Permit (138) III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#:
MST2018-00077
i 1 i;Ali C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018
Parcel: 2S 110BA07500
Site address: 14257 SW MCFARLAND BLVD Jurisdiction: Tigard
Subdivision: SHADOW HILLS NO.2 Lot: 60
Project: BAYLES
Project Description: Changing garage from(2)single doors to(1)door, adding(2)windows, raising floor, and
removing second interior staircase to second floor.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 26 sf Basement: 0 sf
Left 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 30
Dwelling Units: 0 Smoke
Third: 0 sf Right 5 Detectors:
Total: 26 sf Value: $8,000.00 Rear: 25
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach: 1 LaundryTrays: 0
Y Rain Drain: 0 Urinals: 0
Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0
SF Rain Storm Sewer 0
Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 2 Clothes Dryers: 1
Electricity Heat Pump: N Hoods: 1 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: 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 30
Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr:
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:
ALT P y Square Feet:
SF VB
R-3 26
Owner: Contractor:
BAYLES,RONALD LEROY&LYNNE CRPOWNER Required Items and Reports(Conditions)
14257 SW MCFARLAND BLVD RON BAYLES 1 needs geo tech report per
TIGARD,OR 97224 274 SW MEADOW DRIVE engineers request see page
BEAVERTON,OR 97006
PHONE: PHONE: 503-526-9595
FAX:
Total Fees: $1,287.90
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 2-001-0090. Y. mayiobtaino�direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
� , �; ll
Issued By: , _`._ Permittee Signature: /7R-`•fir—,, ,.-._- {
v��C - J
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
Residential
r
City of Tigard �aCEIVF4teB 7 )0 Permit Na.: /'1�f A V C 7 7
4 13125 SW Hall Blvd.,Tigard,OR 97223 Paan Rev- I
3....g.. I/ Perm
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Jurss: See P
7 1 u,�R 1, Inspection Line: 503.639.4175 27 ?U18 Date Ready/By: . / age 2 far
Internet: www.tigard-or.gov FEBC S i Iron ..s etl�d: ( r 1 / In[wmatiea
OFTARD 77""r'
TYPE OF WORK
'
v REQUIRED DATA I-AND 2-FAMILY DWELLING
0 New construction 0 T
641 ,WINC 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
cgi I-and 2-family dwelling 0 Commercial/industrial Valuation-$844 $ 195.40 11. -...-+ V00-0
❑Accessory building 0 Multi-family 1.
Number of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 14257 SW McFarland Blvd New dwelling area: .a.6 square feet
City/State/Z1P: Beaverton, Oregon 97224 Garagelcarport area: square feet
Suite/bldg./apt no.: Project name: McFarland House Covered porch area: square feet
Cross street/directions to job site: Bull Mountain Road Deck area: square feet
,ccr{�d C I'"C�ivC,, �rt/ I e `ll T u/�`e.i Other structure area: square feet
44 C�` '/) t-7,-$71-1-- ` ��. �ike-Y REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ShadwHills Lot no.: 60 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_
Upgrade1986 house with more energy efficient elements. Valuation: $
Change two single garage door to a single door. Existing building area: square feet
Add two bay windows. Raise sunken floor. remove second stair to second floor. New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Ron Bayles Type of construction:
Address: 274 SW Meadow Drive Occupancy groups:
City/State/LIP: Beaverton, Oregon 97006 Existing:
Phone:( 503)526-9595 Fax:( ) New:
cg APPLICANT IX CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee
Business name:
Ron Bayles
Structural plan review fee(or deposit): $127.00
Contact name: Y
Address: 274 SW Meadow Drive FLS plan review fee(if applicable): NA
City/State/ZIP: Beaverton, Oregon 97006 Total fees due upon application: $127.00
Amount received:
Phone:( 503)526-9595 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: rlbmt@comcast.net
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: -�/� Total fee due upon application: $201.60
Authorized signature:r / ��j�
7 tries permit application expires if a permit is not obtained
p within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
`re: Ron Bayles Date: 2/26/18 service Board
.iinglPennits\BUP-RESPermitApp.doc 02/24/2011 440-46 1 3T(1 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling Hilt 01,11( t,i Oy 1 \
City of Tigard Received
ll Date/By: Permit No.:
41 13125 SW Hall Blvd,Tigard,OR 97223
Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960
P
24-flour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
4141M1111111.111111
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ d
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0
3 Verification of approved plat/lot. 0 0
4 Fire district approval required. Name of district: , 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit. 0
7 Water district approval. 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 14 ❑ ❑
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 ►:1
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator,lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundadon plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ail 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
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 K.
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- NI ❑ 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 NI
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ D31
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 ail ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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 11.4 0 0
architect licensed in Or on and shall be shown to be a licable to the 'ea 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 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. MI 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 ($(
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 M
27 "Drawn to scale"indicates standard architect or engineer scale. ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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 14
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I A3uilding`,PetrnitslBUP-RESPermitApp.doc 02424/2011 440-4613T(11102/COM/WEB)
Mechanical Permit Application FOR R OFF ( t I. `,F O\I 1
City of Tigard `jCif
, . Received
{ t,h .. Permit No.:13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Dacey. Other Permit:
T:i; .R[� Inspection Line: 503.639.4175f'f3 2 /U Date Ready/By: Inns: RI See Page 2 for
w
Internet: ww.tigard-or.gov FEB
Notified/Method: Supplemental[nfermatiou
CITY OF.TIGA
TYPE OF W f t INC COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
n ,4 53 f I V 11 1 F!! Mechanical permit fees*are based on the value of the work
0 New construction (Addition/al . ion,replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
xi 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 $46.75
Job site address: 14257 SW McFarland Blvd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Beaverton, Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: McFarland House Duct work 2 23.32 $46.64
Cross street/directions to job site: Bull Mountain Road Hydronic hot water system 23.32
Residential boiler(radiator or
hydropic) 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: Shadow Hills Lot no.: 60
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Move exterior AC unit. Reroute two ducts to bedrooms. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�py Other: 23.32
fes! PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Range hood/other kitchen
Name: Ron Bayles equiPmem 33.39
Address: 274 SW Meadow Drive Clothes dryer exhaust 1 33.39 $33.39
City/State/ZIP: Beaverton, Oregon 97006 Single-duct
cexhaust
$46.64
toilet o enutilityms) 23 32
Phone:( 503)526-9595 Fax:( ) Attic/crawlspace fans 1 23.32 $23.32
tg APPLICANT 14 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: Ron Bayles Furnace,etc.
Gas heat pump
Address: 274 SW Meadow Drive
Wall/suspendedlunit heater
City/State/ZIP:Beaverton, Oregon 97006 Water heater
Phone:( 503)526-9595 Fax: :( ) Fireplace
Range 1 $14.15 $14.15
E-mail: rlbmt@comcast.net Barbecue
CONTRACTOR Clothes dryer(gas)
Other.
Business name: znvA''' MECHANICAL PERMIT FEES*
Address: Subtotal $210.89
City/State/ZIP: Minimum permit fee($90.00) .
Plan review(25%of permit fee) NA
Phone:( ) Fax:( ) State surcharge(12%u of permit fee) $25.31
CCB lie.: TOTAL PERMIT FEE $236.20
This permit application expires if a permit is not obtained within 180
r�'1.543/1:z...,--N
days after it has been accepted as complete.
Authorized signature: ��G 2. % ✓ cd3 ,z...,--N * Fee methodology set by Tri-County Building Industry Service Board
tame: Ron Bayles Date:2/26/18
Mechanical Permit Application - City of Tigard
Page 2-Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit 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
fractionthereof,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
Electrical Permit Application It V Pr IV 1-1)R t 4 F IC I t,s1 (/\I "1
City of Tigard ': Permit#:/11 i-i', 7 7
- q 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review
Phone: 503.718.2439 Fax: 503.598.1960 D /BY: Related Permit#:
hvis: ® See Pa 2 for
Inspection Line: 503.639.4175 FEB-� 2 2 U 1 8 Ready Date/Fly:
'HOARD Internet: www.tigard-or.gov � Notified/Method: Supplemental Information
TYPE OF WORK ITY+V 1I' .4lxf�'' !' PLAN REVIEW
Ai` DIVISION BION Please check all that apply(submit 2 sets of plans w/items checked):
❑New construction IN1Addition/alteratit?844i 1 V t f 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
MIless to ground,or exceeds 14,000 ❑Commercial-use agricultural
1-and 2-family dwelling El Commercial/industrial ❑Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other. 0 Fire pump_ 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 14257 SW McFarland Blvd 100HP or more. ❑"A E,"1-z,`1-3
❑Six or more residential units. occupancy.
City/State/ZIP: Beaverton, Oregon 97224 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt#: Project name: McFarland House
0 Hazardous locations. ❑Supply voltage for more than0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: Bull Mountain Road FEE SCHEDULE
Description I Qty. 1 Es& I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Shadow Hills Lot#: 60 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'i 500 sq.ft_or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Upgrade 1986 house with more energy efficient lighting and update (with above sq.ft.)
Limited energy,multi-family 75.00 2
receptacles to current version of NEC where particle. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Ron Bayles 200 amps or less 1 100.70 $100.70 2
201 amps to 400 amps 133.56 2
Address: 274 SW Meadow Drive 401 amps to 600 amps 200,34 2
City/State/ZIP:Beaverton, Oregon 97006 601 amps to 1,000 amps 301.04 2
Phone:( 503)526-9595 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: rlbmt@comcast.net relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,Rrent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Date: 2/26118 401 amps to 599 amps 168.54 2
Owner signature: r c!
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.011 Description 1 ear. 1 Facia 1 Total i *
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:
n Burglar Alarm 25.01 to 50 kva 301.04 2
IX Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating,Ventilation and Air Conditioning
S stem*
Solar generation systems in excess of 25 kva:
y
Each additional kva over 25 7A2 3
n Vacuum Systems* >100 kva-.no additional charge 0.0 3
® Each additional inspection over allowable in any of the above:
Other: Motorized Blinds Each additional inspection is 66.25!hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is
001 hr
specifically listed(A hr min) 90'
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
Fl Fire Alarm Installation
n HVAC
n Instrumentation
ID Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
n Nurse Calls
n Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
t_lholdirg,PermaskELC PermitAPp ELR EAE.doc Rev 06ti72015
Plumbing Permit Apl><p 'cation s E
Site Utilities
City of Tigard 27tl I By Arn;t No.:l 7k5 /T.-0002?
11114 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• Phone: 503.718.2439 Fax: 503.5989 /
or
-r)(-,4-un
DateJB': Other Permit No.:
Inspection Line: 503.639.4175 - Date Ready/By: lens: 0 See Page 2 for
1;C:.y i'.(1 Internet: www.tlgard-or.gOv 131i
t; k q'{ Notifled/Meth6d: Supplemental laf rwatlon
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
Xi 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
LEI 1-and 2-family dwelling 0 Commercial/industrial SFR(2) ' 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14257 SW McFarland Blvd Catch basin or area drain 1876
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Beaverton, Oregon 97224
Footing drain(no.linear ft.: ) 1 Page 2
Suite/bldg./apt.no.: I Project name: McFarland House Manufactured home utilities 50.03
Cross street/directions to job site: Bull Mountain Road 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.:_) t t Page 2
Subdivision: Shadow Hills Lot no.: 60 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51.
DESCRIPTION OF WORK
Clothes washer 1 25.02 $25.02
Move laundry room. Remove toilet and sink. Dishwasher 25.02
Remodel bathrooms. Add two sinks. Drinking fountain 25.02
Ejectors/sump 25.02
14 PROPERTY OWNER f 0 TENANT Expansion tank 1251
Fixture/sewer cap 25.02
Name: Ron Bayles
Floor drain/floor sink/hub 25.02
Address: 274 SW Meadow Drive
Garbage disposal 25.02
City/State/ZIP:Beaverton, Oregon 97006 Hose bib 25.02
Phone:( 503)526-9595 Fax:( ) Ice maker 1 12.51 $12.51
1$1 APPLICANT NI CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name: Ron Bayles
Roof drain(commercial) 12.51
Address: 274 SW Meadow Drive Sink/basin/lavatory 2 25.02 $50.04
City/State/ZIP:Beaverton, Oregon 97006 Solar units(potable water) 62.54
1
Phone:( 503)526-9595 Fax::( ) Tub.'shower/shower pan 2 12.51 $25.02
Urinal 25.02
E-mail: rIbmt@comcast.net
Water closet 1 25.02 $25.02
CONTRACTOR
Water heater 37.52
Business name: ~vest.' Water piping/DWV 56.29
Address: Other: 25.02
l
City/State/ZIP: Subtotal $137.61
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) NA
CCB Lie.: Plumbing Lic.no.: o
State surcharge(12%of permit fee) $16.51
Authorized signature: X.L. t:A TOTAL PERMIT FEE $154.12
Print name: Ron Bayles Date: 2/26/18 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.
titding\PermitsiPLMU-PernritApp.doc 10/01/09 440-4616T(10J02/COM.�WEB)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qt. Fee(ea) ' Tom Square Footage: Permit Fee:
Footing drain-l'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' 6254 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee:
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
Other Inspections or Fees Qty- Fee(ea) T each additional$100.00 or fraction thereof,to
and including$10,000,00.
Inspection of existing plumbing or for $10,00I.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 future. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantiy by Fixture Type Plan Review for PlumbingInstallations
Fixture Type for Relocate Plan review is required for anyof the following.
wank Performed: Capped Added Relocate �
Baptiistry/Font Please check all that apply.
Bath Tub/Shower
0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpoolgreater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thea 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
4" Isometric or Riser Diagram
Car Wash Drain
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice MachiRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this
Washer-Clothes permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
M:\03 Projects\18-01 L&R House Plans\10 Construction Phase\PLMU PqmitApp-doc
-,-,. Clean Water Services File Number
eryices .18-0006_09 ,.1uill N%Ater . ,..)
Sensitive Area Pre-Screening Site Assessment
MAR 2 LI 2.7J1
1. Jurisdiction: Tigard
2. Property Information (example 1S234AB01400) 3. Owner Information
Tax lot ID(s): (3C3 Name: RiF"3iTY'i's
Company:.
• Address: •:4257 SWM2 '1 aw
OR Site Address: -'42E'r7 SW McP'Pl"r413''''' City. State, Zip: -1"Prd Cw3'' 27224
City. State,Zip: r•cilF'i cii':''i'F'' 57:=21i Phone/Fax:
Nearest Cross Street: sw‘vii"`"5" E-Mail: r'Dn'tcemcast'el
4. Development Activity (check all that apply) 5. Applicant Information
la Addltion to Single Family Residence(rooms deck.garage) Name:
La Lot L ine Adjustment U in Land Partitiml
' Company:
Ca Residential Condominium 13 Commerciai Condominium , Address: i 42s7 sw Mlar.d R:,:ri
Ci Residential Si,lbdivision U Cemmercia; Subdivision 1 '
City. State.Zip: lrF'-'"' 'iii;''.7 '
u Single Lot Commercial Fa Multi Lot Commercial
Otte Phone/Fax: ri'Cir 525'9555
r
ri---Mall: •ibr-tic-..:,,, .:...
6. Will the project involve any off-site work? U Yes Ij No U Unknowp
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project L-:" ''''"'•-9 "'''''a '''' °.C'''''''''c--'• ''''''''' ''''''
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 and/or Department of
the Army COE. All required permits and approvals must be obtained and completed under applicable local,state, and federal law.
P`,./.'1'...;r.!;,'i'.s :'!-- !`-lCAr-L° ,:-•l'.-L!..-:,-,...,.—..:' ..:.,.',3,..1-.:!--:.?'.,,.1- :-;,.i-,t...-.1,•:-.';',.:.'',':!.'f,,:!,-;7:,';',7..:::,,::,,:::': :';',; ',r,'7..: :. ,'..C' '.,;'L'„: ',",,c'T,,,:.,:"7., '%.7,..E,,;” 'l7 ,.‘,1''Z,
-25. :):irr';,:ip0.-t Lt S',.) :11'1'L','7'-SC'Sa: /.;:'L;;1?2:S F'd: .-jad- --;',i•d. dd: iid)!:reH:ed c:?..;:21,-. ;:jec.sd! ::-':7'',.:•-„d•d'y
r s. SS:7';'-, ,1`!:';','J 1:::"S'Gt 7y':, Tc. i ..:':: : 7;" '''S ddc-71:d s:?,:i o,.--d ,
Print/Type Name PC" Print/Type Title _
Signature .-- -, .,. ,. --- _ Date .'-? "'t3
----- —
FOR DISTRICT USE ONLY
—I scr •'.; ,,:._H ::,,.,:-.,i2 y..T:x's',on si:•-:, ,', 11:2:;;. :2 -i,-•it; THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. if Se;is'i.;ikl iviai ex!,',,::.-:hu s:td a vilyid 20C'.-:..21 071 2" u::C/..,;c:-;;:.;.,,s.a Nr,',„:a 1-4,sod:::,ds Add.s;:ddlt Re'dGi:d-ay:i',,,
S.t,: ,:ds,dd::,- r.dr,,dii :c' A:,t,•,'.•• ;:e•,d v.:rd,2;;,9 S'-:-.S "'32 \
Aw Sen.tK;Si',S.,Attsessnle:*.t ,NOT ed:T:H,-1* 9:1-.'.:-..cd'-::!"2,:lvci'',:i'6',4:(1 j'rdled:!V,711:3,..CL1R i:v t-',,:lst.cve,;,:t=.as.:'1-,3y?r,3 E‘,]rF,,-:,r :-,!1',y di,i.s,:vri=d 17-.N•
-- i': SC,:;",,":' :!,:' l';";:::SS S";:--/!:I- a' a'•:: -.5 Y,':::..;;':2'. l' :'..:._.:'-,-.;. .",' S":'1 r,ST:S. . a:
J :3:,:d-d,d :eVY',,,"Sf','-';'•S'.:!77 f:Si '':'"--1'S,I•ri '.. ..,-!-;i:'.:'':-1;'-IF', -•.-t.,-; 7.,Lv, '" ' 'a',,,-: ,-I ,-.':,' ,,--=:';.' -;,' ,--.!--i,-''-':•;yks-''' "a'
''-'r•S 'i's :S--,':T:=:','".n'SV,-."P s.'' '''',=-7!Y.'i"S'_vEt'' ':,':. ,`.2•"' ' '''':ri 've,-.,,s ny.i:d Snv;a,Provid,2 td.l .as!ez.ft:.;by IL::d',:,l'i.:0,dEr I/;:i.baa":]
J This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
..1 :T•.-C'C':—.-3`7":,1:: ;''',.'=4.!,r3S qS:7:'..:*1-. .:7''''.'Y Sf ,''?!:.:r.71.,:]*. -f'tt'-'h',.',',S'S ,-.:-'' .' ':-!2!/15 CPS 9?,Jd.,,,-;,2) N,.".7.:572 1ss?-ss.!\,75vf-of.:i,
RE-C.L. Li.)
Laaple &me 03/22/18
Reviewed by
Date
Once complete, email to: SPLReview@cleanwaterservices.org • Fax: (503) 681-4439
OR mail to: SPL Review, Clean Water Services. 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123
i
Information Notice to Owners About
ai
; Construction Responsibilities
Nirc _s. (ORS 701.325 (3))
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to an existing structure, can prevent many problems
by being aware of the following responsibilities:
• Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
• Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages
at the time employees are paid. You will be liable for the tax payments even if you don't actually
withhold the tax from your employees. For more information, call the Department of Revenue at
503-378-4988.
• Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment
Department at 503-947-1488.
• Oregon's Business Identification Number(BIN): is a combined number for both Oregon
Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or go to
http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms.
• Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain
Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs
if one of your workers is injured on the job. For more information, call the Workers Compensation
Division at the Department of Consumer and Business Services at 503-947-7815.
• Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from
employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax.
For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their website at www.irs.gov.
Other Responsibilities of Homeowners:
• Code Compliance:As the permit holder for a construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found through inspections.
• Property Damage and Liability Insurance: Homeowners acting as their own contractors should
contact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation Insurance.
• Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough-in and finish trades.
CONSTRUCTION CONTRACTORS BOARD
700 Summer St NE,Suite 300, PO Box 14140,Salem, OR 97309-5052
Telephone: 503-378-4621 —Fax: 503-373-2007
Website Address:www.oregon.gov/ccb
f/property_owner adopted 9-23-08 This Copy for Permit Applicant
RECFIVED
Property Owner Statement
Regarding Construction Responsibilities FEB 27 2018
Oregon Law requires residential construction permit applicants who are not licens0WWFIGARD
Construction Contractors Board to sign the following statement before a buildin• Prmitt
issued. (ORS 701.325 (2)) viii N
This statement is required for residential building,electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Print Name of Permit Applicant
-‘4— , �� X7.2 ?//
Signature of Permit Applicant Date
Permit#:
Address:
1111, ,• •
r
Issued by: Date: EI=
This Copy for Permit Offices
. Braden Taggart
From: Branden Taggart
Sent: Monday, March 12, 2018 11:06 AM
To: 'Ron Bayles'
Cc: #Building Permit Technicians;#CD PoD
Subject: RE: Building Permit: MST2018-00077
Hi Ron,
Our planning staff reviewed your plans, and they will require (3) copies of the site plan, on 8%2"X 11" or 11" X 17" pages,
that are drawn to scale. Per my original email below,we have a Residential Site Plan Review Guide on the forms section
of our website,www.tigard-or.gov,that will help you with the site plan requirements. Please note,your permit will be
placed on hold until we receive the (3) site plan copies. If you have any questions about this process, please let me
know.
Thank you,
Branden Taggart
.III
City of Tigard
Senior Permit Technician
Community Development
TICARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
bra ndent c"tigard-o r,gov
From: Ron Bayles [mailto:rlbmt@comcast.net]
Sent:Thursday, March 8, 2018 4:50 PM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Building Permit: MST2018-00077
Branden,
I just finished the response to your first email.
I should have noted the deck height on my plans.
Sorry for the confusion,
Ron
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Thursday, March 08, 2018 4:23 PM
To: 'rlbmt@comcast.net' <rlbmt@comcast.net>
Cc: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Building Permit: MST2018-00077
Hello Ron,
1
I just spoke with our plans examiner,Tom Hochstatter, and he mentioned that you spoke with him about the deck
, earlier today. Tom informed me that the deck was not more than 30 inches above grade, so we will not need a new site
plan from you at this time, and we will let you know when this permit is ready to issue.
Thank you,
Branden Taggart
n City of Tigard
to , Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
bra ndent@tigard-or.gov
From: Branden Taggart
Sent:Thursday, March 08, 2018 4:16 PM
To: 'rlbmt@comcast.net' <rlbmt@comcast.net>
Cc:#Building Permit Technicians<TigardBuildingPermitsCa@tigard-or.gov>
Subject: Building Permit: MST2018-00077
Hi Ron,
We were reviewing the plans that you submitted for your building permit, and we noticed that you were expanding
decking in the front and back of your property. Are you planning on completing the deck expansion with the building
permit that includes the bay windows? I was trying to recall our conversation when you submitted, and I could not
recall if this work would take place at a later time or not. If the deck expansion does need to be included in the scope of
work for this building permit, we will need (3) site plans on 8%2"X 11" or 11" X 17" pages that includes property corner
elevations and erosion control measures. The site plan that you included with the plans is too large for us to scan, and it
is missing information for us to complete our review. We have a Residential Site Plan Review Guide on the forms section
of our website, www.tigard-or.gov, that will help you with the site plan requirements. If you have any questions, please
let me know.
Thank you,
Branden Taggart
114 q City of Tigard
8 °; Senior Permit Technician
Community Development
' tiF
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449'
brandent@tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
2
City of Tigard
1111 r COMMUNITY DEVELOPMENT DEPARTMENT
I
•
T 1 Ao Building Permit Review — Residential
P:.
Building Permit #: sit 'r_ti c) 77
Site Address:
Project Name:
r / Lot #:
(Net dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review `-
Proposal: d 1'I 6 _ LA.}'�l rt(I z ? VIT4 e �h . � 11.4,0 °If It
�/ LL Slay Q f% A-k). 6'47 L.ikihvil.g. St Sir- I t- o.4- sLCa S ,r1/`..
' cLi h.(. sk.
L_t,_derify site address/suite# exists and act_ive'�' permit system.
Cld River Terrace Neighborhood: Lid'No ❑ Yes,See River Terrace Review Addendum Attached
Site an Elements:
ree(3)copies of site plan
sting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper Cat ootprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) -floor elevations
rth arrow dik'ty locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Q idewalk/driveway approach
[plicant information(name and phone number) ►i„'i ocation of wells/septic systems
of dimensions and building setback dimensions sting trees to be retained with drip line,and tree
^':quare footage of buildings to be demolished protection measures
Lot area,building coverage area,percentage of coverage and /it. -et tree size,type and location
y '. pervious area(applicable if R-7,R-12,R-25&R-40) f;street names P: \To corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes d'JNo
o
foot differential)
/ If yes,is a storm water quality facility shown? �EIYes ❑No
Z Clean Water Se ices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: ��
,2/ ❑ Yes L1J'No
[1d Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notifiedIV No Applied For:
pp ❑ Yes ❑ No,stop intake
'hi Land Use Case#:
Zoning:
`
_0:D
2/Required Setbacks: Front3/ Rear � Side S Street Side AIft
Garage 0
11 Landscape Requirement: U4
14 of Coverage Maximum: N.4 %
Ile Building Height: Maximum Height 5Q Actual Height j�
7. isual Clearance U/
g 4
i� Sensitive Lands: ❑ Yes Lld' No TYl�e
,�AA Urban Forestry Plan
Eel/
Conditions "Met"prior to issuance ofbuildingpermit
Notes: Po { v'i ,Arlswn t At,iclh (4 op - 3-I3-(Y
U/Approved By Planning:
" Ce,fiA Date: 3--I3-It
Revisions (after Building Submittal only) Reviewer
Revision 1: El Approved El Not Approved Date
Revision 2: El Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
I:\Building\Forms\BldgPamitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: ?/)-7//
Site Plans: #
Building Plans: #
Building Permit#: nter building��permit'�#above. -
Workflow Routing:
lanning Q-' ngineering ermit Coordinator Ef tsuuding
Workflow Sign-off: [ " -off for Planning(include notes from planning review)
Route Application Documents: e'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
ori al plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
3- err i r & 2 f'('w 4-4"11)t 1Jzv.-r1 / r c�vtM'/'fui�j
Notes: .it .i _ �, v / r, fir/`
labDate: 3 / :,`
By Permit Technician: /�1_, v+
Engineering Review
Slope at building pad:
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
❑ Final Plat Recorded: Date:
❑ NOT Approved by Engineering:
Notes:
❑ Approved by Engineering:
P Date: ..1 4.744:7(6
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:
+�3 C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes
ZI --/A
Tigard Trans SDC: ❑ Yes ll _ /A
Parks SDC: ❑ Yes L N/A
LIDA ❑ Yesp3,N/A
OK to Issue Permit �/1/�
oire .,,,,,..,---
(Approved by Permit Coordinator:
Date: 5
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
FOR OFFICE USE ONLY-SITE ADDRESS: l i2 s---7 sAj A c !l e✓/C�Gt c
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
Transmittal Letter
T 1 J A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: BUILDING DEPARTMENT DAT v its • ED
•
DEPT: BUILDING DIVISION
MAY 1520181
FROM: Ron Bayles CITY OF TICARD
COMPANY: Home owner BUILDING DIVISION
PHONE: 503-526-9595 By:o- )
RE: 14257 SW McFarland Blvd, Tigard MST2018-00077
(Site Address) (Permit Number)
McFarland House Remodel
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. X Revisions: Kitchen sink bay window relocation
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):
REMARKS: Kitchen sink bay window was moved about 8 feet to south wall. No really
changes to structural design.
FOR OFFICE USE ONLY
Route to Permit T hnician: Date: -�� ® ) Initials:
Fees Due: 0 No Fee Description: Amount due:
1.4 v" pi tv, $
Special
Instructions:
Reprint Permit(per PE): [ Yes Vt No 0 Done
Applicant Notified: 7-c4-- Date: �,Z� ( Initials:
\BuildingWorms\TransmittalLetter-Revisions 061316.doc
-\-- a."13-4-4-
L\ SUv '('C-1Q_,tONc1d
Note to Inspector:
The structural engineer informed me that the new location of the window has an
' existing header over it.
Please verify that this information is correct.
If existing header has been enlarged, please fail inspection.
Big Tom