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Permit (165) CITY OF TIGARD `; J.� MASTER PERMIT 1111 ■` COMMUNITY DEVELOPMENT i / Permit#: MST2018-00207 Date Issued: 08/22/2018 T I c A K 1,,, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA01700 Jurisdiction: Tigard Site address: 11754 SW GAARDE ST Subdivision: None Lot: None Project: PROPHETE Project Description: Remodeling house to include(1)new bedroom and(1)new bathroom, installing a new roof with trusses,demolition of a 420 sq.ft.attached garage, and construction of a new, relocated 326 sq. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 52 sf Basement 1194 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 576 sf Front: 20 Smoke Dwelling Units: Third: 0 sf Right: 5 Detectors: Yes Total: 1246 sf Value: $181,789.60 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 200 SF Rain Storm Sewer: 200 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 1 Water Lines: 200 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 1246 Owner: Contractor: PROPHETE,MARC OREGON PRESERVATION&CONSTRUCTIO Required Items and Reports(Conditions) PO BOX 3421 27692 S HWY 213 1 Ersn Cntrl 503-639-4175 TUALATIN,OR 97062 MULINO,OR 97042 PHONE: PHONE: 971-221-9233 FAX: Total Fees: $6,552.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.23?,/, 987 or 1.800.332.2344. R i:' Issued By: ,!/L Permittee Signatu -,-,------- --- ' Call 503.639.4175 by 7:00 a.m.for the next available inspection daf r This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVEP FOR 01 II( I. S1: O\l.) City of Tigard Received III • 13125 SW Hall Blvd.,Tigard,OR 97223 C T _ 2 2 Q 8 Plan Review , , ���� 1 � _ ' ,'� , I Phone: 503.718.2439 Fax: 503.598.ttty Other Permit: Inspection Line: 503.639.4175 l cif L$ Date/Read /B Juris: TIGAKD p Ready/By: SeePage2for Internet: www.tigard-or.gov BUILDING DIVISION ON Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement Other: y e e r equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1/75 cs� i°?f2,Artt5 New dwelling area: square feet City/State/ZIP: 7/,,a /rd ,/j e Ci- a? t 7/ Garage/carport area: square feet Suite/bldg./apt.no.: `^ Project6name: Covered porch area: square feet r /- Cross street/directions to job site: 6. 4 /) S Deck area: square feet �1 ar Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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 D DESCRIPTION OF WORK work indicated on this application. 7/ } 1p 7/Y,41-c--(0 Valuation: $ ,+�V. / 101,-) Existing building area: square feet lNew 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: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) l Fax::( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: (ire .✓ ?r/ .e e v 0� � » /t —L Submit two(2)sets of roof plan with connection details J t ,( '`'d' and fire department access,along with the 2010 Oregon Address: c' Solar Installation Specialty Code checklist. v t n U City/State/ZIP: �(+� � . Permit Fee(includes plan review $180.00 of 7" '. and administrative fees): Phone:(9 71) Zz..a Ci i 3 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 7U r 1 5 - 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. Date: r Fee methodology set by Tri-County Building Industry Print name: �/ Fa �� ��J(�j Z�Q�� *Service 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 O F F R c I; t 'l: O\1.1 City of Tigard Received Permit No.: ;I RI 131SW Hallll Blvd.,Tigard,OR 97223 Asso iate/ ted permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I G A R DOlder: Internet: www.tigard-or.gov ❑ TUE FOLLOWING ITEMS ARE REQI'IRED FOR PLAN REVIEW 1 v '0 y% 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • a 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Oreton and shall be shown to be a••licable to the •ro•ect under review. 'It RISDI(TIONAL 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". 0 ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 711 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00207 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2018 T r c ,+ R 11 9 Parcel: 2S110BA01700 Jurisdiction: Tigard Site address: 11754 SW GAARDE ST Subdivision: None Lot: None Project: PROPHETE Project Description: Remodeling house to include(1)new bedroom and(1)new bathroom, installing a new roof with trusses, demolition of a 420 sq.ft. attached garage, and construction of a new, relocated 326 sq. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 52 sf Basement: 1194 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 576 sf Front: 20 Smoke Dwelling Units: Third: 0 sf Right: 5 Detectors: Yes Total: 1246 sf Value: $181,789.60 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 200 SF Rain Storm Sewer: 200 Drains: 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 1 Water Lines: 200 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL _Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 1246 Owner: Contractor: PROPHETE,MARC CARMELO NAVARRO Required Items and Reports(Conditions) PO BOX 3421 4804 NE 52ND AVE 1 Ersn Cntrl 503-639-4175 TUALATIN,OR 97062 PORTLAND,OR 97218 PHONE: PHONE: 503-335-3065 FAX: Total Fees: $6,507.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C: ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2 987 or 1.800.332.2344. Issued By: d-Jim- ' - "` — . Permittee Signature: _r •--- ' irfil - ""' • Call 503.639.4176 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each inspectio . t 4 'Buildin¢ Permit Application FOR orF1cl: csr.oNl.N Residential w° ' i i.4 ,, . Received , li1� ���"� :,t at . z,.. sit PermitNo.: � � �- City of Tigard Date/B ' Plan Review / Q /Q Other Permit 13125 SW Hall Blvd.,Tigard,OR 97219 2 01 Date/B : J Y• ® See Page 2 for Ph Phone: 503.718.2439 Fax: 503.598.1960 � Date Ready/By: ¢ Supplemental Information r 1 G n x n Inspection Line: 503.639.4175 Notified/Method:p Internet: www.tigard or.gov I l p 1� z I I 1 , . r.. ;_ .., ,fir '.�"°t �1L a -: � — — REQ D DATA:1-AND 2-FAMILY DWELLING TYPE OF WORK %1 New construction Permit fees*are based on the value of the work performed. 0 Demolition Indicate the value(rounded to the nearest dollar)of all Other: equipment,materials,labor,overhead,ats t e pro;for t„ ,; ❑Addition/alteration/replacement work indicated on this application. I ial CATEGORY OF CONSTRUCTIONValuation: $ .T. �► { '� 1-and 2-family dwelling 0 Commercial/industrial 0 Multi-family 2 0 Other: Number of bedrooms: W ❑Accessory building Number of bathrooms: USI,❑Master builder Total number of floors: 2 I •r 22---'JOB SITE INFORMATION AND LOCATION New dw I i��: square feet Job site address: [( � �. A • C �0 � e square feet j Garage/carport area: 1� City/State/ZIP: [ A. � � square feet Covered porch area: q Suite/bldg./apt.no.: Project name: `146 kt �U , Deck are• square feet , Cross street/directions to job site: G J ' • 'I a - _ fifsquare feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Lot no.: Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this as plication. DESCRIPTION OF WORK 'f Valuation: $ V�/ 5 f N"N C--1/301 �✓ square feet -r -` Existing building area: 4 -('�//J �`-�' ` ` � . ,���'"�j(I v New building area: square feet i 1/./.c'3. - +�cb-1v �_ �'- � IJt�J �G�(D 0 TENANT Number of stories: PROPERTY OWNER l Type of construction: F121111/ �I ` , Occupancy groups: Address: 401MBIEVIMNHAWariffillillA City/State/ZIP: v 4 Phone:( a 6 ,. 5C74 Fax:( ) BUILDING PERMIT FEES* A APPLICANT I 0 CONTACT PERSON lease re er to ee schedule �' Structural plan review fee(or deposit): 11 Contact name: FLS plan review fee(if applicable): Address: SOW 0i Total fees due upon application. City/State/ZIP: (/ i r Ort', r ,J cl ec„ Amount receive•. Phone:6 7 1) 0 G"' Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* MEM t/ 1 f) o `v Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. ` Submit two(2)sets of roof plan with connection details Business name: C/� �-d V u� and fire department access,along with the 2010 Oregon Address: 43 0 Lk l•-3. Solar Installation 5,ecial Code checklist. � Z City/StatelZlP:.�d �. , Permit Fee(includes plan review $180.00 `� �i and administrative fees): Phone: •3) sq i I., Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: to 3 1,-2 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. f *Fee methodology set by Tri-County Building Industry �'ira Date: ?AEA Board. MISSIL 1 I:\Building\Permits\BUP-1ZESPetmitApp. doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist y r One- and Two-Family Dwelling FOR OFFICE l SI. 011.1" City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Received 74 Dale/By: Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T 1 G A lZ D 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov 0 Electrical 0 Plumbing 0 Mechanical ❑ Other: THE FOLLOWING ITEiMS ARE REQUIRED FOR PLAN REVIEW 1 e No 1 i,1 1 Land use actions com I leted. See'urisdiction criteria for concurrent reviews. 2 Zonin . Flood .lain,solar balance s oints,seismic soils desi_nation,historic district,etc. 0 0 0 3 Verification of a' 'roved .lat/lot. 0 0 0 4 Fire district a. 'royal re.uired. Name of district: 0 I❑I ❑ 5 Se.tic s stem .ermit or authorization for remodel. Existin• s stem ca.acit 0 In 0 6 Sewer 'ermit. 0 - 0 0 0 7 Water district a. .royal. 0 0 Soils re ort. Must c. o '_final a licable stam• and si•nature on file or with a lication. �7I1 0 Erosion control R° plan \I, permit required. Include drainage-way t' 0 basin protection,etc. g y protection,silt fence design and location of catch- 0 0 0 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 6 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size- 0 0 0 sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if Alk co.yri:ht violations exist. OFSite/plot plan drawn to scale. The plan must show lot and building setback dimensions;property there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements(tf 0 0 0 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 draina•e. el Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details, and location. vent size 0 0 0 lip Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, Gpfurnace,ventilation fans, I lumbin:fixtures,balconies and decks 30 inches above • ade,etc. ❑ 0 0 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- floor,wall construction,roof construction. More than one cross section may be required to clearly portray 0 0 0 construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fir.lace construction,thermal insulation,etc. 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. ❑ 0 0 Full-size sheet addendums showin• foundation elevations with cross references are acc•'table. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- .rescri.tive .ath anal sis .rovide s.ecifications and calculations to en•ineerin• standards. 0 0 0 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 iv locations. Show attic ventilation. 0 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered s stems,see item 22,"En:ineer's calculations." 0 0 0 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet Ion• and/or an beamfoist c. 'n• a non-uniform load. ❑ ❑ 20 Manufactured floor/roof truss desi•n details. 21 Energy Code compliance. Identify Agas-piping schematic is required Identify the prescriptive path or provide calculations. 0 0 ita for four or more a..liances. 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.I licable to the .ro'ect under review. 0 �� JURISDICTIONAL SPECIFICS ,Awiregnmusgattp,ere.uired for Item 11 above. Site .lan•must be 8-1/2"x 11"or 11"x 17". 24 wo(2)sets eaclare re.uired for Items 16, 19,20 and 22 above. 0 MINA 25 Buildin• .lans shall not contain red lines or tap a-ons. "Mirrored"buildin• .lans will not be acce.ted. 0 0 26 "Reversed"buildin• .lans must meet criteria outlined in the Permit&System Develo.ment Fees docuiRent. 0 27 "Drawn to scale"indicates standard architect or en•ineer scale. ❑ 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard CU 0 • r■� Street Tree List. ❑ 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, and .rotection measures must be drawn to scale and must include the .ro'ect arborist's si!nature of a..roval. ❑ 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 0 0 on a lot of record a..roved .rior 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 otiLv City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 _ Phone: 503.718.2439 Fax: 503.598.196 ""It '^^ Plan Review ` Other Permit: Inspection Line: 503.639.4175 r 4n 1 ` Date/By: T I G A R D p Date Ready/By: Juris: I$ See Page 2 for Internet: www.tigard-or.gov , Notified/Method: j 1 ; Supplemental Information , _, TYPE Of W �q O GA _;, CohIMERCIAL FEE* SCHEDULE - USECfEcKLIST..., $ @ ,a,,I --..,....4!,,,,, ,t, n iN, Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteralb�piaic>SPrler 4 - performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ,° Value:$ CA, ';EGORY" F NSTBUCTION x '"..• .. R DE iTIA1 QUIP, _, .,W, NT/SYSTEMS.IJES ❑ 1-and 2-familyg dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total `' i'f..•, .*.JOB SITE IlWORIVIATI&I4 AD f.ocATIoN APHeating/cooling: ��] Air conditioning 46.75 / Job site address: /1 7 5. S�,r Ul( V S Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/Z1P: `%j ],rd .j 1z. / "?-02a2 Furnace 100,000+BTU(ducts/vents) 54.91 '0-- (/ Heat pump 61.06 Suite/bldg./apt.no.: Project name: 1 Duct work23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 L ESC° ° sN >, Gas fireplace/insert n-{n> .m. . ":,Kxll t..Lot . P 33.39 Flue vent for water heater or gas fireplace 23.32 ,�._ Log lighter(gas) 23.32 � '�` '-e e-t.. ✓ 'rL" " c "t'i)4v>v'• Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 :: PROPT •.` f-1 Other: 23.32 ,q Environmental exhaust and ventilation: Name: , r 12 C 4 Pr ) 7pj e f e Range hood/other kitchen equipment 33.39 Address: 0, box 3ctd Clothes dryer exhaust 33.39 City/State/ZIP: TUr/i.. �/ Ore //lam l Single-duct exhaust(bathrooms, ( t/ �/" toilet compartments,utility rooms) .) 23.32 Phone:(q /) D,2�j 0 SCJ 6 Fax:( ) Attic/crawlspace fans 23.32 r .t APtC '41.80. t CT.I'E1 ON')' ,, ' Other: 23.32 Business name: tit Fuel piping: ` $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue ,,KS . . . .� °r , ` ..1 Clothes dryer(gas) Business name/61 A ��- ' �� ` /j 1 /'n( f Other: Address: �c se,,,,, 06, ( �f44 1 ( AL r ..: ES*.,. 0Lt �Z GSC ✓r/ 2' Subtotal City/State/ZIP: 54/6--ems C44 C-120l Minimum permit fee($90.00) ( Z5 I.6, Plan review(25%of permit fee) Phone: J�-' v v Fax:( ) State surcharge(12%of permit fee) CCB lie.: F 1 / 1/6...1-((ie/ p yyA- 7— r•11,,7 TOTAL PERMIT FEE ( This permit application expires if a permit is not obtained within 180 / re-171" y2 days after it has been accepted as complete. Authorized Sign / "" * Fee methodology set by Tri-County Building Industry Service Board Print name: ✓IrO:- /- Date: i 2 2, L I A I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/0/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Tot$V4ih ation, Permit Fee: lzt $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$109,000.00 $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 i FOR OFFICE USE tlNLt City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 AUG r n !1 O Date/B : Permit Al: Phone: 503.718.2439 Fax: 503.598.1960 v -C. 1 t) Plan Review Inspection Line: 503.639.4175 Date/B : Related Permit#: Internet: Line:g rd-or.gov Ready Date/By: loris: lZ See Page 2 for ','"i," ''` "i ' i '"� :, r., y, y, I Notified/Method: Supplemental Information /,,.� <.l. iii,iii,,,,-:7�'/', ,,.'1'..Y:*.r7 S 1 /rfii iii 7a - til K: i i r ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): El or feeder 400 amps or more El over three stories. ❑Demolition ❑Other: //l' / = 'll*: where the available fault currentt /'' Jt,l3 ,1 t,/ w ,- �, :iL,`�'''l 0 „ %,, %l: exceeds 10,000 ams at 150 volts or 0 Marinas and boatyards. P 0Floating buildings. ® 1 and 2-family dwelling ❑Commercial/induSYrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 Multi-family 0 Master builderamps for all other installations. buildings. � 0 Other: 0 Fire pump. 0Installation of 150 KVA or " ,,%,,,I,(4, ikvo. "i ati , Y.s@ '�B4„ y "; '�,� ; %�rj%!i,�„��y 0's>, 0Emergency system, larger separately derived Job# ( Job site address: 11754 Sw Gaarde st ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard OR 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more 600 volts nominal. Description I Qty. I Each l Total ,I * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 /� t i'('� >i Ea.add'1 500 sq.ft.or portion 33.92 1 ', , %. !; a I''; „�,.,'�� �/ 41 .`-'�;' Limited energy,residential All new electrical system (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 residential(with above sq.ft.) 2 y aQ y r // / 'i iJ i �� Renewable Energy ❑ S P 2 ,, , ee age ,;.: !„ /� � �>s* Is 1,�x�:l%;! ��ii �' Services or feeders installation,elle ation,and/or relocation Name:Marc A Prophete 200 amps or less '1 100.70 2 Address:PO box 3421 201 amps to 400 amps / 133.56 2 City/State/ZIP:Tualatin OR 97062 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 401 amps to 599 amps 168.54 2 Owner signature: Date: LNt %i /% % / / � �1�����rr sol,,li /� �/,� ��f�� 4 :0;;;I,I��267 Branch circuits new,alteration,or extension,per panel A.Fee for branch-circuits with Business name: above service or feeder fee, X each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without .it Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) I Fax::( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 Reconnect only 67 84 2% / „ n2 ':`,17::y :i 3' :%%/% /%, /4% %/ „% Pump or irrigation circle 67.84 2 Business name:Paramount Electric Co. Sign or outline lighting 67.84 2 Address:9053 Se Jannsen Rd Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Clackamas OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)7032571 Fax:( ) Investigation(1 hr min) 90.00/hr Email:office@pmtelectric.com Industrial plant(1 hr min) 78,I8/hr Inspections for which no fee is CCB Lic.: 195783 Electrical Lic.: c-818 Suprv.Lic.: 4828s specifically/listed(%hr/min) 90.00/hr Suprv.Electrician signature,required: 1446.)-t.rt-- 6--,Z./la” / / ''' Subtotal: Print name: maurice Greven I Date: 8-22-2108 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. L\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures FOR OFFICE USE ONEv 1-1 / •:Received City of Tigard ',,' , t. .,Date/By: Permit No.: 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 STOZI 17-� tl� Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 JUL j L 1 9 2018 Date/By: Other Permit No.: Inspection Line: 503.639.4175 T I G A R D Date Ready/By: Juris: Ea See Page 2 for Internet: www.tigard-or.gov v (....,1 I y 01- S i `etj ii,,14 Notified/Method: nformahon '';. "•UI TYPE OF WO LDING I)I\11,510 , SEE* SCHEDULE ' D New construction VA Demolition For special information use checklist. Description I Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) "' ATEGOBY.OF CONSTR7CTIT SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building ❑Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB ITEINFORMATION;•ANDLOCATION 'i Site utilities: Job site address: //?.r c S C.(rl G Q vd e S Catch basin or area drain 18.76 ,� � (2�2 ?7 £7 Drywell,leach line,or trench drain 18.76 City/State/ZIP: /i " 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: Manholes 18.76 Rain drain connector , 18.76 Sanitary sewer(no.linear ft.:_) o Page 2 Storm sewer(no.linear ft.:_) Page 2 Ito Water service(no.linear ft.:_) I V Page 2 Subdivision: {' ,,i Il f,,ij P, k; ©ti-.,.5 I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,` . DBSC•• "IOIY F Backwater valve 12.51�" Clothes washer ` 25.02 //// '2 "},;}.�4Uhll h/i`)� /VI d i?/ • L ' cvi �,V (I/l e Dishwasher ( 25.02 aivi d i.4)a-,t e c 11 r) e•- Drinking fountain 25.02 Ejectors/sump 25.02 . -* . RO re It r ;:, , ] ' +t Expansion tank 12.51 Name: ) v Fixture/sewer cap 25.02 n / - Floor drain/floor sink/hub 25.02 Address: 1'` c, C)x t;',/,,,,1 Garbage disposal 25.02 ' City/State/ZIP: 7 // / 1 t'3,) Hose bib 'L 25.02 Phone: / ) a� S�//I Fax:( ) Ice maker 12.51 .. `'APCANT' . # ❑`'. ONTA y atN5. Interceptor/grease trap 25.02 Business name: A.1�� Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Ala v Cf t .{�r / l Roof drain(commercial)4:,�`U 12.51 Address: Sink/basin/lavatory `Ct•yprofb` � 25.02 City/State/ZIP: Solar units(potable water) '+� 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan Z„ 12.51 E-mail: Urinal 25.02 CO y Water closet 3 25.02 x= , a Water heater 37.52 Business name: (�1�nm�' / ,$ � 4 Water i in DWVits) I '•,/ PP g/ 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone:( 1 Fax:( ) CCB Lic.: ji'i8( Plumbing Lic.no.: p6 Plan review (25%of pepermit fee) / v` 1 __ 4 - State surcharge(12%of permit fee) Authorized signature: LlY - ///��r �■ TOTAL PERMIT FEE Print name: ✓'� = 0 tiw� Date: ® This permit application expires if a permit is not obtained within 180 days /L WAWA after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMIJ-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 4. Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities ,4- ' e(eat : Total� r Square�,Footage ' r v ' Footing drain-I'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service 1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 `"• -7'4' 7 Vi111,��1011• �: PelCll�'!lt l��e�. ' Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-Jach additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Ai.. > ty:#' Fee Total .t, each additional$100.00 or fraction thereof,to qtr IspOps ()relives 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 90.00/1r $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: F 1, Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Ilan RtYiew9r.�? uwbingIAstnti9i � .. guatity by=Fixture Type Plan review is required for any of the following. Fixture Type forReplace/ ' Please check all that apply. Wail Performed: Capped Added Relocate .: 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial ❑ Any complex structure as defined in OAR918-780-0040. -Dom Drinking Fountain i Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: 2" ,rIs ,eti4 tse is a ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Don*tic non-food Disposal: -Domestic food reed -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stalls 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 p COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A R o Building Permit Review — Residential Building Permit #: /h5-7?d'l 3'_Od at_i) Site Address: P S`i S',,,/ G a. ,-;;lt 54. Project Name: P-iphCtZ, G 4 G�it,� -t- W llr— Lot #: -- (New d elling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: UCP9&/7 C. j C € k "t,..../ 80. . 4- f(..v7 E6T-erify site address/suite# exists and actiiv,e/' permit system. [ River Terrace Neighborhood: Llr No ❑ Yes,See River Terrace Review Addendum Attached Sit/Plan Elements: a� xee(3)copies of site plan Lsting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper (I,V ootprint of new structure(including decks)with finished ed awn to scale(standard architect or engineer scale) or elevations rth arrow lity locations&easements(required for new and additions) Si address,project or subdivision name and lot number �`tdewalk/driveway approach C plicant information(name and phone number)igi .cation of wells/septic systems LJ dimensions and building setback dimensions P. xisting trees to be retained with drip line,and tree Cr quare footage of buildings to be demolished protection measures IALot area,building coverage area,percentage of coverage and 1 eet tree size,type and location ' pervious area(applicable if R-7,R-12,R-25&R-40) VStreet names11Vr roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ' I m No .= _ 4 foot differential) If yes,is a storm water quality facility shown? ;' o ❑ ,Clean Wate�r S ces—Service Provider Letter (lot platted prior to 9/10/1995): equired: V Yes,applicant was notified ❑ No Received: ❑ Yes No Public Facilitiea'Improvement (PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: It( Yes ❑ No,stop intake 1 L' and Use Case#: FA oning: R Li, lit Required Setbacks: Front 10 Rear i_S Side 3' Street Side iv_: Garage 2e rn/Landscape Requirement: 16 PS/ of Coverage Maximum: 51 Building Height: Maximum Height 3(3 Actual Height I),.i IF' isual Clearance Iu Sensitive Lands: /Yes ❑ No Type (..;7).ti . L,L., vs Ivz Or Urban Forestry Plan t 'Conditions "Met"prior to issuance of building permit Notes: Aft/IA, f L0 ..q)(103° ,1)10k7 Lr a hLi° Approved By Planning: (.1L Date: ''f—tq—f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: 7//GJ/'t Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building��per�mit#above. Workflow Routing: arming 1 ----gnitglneering ermit Coordinator Ig- tiuilding Workflow Sign-off: j -off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: C, By Permit Technician: Date: *bit' ii En ineering Review / Slope at building pad: IC •le [ ' onditions "Met"prior to issuance of building permit R 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: ❑ es ❑ No LIDA Facility on lot: L' Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: 0 Approved by Engineering: Date: Z7 eV R' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i1 Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Tigard Trans SDC: ❑ Yes /A Parks SDC: ❑ Yes F/A /A LIDA ❑ Yes /A OK to Issue Permit (42 Approved by Permit Coordinator: Date: 6/411/(S..--------/ I:\Building\Forms\BldgPemvtRvw_RES 061417.docx 4 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ns r Transmittal Letter k13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: (11-G L/SO DATE RECEIVED: DEPT: BUILDING DIVISION E C 1 i4 AUG 2 2018 FROM: -S—(G4/71.{:"" I' # ARD COMPANY: AV--(- -St-k1 lllL.lIl"1 1IS;e4 / PHONE: � l 2--T7 ( By: ! RE: SA) S (Site Address) (Permit Number) / (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: x 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: tom/ '---}C}�� U i,r�r C C- I LL)(l Lim') Ti CAD `�- .• l— , l (� Z�-J f 1�� 1� c For 7FICE USE ONLY Routed to Permi chnician: Date: I 'I � Initials: /444-- Fees Due: es ❑No Fee Des ription: Amount Due: 2 P‘t \ Ckti: $:�,� ) 1-( .$ $ Special Instructions: Reprint Permit(per PE): ❑ YesNo ❑ Done Applicant Notified: Date: Initials: I:\Building\Fonns\TransmittalLetter-Revisions_061316.doc RECEIVEJ , F.' Cityof Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 7 2018 nequest for Permit Action GARD gUff,DING TIGARD 13125 SW Hall Blvd. •Tigard,Oregon 97223 •503-718-2439 • it 3.1,911.10 - TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-otgov FROM: LI Owner LI Applicant J Contractor 1:1 City Staff Check(V)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED(1): LI CANCEL/VOID PERMIT APPLICATION. LI REFUND PERMIT PEES (attach copy of original receipt and provide explanation below). D INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: CS- _Vx •<_.1 \\IN QC)\ ( Site Address or Parcel#: . Project Name: Subdivision Name: Lot#: EXPLANATION: N 0 e cif signature: Date: 0 9- /H PrintName: Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR 01 FICF UST ONT.) Route to Sys Adrnin: Date By Route to Records: Date'7 /, B Refund Processed: Date By - Invoke Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By \BuilchneForms ReqPermdAction 002314.doc Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEI LE Fee for all residential systems combined: $75.00 Description Qty. ( Each Total Y 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 552.26 2 with OAR 918-309-0040) ❑ 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 '/3 hr min) PERl1 1'FEES 1. CIAL WORK ,Subtotal(Enter on Page 1), (>. ,- Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ 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_PermiiApp_ELR_ERE.doc Rev 10/26/2017 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11754 SW GAARDE ST, TIGARD, OR, 97224 March 11 , 2019 at 11 :56:38 AM Record Type: Record ID: Residential - Master Permit MST2018-00207 Inspection Type: Inspector: 280 Insulation David Young Result: PASS Comments: Install batt insulation on attic access cover for required insulation in attic, all else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11754 SW GAARDE ST, TIGARD, OR, 97224 March 11 , 2019 at 11 :54:50 AM Record Type: Record ID: Residential - Master Permit MST2018-00207 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Secure dishwasher.407.3 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11754 SW GAARDE ST, TIGARD, OR, 97224 March 11 , 2019 at 11 :55:48 AM Record Type: Record ID: Residential - Master Permit MST2018-00207 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Not ready for final inspection. Bath fans not working. Hood vent not working. Provide combustion air to gas water heater per code. 2 openings required, 1 within 12" of top of walls and 1 within 12" of bottom of walls, not less than 100 sq in and type of opening. G2407.5 Signage on fireplaces for flues not to code for masonry chimneys not posted at this time. Violation Summary: Inspector Contractor