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Permit (59) CITY OF TIGARD MASTER PERMIT .. ." COMMUNITY DEVELOPMENT Permit#: MST2018-00021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243 !�" [F f. Date Issued: 02/06/2018 a II r ;. Parcel: 2S103AA01000 1. iy", Jurisdiction: Tigard Site address: 10965 SW ERROL ST 1101 U5 Subdivision: ECHO HEIGHTS Lot: 5 Project: Porter Lane LLC Project Description: Add 484 sf garage. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: 15 Bathrooms: Second: sf Garage: sf Front: 20 Smoke DwellingUnits: Detectors: Yes Third: sf Right: 5 Total: sf Value: $21,823.56 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 1 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 Owner: Contractor: PORTER LANE LLC CARVER CONSTRUCTION LLC Required Items and Reports(Conditions) 14115 SW MISTLETOE DR 7754 NIMBUS AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 BEAVERTON,OR 97008 PHONE: PHONE: 503-781-3399 FAX: Total Fees: $743.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code- and,all,they applicable I. 'll work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan.-, or if ,•rk is suspen• d for •re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification r enter. ' :hose ules a e set ,•rth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain .. . - -s or direct questions to OUNC . ailing 503.23 .1987 of 1x 800.3/2.23- Issued By: 7_ ,,.d_,..._______:- „01y Permittee Signatur • I .639.4175 by 7:00 a.m.for the next available insp- tion date. This permit card shall be kept in a conspicuous place on the job site until co . - ion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE L SF 0y1.1 City of Tigard Received Permit No.: DateB /y'�l/ . ° 13125 SW Hall Blvd.,Tigard,OR 97223 IIIPlan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960RE V(�Ov Date/B : r i c,A RI) Inspection Line: 503.639.4175 Date ReadyBy: Jig El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information MAR 25 21)19 TYPE OF WORK ©� ►GARa REQUIRED,DATA1-AND 2-FAMILY DWELLING ❑New construction 0 De �`te��NG D1V1S1G�1 "�UPermit 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. 1-and 2-familydwelling ,.. , FS , , . Valuation: $ 0 Commercial/end . •x ❑Accessorybuilding . Number of bedrooms: 0 Multi-family , 01, ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1,C) ! ( 5, SSW l New dwelling area: square feet City/State/ZIP:-1—k` r2) o ".7 3,23 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet NA,fa I C1 (, `ErY-it L > Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. {}- Valuation: $ e>i c© f&—l (t~L�cer�L�n,� S Existing building area: square feet 1 'i v‘ ' k New building area: square feet ROPERTY OWNER El TENANT Number of stories: 14- Name: Jr. 0 11�rt,Ai Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: El APPLICANT p CONTACT PERSON BUILDING PERMIT FEES* (-�„rut,' C✓N(. n_ �J (Please refer to fee schedule) Business name: 37 '�W Structural plan review fee(or deposit): Contact name: fir) f')'e" CLt tr�� Pi f FLS plan review fee(if applicable): Address: ?'Z 5 S`w Aj1Jt,.,l ? . m Total fees due upon application: . City/State/ZIP: �`-e.1 [.V/ e(- -?c if i Amount received: Phone:(SZ;)) ' U?Tc!—--3 3e1,47 Fax::( ) E-mail: l PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR OR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: e-11\-01— C4, ,F±L'�) 1 L'(Tj and a department access alongwith the 2010 Oregon Address: 775- (s-1,,,i N )'.t'(_ �� Solar Installation Specialty Code checklist. City/State/ZIP: gPermit Fee(includes plan review $180.00 Y c„..--1-til,"� �,© and administrative fees): Phone:(5 -78) '3?-JC Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: �� c)_.. / 0 Total fee due upon application: $201.60 Authorized signature( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: /t _ Date:3 _ i� Fee methodology set by Tri-County Building Industry V J Service Board. I:\Building\Permits\BU'-R PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT I:' COMMUNITY DEVELOPMENT Permit#: MST2018-00021 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2018 T[t ��ja.L 9 Parcel: 2S103AA01000 Jurisdiction: Tigard Site address: 10965 SW ERROL ST Subdivision: ECHO HEIGHTS Lot: 5 Project: Porter Lane LLC Project Description: Add 484 sf garage. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: 15 Bathrooms: Second: sf Garage: sf Front: 20 Smoke Dwelling Units: Third: sf Right: 5 Detectors: Yes Total: sf Value: $21,823.56 Rear: 15 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: . Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 1 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 Owner: Contractor: PORTER LANE LLC BENJAMIN GLENN WALTER Required Items and Reports(Conditions) 14115 SW MISTLETOE DR 6437 SE 135TH AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 PORTLAND,OR 97236 PHONE: PHONE: 503-490-2391 FAX: Total Fees: $698.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applic-•- law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanq or if work is su-•endei, for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification center. Those •es ace set forth in OAR , 952-001-0010 through R 952-001-0090. You may obtain a c•.• • 'e rules or direct questions to OUNC by c> 5e :T987(or 1.800.3 .234• ' r ? /nLr . Issued By: . Permittee Signatuye: —di Ca- •• 839.4175 by 7:00 a.m.for the next availabl inspectionf&te.F This permit card shall be kept in a conspicuous place on the job si e until completion of the •roj=- ill .0° Approved plans are required on the job site at the time f e eh inspection. Building Permit Application Residential FOR OFFICE, I. o'l.v° 4 Received (- �j�� City Of Tigard (IF5 < " Date/By: / Permit No �'�11Jt a� 52/ *1 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �. ) 0 / Other Permi Cid Z 8� T 1 G A R D Inspection Line: 503.639.4175 i Rt q 1�i Date Ready/By: Jam: Elf See Page 2 for Internet: www.tigard-or.gov 1' £ Notified/Method:,/j-7-)2,,z,-,-../i 43 y Supplemental Information d at. LI TYPE OF WORK$ p * REQUIRED DATA:1-AND 2-FAMILY DWELLING re, ' 1'Iti c W 1� ON New construction i1Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all iAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: -1. J 5 '� ❑ 1-and 2-family dwelling 0 Commercial/industrial Accessory building El Multi-family Number of bedrooms• rte.} A.'f 8 ❑Master builder 0 Other: Number of bathrooms ..ii dd JJ} J JOB SITE INFORMATION AND LOCITION Total number of floors: Job site address: /01.9 '/v_1, D New dwelling area: square feet City/State/ZIP: 1 v Garage/carport area: B LI square feet Suite/bldg./apt.no.: Project name: pdy p 11� / Covered porch area: square feet Cross street/directions to job site: w/✓ Deck area: square feet Other structure area: square feet 1 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: t(fr Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: : 5 3A14 0 I 0^ Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. �N;1 d 4pk _0'7 L Valuation: $ 1 qsI/ Existing building area: square feet (/ New building area: square feet 91 PROPERTY OWNER 0 TENANT Number of stories: Name: 172°f�l. A j*J j / Type of construction: Address: ti ` 5 .51,41 tit/s �' / r, Occupancy groups: City/State/ZIP: 1-••••1'7[117,.t q/a( 3. Existing: Phone:(JAS ) 70 � it, Fax:( ) New: gr APPLICANT CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: / Structural plan review fee(or deposit): Contact name: !qt.( (r 6- FLS plan review fee(if applicable): Address: ! 3g _ l / �,'��,��, _` y L%a Total fees due upon application: City/State/ZIP: I ar 7 �p�p�- Amount received: Phone:( ) �-- /Arm Fax::( ) 1 I `6 `�G �. A PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ff. dejbbb/// O'(/ 1\„Jt v l.S� � � Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: S .6.,,,„d„ [i/�/�bp Submit two(2)sets of roof plan with connection details ,r� JJ and fire department access,along with the 2010 Oregon Address: (IG y 13,C>- 3: i .d Solar Installation Specialty Code checklist. City/State/ZIP: QV JtiQ_ '' 0�3� Permit Fee(includes plan review $180.00 V`� T and administrative fees): Phone:(n) q O. a. q' Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: I ' i!�0 Total fee due upon application: $201.60 Authorized '_ .ivT This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print am-: �� / *Fee methodology set by Tri-County Building Industry o Date: 1 Service Board. I: :uilding 'emits ' ' 2/24/2011 440 613T 1/0 OM/WEB) Building Permit Application Checklist One— and Two—Family Dwelling FOR OFFICE I.SE Oyl.l Cl of Tigard tyReceived Date/B Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Y' C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIC A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 'es 'St> 'V k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. I • • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro.ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application 0 , WV, Folz OFFICE LSl:OyI.v City of Tigard .ki,.'.., -4-.' Received III ' 0 13125 SW Hall Blvd.,Tigard,OR 97223 Date/E : g Plan Review k C Phone: 503.718.2439 Fax: 503.598.1960 ,.i A N 1 7 J i I j Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for 'i% 1 I G A R D Internet: www.tigard-or.gov If . , g Gil.k : Notified/Method: Supplemental Information TYPE OF ' J - "PVI 4 I OlPLAN REVIEW ❑New construction [p Addition/alterat on rIacem`en ` Please check all that apply(submit 2 sets ofplans w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural El1-and 2-family dwelling ❑Commercial/industrial Cl)Accessory building amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATI N 0 Emergency system. larger separately derived Job#: Job site addre • Q 0 Addition of new motor load of system. G 4j C �T 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: S vv// 41�J l^ ❑Six or more residential units. occupancy. G' (It 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project nam . p/nl�t V(04 ❑Hazardous locations. ❑Supply voltage for more than �'116�.J�'" ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * ---e„-cif New residential single-or multi-family dwelling unit. Subdivision: -i"r 1'" (41-5 Lot#: s Includes attached garage. S 1 C 2 �1_/� 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: v • E/l J /7f-J �f O D� Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 G �� G/ 2 ,V�L Limited energy,multi-family 75.00 2 .2D -Mp residential(with above sq.ft.) Renewable Energy 0 See Page 2 TERTY OWN R ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: r u'u 200 amps or less ( 100.70 2 Address: 1 1 ` 61/ (‘g 201 amps to 400 amps133.562 �� 401 amps to 600 amps 200.34 2 City/State/ZIP: �-(1,/) A 1 a e'3 601 amps to 1,000 amps 301.04 2 Phone:(93) �O, le6_1 Fax ) Over 1,000 amps or volts 552.26 2 1� „ ' L Temporary services or feeders installation,alteration,and/or Email: 4-12 Y ,eS 5-,1 to relocation Owner install io :This insta ti n is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 {LAPPLICANT yJ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel /` A.Fee for branch circuits with Business name: above service or feeder fee, l each branch circuit I 7.42 2 Contact name: 2i,t. `/' ( l ) e� B.Fee for branch circuits without Address: 1 � � Q � /� service or feeder fee,first 56.18 2 v D , branch circuit City/State/ZIP: 7q-70.1 -.--2 aEach add']branch circuit 7.42 2 70CfriA Miscellaneous(service or feeder not included) Phone:( ' .1.,`'f v Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: 3+-6t-ictie3 j� (� /yGU��i�( l/����. Reconnect only 67.84 2 CONTRACT R l/ a Pump or irrigation circle 67.84 2 Business name: oil � f _-// Sign or outline lighting 67.84 2 Address: l/ l_ (/37Y�(((���((( Signal circuit(s)or limited-energy 0 See Page 2 2 jj'+- 2c panel,alteration,or extension. City/State/ZIP: C v`" ` © -�n / S - Each additional inspection over allowable in any of the above 3, "� + Additional inspection(1 hr min) 66.25/hr Phone:(�(5'3) .301 , 0 oFax:( ) 0 aO I O3 z Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 15 I b f 3 Electrical Lic.: to @ 2 t Suprv.Lic.: y"S 7.7 5 specifically listed(A hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: "\� >6 Date: ' f1 �,1g ❑Plan Review Required(25%of permit fee): �J6_64,4_, �+ State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK`ONLY; FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 (1 G• arage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) n H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ V• acuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) ELECTRICAL PERMIT'FEES COMMERCIAL`'WORK ONLY: SubtotalEnteron Page 1): Fee for each commercial system: $75.00 Y �' • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation F7 F• ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PemiltApp_ELR_ERE.doc Rev 06/17/2015 RFCF .�i Clean Water Services File Number JAN 1 ' ?t . ate��Services 17-000930 C1eanW cm' s 1. Jurisdicction: itive Area Pre-Screening Site Assessment oon: ashington County 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Jeff Obrien 2S103AA01000 Company: Address: 10965 SW Errol St Site Address: 10965 SW Errol St City, State,Zip: Tigard,Oregon,97223 City, State,Zip: Tigard,Oregon,97223 Phone/Fax: 503-720-1104 Nearest Cross Street: 112th avenue E-Mail: Jeff@trustedvs.com 4. Development Activity (check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Traci Bridges ❑ Lot Line Adjustment L Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 10965 SW Errol St ❑ Residential Subdivision ❑ Commercial Subdivision 9 City, State, Zip: Tigard,Oregon,97223 ❑ Single Lot Commercial LiMulti Lot Commercial Other Phone/Fax: 503-709-2766 E Mail: traci@3stepstosold.com 6. Will the project involve any off-site work? ❑Yes a] No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project We are not going to do anything to the new lots,no grading,no clearing,nothing...only partitioning them. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Traci Bridges Print/Type Title ONLINE SUBMITTAL Date 3/20/2017 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date 3/23/17 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • Phone: (503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org City of Tigard V COMMUNITY DEVELOPMENT DEPARTMENT 1111111 ■ . T1cARD Building Permit Review — Residential U Building Permit #: /44 S/7O/?-. 0()°, I Site Address: Wel 65 SQ €rr-o i S i - Project Name: ..t`o hb Lot #: erbezAl La} 2,,, (New dwelling=sukiivision name;Addition or Alteration=last name of owner) Planning Review f i 2_ c� Proposal: eii,ii o N CCr t �'f` � gi st. cti,1 E(zVerify site address/suite# exists and active in permit system. River Terrace Neighborhood: Ul/No ❑ Yes,See River Terrace Review Addendum Attached Sit- Plan Elements: L • ee(3)copies of site plan DE II� 'sting structures on site I'-wite plan must be on 8-1/2"x 11"or 11 x 17"paper L'±a'Footprint of new structure(including decks)with finished ❑Pl awn to scale(standard architect or engineer scale) fl or elevations I! orth arrow tility locations&easements(required for new and additions) P7' e address,project or subdivision name and lot number Sidewalk/driveway approach ,i,r EY .plicant information(name and phone number) , ation of wells/septic systems 1)1 1+ of dimensions and building setback dimensions xisting trees to be retained with drip line,and tree V:.quare footage of buildings to be demolished .rotection measures ,ot area,building coverage area,percentage of coverage and 1•'.t .et tree size,type and location — • p0idervious area(applicable if R-7,R-12,R-25&R-40) L treet names roperty corner elevations (2 foot contour lines if more than 1,000 sf of impervious area created or replaced? ❑No 4 foot differential) yes,is a storm water quality facility shown? Pr Yes No Clean Water S ices—Service Provider Letter(lot platted prior to 9/10/1995): S IlAi 4411Pi rite f Required: IWYes,applicant was notified ❑ No Received: P Yes ❑ No 03 Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified No Applied For: ❑ Yes Ley No,stop intake 4 nd Use Case#: � L° ,7_0 000 L4' Zoning: `1,S INT Required Setbacks: Front ZQ Rear IS Side S Street Side j4 t/ Garage 2, LW/I,,andscape Requirement: LE/Lot Coverage Maximum: i) % IllBuilding Height: Maximum Height 'O Actual Height I L S y /eisual Clearance �� N Sensitive Lands: ❑ Yes [1Q No Type '/Urban Forestry Plan LiY Conditions "Met"prior tQ issuance of buildin permita ; Notes: Co,,�1'11''^ k ih� n-e f)(-AK [)vr4Ilv'si a741-te ❑ Approved By Planning: 9 ,t_ Gori, Date: HT-IS) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\Building\Fonns\BIdgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: ///! 7/7/, Site Plans: # Building Plans: # Building Permit#: qErtnter building permit# above. Workflow Routing: Manning Engineering Eermit CoordinatorBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) / Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ce(7.Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / / - • - By Permit Technician: //ff ____ r Date: 7/. Engineering Review Er Slope at building pad: 3.70 Er-Conditions "Met"prior to issuance of building permit ErEasements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [/rNo Assess Water Quantity Fee in-lieu: ❑ Yes l7 No LIDA Facility on lot: Yes ❑ No ❑ Final Plat Recorded: YA2't►1-44...1 aft- 14117- Q.E.[-ovultci ya- p NOT Approved by Engineering: Date: Notes: P(+.wKti i t,4-f -Q...,14.., liter Zaoirld Mat. - (u.4.a( 14.41-^612_44.,;.5 P.h,2TtTi0-•0 40,41;,-.. -1-0e.... spy 4.-rt., t S Mei CAM STtAkTt.dt V tT- Approved by Engineering: ((—,,," lcs,tiice` Date: I ZZ -i 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: C Fees Entered: Wash Co Trans Dev Tax: El Yes /A Tigard Trans SDC: ❑ Yes 4= N/A Parks SDC: ❑ Yes ►: N/A LIDA ❑ Yes i N/A OK to Issue Permit Approved by Permit Coordinator: ADate: ./A01( 1:\Building\Fonns\BldgPennitRvw_RES 010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10965 SW ERROL ST, TIGARD, OR, 97223 February 1 , 2019 at 11 :00:26 AM Record Type: Record ID: Residential - Master Permit MST2018-00021 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Electrical not done at this time. Remove broken ground prong from outlet. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10965 SW ERROL ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00021 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control prior to building final inspection. Provide approved electrical final for garage. Provide 3x3 landing outside garage man door. Siding to close to ground back side per manufacturers installation instructions. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10965 SW ERROL ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00021 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Correction from previous failed inspection for siding to close to concrete walkway not complete. 2" clearance per manufacturers installation instructions to walkways. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10965 SW ERROL ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00021 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Electrical final for garage, ok. Violation Summary: Inspector Contractor