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Permit (168)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT !t �, Permit#: MST2018 00218 :n �' .•T Date Issued: 08/16/2018 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �' I T t O_„N,Rl Parcel: 2S103CA00213 , Jurisdiction: Tigard Site address: 13170 SW HOWARD DR Subdivision: WOODCREST NO.2 Lot: 23 Project: CAHILL Project Description: Adding (1)bathroom and(1)wet bar in existing basement. 9/24/18: REPRINTED permit to include (1)bathroom exhaust fan. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: 0 sf Value: $17,836.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: SF Rain0 Storm Sewer: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 25 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3 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 VB R-3 0 Owner: Contractor: CAHILL,JAMES&VANESSA ZB CONSTRUCTION&PLUMBING Required Items and Reports(Conditions) 13170 SW HOWARD DR 13750 SE LINCOLN ST TIGARD,OR 97223 PORTLAND,OR 97233 PHONE: 503-706-0072 PHONE: 503-888-5222 FAX: Total Fees: $1,165.79 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ••ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. Yoy.aaep-obtarin of the rules or•.rect questions to OUNC by ca pg • 1987 or 32.2344 Issued By:J �—. : - Permittee Signature: \\ Call;p70!175 by 7:00 a.m.for the next available inspecti• ate. This permit card shall be kept in a conspicuous place on the job site unti ompletion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicationFOR OFFICE use ONLY i Received City of Tigard' ° Date/By: Permit No/..".57- s ''G'/a?/, 13125 SW Hall Blvd.,Tigard,OR 97223 f, ,, Q Phone: 503.718.2439 Fax: 503.598.19�b,U GCS 11J Date/By:1CW Other Permit: T 1 G A It D Inspection Line: 503.639.4175 Date Ready/By: Juris: is See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information --� 'Q, 1 r r " COMM1331RCIAL , E*,SCHEIl'UULE -'USE CHEC IST '. TYP OF"li'i'ORIC u. r f Mechanical permit fees*are based on the value of the work ❑New construction ix Addition/alteration/replacem= performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: fi mechanical materials,equipment,labor,overhead,and profit. Value:$ 4 ,t, ,,ii„ ( 4TEG(RY 9F I3DNSTR1IC`it'IO MAMA... A'' : IPENT AI+I UMENT'r'$YST'EM$FEES"'"a •,',,; Cgj 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 -, 4 "-- Heating/cooling: 1 ;w. ,u J90 SOk. 1?�Q INRMAT ON`A1V OCATION Air conditioning 46,75 Job site address: (/1,"7.0 se.> E{o04..c.:t7 it. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l r ..r.t.,,, . 0Tt:. '1 12�-N Furnace 100,000+BTU(ducts/vents) 54.91 l Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: 4pJA.ice i.t.. a Sc, ...>Ec;. 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 Oth Subdivision: Lot no.: er' 23.32 t - Other fuel appliances: Tax map/parcel no.: Water heater ( 23.32 24.s2.... V' t .it :to. 9I 0 VVt i a u, 'tt T.4' '� ,t FGas lue vent fireplace/insert 33.39 heater or gas T IC.L45.s t-J.46.TE'({ llE E1C. fireplace _23.32 /Irk�� ,f Log lighter(gas) 23.32 ��ai1/f '( < �L""`y{ J P ct t5rN Wood pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 '.,. Pl lstirit R r' i' ,ate.w+�, A ,. ` it Other: 23.32 - Environmental exhaust and ventilation: Name: "544.01/4e Si r1 `C-� Range hood/other kitchen CAA% 33.39 Address: %."3 I' Se.. Hoc„z,o. d ..t,2 , Clothes dryer exhaust 33.39 City/State/ZIP: t"�r0•'&'i> l c l 11 -a2'j Single-duct exhaust(bathrooms, r toilet compartments,utility moms) rt 23.32 Ai,. LI Phone:(Q ) '-i-t94 - ae*-1 Z Fax:( ) Attic/crawlspace ace fans 23.32 i I ieifsa ` f' f 'AGI $QN p Other: 23.32 Fuel piping: Business name: ,N`p $14.15 for first four;$4.03 for each additional Contact name: '54.4.4 , C_AH r c-C.._ Furnace,etc. Gas pump Address: 13(- p % e.> 1'6 Lt, 'it . suspe . WalUsuspended/unithenter City/State/ZIP: --i-,G.4.it:D f Cj t/ Ci--4-2.. Water heater l l y dr ia{1. Z Fax::( ) Fireplace Phone:(SI') �� Od� Range E-mail: Rs:. mac ? Barbecue a: wx .t COST ` A . . ,,_ , .: Clothes dryer(gas) Business name: n-. 7� Other ZB� �X7r10.st-riot f� TLwrl t+JE2. st" j iti A *":1 114 r ', ` V/Address: ! x P n 190 .sE I..tuC,C►L..�J `"sr- Subtotal 3'� - City/State/ZIP: ?Cji'cr LAt.. �� /6-R / 9 3 2,s Minimum pemut fee($90.00) q0 ` Plan review(25%of permit fee ) 225e Phone:(SO ) N.3,5,.. 5'2_2.2_ Fax:( ) State surcharge(12%of permit fee) it, CCB lie.: ( c'1 i L.tC) TOTAL PERMIT FEE 12$,s5p • This permit application expires If a permit is not obtained within 180 `] days after it has been accepted as complete. Authorized signature: 1 * Fee methodology set by Tri-County Building Industry Service Board Print name: `-5Aa.. L CL`s 41 _L Date: IZN..,G,_ t 8 I:\Building\Permits\MEC_PermitApp_04011?doc 440-4617T(11/02/COM/WEB) k -- CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2018-00218 T[GARD O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018 Parcel: 2S103CA00213 Jurisdiction: Tigard Site address: 13170 SW HOWARD DR Subdivision: WOODCREST NO.2 Lot: 23 Project: CAHILL Project Description: Adding(1)bathroom and(1)wet bar in existing basement. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: 0 sf Value: $17,836.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: SF Rain Storm Sewer: 0 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 25 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3 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 VB R-3 0 Owner: Contractor: CAHILL,JAMES&VANESSA ZB CONSTRUCTION&PLUMBING Required Items and Reports(Conditions) 13170 SW HOWARD DR 13750 SE LINCOLN ST TIGARD,OR 97223 PORTLAND,OR 97233 PHONE: 503-706-0072 PHONE: 503-888-5222 FAX: Total Fees: $1,165.79 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 OA' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.33/ Issued By: _ �—G �' "�� L Permittee Signature: Call 13.639.4175 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 ��x FOR o1Flcl. LSF.0 L) Cityof Tigard 6 q Received r / p g J 1 8 Date/By: I r/ Pe/ 4 l S 01 — I f SW Hall Blvd.,Tigard,OR 97223 Plan Review (� Q r� ' e Phone: 503.718.2439 Fax: 503.598.1960... Date/By: �/ V Other Permit: TI< ARI) Inspection Line: 503.639.4175 7,1 Date Ready/By: �/ ,F kris: ® See Page 2 for Internet: www.tigard-or.gov t> Notified/Method: © '� � r I Supplemental Information V/ iJ/d 9 9 r'S TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all [Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 11)53)(GP�m 2 1-and 2-family dwelling 0 Commercial/industrial ElAccessory building ElMulti-familyNumber of bedrooms: 0 Master builder ElOther: Number of bathrooms: 1 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: New dwelling area: square feet I.?) I.� `3v ��A.t��`..,�SZ, City/State/ZIP: ,4..g. /cot /c q 2.2 3 Garage/carport area: square feet Suite/bldg./apt.no.: I(Project name: Covered porch area: square feet Cross street/directions to job site: 5�, E-bc-.Omt . 21 S'J FS CT, 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 4..� 0 —640-447.42:41).-. Valuation: $ � �5T �dgiL '-lc5 "FnASErti�►aT Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: -541,40„,..€S C:AK t`` Type of construction: Address: CI I q co S t_N, pc,t'e tL1-, 'p'tC. Occupancy groups: City/State/ZIP: (tC_-.h:tls) 1®K. 1 en.2,2.3 Existing: Phone:(4353) -oo"42._ Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: 1�"/ (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: ��b,,,,v_S CAA i" FLS plan review fee(if applicable): Address: 1?, - A1C j ''2. l Ot /oil / Total fees due upon application: City/State/ZIP: )t a41R l o j l 7'2 Z 3 Amount received: Phone:(Sv; ) -fel 2 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Commercial and residential prescriptive installation of coCONTRACTOR Q roof-top mounted PhotoVoltaic Solar Panel System. Business name: Z''R hIN srit.5tG f,a� Cs 7L,u wg.N C. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: j 1'r}5c) 5g 1,<<►scve-.1+ ST. Solar,Installation Specially Code checklist. ,City/State/ZIP: diL Permit Fee(includes plan review $180.00 `Qt��TL,L�►J� L �2 2 3 and administrative fees): (i Phone:(col)$SS -5-222 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: I SI1 L ir7 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. CA f Date: *Fee methodology set by Tri-County Building Industry Print name-$4�c S K i s-6, �j Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist OM to One- and Two-Family Dwelling Folz OFFICE USE ONE) City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated: ermits: i Phone: 503.718.2439 Fax: 503.598.1960 P 0 Electrical 0 PlumbingMechanical 1 I G A R D 24-Hour Inspection Line: 503.639.4175 0 Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No y/'A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ■ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. 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 ❑ 7 Water district approval. ❑ ❑ ❑ 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 p basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ 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 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 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 ❑ 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 ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 ❑ El 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 architect licensed in Ore.on and shall be shown to be a I licable to the sro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 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 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 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 ❑ 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 ❑ 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) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard 1; 7,b. Received ' Date/By: Permit No/157— 0, r _ea 2/ 13125 SW Hall Blvd.,Tigard,OR 97223 NI i r i. i,v S t Plan Review Phone: 503.718.2439 Fax: 503.598.19b,a J L w Date/By: Other Permit: Inspection Line: 503.639.4175 y T I G A R D p Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov ( Notified/Method: Supplemental Information TYPE OF' ►'ORKJ V COMMERCIAL FEE* SCHEDULE.--A.ISE CREC IST Mechanical permit fees*are based on the value of the work ❑New construction RI Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value $ J; .Ty cATEGQRYr OF OONSTRUCl IOl1I I SIRENTiAL UIPMENTT I'$YSTE .FEES* s XI 1-and 2-family dwelling 0 Commercial/industrial information " ❑Accessory building For special iuse checklist. ❑Multi-family 0 Master builder 0 Other: Description k' .0 : �,. .. Qty. Ea. Total 4 JOB SITE INFORMATION AND LOCATIONHeating/cooling: „ Air conditionin Job site address: (3I.70 S� g 46.75 E{.ov4iL�j �Z• Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: [ t G.A.•„C.,c, /o t_ /1 12�,S Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: `Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:44+(-6..e.zA2t) -bit.. a e rs Hydronic hot water system 23.32 �7oFS c...„...: Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater ( 23.32 SZ ' :' ff RIMOr4 OR woRi 141 1 , AA ,r' Gas fireplace/insert ` " . :. .icep 33.39 Flue vent for water heater or gas �i 1,-s(G1_eSS LJA'irCt_ kE,45,`YF'� fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Pl$P1 RT? O , Rio ', m,0 Other: 23.32 FRY 0 ' ` -,"N 44111.74-41,4, Environmental exhaust and ventilation: Name: "S A nE S /7 _ `Lt._ Range hood/other kitchen Address: VZI St_. o.�b �`C • equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: GrebN /lei , let q. X23 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(Se ) -{p(. _ Ot>-4 Z Fax:( ) Attic/crawlspace fans 23.32 71 I "* t .i;0 P ,I , It R. 1 . ... ' 1! ACrERSON Other: 23.32 Business name: N7i� Fuel piping: � $14.15 for first four;$4.03 for each additional Contact name: /� o s c ' K t`t_ Furnace,etc. Address: t 31?c) S J Gas heat pump t ��a Wall/suspended/unit heater City/State/ZIP: `t GA.R� J t I/ 9 -f�. 3 Water heater j Phone:(� �� �0 �) ` -}Z Fax::( ) Fireplace 4 •tS <<l=r E-mail: Range Z' v� CrBarbecue u 1CNTRA( O 1Y Clothes dryer(gas) � : ,amu. -,. .�. �• ,.... �... Business name: Other: ��. �'�siitu,e_ittot t3 t7Li.s&..stww6. i41/Address: 13 SO gE I.,1►, -r, I A) CAI P RMI'Subtotal Y; Goe_..t. %•4 2 3 3� � City/State/ZIP: C t9ZT/4401,1%:::. /ten_ / 1Minimum permit fee($90.00) "t Phone:(ce. ) a' 5- Z Fax:( ) c. Plan review(25%of permit fee) 22 S State surcharge(12%of permit fee) Ip CCB lie.: ( c i i Lk:, TOTAL PERMIT FEE (23•2,co This permit application expires if a permit is not obtained within 180 jdays after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: "5,60,..„.4s.\Iv1rr^ !Ls,L�I.,,.�1 LL Date: 12N...6._ ,t B I:\Building\PermitsEC_PermitApp_04o113.doc / 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi Family Fee Schedule: Tota V lu tion' tt ., Perini*,1'e n " j.. $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_040I 13.doc 2 Electrical Permit Application FOR OFFICE LSF OyEl City of Tigard t Dat/B Permit#: MSir�—/<a/ • 13125 SW Hall Blvd.,Tigard,OR 2L Plan Review g Phone: 503.718.2439 n Date/B : Related Permit#: Email: TigardBuildingPermits@Tigard-Ott U 2013 Ready Date/By: Juris: FA. See Page 2 for 1 I G A R I) Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF why;i;.,`:' 0i,,:;. .-i PLAN REVIEW ❑New construction pz Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. Al 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fireum . p p 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: t 3 t --/e, SJ !-t .. 1r b 1)lt. 1001-I1'or more. ❑"A","E","1-2","l-3", occupancy. City/State/ZIP: / Six or more residential units. P Y. �I&A I> t'>_ . 7-2 2Recreational vehicle parks. � 0Health-care facilities. 0 Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Si_D It��vez 'S6�£S err. FEE SCHEDULE t'� Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.R.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) 0 elle....1 'G C 't lte-`–Or A . --fiecTl{ZC173 t"1 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 231 PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 /� Services or feeders installation,alteration,and/or relocation Name: $ OA H,LL 200 amps or less 100.70 2 Address: %- X- 201 amps to 400 amps 133.56 2 L3( '� J t�JQtC ID V 2. 401 amps to 600 amps 200.34 2 City/State/ZIP: k c 1tT iC>TL/' 2•- 601 amps to 1,000 amps 301.04 2 Phone:(1,�3) 3c94._ Oo-gZ l q *? Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale, rent,or ex ane 1 ' 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 0 APPLICANT 0 CONTACT PERSON Branch circuits–new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: JAI service or feeder fee,first 56.18 �� 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: e. 6J/&-72– Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) ( 66.25/hr Coe...— Phone:( ) Investigation(I hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): / ��f State surcharge(12%of permit fee): Authorized signature: s� 7 rEO TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: '54,4.�SS / -p� (.4 A.H t ere_ Date: 8:,_6_ (E * days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RK ON :' ."•FEE CIIED E RE ENS W ... ' • : [ Description I Qty. I Each 1 Total •: 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 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum 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(1 hr min) Inspections for which no fee is 90.00/hr specifically listed '/z hr min) iiv_i RCiAI.'WQ O ,µ � f .a gn ` .EL C . 