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Permit (193) RECEN ,J) INCity of Tigard •• COMMUNITY DEVELOPMENT DEPARTMENT NOV 28 ?O17 = Request q for Permit Action CITY TI GA TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard o►.oILDING DIVISION TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: J.---1 INVOICE TO: (Business or Individual) b\--/,,/\ �,� Mailing Address: l�b OO �_) �` 4je c '7 26, City/State/Zip: ()-►�f—G.-,_J-�'J oe ? %,,/;2 Phone No.: C CZ)) b S),-.:9--‘3 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. Eif REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: MS t Q,-e'/ 7 0 6 G- 3 '-) Site Address or Parcel#: ri) � s(,) 67 7 -v,.n 1,----1----- Project Name: LerVIViii .c5,,c ,-/--c. ( Subdivision Name: Lot#: EXPLANATION: ► ' C' , r�• F( �/ 17 3 `` X 01 j ( �'7 11� I C�11.Y f.1 kms✓ VR NI 4-' r / Signature: 4: Date: /( .- LA, , 3i) l Print Name: Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date*" W AP" By Refund Processed: Date /2/W/7 B Invoice Processed: Date By Permit Canceled: Date c,'/A.-- B Parcel Tag Added: Date By I:\Building\Forms\RegpermitAction_092314.doc III q TIGARD City of Tigard January 18, 2018 JTRoth Attn: Austin Roth 12600 SW 72"d Ave.,Ste 200 Portland, OR 97223 Re:Permit No. MST2017-00233 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 8082 SW Barnum St. Project Name: Corbin Estates,Lot 6 Job No.: N/A Refund: ® Check#227184 in the amount of$110.18. ❑ Credit card"return"receipt in the amount of$ . Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit" receipt in the amount of$ . Comments: Refund overpayment of permit fees resulting from change in scope of work to remove fixtures for casita. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov ■ " City of Tigard TIGARU Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request forPermitAction form (if applicable)must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: J T Roth DATE: 12/28/2017 12600 SW 72nd Ave.,Ste 200 Portland, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 411571 Case#: MST2017-00233 Date: 7/5/2017 Address/Parcel: 8082 SW Barnum St. Pay Method: CreditCard Project Name: Corbin Estates,Lot 6 EXPLANATION: Per applicant's request to remove fixtures permitted for"casita". � k y YM�- ¢ �j �.J % °> Y 'g �` d i Y i t r i �✓r.""Sy�+ { y # 'Y l °�� rafdY area rr- +a v t > d rt +�.a `� .r�.. �s .. �«�t� i2'a,....ar,:�..,.,,#uz-��...£...,'ti`-.o� ��f�..c e .s=z,�,,.,,.. _ l.�,..fix n,.„a� '�' 's.�x, ✓�...a..?a.:��^r ,; ,,, Plumbin: Permit 230-0000-43101 $75.06 Mechanical Permit 230-0000-43102 23.32 12%State Surchar.e 100-0000-24001 11.80 TOTAL REFUND: $110.18 APPROVALS: SIGN UR S/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board Case Refund Processed: Date: � By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT : 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIC1ARD Project Name: Corbin Estates, Lot 6 Site Address: 8082 SW BARNUM ST �/,['C-€Al) Receipt Number: 416603 - 04/06/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00233 $-110.18 Total: $-110.18 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 227184 DHOWSE 04/06/2018 $-110.18 Payor: J T Roth Total Payments: $-110.18 Balance Due: $110.18 Page 1 of 1 ,, CITY OF TIGARD RECEIPT 111 a 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 , TIGARD Project Name: Corbin Estates, Lot 6 Site Address: 8082 SW BARNUM ST o/Z/67 A/1.9"`-- Receipt Number: 411571 - 07/05/2017 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2017-00233 Building Permit-New Construction 230-0000-43104 $2,215.64 MST2017-00233 12%State Surcharge-Building 100-0000-24001 $265.88 MST2017-00233 Tig-Tual School CET-Residential 230-0000-24102 $3,981.51 MST2017-00233 DC Provision Review, SF-Ping 100-0000-43112 $90.00 MST2017-00233 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $22.00 11x17) MST2017-00233 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $48.50 11x17) MST2017-00233 Metro Const. Excise Tax 230-0000-24010 $485.70 MST2017-00233 Permit Fee-Elect(per dwelling unit) 220-0000-43103 $405.98 M5T2017-00233 Limited Energy 220-0000-43103 $75.00 MST2017-00233 12%State Surcharge-Electrical 100-0000-24001 $57.72 MST2017-00233 Furnaces<100K BTU 230-0000-43102 $46.75 MST2017-00233 Water Heater 230-0000-43102 $23.32 MST2017-00233 Gas Fireplace 230-0000-43102 $33.39 MST2017-00233 Range Hood/Other Kitchen 230-0000-43102 $33.39 MST2017-00233 Clothes Dryer Exhaust 230-0000-43102 $66.78 MST2017-00233 Single Duct Exhaust(Bathrooms,Toilet, ( > 230-0000-43102 $139.92 -- Utility Rooms) Cl/4"/j- 77) (. „5.) Fuel Piping 230-0000-43102 $14.15 MST2017-00233 12%State Surcharge-Mechanical 100-0000-24001 $42.92<---- MST2017-00233 SFR-Baths (q) C#A-416E -70 (3) 230-0000-43101 $525.34 E-- MST2017-00233 Sink /A Em o-V 230-0000-43101 $25.02 4— MST2017-00233 Laundry Tray /2- 1 o✓t 230-0000-43101 $25.02 ---- MST2017-00233 12%State Surcharge-Plumbing 100-0000-24001 $69.05 <--- MST2017-00233 Erosion Control w/Development 100-0000-43134 $461.40 MST2017-00233 Plan Review 230-0000-43106 $688.83 MST2017-00233 Tigard Trans SDC Reimbursement-SF 415-0000-43301 $317.00 Detached MST2017-00233 Parks SDC Improvement-SF Dwelling 425-0000-43300 $4,356.00 (detached/attached) MST2017-00233 Parks SDC Reimbursement-SF 425-0000-43301 $1,207.00 Dwelling(detached/attached) MST2017-00233 Parks SDC Neighborhood-SF Dwelling 425-0000-43300 $1,615.00 (detached/attached) MST2017-00233 Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $8,278.00 MST2017-00233 Tigard Trans SDC Improvement-SF 415-0000-43300 $5,488.00 Detached Total: $31,104.21 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 663356 DADAMSKI 07/05/2017 $31,104.21 Payor: Austin Jacob Roth-JT Roth Construction Total Payments: $31,104.21 Balance Due: $0.00 Pt'i 7-s O 4 x /2 Z, = f.OD — 69-, o5 — ?, 6 O - 60 , 00 /`?o-c___ 23. 3A y /A eZ, r a_fiO - ya- 9a - sZ.fO -- X10, /2. Page 1 of 1 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT permit #: MST2017-00233 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ; ." Date Issued: 07/05/2017 $ �0/� Parcel: 2S112CB18900 4 / Jurisdiction: Tigard Site address: 8082 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. 12/11/2017: REPRINT to reduce plumbing fixtures&exhaust fans. 1/31/18: REPRINT to add gas fireplace.2/12/18: REPRINT to add gas piping for(2)appliances.4/25/18:Add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1355 sf Garage: 826 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 5 Detectors: Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEWP y Square Feet: SF VB R-3 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $32,069.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in eAR 952-001-0010 through OAR 952 1-0090. You may btain a copy of the rules or direct questions to OUNC by calling 503.232.198/or 1.800.332 344. Alloy / Issued By: Permittee Signature: /�� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion oft e project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received 1 A /L ( , vii s 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: U``1 /t/�� i Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ! f/I/ Ins Inspection Line: 503.639.4175 Date/By: Other Permitp TIGARD Internet: www.tigard-or.gov Date Ready/By: Jur s: TO See Page 2 for �-- Notified/Method: Supplemental Information TYPE OF WORK �" COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. .rte. x r '' CATEGORY OF CQNSTRUCTION. Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description JOB ITE INFORMATIONHeating/cooling: Qt3• Ea. Total Q AND LOCATION' =° �` Job site address: 8 Air conditioning l 46.75 8 6v S� "' fit" l^ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: rj(.1f ,(2) 612._ � T`2 1 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: ` I Project name: Lorr�E Heat pump 61.06 C. v' 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: I Lot no.: C., Other: 23.32 Tax map/parcel no.: Other fuel appliances: .. u. t` ERCR1I toN o' ORK t, J« t K Water heater 23.32 ,ti ,.. �. .� ,� ....- - � s. �._4., Gas fireplace/insert 33.39 6Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/litter/flue/vent 23.32 S - 23.32 . TPNAN ... Name: � Environmental exhaust and ventilation: Nv2 izG i tit?ti Lam,.4- Range hood/other kitchen Address: ( equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, Phone:( ) toilet compartments,utility rooms) 23.32 Fax ( ) Attic/crawlspace fans 23.32 A l 0 0 0 7 0 0 CONTACT'PERSON;, 07 10 ) Other: 23.32 Business name: [ - p Fuel piping: '^ `�' S �'�� v'� $14.15 for first four;$4.03 for each additional Contact name: j�� Furnace,etc. Address: l 2_,L ,),„ `� tt.- /�_.� , k ( Gas heat pump Sv-g int / ��/ City/State/ZIP: Wall/suspended/unit heater a_ 1 1--)-9-3 Water heater Phone:(9-7) (..35, _ i7 r� I Fax (S-3) �a �� ? Fireplace E-mail: r Range 1,'m r 'Nt, lt•‘.6 , C.0 ii. .. Barbecue "4 ^4" 14444 _,' CO rR CTQRF }" 4' - 4A• , Ar.£ "' " � ,,,t �� 0 Clothes dryer(gas) Business name: Other: Address: xW IA' ''''% MECHANICAL PER IIT FEES*` „` '' Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) I Fax:( ) CCB lit..: State surcharge(12%of permit fee) TOTAL PERMIT FEE S 34. This permit application expires if a permit is not obtained within 180 Authorized Signature: days after it has been accepted as complete. y , a * Fee methodology set by Tri-County Building Industry Service Board Print name: /CoDate: t8 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial&Multi-Family Fee Schedule: Total Vi1uation• Permit fee 4. $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:\Building\Permits\MEC_PenmitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT al ' COMMUNITY DEVELOPMENT Permit#: MST2017 00233 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2017 :EASE Parcel: 2S112C618900 Jurisdiction: Tigard Site address: 8082 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. 12/11/2017: REPRINT to reduce plumbing fixtures&exhaust fans. 1/31/18: REPRINT to add gas fireplace.2/12/18: REPRINT to add gas piping for(2)appliances. 4/25/18:Add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1355 sf Garage: 826 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 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: 1 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: 6 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 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $32,104.18 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 C ter. Those rules are set forth ' OAR 952-001-0010 through O'R 952-001-0090. You may.obtain a cop ru es direct questions to OUNC by calling 503.23 987 or 1.80 332.2344. Issued By �—, Permittee Signature: `---f .."67 -------....... C 3. 9.4175 by 7:00 a.m.for the next available inspe ion date This permit card shall be kept in a conspicuous place on the job site until completio f the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard `EGE Received Date/By: Permit No.: j 1 1, �.,_.f l 1 111‘ 13125 SW Hall Blvd.,Tigard,OR 9 2 [TTS r�✓1` = Phone: 503.718.2439 Fax: 503.598.1960 q '�0\'6 Plan Review v k Date/By: Other Permit No. Inspection Line: 503 639.4175 QV ' T I C,A R D Date Ready/By: Juris. is See Page 2 for Internet: www.tigard-or.gov TYPE OF OF WORK t ' lt�' Notified/Method: Supplemental Information in, 1 .:��. � kr��!� FSE* SCIIEfluLE ; 0,. IKI New constructiono7ition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRiI TIO ' SFR(1)bath 312.70 k 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB,'SITE,iNNFORMATION AND CATION Site utilities: Job site address: 2 c>‘._) C. i..c �, Catch basin or area drain 18.76 City/State/ZIP: 1 VI c....--.---e) bC 7 Doowell,leach line,or trench drain 18.76 C. 7.-.)-g-4 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: 40..Y n i=sS .„.. -e. Manufactured home utilities 50.03 Cross street/directions to job site: liZze.6 1=51' 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 D3E RH CTIQYOF ;' ,, Backwater valve 12.51 G "'' """ Clothes washer 25.02 A f '. r v A - P ishwasher 25.02 /' Drinking fountain 25.02 Ejectors/sump 25.02 O a .z rr t - J 'I'ENAPI' - Vii: Expansion tank 12.51 Name: ,.,�,.t� , ry e(l Fixture/sewer cap 25.02 Address: `-�r Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 24.02 Phone:( ) Fax:( ) Ice maker 12.51 0 'PI ANI''r, k,. -' ,❑ CO T Interceptor/grease trap 25.02 Business name: ' r D-. - _ �� #,,,..,A__ '01.--t Medical gas(value:$ ) Page 2 �' v"i 1 1. Primer 12.51 Contact name: \�l l . /1 �7_ Roof drain(commercial) 12.51 Address: tjb S !�-Lt e Sink/basin/lavatory 25.02 City/State/ZIP: niC. 7.7 3 Solar units(potable water) 62.54 Phone:(S'O3) 6 .3` r•,.b 3 ci Fax::(533)L..)(--/-6Z 3 Tub/shower/shower pan 12.51 E-mail: �.�( Urinal 25.02 ii4"1 Water closet 25.02 ONTRACTOR; « 37.52 rs i Water heater Business name: 1 1'! '�^'✓ v�t5 l Water piping/DWV 56.29 Address: A) Aix I yid / Other: 25.02 City/State/ZIP: A ClAx4iC1Q 117r -e,�3 ) Subtotal 3 , Phone:(5 c'`5) E50 - 1---7- ` Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 8 9 7 b P1 m. g Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE f 35..,,C 1 Print name: /144„s 0--(4Date: [�'1,.,..9 A 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) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Vitie3 4 * ' F (ea) Tota►` , h{ ,. , ,n Squireoog rauFe , y Footing drain-1"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' 37.52id 4 m e rt 410 4n. 14. 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 each additional$100.00 or fraction thereof,to p Qty. Fee(ea) Total = erg ISS CtlOn15 Or.Fees,: ` Fe 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. .t.., lanwReylew or Plu r 1 tri it on Quantity bey 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 engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" 44" 41&O t:iiitfOr m 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 :COMMUNITY DEVELOPMENT ' Permit#: MST2017-00233 _t.t c;AR J 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439Date Issued: 07/05/2017 11/114.17M Parcel: 2S112C618900 Site address: 8082 SW BARNUM ST Jurisdiction: Tigard Subdivision: CORBIN ESTATES Lot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. 12/11/2017: REPRINT permit to reduce plumbing fixtures and adjust exhaust fans as printed on permit. 1/31/18: REPRINT to add(1)gas fireplace. 2/12/18: REPRINTED permit to BUILDING , Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 Required First: 1882 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 24 Bathrooms: 3 Second: 1355 sf Garage: 826 sf Front 20 Dwelling Units: 1Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: 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: N 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: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $32,126.98 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, if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rul-- ..opted by the Oregon Utility Notification Cen r. Those rules are set fort in OAR 952-001-0010 through OAR 952-001-0090. ou may obtain a cop of the rul- •r direct questions to OUNC by calling 503.232.1 87 or 1.800. .2344 Issued By• . i Permittee Signature: ' �I i ilrl 503.639.4175 by 7:00 a.m.for the next available inspec ate. `\ This permit card shall be kept in a conspicuous place on the job site until completion the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicata rCit of Tigard tiLLIVk Received Date lfr: Permit No.• 13125 SW Hall Bivd..Tigard.OR 97223 , �� 1 Ian R;r:mu Phone: 503.718 2439 Fax: 503,598.19(,0 JUN `1 eY 2017 Datc;By: other Permit: I IGARD Inspection Line: 503.639.4175 fes, ' Date Ready By hips. Fa See Page 2 for Internet: www.tigard-or.guv V�^r y�OF 1- '-,"1 .r dAM NenticIntim-citationitod: Supplemental Intim-citation BW„DING DI\/ c" 4i Met'hanical permit Ices•arc based un the value of'the work performed.Iodic TYPE OF the nearest dollar)of all mechanical materials,equipment.labor.overhead,at Value:S New construction ❑Addition'alteration•replacement RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Demolition ❑Other: Arm ,t�A + Far special information ase checklist. CATEGORY OF CONSTRUCTIO .'i.,~ �� Description j Qty. f En. I I-and 2-family dwelling I Heating/cooling: 6 ❑Commerciah industrial ❑ t . ng Air conditioning 46.75 ❑Multi-family ❑Master builder 0 Other: Furnace 100.000 BTI:wreis,eats, I 46.75 JOB SITE INFORMATION AND LOCATION Furnace 100330', BTU,dnas,e„rl 54.9l ii Heat pump 61.06 Job site address: 0 Z 5,....., e) � --- S T Du. aurk 23.32 City'Stute%ZIrTkeJJ Q J( ;�.aal4 Hydrnic hot water system 23.32 • Snorer•tilde/apt.no: Project name: tt ' Residential boiler(radiator or 23.32 `� ��*� � YC hvdronic) Cross street'directions to job site: S �a;SS :�4 /Siix( 4;4,A 6k..0...4 Unit heaters htel-type.not electric. 46.15 in-wail.in-duct.suspended,etc. Flue's ent Pur any of above i 23.32 Other. 23.32 Other furl appliances: Water heater 1 23.32 Subdivision: Cem_V);, Lot no.: Gas fireplace insert I 33,39 Flue t cot For water heater or gas 23.32 i Tax map/parcel no.: fireplace___ 1 DESCRIPTION OF WORK Loi lighter(gas) 23.32 �(\,��'_, (� Wood'pellet stove 33.39 l I c �'1/1�C1 � i/4�'��y�l�A� Wood fireplace insert "3.32 /ii r 3., t-e.v1 a �/�fi �j'U1'/_�/ � ti Chmnney.lineriflue'cent 23.32 O7 c7R , Other. 23.32 /On/ 4/ _ScV. ,S 4 � Environmental exhaust andsentilution: ' Range hood other kitchen 1 I 33.39 1 0 PROPERTY OWNER equipment j�0 TENANT Clothesdryer exhaust 4.. ....1s%43.i.39 Name: S4�/V-� CIS Ener (C11.+'Y‘.`1 Single-duct exhaust(bathrooms. 23.32 toilet compartments,utility rooms) Address: Attic crawlsprice fans 23.32 j CitylSt te.ZIP: Other: 23.32 Fuel piping: Phone:( ) Fax:l —__ • $14.15 fur tars(four:54.03 for each additional 0 APPLICANT 0 CONTACT PERSON Furnace.etc. I Business name: 1 • �w� i c.„,/,‘ Gas heat pump J > Wall suspended unit heater Contact name: Au.S4.1h Water heater I ai Address' fr D L -o s, a Fireplace /��/� ?1,-4,9-3 . Range City State ZIP. '''r-f-- ` I ]-9 1 s"�tl 1�t7 Barbrrur Phone:(9C3) i-3 c._ £ 4./t Fax::i S 3 i f•- 03 3, Clothes dryer fgas) Other. F-mail: AU-Silt/be SC(„iJ 11'G-het;YC. C cs&,e MECHANICAL PERMIT FEES* CONTRACTOR i Subtotal Business name:All Time Heating LLC Minimum permit tee($90.00) Plan ret coai25%of permit tee) I Address:Po Box 1341 I State surcharge 112"i:of permit tee) 1 City'Statc%ZIP:Lake Oswego.OR 97035 TOTAL PERMIT FEE This permit application espiree if a permit h nut obtained within I bit dugs otter Phone:(503)208-2276 Fax:(503)206-6912 complete. I ee mrth.niolog) ci 5::Tri-Counts Building Induxoy Srn'i:e Bed CCB lie.: (84575 A Authorized signature: Print name:Aaron Svubtt b' -- k.__-''. Date:4/18/2017 COMMERCIAL FEE' SCHEDULE-USE CHECKLIST I I:.HuddIIF Pernnr..Sit 1. Pcrmi,App_WUI I)-0u, .t I"II.l•i tI'4v!gt'r.w. 1 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III Transmittal Letter / r r n k r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www lgard-or.gov TO: Fly, DAT •+ A r I 1 Ep DEPT: BUILDING DIVISION ' JAN 25 2018 FROM: Auts lL 11 COMPANY: U l g.,:sBuILDING PHONE: ( S3 3) C 3 7 - 3 c By:Q j RE: $tsR sw .z. 34- � (Site Address) tig Z 3 �-hi Es l ( sect name or subdivision name I• number) ATTACHED ARE THE FOLW 1 T S: I Copies: I Description: , I Copies: I'Description: Additional set(s) of plaids Revisions: Cross section(s) and de •Ils. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: -d)( f f�3) 5% (,�.1 ,--s e---„, -r(.e-k ,4-0 al, > 4r.�. S p 7" m Aip�� ,n A ET amu) I-1jcc cb '5e� Aph / FOR OFFICE USE ONLY Routed to Permit Technician: Date: j,. 3}- Initials: Fees Due: Yes ❑No Fee Description: Amount D : yr p Jcv, rcv; cv $ i p — /"/EC - G Tr2il7'4 r... $ .3°3 , 3 ' /2-c70 $ y,0 / $ Special I Ar . / .7� ,o - Instructions: Reprint Permit(per PE : ] Yes I 0 No ❑ Done Applicant Notified: Date: ,,Zf/ f I Initials: IABuildingTormsgransmittalLetter-Revisions.doc 05/25/2012 , ' MASTER PERMIT 14 CITY OF TIGARD = iCOMMUNITY DEVELOPMENT Permit#: MST2017-00233 Date Issued: 07/05/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 7/05/2 B18900 Jurisdiction: Tigard Site address: 8082 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. 12/11/2017: REPRINT permit to reduce plumbing fixtures and adjust exhaust fans as printed on permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1355 sf Garage: 826 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 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: N 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $31,900.55 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 thro OAR 95 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2322.1987 or 1.800.332.2344. Issued B : Permittee Signature: �` 13Z- Z1-.7e,)9-770.01 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 Applicati ��ff 3 Cityof Tigard RECF I ? Received g Date ft.: Permit No • 13125 SW Hall Blvd.,Tigard.OR 9 7223 Plan Bever JUN a Phone: $037182439 Fax: 503 598.1900 1 ?��1,1 Dat ,B): inner Permit T WARDInspection Line. 503 039.4175 Dine Ready Os' loris RI See Page 2 for Internet: www.tigard-or.gov y - Not,ticdMvlhod: Supplemental Information CITY OF rl''�10; r g -DING f 1\/' f Mechanical permit fees'are based on the value of the work performed.Indic TYPE OF iJ 1V1.t l the :arse dollar)of all mechanical materials.equipment.labor.os rhead,a Value:S .)(-" i New constructionEJAddition!aiteration'replacement RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Demolition ❑Other: _ Nr,-.1t Fur special in/ormuüon use checklist. CATEGORY OF CONSTRUCTION 0 Description Qt}. Ea. I �� Heating/cooling: I-and 2-family dwelling Ei Commercialindustrial AeFes u'(ti_ remit ing Air conditioning 46.15 ❑Multi-tamily ❑Master builder C Oth Furnace 100.1100 BTU'ducts cats, I 10."5 JOB SITE INFORMATION AND LOCA )N I Fum t c 100.006 BTC Id..ts,estst 34 el T Heat pump 61,0 6 Job site address: ?- G R,Z ,�� F"),-,..-{-",‘.......,..----- 64 Duct tc t'rl: I 23.32 City State'ZIP7T1 ) l‘... `A -c-a- Hydrunic hot water system 23.32 Suite bldg./a t.no: Project name: [ Residential boiler tradtaror or 23.32 P 1 b�*� �,�� hvdronic) l Cross street:'directions to job site: Stxjss a k IS\'sik. I�` Unit heaters ttuel-type.not electric i., 46,'5 in-wall.in-duet,suspended,etc. ' Flue cent fur any of above t 2332 Other. 23,32 iOther fuel appliances: Water heater I 1 23.32 •r�`• [" Lot no.: Gus fireplace insert t 33.:9 Subdivision: 1f� ( Flue cent for water heater or it 23.32 Tax map/parcel no.: fireplace1 DESCRIPTION OF WORK Log lighter t as) ''-3.3-' ( Wood'pell'pellet stone 33.39 I I{\��T��"\ "e-) r: 0— Cit � y t+� y �,YA , Wood Fireplace insert 3.3' I h mn v liner.flue'Noll 23 32 Other: I 23 32 • Environmental exhaust anti ventilation: Range hood other kitchen ' 1 33 39 equipment ❑ PROPERTY OWNER ❑ TENANT Clothes dryer exhaust & 33.39 Name: S CSS `2419 f IC11.-.4l Single-duet exhaust(bathrooms, 5 2332 ' toilet compartments,utility rooms) Address: \ttic'crawlspace fans 23.32 i Other. 23 32 City`State ZIP: Nuel piping: Phone:1 ) Fax:( 3 514.1$for first your:51.03 for each additional I 0 APPLICANT ❑ CONTACT PERSON Furnace.etc. ,/� �y Gas heat pump '"�''� fa Business name: „ .,,, "NA(vs_C, , ;/,‘ Wall suspended unit heater Contact name: u..S.�v‘ i Water heater ieal Fireplace Address' 3 c o s„,... ' 1 Range City State=ZIP: •-Y-f- �py Cit. ?it,�.)-3 Barbecue I '. Jai) .?-3 F,.— c s// ) S 3Clothes dryer i gas h Phone:tC Fax::i I ( �3 `j OChc'I. ' E-mail:-mail: MECHANICAL PERMIT FEES* I��SfiVlt/ ��1 VA C. - f C.,1,1,--, CONTRACTOR I Subtotal Business name:All Time Heating LLC Minimum permit ice(590.00) Plan ret iew i25%of permit fee) i Address:Po Box 1341 Stare surcharge(12"'0 of permit fee) ity/StateZ.IP:l.ake Oswego,OR 97035 TOTAL PERMIT FEE C This permit application expires if a permit Is not obtained eitbin Itsll dose oriel Phone 1503)208-2276 Fax:(503 I 206-6912 complete. I re methvctvlues tat 5;:Tit-Count.,..Building Industry S-,vu Baud CCB lie.: 184575 Authorized signature: ,....---72_, i Print name:Aaron Svuboe. .:.Y" '\ ,1Date:4/18/2017 ,,C C COMMERCIAL FEE* SCHEDULE - USE CHECKLIST I Huddinp I'rrmnr Slit_eermIlApp_uau i i 3.tipa Plumbing Permit Application Building Fixtures CitiN FOR OFrlce USE l. O 1 Cityof Tigard Received ganDate/By: Permit No.: /1)30.20/7-i ''3 33 11 13125 SW Hall Blvd.,Tigard,OR 97223 �p ��7 Plan Review-71. +y/�1�1r' 4 vC _ Phone: 503.718.2439 Fax: 503.598.1940\1 �j l7ir. Date/By: ) �'-) Other Permit No.: T 1 G A R D Inspection Line: 503.639.4175 i> Date Ready/By: I Juris: 66 See Page 2 for Internet: www.tigard-or.gov "" , @ tt q( otified/Method: Supplemental Information TYPE OF WORk,t" �r iii" [t� FEE* SCHEDfGfi: CEt New construction akoition For special information use checklist. Description I-Qty. I Ea. Total D Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OONSTRUCTIONK ' F- SFR(1)bath 312.70 21-and 2-family dwelling 0 Comme = SFR(2)bath 437.78 % SFR(3)bath 6 C%% F 500.320 Accessory building 0 Multi-f. tiff /►. Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION - Site utilities: Job site address: �C:G'9 L Si-u 64 ;-�(,-t,.. 5+. Catch basin or area drain 18.76 City/State/ZIP: ( ,.cirte,. 0 1 7 2-4 Dtywell,leach line,or trench drain 18.76 / ,� Footing drain(no.linear ft.: ) Page 2 / Suite/bldg./apt.no.: I Project name: t_.-UY(si VS,+ZC,{-e Manufactured home utilities 50.03 Cross street/directions to job site: 1 S I (-jar Manholes 18.76 l - Rain drain connector 18.76 • Sanitary sewer(no.linear ft.:_) I. Page 2 • Storm sewer(no.linear ft.: ) t Page 2 • Water service(no.linear ft.: ) I Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: • Backflow preventer ' 31.27 , t ' ' Backwater valve 12.51 DESCRIPTION OF WORK f� J //� �) Clothes washer ' 25.02 1 `,e.., N�2,,// r'!` . Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPER*' Otis R fl TENANT Expansion tank 12.51 - R 4,„ (j Fixture/sewer cap 25.02 Name: 5a..4.-..-e a_/n 1 Floor drain/floor sink/hub 25.02 Address: �f - Garbage disposal 1 25.02 City/State/ZIP: . Hose bib L. 25.02 Phone:( ) Fax:( ) • Ice maker i 12.51 Interceptor/grease 25.02 4v ; APPI(,i�; < #;� 0.CONTACT PERSON err° trap x,. T (2. f j. _ h Medical gas(value:$ ) Page 2 Business name: (,l l�eZ �1., Contact name: (`�'l°, Primer 12.51 \ Roof drain(commercial) 12.51 Address: 1,2 6 Or, S �,,,I /4,,..e t�� .?„,, Sink/basin/lavatory •g'%6 25.02 City/State/ZIP: Pt,,,,,,rf- C) r 7-ca. J Solar units(potable water) 62.54 �j?} Phone:( 5)(,37 j 41 Fax::(56 5) /)44_,;-_,_3(:/. Tub/shower/shower pan / 1, 12.51 E-mail: '/� /� ) c/ Urinal 25.02 /�tic S( �'1 i�Co6_11j n e___ c l i'L� L CON1�CTOR t Water closet Ye-4,25.02 �` : Water heater ( 37.52 Business name: a,/i-7n4,114')1./ Water piping/DWV 56.29 Address: i)---)07- cSE- /Cr Other: 25.02 City/State/ZIP: �t � � f` �,__l bI'� Subtotal " � Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: / Plumbing Lic.no.:'6530; Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.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: t ;Site Utilities Qty. 'Ed ea) Total „Square Footage: i,, <; Permit Fees Footing drain-l5`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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 fust$5,000.00 and$1.52 for l each additional$100.00 or fraction thereof,to Otherf ns ections or Fees QY• Fee(ea) Total -.. 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 ReVieiv for Plumbing Installations 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 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" - Isometric or Reser Diagram 4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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 , Plumbing Permit Application . , Building Fixtures r(.3K 'Pt t IC L 1_`!,L 1_/ L1 City of Tigard FIECEIV : VIO9; 111, 13125 SW Hal1131vd„,Tigard,OR 97223 Plan Racism , Phone: 503,718.2439 Fax: 303.598.1960 , Otbar Panait No.: ' - , Inspection Li a: 503.639.4175 1 tjN 1 h '2 i Its, .,,,,, 0 Internet: ward-oCITY OF TIG ritrtmied r.gor Supplawasatal litSaratatio 'a : ' Tilt CIF"MEE BUILDING DIVISION FEN*AMILOULE l For spacial bifonputtiove use diest New comstruction 0 Demolition _.DeacinntLan 1 Qty. I Ea_ 1 Total 0 Additionialteration,replacernent 0 Other. , ,....„,„/ New 1.-2- ' Owelliags(includes 1001 for each utility connectio CATTIPINCr ONM CONNINOCTION .. .., SPR(1) : 31230 sna 43738 ath I.arid 2-farnity dwelling 0 Conunacialindu4..• ,,• S )bath % 500.32 '-:•, 0 Accessory building 0 MultilamilY 0 ,,A\ , additional bath/kitchen ( V j 1._ 25.02 0 Master builder 0 other: ... Fire sprinkler(....:L;;....sq.ft) ' Page 2 JON NOTE NORIMOIKTION AND!LOCATIONt Sitemedial' es: Catch basin or area drain 12.76 Job site address.' ' ' ()b 2.- 4.. &)-c-vv..._,..„, Si- Drrwell,leach line,or trench.drain 18.76 City.,StateiZTP: .' i 6\C. 1 1, -3-il Footing drain(no.linear&:„„..'„) Page 2 SuitetkigApt UO.:-'‘z,'•, ProJea name:44-4"ke31") -c.--,r,....ple-IL Manufactured home rah/dies 50.03 Cross street/directions to job site: - SLis V... ss Sk Manholes 18.76 Rain drain connector I 18.76 Seeder;sewer(no_hem ft.:.. ) I Page 2 Stored sewer(no.linear ft.:= I Page 2 Water service(no.linear ft: ) I Page 2 Subdivision: ',..1v4ECov-'11/4A.vr ...5-k-t" A--t Lot no.:.'..:„AC,> Fixture or hew: Back0ow preventer I 31.27 Tax mapparcel no.:'',11iIrtk: Backwater valve 1251 211101111101‘'CI Wtillar Clothes washer I 25.02 1N\ •-W Q...R._ScLz)a."\-t 0--\ C‹)11‘,SkNr‘..1/4.-g.-\lit,:ir) Dishwasher 1 25.02 Drinking fountain 25.02 Eire:cam:sump 25.02 , 0 rammer*wawa 0 natiNT Expansion tank 1251 25.02 Name.. ciks. c.k.,' 0.-fif V c.-0--•J‘..'k Fiictureisewer cap Floor drain...floor sink/hub 25.02 Address: Garbage disposal I 25.02 :L._ 1 CityState:Z/P: : , 1: Hose bib I 25.02 Phone:( ).• ...,-", Fax 04744WrIM Ice maker 7... 12.51 0 AlnICANT 0 consacr rsamana 112tereePt"*e"e bp 25.02 Medscal as(valise:$';'...I.:i''',) Business name: '• ,. ..-c:.-c Ca,kAg A (IslAgrvsr,...A--:c-y) . Contact name: , , ' ,A\AA k i\ Roof drain(commercial) 12.51 e, (% x \,,, Address: \'2_tr..)0C) i.,s '-k.e ‘'. 11 .&.0,-) siact.i%liwide-, _ $ _ 25.02 cilyst2tem: -,,, ,e0,4-.V\ ,,k 1 c 4.. 'I la?3 solar units(potable water) 62.54 Phone:(5b3)-/ ks 88 Y*6 Fax::(c-b)) '-fkz,e,91.1.....eg.3 7 Tub.sbowershower pan '3 12.51 '•; Urinal 25.02 ••;',•,,,-.• E-mail: . Ay...SA:N",e co) kl.-t).\-t,7-1.-..c. Water closet It 2502 " ' Water borer I 37.52 ..,..„.c.Z' Business name: v e-2.76 fpc" A4 blie„,A 'Water piping/I:WV 5629 Address: )227 e!)......-- 5E: 25.02 ‘'.;.1...;1.. CilyiStatel7JP: '.,.,,,, „4-,.71.6-)ry ),O' e6--f, subs.,„ blinks' oin permit' fee: $72.50 Phone:( ') ' :',0 ' ...< Plan review (25%of permit fee) CCB Liclifi 114/4 I 8 2.g y PltiLabiagLic.noe6 $ 2_ State surcharge(12%of permit fee) Authorized signature: ilp TOTAL PERMIT FF:E Print name. 606c)- I Date: i/;e2//t Th I 2"11.k allritadfterwaitZair i'I if=trait::::=1 wl"1"447 *Far a maktabtlaagy tat by Tri-Caratty Eitittlilts Indust y Service Baas& I.R..d.f.f Penauti Pr.1112•Parx.4.A.,^p dkx. ::cite 44.:,-4.1•1rf•1:.,::Z COM WEE FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIIa . Transmittal Letter etter T c;A P I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 70no # DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: I-LC& Ei, I vfV 2 8 2017 COMPANY: 31 gekt, CITY OF TIGARD BUILDING DIV JON 7 PHONE: RE: 8b82 60,--v-vvvt_ku„._ Sf WPI- 96 11 - `>o z 3 (Site Address) (Permit Number) �Ln _s /-r 4 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. 7Beam calculations. Engineer's calculations. Other(explain): b X-L,--„e JAI-1-41-e---) REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: l ) — ,Z 9- ) 7 Initials: 'I Fees Due: ❑Yes 0 No Fee Description: Amount Due: $ 4544 $ $ $ Special Instructions: Reprint Permit(per PE): Yes ❑No ! one Applicant Notified: /1-0s77/1) ate: ///ih7 Initials: 7t1, ,L., I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Mechanical Permit Application FOR OFFICE USE ONE\' City of Tigard -,:c% Received g ?�yDate/By: Permit No.: 1 4 13125 SW Hall Blvd.,Tigard,OR 97223 ..,�. Plan Review III I Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 411 a %��\4 Date Ready/By: Juris: Ia See Page 2 for Internet: www.tigard-or.gov °a U t,yNotified/Method: Supplemental Information TYPE OF WuRK �� G�� 9"'[[[ . ,COMMERCIAL FEE*.'SCHEDULE .USE CHECKLIST Mechanical permit fees*are based on the value of the work n New construction ❑Addition/alteration/zemg + performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. F Value:$ CATEGORY OF ONSTRI iQN • RESIDENTIAIZ U IPMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial 0 Acce 40,-. e For special information use checklist. ❑Multi-family 0 Master builder 0 Other: • Description Qty. Ea. Total JOB SITE"w INFORMATION AND LOCATIONHeating/cooling: / Air conditioning 46.75 Job site address: 'r� Z. 5 t�p- -.- c-t" Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: t ( R � 7 `i- Furnace 100,000+BTU(ducts/vents) 54.91 J Heat pump 61.06 Suite/bldg./apt.no.: Project name: Le,y"Aih �;S -vS Duct work j 23.32 Cross street/directions to job site: f2.)/ S'( 3-r 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 Other: 23.32 Subdivision: Lot no.: Ca Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 ESC DN OF'WORK Gas fireplace/insert + 33.39 (� Flue vent for water heater or gas l --r t (.1, ()A �J Ci fireplace23.32 Log lighter(gas) 23.32 V e-'11 }�, Wood/pellet stove 33.39 L 0.(,) (I j (/{,d/►�.e,j o� .✓} Wood fireplace/insert 23.32 — � 1-- t �) l 4-• } Chimney/liner/flue/vent 23.32 /iJ _ Hy •Sir'J /J Other: 23.32 tk h, ❑ PR ERTY 0 ER /Q TENAhI `" "**I Environmental exhaust and ventilation: Name: S n.-k._Q_- ex-.S y.91 L` ( Range hood/other kitchen Address: ; equipment \ 33.39 Clothes dryer exhaust t 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other': 23.32 � Fuel piping: Business name. $14.15 for first four;$4.03 for each additional Contact name: v ' v` , i...1Furnace,etc. Address: / ,g.-6j c j 5,, -7-�. { ��' Gas heat pump •Z Wall/suspended/unit heater City/State/ZIP: 6,y--) (4.1e,-1.---.429 o'e ? 3-�'D-`� Water heater Phone:(S63) C.3-� - ,2_6_, 3 ? Fax::(.S"an &;'-c1Z, a Fireplace /� Range E-mail: �7,,cS` n✓j, i11 c_q Barbecue CONTRACTOR ` .. Clothes dryer(gas) Other: Business name: -214 MECHANICAL PERMIT FEES* '4;C-%.. Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE / / l This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signa�tJure: * Fee methodology set by Tri-County Building Industry Service Board Print name: IA Date:ii-70 -t I.\Building\Permits\MEC'_P`ermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total ValuationPermit Fee: $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:\Building\Permits\MEC_PermitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT ...„ .4. " al. ' COMMUNITY DEVELOPMENT MST2017-00233 <., it. Date Issued: 07/05/2017 TE ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB18900 �atl Fla 7 67: Jurisdiction: Tigard Site address: 8082 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. 10/24/17: REPRINTED permit to Remove(1)sink, (1)lavatory, (1)shower, (1)laundry tray, and (1) hose bib. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1355 sf Garage: 826 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 2 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 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $31,900.55 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 • e the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set • h in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a of the rules or direct questions to OUNC by calling 503.2 .1987 or .800,332. Issued By: y`�" �.�e ==' Permittee Signature: ' grOPip 503.639.4175 by 7:00 a.m.for the next available inspection dat . 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. Plumbing Permit Applicatio ,� �� /� % i7©/ / Building Fixtures HEUE� L 1 OR OFH( 1: 1 51. Ov1 1 City of Tigard OCT 2 4 2017 eived Da Permit No4. 770/7..2L33 13125 SW Hall Blvd.,Tigard,OR 97223 �y Plan Review III Phone: 503.718.2439 Fax: 503.59>� Ot"- .�I(,ARD Date/By: Other Permit No.: 1 i Inspection Line: 503.639.4175 BUILDING DIVISION Date R�ly/By: Juris: H See Page 2 for �''^it L) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El I- Commerct I-and 2-family dwelling lr , SFR(2)bath 437.78 �:; ,. `. SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-fano Each additional bath/kitchen 1 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: p p 2 _o i�'' cR-V'�"`A'"‘ `5 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1 CSR 9 1;)-r?'11 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: C„-v-10,f, E3 t'`t)-Q_ Manufactured home utilities 50.03 Cross street/directions to job site: C / i `4 f' Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:_) l Page 2 Storm sewer(no.linear ft.: ) I Page 2 Water service(no.linear ft.: ) t Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer t 31.27 Backwater valve 12.51 DESCRIPTION OF WORK ii Clothes washer 1 25.02 NI.P IA) 1(7 ')In,0A S C`F 5V^ Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: 3,-„,-,k 0,-s tole(, r l,;( Fixture/seweroordrain/floor cap 25.02 Floor dsink/hub 25.02 Address: Garbage disposal t 25.02 City/State/ZIP: Hose bib t 25.02 Phone:( ) Fax:( ) Ice maker ( 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 2 _ Medical gas(value:$ ) Page Business name: 1 T C Ain 4.(1,x,6,1 by► Primer 2 Contact name: Art'ft Roof drain(commercial) 12.51 Address: I J � �4k/ t' - Sink/basin/lavatory 25.02 City/State/ZIP: 19E3,4--(:,;,,,,,, OjZ 9 7-4,1,"3 Solar units(potable water) 62.54 Phone:So))6.5 e7 ,)-(, 3 9 Fax::(563) -a L 3 9 Tub/shower/shower pan 3 12.51 Urinal 25.02 E-mail: s , t + j yIc L✓')-- Water closet "i 25.02 j7 ''5 CONTRACTOR Water heater r 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: e State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Date: This permit application expires if a permit is not obtained within 180 days Print name: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Buiiding\Permits\PLMU-PermitApp.doc 10/01/09 449-4616T(10/02/COM/WEB) , Plumbing Permit Application . , Building Fixtures 1 t 1 k (11 lit.1. 1. 1 t_INL). City of Tigard FI : ECEIV i7v. q ppfra P'611;ez tr/gti'1 7-6.02`S3 II- 13125 SW Hall Rht.,Ti2 gard,OR 97223 - Plan RACi.97 Phone: 503.718.2439 Fax: 503.5911.1960 , Otter Poonsit'Yoz - , Impaction Line: 503.6394175 1 UN 16 'ZiltBr I 121 See Page 2 Err I I''\' 1' Interact truw.tigard-er.gov Seopteassata1 laurstatieu CITY OF TIC iltlaim--'6"4: TTIE CIF Wang RUILI)ING DIVISION nz.50111111.71,11 igiNeVy construction 0 Demolition Fee special informed&no we chwcilist • , Desegirtion 1 Qty. 1 Es_ 1 Total 0 Additionialteration,repLacement 0 other: New 1.-2-farstaly thweIlings(includes 100 it.for each atilt)" •conneerio 01411116431iT 4311'CONSIIK/C1111314 SFR(1)bath ,. 312.70 0 1-and 2-family dweltine el CccomerciatinSFR(2)bathclustrial SFR(3)bona ‘ 50032 0 Accessoryv building 0 Multi-family Each additional bads/kitchen 1 25.02 , , s• 0 Master builder D Olber: - Fire wrinkle:( ';-;''.'sq.R) " Page 2 '2 ' JOR MI IHRI1310114111014 MD WC6111111 SW utilities: Catch basin or area drain 18.76 Job site address: " 17i(-)b 2_, .5,,, C3,-.),,,,,,,,,,, _Si- - Drvwe i •line,nr trench drain 13.76 City,StateIZJIs: ' 1-0)rivrA i (.S\C. 41 1,?-azi F..:• drain(... - -,..,;....) Page 2 Suitebldvapt.no: ,:.'", , Project name:4* ,le:ik,\r) .C......c lamp, N r Olt .•home, ;..-es 50.03 , Cross streetidirections to job site: , 'S LN:.4 0 S,S S ;Pr' 18.76 S.\i•S .\--Ct., \ <- W-1 • ,:A.drain c.•-. ' 1 18.76 r 0( Sandia" " • (2°-lineal ft*.':.;'...'O i Page 2 ( j s.... sewer(no.linear ft.:`"':,"4Z I Page 2 , 'si Water service(no.linear it: .,''i's") I Page 2 Subdivision: ."%M b v.vx .‘ c_54-0k_f I no.:,i,-.`;.',. Fixture or kens: Tax mapparcel no.:'WcIA Backflow;rammer 1 31.27 ' - reacerIINDINC Backwater valve 12.51 raxt or - Clothes'sashes ' 1 25.02 • Drinking fountain 25.92 Efectors:sualp 25.02 . 0 111f4PEITV 411111firlt I 0 TliXliKr Expansion tank 12.51 . Fix cap 25.02 Name. >c> a \ 0......fc `Ure.t-Arx-A Floor*similar siokillub 25.02 Address: Garbage disposal I 25.02 -...-.. . City.StatV7iis: ` '' '.<"" Hose bib I 25.02 Phone:( ) ,,--'; Fax CLIttrqr>0 t;t2.0 lee maker 7... 12.51 a APPLICANT 1 in corajecr isatson inteseephximue wag, 25.02 2 ' Medscal gas(ratite:S=''-'' '',.) Page 2 ,- Business name: ', ' 'T 'Cr,vt, c ,‘,r,...e...A-;,vi 1 . Pruner 12.51 `",n Contact name: , 'A,),,..s, k:1 v.\ Roofriraio(coreaneresg) 12.51 '..1.1.' . Address: \2-tc)0C.) *--k t64;A1•.‘-e tk46° Siekbesimlevakev P.? 25.02 CilY'Statel/P: ---''leo,r - ,s1 1 0\C- ctIaa-3 Salm units' (potable water) 62.54 Ph°13e:(51)3)1 -.8e Y6 Fax :(s."b3) ..(..4,1,1_c ,3 7 Tob.showershower pan '1 12.51 Urinal 25.02 E-esaa: A..k.s ., R A-,-(A-Lrv.“.. ,......, Waftclotot i 25.02 Water heater I 37.52 i',......e Business name: PE2.76Wydt4 hti/A Water piping/D6_ WV ' 529 1x-4 Address: )27,:fil..12 ,55E: itOr 25.02 City/StateiZJP: .",.:1", )11 l'e-r( Subtotal _ Phone:( •) I'V' git , Minimum permit fee: $72.50 L1 ' CCH Lic.:Nal Si/6 I 8Ag y PlItstbing Lit.no 5:6z, Plan review (25%of portuit foo) „„„,_ State ardiaratoe(11..2AL%pEamrrof permilFEEfee) Authorized signafire:et)/1/7/1n, let"........._ Print name: I : jt/(:),/6 06 )- ., = t. DateilTkrs mink ageltertioilts.misea its pesettitst:tothreal witiaa mos., , also nswilhodolnao,mid by Tri-Cessuty fluildins Industry Sonic*Baird. 1.11.,st.g Penn:PLRIV-Pap dui. :c Cl Ott 44.",..011.7.1:,•::.:COM'AYE FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 Transmittal Letter k I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: la M DATE RE DEPT: BUILDING PIEGEIVED OCT 2 4 2017 FROM: �':+�1 CITY OF TIGARD BUILDING DIVISION COMPANY: v • PHONE: I By7 RE: ate A 2 G Vvn T7 eg mtele)!Od 3 3 t roject name or su lvision names u lot n mb ATTACHED ARE THE FOLLOWING ITEMS: I Copies: j Description: j Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): n, )„. 75- 7/1/e, REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: )1 Initials: Fees Due: 2 Yes ❑ No Fee Description: Amount Due: A r Al cm ;rev; e.w $ y-� --- $ Special Instructions: I Reprint Permit(per PE): Yes ❑No ❑Done Applicant Notified: Date: ld t 7 Initials: 6<7 I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8082 SW BARNUM ST, TIGARD, OR, 97224 May 9, 2018 at 9:06:34 AM Record Type: Record ID: Residential - Master Permit MST2017-00233 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide address on site for inspections. R316.1 No power to master bath fan . Seal foundation vent penetration for ac line set. R408 Protection Ballard in garage to be filled with concrete. Figure M1307.1 Not ready for final mechanical inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8082 SW BARNUM ST, TIGARD, OR, 97224 May 9, 2018 at 8:57:30 AM Record Type: Record ID: Residential - Master Permit MST2017-00233 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide address on site for inspections. R319.1 Multiple outlets taped up, no access to test. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8082 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00233 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: 8082 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00233 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Duct seal test report received. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8082 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00233 Inspection Type: Inspector: 399 Plumbing 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: 8082 SW BARNUM ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00233 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor litiwl CITY OF TIGARD MASTER PERMIT ''> COMMUNITY DEVELOPMENT Permit#: MST2017-00233 ' i'��.ii.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2017 Parcel: 2S112CB18900 Jurisdiction: Tigard Site address: 8082 SW BARNUM ST Subdivision: CORBIN ESTATESLot: 6 Project: Corbin Estates, Lot 6 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 1355 sf Garage: 826 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3237 sf Value: $404,748.83 Rear: 15 PLUMBING Sinks: 2Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types AirConditioning: N Vent Fans: 6 Clothes Dryers: 2 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 3237 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $31,855.55 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. A ' o Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent . Those rules are set forth in OAR 952-0, -0010 through•AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1 or 1.800.332.2344. Iss •d By: ado. d �— _/ 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 s Residential City of Tigard RECEIVE Received ateBy: to r ie_77..... Permit No.: `� 7 d 313125 SW Hall Blvd.,Tigard,OR 97223 ■ Phone: 503.718.2439 Fax: 503.598.1960 JUN yAe 2Q17 DPaanteBReyvi :ey'a. ) -- ) *".7 �I,/ Other Permit: i_r��0 i,y T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: T I Juris: See Page 2 for fir' Internet: www.ti and-or. ov CITY OF IGAR i , /' ---�� g b g Notifi d/Method: � i � / ! c 'V Supplemental Information 9t-1JI DINGIVSIO TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �j] 1-and 2-family dwelling 0 Commercial/industrialValuation: $4°L O J 7 I p ❑Accessory building 0 Multi-family Number of bedrooms: I O 0 Master builder ❑Other: Number of bathrooms: (4.. JOB SITE INFORMATION AND LOCATION Total number of floors: 2 4 0 b/3 Job site address: yw �� 1r.t� S.- New dwelling area: ' y 1 square feet City/State/ZIP: 7--- �-Y�1, (/k r7 -13 Garage/carport area: t)).-6 square feet Suite/bldg./apt.no.: Project name: l tet:. ‘o-: Esk....0,,Art Covered porch area: °1 b square feet13 b e Cross street/directions to job site: 5-km y tk / SW �� j��lr�(• square feet) $8 Ps. .o t4c. v..✓ Other structure area: 7k square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: /6 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 O +� DESCRIPTION OF WORK work indicated on this application. ,".i Si AP .1-.11A 4S it ;/cf w_.4.i .•'\ Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: 3 v. "NvQ`t:.a--v4 Type of construction: Address: _ - --__Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: "'^T Qdr-1_ �� ,t L c)� (Please refer to fee schedule) vx tY ' 7 Structural plan review fee(or deposit): Contact name: Li. _ / a FLSplan review fee(if applicable)—: Address: I at,cz S:v "i-c7123,‘, Ave , S."r(k_ #o pp ) — City/State/ZIP: ¢�"r4 / 6p Total fees due upon application: Phone:(c�3' ) t��L_ ',it) Fes::(e�z,-s) Amount received: X34-(523`� E-mail: L yi C.,„1,) y„f ci` �to�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 4 ICONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: 3 T 1 lj Submit two(2)sets of roof plan with connection details �,in 4ut_T1 rJand fire department access,alongwith the 2010 Oregon Address: ( - J,,v 'R...„))^,--.49-vv ,(t 5,11,-/...e t f p VP. :�� Solar Installation Specialty Code checklist. City/State/ZIP: ,rfPermit Fee(includes plan review $180.00 and administrative fees):_ Phone:(5C.,3 )(v 3 1•- ,) 31 Fax:(503)(,./. —62_ State surcharge(12°/u of permit fee): $21.60 CCB lie.: '`I k 1-66 — — Total fee due upon application: $201.60 Authorized signature: , 7/C67( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4Date: 5--ft- / 3 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) s Mechanical Permit Applicati , Cityof Tigard I Received • g Date B Permit No. w 13125 SW Hall Blvd.,Tigard.OR 9223 Plan Re+ietr 2' Phone: 503.718.2439 Fits: 503.59$ 1961) JUN 1 4 ?illi` Due Bp. Other Permit TIGARD Inspection Line: 503.639.4175 Date Ready B.' loris H See Page 2 for Internet: www.tigard-or.gos: CITY Not,tted Metuoti: Supplemental Information 3 Di,[o.. k,, Mechanical permit lees.at•based on the value of the work performed.Indic TYPE OF§1/1/PIN 5_thc acarest dollar)or:di inchanical materials.equipment.labor.ON enccad.at Value:S RI New construction ❑Addition'alterationlrepiacement RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES* ❑Demolition 0 Other: 1 for special information use checklist. CATEGORY OF CONSTRUCTION Description Qty. Ea. 1 Iieatinglcooling: I-and 2-family dwelling 0 Commercial;industrial 0 Accessory building Air conditioning 46.75 0 Multi-family 0 Master builder 0 Other: Furnace 100.000 BTU toilets ue:ro,i i 46.75 JOB SITE INFORMATION AND LOCATION l Furnace 100.utu1 BTU ukiets.eats) 54.91 Heat pump 61.04 Job site address: r `� T— Ci�-^� .�.il lin(—✓\,N ��- {�� D,,,,,,wk � 23.32 City'Slate:ZIP1- c f8 ,( (-19- -a-i-1Hydronie hot seater system 73.32 IResidential boilertrtdiator or 23.32 Suitebldg.'apt.no.: Project name: Ciy\e' ..‘ , htdu ntct Cross street directions to job site: Sk Q.....ss 11- /S�� k 6\�'� Unit heaters i fuel-type.not electric t, 46.'5 to-wall urduct,suspended.etc. Flue sent for any of above i 2332 --- Other 23,32 Other fuel appliances: Water heater 1 23.32 Subdivision: e.�,0 Lot no.: Gas tlrepiaceimett k 33.39 Flue cent for +surer heater orgas t +32 I Tax map/parcel no.: tircplaec 1 I DESCRIPTION OF WORK Log lighter(gas) '_332 Wood pellet stove 33.39 t Wood tre lacy msett ^3 32 I himnev.liner,Clue vent 23 32 Other. 1 2_i i2 1 i Environmental exhaust and ventilation: Range hood other kitchen j 1 I 13 39 equipment 0 PROPERTY OWNER 0 TENANT 1 Clothe_dryer exhaust 2 /0.39 Name. 56��e C� . � Single-duct exhaust(bathrooms, 2_3.32 � �1 Csl_:ri I toilet compartments.utility rooms) Address: Attte crawlspacc fans 23.32 Citv.State'ZIP: Other: 2332 Fuel piping: Phone:( ) Fax:( 1 $14.15 for first four:$4.03 for each additional 0 APPLICANT 0 CONTACT PERSON I Furnace.etc. z..,k ., Gas heat pump Business name: �..c-�-1�tn AVallsuspcndcdunit heater Contact name: ti Water heater • r' 4 I Fireplace Address: D 0-0 s,... 1—D.4 . '�, i Range C ity,State'LIP: '�t (.N\ y,Z,., 3 i Barbecue t/ /s s Phone:(gr;j) ?-3 k.y•— 8'i t Fax: :i )1 T!/— 64 3 Clothes dryer+gust Other F.-mail: S w +-�I %etc__ , t- L.1,3,-.... MECHANICAL PERMIT FEES* CONTRACTOR Subtotal Business name:All Time Heating LLC minimum permit tee($90.00) 1 Plan res iess t25°1,of permit fee) Address:Po Box 1341 I State surcharge 112'."c of permit fee) City'State:ZIP:Lake Oswego,OR 97035 TOTAL PERMIT FEE I This permit application expires it a permit is not obtained within 180 days urte, Phone:(503)208-2276 Fax:(503)206-6912 complete. I.e me:h.xl.deg. •xt by Ti;-County Building tndtuun Srn,i.e Board CCB lic.: 184575 Authorized signature. ,,,,-----2..,, Print name:Aaron Svobo -a" z V___) Date:411812017 ...*:---`- C_ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST I:•H,idinp Ver.!.N111.yurtmApp040t I+.du+ _ Electrical Permit Atmlt il: ttli - FOR OFFICE USE ONLY .,_. ...-* CityI i 2.S°JITIalilg:vrad...Tigaid.OR ji.),N.0 - rip1 h ?O17 itrocriat:! DarAic: oiIt.' ' 41: mow Daior'Bv: ' Nook 14..1: I DIIii.tr Prrril T CARD 1114.x.-•ctior. .3 . 3 ' D lo lioadyiBv: • a I :,i,. 0 See l'ego 2 rur L i . '°3 619 417r1111(OF TIGARD Jr-Lamm: www.ligard-or.got, -4' I riaaiciodi/a1zthe4. Nuliplurn rill iii is furtmaion 4 01\J te:CW ChZe*,aii:kr?NOV 14,.1brIn 1 Al:.:5•0.:.t.i.o.'ilem%raectzii he ie..'I51,Not ttoristrucr.:0n 0.Adaliiionialterationitcpiacernont 0 c,si s..L..L fde:400 aripi.t..t it ori: L SU ldi.h:a.e:r.h.:,:t rati t:. I 0 Demolition 0 Other: ilic at alibi,:rati:I c.i:rcot 0 klarmasaud boa:y:1,th I - . .• '''CATEGORY.-OF klehl$114.4(11()&f:;:::-::••••••---•;•-• •••••,•• -•••:-• a.-,s.:-.:c..is i,005 amps a:150 at:•lo a or 0 tiamitu-i ishka, in::4.Foloki,cr c:coixd:, I10 0 C."..011:1etti..,1-....e IN l-'Inc:2-1-3IIJI)'L'A•1111Iirlil 0 Colrulterciallindustrial 3 Auccssory building imips-o,,,i;,c,asa,hiii allst km:: hiss 0 Mar...-14tHily 0 Mater balkier ri Other; 1 0:-;,..:,iat s p. '' 0 loslarotit,la .:K VA 0. .ut pa,..p.nalc.:,1.1.11‘..1 . . ‘101.VRTE.t.INFVFMIATION'ANDYLI):01J1Q0( ..:'.- .,,, :;..:.::-;•;•;;:"•:.* 0 Aoci is°,cillgt4 1111.44.::PO,:r ..11:C.If voiLy no.: Job sits:inldrcss; '36 ,2_ s,..,.., gi...,„,....),...„ .5i -1,..:411P'Ila'.7m a . 1-• .--;---- -, 0 :s,ii mie It:,11.1.1:::1-.1.111.h. 0 it,PP.:1 DILA VOW',pa s i i.:itYiS1,8 lei 0,......44 1 6 W 9 7c)-D-3 3 1 i cdich•caire u.,.. 9 t i,s,..ii ea sir:,liasis 0 S:ipply ao:lain:r,-.•••,,,,,....Ill, I St:iini314.,apt.:3t).: Project . 11„mc. Ce)ar tOL‘rx 7,.,_c'fr-4.4e- ' .• . - :s-i.,s,).1-,-,....k:i,-f.' •I•fli 0,1111Cri I--- ....... .. ..._.:..„. :...,.,.FEE SCIIEDIALE I (..70N h ircoticiimeiions to job site: ,. .,,i e,53 it Deur.Ipt..m 1 v Uri. Fr,. 1. •rsua 21,- • r ,_. S 6J FCLI i 61 Vel New midi:mai/I sinolc-or multi-family IN ellior,Viiit. loch:idea Aft:101mi garage. i r 1 gni Ti li os s.... Suboit:sidn: e_....C•ey-kept Se 1 -L:S+01,...4-e I Lo:no.: ,r0 I .1 -- Ea arld'I SOO sq.0:.or pcn on 2, . . 'I'LES amp:pane,DU.; Lim:I.,,i Q.-ii.:!py.resiticir:Al ' I 1 75 i:k : • , . .. opimpir 0 0,1:-..woirtii,,....:..:,....:..;:....-s•:,.:.:.,..._•:.:-..-. ;•!-• i mill iittpe so rt.; _______ i_______r___,.__ i i, •-• • I i,,,,..,t,.. Eluntili, (4-4a...:Sile-j--4L-ti.....q-771 (---.°11-*C(4--( 6.etk2 _______... . 75 to.1 . .. . . _ ' StrtirtS Or fe ellen iilliitila 6011.illierl iOil.andiur rigurii(iOn 2GC.nih5 C.r Lk, 1 1 1 '1J(1.7U - I - I- - - 0.PRonwri.owrsii%.;,...::-::-. ..:.: .: ...- - •• -: 7 .. ...:..,...„ a.r.EriA•fg.r.:._ .. .. ..• ill amps(0.:V.)a:vs 131 amps co OC//aiti:::4. I :2t 51 i i •"' • 2 4 • _ 1 Nue: Sex_w_e 0.<3 (kir('ca-v-i 1 .:)t 4;:slips A thit.'ess: Oyer 7.001;.1;tips or:M4, I 552 26 Temporary services or feeders filti W1.1011)11,alteralioa,ikoilr'cir ..:::.:k'S:iii:‘,'ZIP: i ram-ail...Ill ' 2u1::'amps ur Ivs, i I Plialittr 1 j . tax:( ) 1 --i 123.51j:::1456 1--r - amps lo 4i.:0:Lops ()staler installation:This instailat:on is bs:ing,made:on prop-Crty that I owo'4.-it:rit-is not- "1°1 - 451 amps to 9 .,amps ! 168.54 i '110Cd t•sr •-ic le^- runt,or exchange.according to OKS 447.449,.670.and 71/1. , No . ...ix-, Branch circuit.;-mcw.a Ile ration.or extension,.pp'panel ()woe,5i€,.:latt.i32: ()a14: A.Fe.::br hizamh c:ort;ila.ttior ahOVC Serk ICC 4m•keder re..-. i irrLICWIT:777.71-fir. . C WrACI"..VERSO::: '''': !::';. 7 42 i 2 . . • ..,....._,..i...J,....fz..,.....,-:-=..,..:-..t-Li..,“......‘i,...... •••.-.•• :.:.k.,;.,.......- • • •.•• ' .....••. . • ' .1 ._ I:Jell 11‘11,:t t.C".1,.:•....ii 1 i 1 ilkrnness mime: k ,_ -- __.____ ,__, - ,,__ 1 13..F.:e l'or bra::i::-cira•toi:r traholo ser,oce Qr.vezler Nqe.Iwil I 56 13 1 ' ft I/hunt: 1 41 to anclo Ct....to r. " . . .. ... -- tach iidd'I t'orich u a ti 1 7 - , , Address: ,_ N Nlhirdlancons 4w:re ire or feeder nut included} / citt.:2314I':.7111• cdr 4. 6,‹ "1" -c71-2. F. i ali itar.urxtu:td.4111620:w ; chwi:Iting.sem,:ar:itr:letitler J 7 34 li 2 i i i'btinc:t5---3i 3-,;(.,- e8.4/6 t F-::(5b3) ‘ 1-4-6,4 37. 11..11 ' 1 E-mail: 12k-A.Af-1 1(0) irt.,,,t*,inc., e_co„,....„ - " - 401. • ,0, jilt i::::igire.i.,tt ••• • •• ••• •. ••-....•• • •••• ...: .: s;grai c Rot,0.0 Of .irti iltti ii-go • ;:r1M1 :i.I i-sratiOn Cli 1,,,U11S111.1 I Paer 2 I , ; M.o./11.25:S Rama: Drea m Hume Electric,LLC. _ :,!.c!",.idi(i.,....1,,,,,Frii,H,ul,er alloto1)16 in nn a the:i.t.,i: ; Ad:Iress: 271 SW Mnicnridge Place . I AcIdaiamil inspociion;I::r now: I : 56 25:hr i I ti.It'lt:S:laactll': Portlstrid,OR 9722$ gsmI ar i i II-rim ho 2:7-hr 1 _ . - . Phone.I.503, 519-6711. , P'ti.s:t 503)648-9723 nstustria;pilot,.7 Ii mil:. "IX I MI tr 1 (...:,..11 I.c. 196776 : FIczArical ,„ss.--:,: (.-...s4s ,,,Supn,.Lie.: 4$60S ..,Ins. t,toinni..:..iiiir laNGboo:';'.:6 is ; 40.03, ,..4.-. ..,./ „.42:70,..„,,,,,,7 i_s.L,2..1!..,Ermat i,..„.. ,........ -suprt Elecrlia:an signature,roquirti - .-.. • tlecittlklAL moil r pus j • _____.. Prim name: Chris holalioney ! Date: (if - 'fr.,;;;15.,,, ,...ii 11.,.,,,,i,,(2:;%of perms ii:o A ut I tori red signet ort-• Ststi,soichti pc i;1:)%of p.-linit fc..) - - TOTAL 'E'a-Cirlli FEE : T..)- .rril:mote: Da.".e: Lis si:-.4...rtatii.r.:..--_c-itittis:-,...i...oni-5 4-,1, 111:4:n.110...kka , Plumbing Permit Application , . Building Fixtures 1-0K 0FF1( 1 t.'A City of Tigard RECE: IVL-4.7, - '• Anise No.: .711 13125 SW Ilall Bh-d„Tigard,.OR 97223 Plus Review Phone: 5017182439 Fax: 503.599.1960 ,.. 1UN I la 21 Tzl.BY' '-''' Other Pen/tit No.: Inspection Line: 503.639.4175 nue Iteetlyltr keg: in See Page 2 far ' 'u \' L' Interact www.tigard-or.em- CI - i TY OF -1C 1#3"amth°d: Sopplamsotal baformatioa Tm IMF imam stilLEAG rmilsioN FEE*SCHEDULE laNew construction 0 Demolition For special iefiurstatiore use ckecklis't Description ] Qty. I Es- I Total 0 Additionialteration!replacenwnt 0 Other_ New 1-2-faneily dwellings(includes 100 ft.for each utility connectio CATEGOICE OE CONSTMEICTION SFR(1)bath 31/70 ill 1-and 2-Elenily duelling 0 Commercial.industrial SFR(2)bath 437.78 SFR(3)bath t 50032 0 Accessory-building 0 A4u16--family Each additiorod. bath/kitchen 11,- 25 02 0 Master builder 0 Other: Fire sprinkler(-,-Kt-It) Page 2 .1901 19311E 11191131111111.10MIN AND ILIC4110101/1 Site utilities: Catch basin or area drain 18.76 Job site address: 4ES 2.... 5,,,... G.'?-sr-v‘W.u.... ----S.V Drrivell leach line,or trench drain 18.76 City!State/M: Nkel -Ok $ CAC I 1 ?-aq Footing drain(no.linear ft: ) Page 2 Suitebldg-'apt no.: _ Project name:44,1-1,0\r) ,C....st_.,t.. Manufactured beer,utddier 50.03 Cross streetsdirections to job site: S1/4.1s %,(2.._tss S k- Manholes 18.76 3.ki` Yre•tik .0 \t.-A, Rain drain connector I 18.76 Sanitary sewer(no_linear it: ) I Page 2 Storm sewer(no.linear It:`,7Z I Page 2 Water senice(no.linear it.: ,,) I Page 2 Subdivision: r-, ‘ixn c_54- 1,...c 1 Lot no.: '.: ,,JC) Fixture or item: Tax mapparcel no.: 12-'M,'''' Backflow preventer 1 31.27 Backwater valve 12.51 DiSegirelkii or iworx Clothes washer t 25.02 Dishwasher I 25.02 Drinking fountain 25.02 Ejectors.sump 25.02 0 nm ow 1 0 muinir Expansion tank 12.51 I---r Fl Un cap 25.02 Name: Sc) k_ OLS C-'..--f(kk("'-'41•- Floor dr:intone sinkihub 2.5.02 Address: Garbage disposal I 25.02 _ City!State:Z/P: ` ' Hose bib I 25.02 Phone:( ) Fax opiarpyf,5,,,-,f, Ice maker 2... 12.51 0 APPLICAP1T El ONNTACr PERSON IntercePtoriffease haP 25.02 1,7 I 1, /. , _ Medical gas(value:$-.......',..- ) Page 2 Business name: -7.-VT .....1,5t,"cl,k l_ iclif‘g'1•C 1/4-4.----*4 C• 1 Primer 12.51 Contact name: A,,,,& ,h,„\ Roof drain(commercial) 12.51 Address: t'2-tOo'‘:°•% c ,..1 .-4--1 v144 AV?... sc,..N...\ae. l ''''4.60 SinIchssinlavalory C.) 25.02 City SilteiZIP: ‘i°0,1- -\ k e‘- ctlai 3 Solar=its(potable water) 62.54 phone.( 63) 3_4(3 _88 zit..). Fax:-(c-6.3) (0,94_c):43 7 Tub.showershower Pan 1 12.51 Urinal 25.02 E-mail: AvS-to\c -; -b.c)-k't.‘71•••(._ Water closet 11, 25.02 Water heater 11 37.52 -- Business name: V -2.7fi e6Abti3O q Water pipingiDWV 5629 Address: )2_7.02;7 5E-- //if25.02 City/State/ZIP: . ' rol-te3 'y ,11 '' l'S:r'1‘ Subtotal ...'. hlininsum permit fee: $72.50 Phone:( ) --,.,.! . Fax:( Plan review (25%of permit fee) -,' CCB Lic.:itYPit 01../4 I SAV I? Plumbing Lit_floe") $ .,7_ Authocized signature:42/41170 State surchsr7O(II:4PERMITaf Penisit FEE I Print name: 606 t:f N t. , Date. tifit2e/16 This penult speliztikereitetrea Ha penttdisaiet an:Opted witilbi ISO&is *Faomelheodalagy sat by Tri-County Building Industry Sonic.Bow& I.Rw hi.nE Pernua PLNO2-1,..Jac.c'-44/2 Ix 1:':.,1 OP _..... City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT III ® . T 1 c a R D Building Permit Review — Residential Building Permit #: M5?20/7 00 33 Site Address: b U' 2 _r v'/ 60 r no on s.l-, Project Name: (}3 ih ri ES trot tt.1 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1\1 e.Ani „s ISL AVerify site address/suite#exists and active in permit system. ARiver Terrace Neighborhood: 0 No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,,C]Three(3)copies of site plan ung structures on site gi/,,,,,,______,,,,,,//////Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ....gprawn to scale(standard architect or engineer scale) floor elevations orth arrow ,PrUtility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ASidewalk/driveway approach Applicant information(name and phone number) gilecation of wells/septic systems EiLot dimensions and building setback dimensions El-Existing trees to be retained with drip line,and tree ❑Square footage of buildings to be demolished protection measures Dinet*area,building coverage area,percentage of coverage and X.Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 'Street names 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 jnYes ❑No `'„ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ,FJ Public Facilities Improvement(PFI) Permit: Required: CI Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: J(3 2 G 141 _CC'C Cil_ , /2 1DT k l 7 - c Cr, I C Zoning: - r,�- Required Setbacks: Front Rear 1 Side _C? Street Side t 7 - Garage L ,' Landscape Requirement N j A 0/0 Z( Lot Coverage Maximum: IV/ 1 fzf Building Height: Maximum Height .3 t, Actual Height 7 3 AVisual Clearance Sensitive Lands: ❑ Yes ❑ No Type 0-15rban Forestry Plan cZi Conditions "Met"prior to issuance of building permit Notes: fi' Approved By Planning: 1./.\----<___. Date: 6 I ).s i ( -I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: 6411/7 Site Plans: # 3 Building Plans: # 3 Building Permit#: ,nter building��permit#above. � Workflow Routing: anning I�tJnglneering Er<rmit Coordinator wilding Workflow Sign-off: I�gn-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 al plan review routing form. wilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: :__. Date: 6j/4//2 Engineering Review ' lope at building pad: OA Conditions "Met"prior to issuance of building permit %Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: "4•--3) Date: Zj-2I/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ 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: SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A rOK to Issue Permit Approvedby Permit Coordinator: ate: �-//�------ I:\Building\Fonns\BldgPermitRvw_RES_061417.doex