Permit (34) CITY OF TIGARD MASTER PERMIT
R IN
Permit MST2018-00123
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2018
TIS' .[- g Parcel: 2S114BD02100
Jurisdiction: Tigard
Site address: 9740 SW RIVERWOOD LN
Subdivision: COPPER CREEK STAGE 2 Lot: 38
Project: REED
Project Description: Remodeling existing bathroom on main floor.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $9,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 1 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
_Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 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:
ALT SF 0
Owner: Contractor:
REED,MARSHA L& BROWN BUILDING&DESIGNING LLC Required Items and Reports(Conditions)
DENNIS STEWART PO BOX 197
9740 SW RIVERWOOD LN LAKE OSWEGO,OR 97034
TIGARD,OR 97224
PHONE: PHONE: 503-675-3909
FAX:
Total Fees: $480.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all •. -r applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if ,ork is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent-. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o• -n a cop . -- ules or direct questions to OUNC by calling 503.23 •'-17 or 1.800.332.2344.
s
Issued By: ____,..-: •• to Signature: .40051/11/' -. 03.639.4175 by 7:00 a.m.for the next available inspe• on date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
sidential FOR OFFICI: FSE ONI.I
City Of Tigard
l 'I d 26 2018 Received //`
� Date/By: / ` � Permit No.: / _ail j
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 4/11.57—A)L ai
■ Phone: 503.718.2439 Fax: 503.598.19CITY OF I IGARI� y 3 (�$ Other Permit:
<4—
Date/By:
I 1 G A R D Inspection Line: 503.639.4175 Date Read/B ® See Page 2 for
g g 3UILDING DIVISIC? i Ready/By: (r Anis:
Internet: www.tl and-or. ov ified/Method: I Supplemental Information
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.
. ddition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit h
CATEGORY OF CONSTRUCTION work indicated on this application.
and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms: (
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9," („.t L_Ai �j/ cx.)\ _ New dwelling area: 9 square feet
City/State/ZIP: �k J \ ,2 C 1 Z�j Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:
' 17,,&;1/--- -y-,,,,;% Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
rbc `taV� ifr.7c.,h Cw \ Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
*APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: A]/t3c—• y �r� (Please refer to fee schedule
��
Contact name: (-� Structural plan review fee(or deposit): 3 a
Address: To`a r i C�� FLS plan review fee(if applicable):
City/State/ZIP: L 1 r („ Coo-31i 7 o-311 Total fees due upon application:
Phone:( ?o,) Cl 5__-"n Gam, Fax::( ) t�.-+sZ__1/4.. 1
Amount received:
E-mail: � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
' D C�.✓,'c \ �lc:xl -(vv'-/--
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: D k.✓, `� Submit two(2)sets of roof plan with connection details
sr.) e.,r)',,, and fire department access,alongwith the 2010 Oregon
Address: A. �
'c� SolarInst l Installation Specialty Code checklist.
City/State/ZIP: \ —� `� q Permit Fee(includes plan review
t and administrative fees): $180.00
Phone:(' j) OS Fax:( )
^� -5.„.„..A.--- State surcharge(12%of permit fee): $21.60
f
CCB lic.: t(.vi )
Total fee due upon application: $201.60
Authorized signature:t . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /' k,, ./.-.) ,t,\ Date—2(e—if *Fee methodology set by Tri-County Building Industry
lService Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE Oyl.l`
City of Tigard
Received Permit No.:
1114
Dale/By:
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175
T 1 G A R D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 00 ❑❑ ❑
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 0
6 Sewer permit. 0 0 ❑
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application.
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. 0 0 0
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state
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. ,❑ 0 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 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. 0 0 0
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
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. 0 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide specifications and calculations to engineering standards. 0 0 0
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
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. 0 0 0
20 Manufactured floor/roof truss design details.
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. 0 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
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 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above.
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.
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. 0 0 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 0 0
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
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-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
4, r
I
N. _nical Permit Applicat .I' 1,1
4 , EivEp
FOR OFFICE USE ONL 1
4 City of Tigard Received
Permit No.: ill •
..... ..,••• •44 3
' Illic . 13125 SW Hall Blvd.,Tigard,OR 97223 APR 26 2018 Date/By: , .1
Plan Review
: 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD
Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov
Notified/Method: Supplemental Information
3UILDING DIVISION
TYPE OF WORK , ,, , COMMERCIAL FEE* SCHEDULE = USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ...IAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION " ' RiEsiDgNTIAL gq*mENT/SYSTEMS FEES*
and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATIDN -'? ''''" ,'''', .t '''''' Heating/cooling:
/1 ,k i Air conditioning 46.75
--1 1-
Job site address: - -V(.. 4:7)-(' .A.....) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:'-j-... G4 i D()_ Oyi T2.1-4 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg/apt. Heat pump 61.06
Duct
no.:3 Project name: Heat
7"-& \.\(\ 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances: _
Tax map/parcel no.:
Water heater 23.32
DEitmfori& 4 won ,,r, ,,4- 44 4„.1, 51:`, F. , Gas fireplace/insert 33.39
Flue vent for water heater or gas
IR", A•67 \O.\ i‘e
vv' c \ ,ae,\ , 4, 9\e,C,e__ e',A ---A-- fireplace 23.32
Log lighter(gas)
23.32
Wood/pellet stove
33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
- ' Er PROPERTY i.1El ' VI'' --:, 0 mato
-' - - , --. - Environmental exhaust and ventilation:
Name:
Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 Z3..32-
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
16r\APPLICAINti 4 7' ,, -,tili li NTACK;PWON en23.32
piping:
Fuel
____
Business name:C , \ .,trN.-.\ i•-• 12-&>li r
--,I $14.15 for first four;$4.03 for each additional
Contact name: (1)(\icZ2 Furnace,etc.
Gas heat pump
Address: tOc-1
Wall/suspended/unit heater
City/State/ZIP: L„,1,,,c, oz), 2,-.0 0i- oil oil Water heater
Phone:("25. ) 675_--)77),„0\ I Fax::( )i.e...1,n_i_....- Fireplace
Range
E-mail: 13-6-P•0%-I S (\f .,\,..c,c_,- Co,/- - Barbecue
COTWTOR: "'''''' " - Clothes dryer(gas)
Business name: 2 " Other:\ 6,rv--) i- 1. ---ily\ mgcm*K471:,P ,,,,,,,; .,, FEts.
Address: 7.)-20 (CO
Subtotal
City/State/ZIP:
0 Q--- &c 1 017 Lf
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(561) ) 621e-,- - 1--CA
•J le.)C\ ' Fax:( )
State surcharge(12%of permit fee)
CCB lie.: )(‘AlAT-7 TOTAL PERMIT FEE
Authorized signature: /
This permit application expires if a permit is not obtained within 180
7Z-t...----""----
/r6t,- days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: ( /67;kiv•--N. Date: e-i-2.6.2- fe
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 Valuation:, 'emit 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