'EitM1 SEES Fee for each commercial system: $75.00 per l subtotaEnteron Page 1): 3' * Number of inspections allowed pepermit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 10/26/2017 Plumbing Permit Application _ Building Fixtures �` � w� FOR OFFICE USE ONEv City of Tigard A J G 0 2018 Received Permit No G IN13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �/���c7 "��J /� Plan Review IIt: Phone: 503.718.2439 Fax: 503.598.1961 ' ) Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 E w ,..,:,::_,N Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist. Description Qty. Ea. Total rEl Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEpOtV OF CONSTRUCTION SFR(1)bath 312.70 4 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory 0 Multi-family Each additional bath/kitchen 25.02 O Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ,r ,308 SITE LNFORMATION.AND LOCATION :7rt„< .. Site utilities: Job site address: Catch basin or area drain 18.76 3 �d $V 1-bt�AlLb 'Dit. Drywell,leach line,or trench drain 18.76 City/State/ZIP: -rt t...tt1,I or /a/2:2.t Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: So A a ^J-...,,ec Gs r• Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: r ' Page 2 62...5-1_ Storm sewer(no.linear ft.:_) Page 2 / Water service(no.linear ft.:9, ) ' Page 2 Subdivision: , Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 t a-";, *r: DEtRIPTON OF't` � x t Backwater valve 12.51 u , ,�," ., 't ,.. Clothes washer 25.02 Qt) THZeeeac4 L 1 BARLa "g.1.SEww_ssT Dishwasher L 25.02 2S•o Z LJET • tL [mssi7�s'• S.o.�K� ct�.,IorS�A-.�.a�� Drinking fountain 25.02 ifbL(t:1_,_!..::4•06121.4,1 d f ,14 • 9^, ectors/sump 25.02 --' Ply ' OWNER w" 4 °C] flIs1 Expansion tank 12.51 Name: Fixture/sewer cap 25.02 `SA>^�S �� t_c_ Floor drain/floor sink/hub 25.02 Address: rto t ic, be... E.4,,,•aA.lr I, iL. l Garbage disposal ( 25.02 2 S O2 City/State/ZIP: vrte5,6:i'L� ! b� / q72...23 Hose bib 25.02 Phone:(CA ) lo(._tx:::`}2 Fax:( ) Ice maker j 12.51 ICAN ❑ ,,.,...t:>,,i AC's` PER t Interceptor/grease trap 25.02 Business name: V_VA Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: ""Z:601.„1/4c S C4H1 t__1-- Roof drain(commercial) 12.51 Address: ("3 t' , St-3 1-1flet-z AL-C1:, "D-C_ Sink/basin/lavatory 2., 25.02 City/State/ZIP: I t-���/p 1 (9 72 2 7 Solar units(potable water) 62.54 Phone:(eo ®U,j 3 ) 7 _�7 Z Fax::( ) Tub/shower/shower pan X. 12.51 2 5-92- E-mail: Urinal 25.02 ° ; �- Water closet 1 25.02 Is-.D2 µ • = NTRACT R .; ''''••• ` Water heater I 37.52 ";.3• SZ kms X -FL., -ay '= Business name: Z-& c.„.....i 3TZoe2r tot] -FIyK'6 e►Jt3 Water piping/DWV 56.29 :ddress: I 5 t < -r. Other: 25.02 6 .-PCity/State/ZIP: eAt.Tt.Avb / p / (3 Subtotal L8 Phone:(50) ) �&4 S 2 2'L Fax:( 1 )/223 Minimum pernut fee: $72.50 - T CCB Lie.: I ct I l Plumbing Lic.nceb 51 S 7/1/2-0 Plan review (25%of permit fee) l{(��4� State surcharge(12%of permit fee) 22, 52- Authorized ..Authorized signature: TOTAL PERMIT FEE 2 M.G74 Print name: � �S eAN t t_t; Date: g-&_ (� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Buiidng\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: $. Qtr:` Total Square'Fo t e Permit Fee: Site Utilitesh :� �t'a) �� +� 4.. Footing drain-15`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' i 62.54 L, tamMedical Gas Systems: Water Service-each additional 100' 37.52 Valuat><on. Storm&Rain Drain-1st 100' 62.54 1t Fe�� t $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 P l±ee(ea) " tai each additional$100.00 or fraction thereof,to er Inspections or Fees (st ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report ort fixtures could result in increased sewer fees*. P1aIJ[ ` -view for ` , Rao'bin a g r..!' Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: capped Added kelocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" { 4 = IsOmet c ofOer I m n 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13170 SW HOWARD DR, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00218 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor