2 3 2.'" Ready Date/By: Juris: IR! See Page 2 for Internet: www.tigard-or.gov ry-�/ ,,,. .. vtiotified/Method: Supplemental Information lPt TYPE OF WORK C11 t }(� �e�i ICAO�t PLAN REVIEW ❑New construction Add1t10n/alteratl0t 1Tt"` � Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. E(1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 El agricultural 1 amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fireum . p p El Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived It L 3 'L' El Addition of new motor load of system. 1 Job#: Job site address: $ � 'T� 100HP or more. ❑"A","E","1-2",°°t-3", City/State/ZIP: T-• 0 9- ZZ ❑Six or more residential units. occupancy. 1 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: r,{ FEE SCHEDULE `\ Descript on I Qty. I Each I Total ' 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 75.00 2 L�j (with above sq.ft.) //�I (- / /tVI t/ r � 75.00 2 3 °t Z9/�� (/ Limited energy,multi-family residential(with above sq.ft.) iPROPERTY OWNER El TENANT Renewable Energy El See Page 2 Services or feeders installation,alteration,and/or relocation Name: M ft- ;f. jit 140 200 amps or less 100.70 2 Address: Si z9- s.i (2-0C1t ik,6 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: }1r L&kP OP.. S'DO 5 601 amps to 1,000 amps 301.04 2 Phone:(5'03j) $g-i-- gv..(i Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,leas r exch e, c ding to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: lo 1 '7 Z (3' 401 amps to 599 amps 168.54 1 2 0 APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 I— each branch circuit Contact name: \AEIp, Cs 0 S B.Fee for branch circuits without service or feeder fee,first Address: 2...12 -k .5\-.1 P-0C{G 2.A branch circuit 56.18 S�l( 2 City/State/ZIP: A.ADHA Ce_ 5'4003 Each add'l branch circuit (p 7.42 ii li S.2.1 2 l Miscellaneous(service or feeder not included) Phone:(,503) g8'- - .Z4.9- Fax: :( ) Each manufactured or modular Email: ''1 L.50 14 1i S e A f L , dwelling,service and/or feeder 67.84 2 M Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: panel,alteration,or extension. ❑ 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.Lie.: specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal )� Print name: Date: _ 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 6 Authorized signature TOTAL PERMIT FEE: 7 CiVe— Print This permit application expires if a permit is not obtained within 180 name: Date: a ZZ J L days after it has been accepted as complete. I * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp EL _ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures RECEIVE] FOR OFFICE ISE ONLY Cl of Tigard Received City g Date/By: '1 Permit No.:ill 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 23 2017 Plan Review ©��" �r � Nopro-Tx� 7 �� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 CITY OF d .late Ready/By: Juris: EI See Page 2 for Internet: www.tigard-or.gov � `�grcc >;fiedMethod: Supplemental Information TYPE OF WORK UtLD N 1 V fd7I • FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description Qty. Ea. I Total dAddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 L(✓ I-and 2-family dwelling 111Commercial/industrial SFR(2)bath 437.78 - 0 Accessory building 1=1 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: I Job site address: 11 38S- SCJ 9`4-"- �,,,p„_,,� Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: -1-'�ie. 0 9-.... 9I-2.._2_3 Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: y4„ 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: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 �) 6 1'7,'� 4 62,4 (./Ci 14i i-erAt.,i Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 i PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: M PcS cT• .3-Pr i(--0Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 2_1 Z...1.1SW Garbage disposal 25.02 City/State/ZIP: A-t. .11A 1 0� 0 3 Hose bib 25.02 Phone:(.5O3) MI-&Z4"9 Fax:( ) Ice maker 1 12.51 0 APPLICANT CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 - Primer 12.51 Contact name: N et Q 1 CS 0 k-A rj Roof drain(commercial) 12.51 Address: Z.1 ZR-` SW e_ot i . (Jp Sink/basin/lavatory i 25.02 01...5-.c;h City/State/ZIP: A-um R V ac- n--4-003 Solar units(potable water) 62.54 Phone:(c0 3) 1 -g zy'--t' Fax::( ) Tub/shower/shower pan Z 12.51 ,is-s;›, E-mail: H Z°.S J A s Q- trtiA j L , G lvll Urinal 25.02 Water closet 1 25.02 CONTRACTOR Water heater 37.52 Business name: c 2..iJ1 - WaterPg/ tP m DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal f 75? 7 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: _ Pl bing Lic.no.: y' Plan review (25%of permit fee) State surcharge(12%of permit fee) /r?. )1 Authorized signature: TOTAL PERMIT FEE el tc, eir Print name: ki J_111 a o 1e--P Date: i0 Z21 It 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.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11385 SW 94TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00412 Inspection Type: Inspector: 699 Mechanical 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: 11385 SW 94TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00412 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor