Permit (98) CITY OF TIGARD �,�/�
MASTER PERMIT
COMMUNITY DEVELOPMENT OW Permit#: MST2018-00245
T I i A it p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 !> Date Issued: 10/17/2018
Parcel: 1 S125DA03700
Jurisdiction: Tigard
Site address: 6614 SW WALNUT TER
Subdivision: WALNUT TERRACE PARTITION Lot: 1
Project: Walnut Terrace, Lot 1
Project Description: New SF. 5/6/19: REPRINT to add backflow preventer.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1512 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1745 sf Garage: 657 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3257 sf Value: $421,976.25 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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!500 sf: 6 201-400 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:
NEW SF VB R-3 3257
Owner: Contractor:
KOVALEV,VITALY&ANITA GLOBAL HOUSING INC Required Items and Reports(Conditions)
6990 SW CANBY ST 4111 SW 52ND AVE 1 Ersn Cntri 503-639-4175
PORTLAND,OR 97223 PORTLAND,OR 97221
PHONE: 503-313-4259 PHONE: 503-315-4259
FAX: 503-477-4444
Total Fees: $34,339.63
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 j 952-001-0090. You may obtai;a copy of the rules or direct questions to OUNC by calling 503.232.1/9877/oorr,1.800.332.2344.
Issued By: ,.si�_, /.l_i / '— Permittee Signature: Aeh4Ul 4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approveaplana era requhad on the job sits at the time of each Inspection.
,
, • . Plumbine Permit Application RECEW-
• Extures Building Fbitures i',OR OFFICE'USF ONI.V-'4*. Otifiki*044101016•. ,
Received
ii,-....: City of'Tigard AUG 30 2013D.I.t : Pernik,*gn.oty-.7,,,,e2 q4---4
1111_- 13125 SW Hall Blvd.,Tigard,OR 97223 phi,Rein,‘„ 1
Mae 503.71112439 Fax: $03.5911960 CITY. OF TIG,V1* fitherPereak No.: 1
Inspretiou tine 503.639.4175 Risr15419F; tarip a Sae Par I far
banal: view.ti to 0 s.0 upv Iii!il,DIN(;,1,1TVrslimetaut,,,.
TYPE OF*Jim ''. ":.f:.: ' ' . ' •,,, .17,,,,,,f.eiy ',- i,,s., - , FEE* SCHEDULE
•
constnstion C]Demolition .•::, 4:111111PP. .‘....c . a i weltaartila
, - -74 Oriz.:Atr f.u4,, gat, 1 Fsa. I Total
0 Additionfakerationinapiacetneut ' 0 tuber:: ' 1''''''' '-'2,0redly darefthu0(incredett 100 R.ferkfeft 91101).Geruree1100).
CATEGORY OF CONSTRUCTION '; - : , SFR albs*, 312.70
,i. . - SFRO)bath 437.78
jay-and 2-mmily dwelling b Cornmemiallindustrial 1_...,...:.,.
t)% SFR(3)bath 1,0" 500.32
4 Q Accessory WWII D Multi-linaily
v Each additional baddkitelacte • 25.02
0 Master builder el Merl Fireaminkler sq.ft.) Page 2
- 'JOB SITE INFORMATION AND LOCATION . : Ski%OWE.
.. .; •
N Job sue Wrest 6 ea/ 5c..) id A LN tAT TERI? Carch basin or areadrain 1 EN
kprywo.400.1*.car nencb disk : 1*.76
`4 CitY412,10ZIP: 71 GAR b . otl 1722 3Footin
..
g drain rim linear IL:..„„.„) , Page 2
t M
•..\ SuiteftidgJapt.no.: j Project;tame S Manufactured home utilities 50:03
...
Cro®s stseetMint:t.Mits tetieb9kr ,,- i Manholes 11.76 • ,
CO Off- i WillAirir Rata- drowcowctor.
11.76
Sankey sevier(no.linear ft.:V_„_.) 1 1Ptie 2
Storm amain&linear ft.:___,.)
Won service Ina Ikon ft.:12J I Page 2
PAO 2
i...., Subdi‘..ision: I Lot no.: Minn orIRan
t Tax mapiparcel no.: bockftowpremmer 1 31.27
'- - - J Backwater valve 1 12.51 i
, , '-i.: . : . , :.:. •.: .. nascsurni*pF, woRK . :,,,,,,: :.,,, .
: v.i..shcr
NE ki C01167144 Ce/01 Ai , . , . . -
2542
wpm**, i t .
25.02
t'' ' ,, DrilkinfawItlin 2102 . !
Ejector:van* 25.02
.31 '
0 PROPERTY OWNER . I . ,'..,, 0 TtNANT ,: .. .. .. Expansion teak .. . 12
fixgotesselreratit 25.02• ,
Fldrain/floor sirdriliali 7.1D2
rs' , Address: •
Gr!tbaftedRP9 . 25.02
City/State/ZIP , 'Rom bib ,.. .2. 25..02
Phone ( ) Fax-( 1 Ice nadstr 1T 12.51
, -1
i ,::.,.. ;: 0 APPLICANT Gt,corcroocr PERSON ..,i ,j' ligerc!Porf2mgc,011P 25032
Business name 6 to SAL i-foasiN6 rrivc 1 , gist .s..........) Psite 2-
Contact mune: r_i___47 'git V k0U/11/E V Prirftei
....... .1 _. 12.51
Roofdrairr4consumead) 12.51
1..1/ 1 6C,J sz i.d Ars. ,
SinliAmsiailmetory
City/State/Z.1P: popriA/41(3
. .A • - ‘ '
of17221 t So.larimits*atlie
. (e
Pbhanei ) 3/1 4 25- . 4,1 . .54 .
1231.
E-Infat' 010q41,HOU57/4/6 1:.eDs X 9,P404 C°111 UMW . 25)12
...--N,. • --i, .1 ,M. -'.',,_ -,,,,,..41-4va Witeratiage
CONTMCT011 ' ' . ''' --' .. .' '''''' `""' " .
' BUShIeSS 111M*1 Ar+W.r k ( ft+rticii IPA
1
,
.
. Water piping/IVY .,, 1
1 23.02
3142
4.24
... : .
'''' Address: 'ail
$E A5ekni Sttonli+ Dr- 25.02
-
City/SaserOP: for 41 go A i OR 1722. .•*• • . - : S. .,:
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Fasktatii ,
1.1 Mt=(5434 1 7 ".; 910-/ floc( Y raihnine pin***;no
.. . , Sm.Wig*04 orlurfail fee)
GCB Lie.: 4,492 Piumbhis Lit se.", p Bill
saw attailrge(1294 Of Walk fed)
Authorized agnaturc __
. TOTAL PERMIT FEE.
4. I Print name: y1.44, LiK44.4k aft 7/TI/i IS I Mk*risk soporadisi.eviCsa gip/roam,ackstatateed ccritala DO 410
alur khiebree seeepliodis asie.
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CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018-00245
T f(1 A 1'f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2018
Parcel: 1 S125DA03700
Jurisdiction: Tigard
Site address: 6614 SW WALNUT TER
Subdivision: WALNUT TERRACE PARTITION Lot: 1
Project: Walnut Terrace, Lot 1
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1512 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1745 sf Garage: 657 sf Front 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 3257 sf Value: $421,976.25 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
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'l 500 sf: 6 201-400 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:
NEW SF VB
R-3 3257
Owner: Contractor:
KOVALEV,VITALY&ANITA GLOBAL HOUSING INC Required Items and Reports(Conditions)
6990 SW CANBY ST 4111 SW 52ND AVE 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97223 PORTLAND,OR 97221
PHONE: 503-313-4259 PHONE: 503-315-4259
FAX: 503-477-4444
Total Fees: $34,304.61
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 th- . - :-•.ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c.. of the rules or dire9t questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By__� �"y4. t� Permittee '• CJ1 /�V l �CY
Call 50 . 5 by 7:00 a.m.for the next available inspection date. Y,
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.
4
•
Bralcta Permit Application
A Lk,/ , , r
Residential ' - - ---4 FOR OF II( L I‘91 0\1.1
City of Tigard Received ...c.
A LIG 3 o :"!J .8 Date/B : `11F- 1.1 Permit No.:Ms-V3US-k j 4,
g 1' Phone:13 1 25SW0 3H7a11 18 Blvd.,, Fax:Tigard,500 3R 5 99 78 212936 0 . , '
III
Plan Review c,fiy s A.A.
Other Permit:Ska....3(A—oct-Acs
(Ill'0 Ti'IA il?! DpaatteeIRBea:dymy:
Inspection Line: 503.639.4175
kris 0 see Page 2 for
T I CARD
Internet: www.tigard-or.gov Mu runG Drosi( ,
-Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
gNew constructionhspec0 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 0 Other:
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
tsr I-and 2-family dwelling 1:1 Commercial/industrial Valuation: $ (4249
ID Accessory building 0 Multi-family Number of bedrooms:)drc
0 Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: z
Job site address: 66/Li 5 ) 1.6/ILA/CA T Tr R R New dwelling area:3.treciSsluare feet 11 45--
City/State/ZIP: Ti( 4 12b 0 12 9?22- Garage/carport area: w7 square feet 15 t 2,
Suite/bldg./apt.no.: I Project name:
Covered porch area: square feet
Cross street/directions to job site:
Deck area: ZOO square feet
il
S&) eq - 54) (A)flZ/Vi4i7041 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:
I Lot no.:.1 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.
Valuation: $
94/EN 6 ONS1RaCT/6/1/
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER
I 0 TENANT Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT I 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee schedule)
Business name: C2,613/7Z ArOce 5/Ve, ilk<7
Structural plan review fee(or deposit):
Contact name: iiii/ Stri 52 Ant ROE-r274 e AV( V KOVRI- V
FLS plan review fee(if applicable):
Address: PO R 7/41/940 OR 94 2 2/`
Total fees due upon application:
City/State/ZIP: POP TiA/(ib OR ??22-'
Phone:1303)3 73 'V2 ? I Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: GizogRziyou5-inc PDX 10 Vc74 60- Coal
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Czo8R2..,#-Die5e:A i 6.-,- _-_-z-A/c, Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4a/1 51k) 52 i,.1,:i RpC
Solar Installation Specialty Code checklist.
City/State/ZIP: p D x 9? 22/ Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:(6•03) 3/- 25,3 I Fax:( )
State surcharge(12%of permit fee): $21.6
CCB lic.: /Z-i 6- g?
Total fee due upon application: $2('
Authorized signature:Agh ,,(e)447't•/ This permit application expires if a permit is not ob'
within 180 days after it has been accepted as cor
Print name: rnfiak 1,4(009/eif I Date: 9//qi/2r. I *Fee methodology set by Tri-County Building Indu
Service Board. ., '•
I:\Building Tennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling roil orrice, t s1: or►.)
City of Tigard
Received Permit No.:
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
i Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175
T I G A K D Internet: www.tigard-or.gov ❑ Other:
:
THE FOLLOWING ITEM1 es No 1/1
S ARE REQUIRED FOR PLAN REVIEW 0
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: • 0 00
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
0 0 0
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
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
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. ❑ 0 012 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 013 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.
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.
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". 0 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
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. 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.
uilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
' Electrical Permit Application
FOR on 1(1 SE ONL\
City of Tigard Received
14 is 13125 SW Hall Blvd.,Tigard,OR 97223 19an R Permit(it
I
Phone: 503.718 2939 Fax: 503.598.1960 Plan Review
Date43y Related Permit 4:
Ttc 1a� inspection Line: 503.639.4175 Ready Date/By: I June.
Internet: www.ti and-or. ov S See Page l for
$ NoiifiedrMethod Supplemental Taformation
2 New construction Q Addition/alterationireplacement Please check all that apply(submit 2 sets of plans w/items checked)
0 Service or feeder 400 amps or mom 0 Building over three stones.
0 Demolition 0 Other:
�., where the available fault invent 0 Marinas and boatyards.
:CATEGORY OF,C{)'++ISTRUCPCK'' > exceeds 10,000 amps at 150 volts or ❑Floating buildings.
02 I and 2-fancily dwelling 0 Commercial/industrial 0 Accessory'building less to ground,or exceeds 14,000 ❑Commemiat-use agieulnual
ElMulti-family0 Master builder 0 Other: amps for all other installations. buildings.
0 Fire pump. 0 Installation of 150 KVA or
s'oi St';1r ro . 1 $ND,f OCA '#.O '.• 0 Emergency system. largerger separately derived
Job site address: 66
( , ` -f n ❑Addition of new motor load of system
b6I // S� eotiLNu7 /r ,c14.„ 10011Pofmore. ❑
City/State/ZIP: 7/64 f7 j� OR �'4 ZZ ,7 0 Six or more residential emits. occupancy_
f5 v I (�Health-care faci(itiea. 0 Recreational vehicle parks.
Suite/bldg./apt,#: I Project name: ❑Hazardous locations, 0 Supply voltage for more than
Cross street/directions to job site:
❑Service or feeder 600 amps or more. 600 volts nominal.
--- -
EIP, . :lIEAE .h
Description J Qty. I Each 1 "notal I
--- J New residential single-or multi-family dwelling unit.
Subdivision: Lot#: / Includes attached garage.
Tax map/parcel#: , ,
1,004 sq.ft.or less 1 168.54 168.54 14
$ESSCRLPTIO OP,WORti °--
Ea.add'l 500 sq.ft.or portion 4 33.92 135.68 ' 1
•. ,
Limited energg,residential 1 75.00 75.00 2
New costruction /VFW CO(4 5eFfac-6:0 Al (with above sq.ft.)
Limited enera•,multi-Family
I residential(with above sq.ft.) 75.00 2
.:1'R{)P.FRTS"flaIbli Renewable Energy ❑ See Page 2
"' 'IENitN3 Services or feeders installation,alteration,_and/or relocation—
Name: GLb$AG //oust/vs Jiv
C 1 200 amps or less 100/0 ' 2
Address: <l//l SCJ SZ t4( !(pr, 201 amps to 400 amps i 133.56 , 2
City/State/ZIP PDX 9.7 t Z 401 amps to 600 amps 200.34 2
t�q �j 601 amps to 1,000 amps 301.04 2
Phone: 5 ) �
3 7 Z Fax:( Over 1,000 ampsor volts552
I � .26 � 2 !
(?mail: 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 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400 amps € 4 125.08
2
Owner signature: Date: 401 amps to 599 amps 1 I 168.54
- APPLICANT' ''' Q £x314 'r't 'I'PERg Branch circuits—new,alteration,or extension,per panel
Business name:West Tech Electric,LLC A,above ch or feederees wee,
above branch circuit fee,
— _...__..— ?.42 2
Contact name:Anatoliy Pelyukhno each
{ B.Fee for branch circuits without '
Address:3939 NW Jasmine st service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP:Camas/WA/98607 Each add'l branch circuit 7.42
2
Miscellaneous(service or feeder not included)
Phone:(360)910-0143 I Fax::( )
Each manufactured or modular I I
Email:westteche@gmail.com dwe}lipgservicea
, tidiorfeeder
67.84 2
i•
Reconnect only 67.84
-CONT '4C'TQR � - 2 I
Pump or irrigation circle 67.842 l
Business name:West Tech Electric Sign or outline lighting 67.84 2
i Address:3939 NW Jasmine st Signal circtiit(s)orlioiiterI energy
panel,alteration,nr extension. ! ❑ See Page 2 2 j
City/State/ZIP:Camas/WA/98607 Each additional inspection over allowable in any_of the above
Phone:(3G0)910-0143 I Fax:( Additional inspection(1 hr min) 6 25/hr I"
) Investigation(1 hr min) 90.001 br ; I
Email:westteche@;gmail.com ' Industrialp}ant(}hr min) 78.18/hr
pit ' Inspections for which no fee is
CCB Lie.: 221516 1 Electrical Lie.: 6264S I Supra,tic.: 6264S +)/i't.� spzvtficaity listed('.s hr min) i 90.001 hr
Suprv.Electrician sign tufe,required: 4 f I I E 1lI,I ALi I'ER 4 I 'EEEei
q t� h`x
Subtotal: 379:22
Print name: t't h1 t�'7"D Lt y PE j,.ycl,, ii go I Date: 10/16/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 45.51
Authorized signature: f 4-'t�t'�+ TOTAL PERMIT FEE; 424.73
t �f<7 ws 4'
Print name: Le I This permit application expires if a permit is not obtained within ISO
i / 7�O L.l yy t3i�/cl+ Date: 10/16/2018 days after it has been accepted as complete.
I'33uifitin .Pernur rLC,Permit pp_ELF__£RE.doc Ree Ufi+t 7i il5 ' " Number of inspections allowed per permit.
440-46I57{7 1,05/CO;vr/ItiEB
. Plumbing Permit Application ifitErf, h r . 7:-..,
Building Fixtures cia axil tJSE-43 i tigiiitP
City of Tigard = : , Received
1r?
13125 SW Hall Blvd.,Tigard,OR'972231.1 (i2 0 AateFay: Permit No.:
Phone: 503.7181439 Fax 503.598.1960 , r Pha.i2eviex
41. a I t' t?'; i 14,01 . tea, t]ttitrPuutitTio,:
TI Gil RI) speatx"ta f 1Ue' 5113.539.41.75 UN!:
e, B Y�IIY: 3raie 6fl see Page 2 for
Internet: www.tigard-or.gov @s fi
31'1 f,;�'y {a t!P fil�lSCHEDULE
iMethod: a prQNfeand rat9tRRtieff
- TYPE OF WORKFEE* LE
3�levi_constructionQ Demolition I?bx spectbt information:ase heeldfsx
Q Addition/alteration/replacement Q;4ahcr Description, I QtY. ,I Ea- i Teta!
New 1-2-family dwellings(inches 100 f1 for each utility ccmnection)
CATEGORY OF'CONSTRUCTION SFR(t)bath 312.70
-and 2-family dwelling 0 Co?nmercialtindustrial SI=R(2)bath 437.78
5€R(3)bath V 500.32
Q Accessory building Q Multi-family
Q Master builder Q OtherEach additional bark1kitchen 25.02
Fire sprinkler(, sq.fl:) Page 2
JOB SITE INPOR.NIATIQN AND LOCATION Site utiiitiesi
Job site address: (C/q SO L)A L N U! TE R fI Catch basin.or area drain 18,76
Ciry/StaterZIP: Ti6RRb , OP 7 22 e�•leach line.or tt clt drafts 18.76
Suiteibld Japt no.: Project name:
Footing drain(no.linear ft.:_) Page 2
grrte; Mataufacturrd home utilities
50.03
Cross street/directions to job site: Manholes
18.75
9L) C9 GdRLNu Ig.76
Rain drain connector
..
Sanitary sewer(no.linear ft.:Q} 1 Paget
Storm sewer(no.linear ft.:__,,,-j Page 2
Water service t no.linear It:2a ) 1 f Pap 2
Subdivision: Lot to.:
Fixture oritem:
Tax map/parcel no.: Backflow prevcnter
i 31.27
DESCRIPTION OF WORKBa Backwater valve 1 12.51
NEW COPS RClc7'%/ washer
1r 25.02
Dishwasher 4 I 25.02
Drinking fountain
25.02
Ejectors<sump 25.02
' Q PROPERTY OWNER 1 0 TANT1 Expansion tank i 12.51
Name: Fixture'sewer.cap 25.02
Address: Floor drainifkx+rs%rtic boli 25.02
City State'ZIP: disposal 35.ik2'
Phone:( ) i !lose bib 2. .tf2 1,
I Fax,:( ) tee maker 12
I2.51
Q APPLICANT - ' . Q CONTACT PERSON interceptor!grease,trap 25:02
Business name: 6 LD f3AL Hoa si N6' Zvc t Medical Med� gas(value:S ) page 1
Contact name: /'�'Jq/qk v K ov LLE VPrimer12.51
1Roofdras(eommerriall 12.51
Address: S 51 /Tv� stnkrhssinlav8ory - 22.04City/StatetZIP: pop7L4Alo oR % 22l Solar
units(potable crater) 62,54
Phone:(v'b3) 313 11259 [ Fax::( ) -' Tub/shower/shower pan �!,'
E-mail: G 1O0#I LHous!NG Pb X d c a Urinal ,, 12.51.
<, ".7. 25.02
i 2542
CONTRACTOR ' att�close
k (_ Water beater
Business namI'- iI4�
e: D Y k (v Tj4 T1 DSC 37.52
+
Address: X12. SE A5 poi J�lrwtt<YIi (3r. WaterpipingtDWV 56.29
A Other: 25.02
City/State/ZIP: rp r..I e uA A + 0 IR 9 722 y
Phone:{50 q 7S. 985- Feat. Subto al .
M ptzrttret fe+e: 572.50
CCs Lie.: 16$D92 Plumbing Lac.no.: P 8,12..I Plait review (2596 oepp nir fee)
Authorized si
gnaftm!: 'States baaise(12%of permit fee)
Print name: \I/to.;
TOTAL PERMIT FEE
J �5 SIC 4 f` I Date 71 J.j/(. j pen!R application ezp6ixa it a.prrastt.ia crit t Wdae�l within ISO s
atter at;lawb.rea accepted as map**.
�1�� p� - ... - ..'F a methodology set by Tea-C..aumyBuileing Industry Service Board.
t' mti Ai
:Pomas Pt Le l.ol..w..A.....1.... inA.M
City of Tigard
HI
COMMUNITY DEVELOPMENT DEPARTMENT
II T 1 c A U D Building Permit Review — Residential
«a;
Building Permit #: - C0 -C, 5
Site Address: WI 1,1 k,fiklikA Jerra.tt
Project Name: - kto4- f o,rl bin Lot #: .1
(//I
�U, (New dwelling Aubdivision name;Addition or Alteration=last name of owner)
Planning Review �c f„
Proposal: 1J-Lid S F It
, Terify site address/suite#exists and active in permit system.
Lel River Terrace Neighborhood: 12/No ❑ Yes,See River Terrace
Review Addendum Attached
Sit/Plan Elements:
turree(3)copies of site plan
sting structures on site
S•te plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
P I wn to scale(standard architect or engineer scale) 9or elevations
n orth arrow L�JU ' 'ty locations&easements (required for new and additions
L%S' e address,project or subdivision name and lot number )
idewalk/driveway approach
.plicant information(name and phone number) on of wells/septic systems
H •t dimensions and building setback dimensions
xisting trees to be retained with drip line,and tree
ai►quare footage of buildings to be demolished .rotection measures
LAC Lot area,building coverage area,percentage of coverage and l�: -et tree size,type and location
�"' iapervious area(applicable if R-7,R-12,R-25&R-40)
fl treet names
Elaroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Vic6 ONO
4 foot differential) If yes,is a storm water quality facility shown? 11QYes ❑No
Clean Water Services—Service Provider Lett
(lot platted prior to 9/10/1995):
/Required: ❑ Yes,applicant was notifiedfig No Received:
LJ Public Facilities Improvement(PFI)Permit: Yes ❑ No
Required: ❑ Yes,applicant was notified ❑ No Applied For: Eft
f^ Cr1 Yes ❑ No,stop intake
f I
rand Use Case#: LP 2-(}(6 -<}0 00q
[ oning: u�,S I�r1Z�i - t�t7 i
Required Setbacks: Front 10 Rear (S Side Street Side Garage
2,0
Landscape Requirement:
Nip of Coverage Maximum: %
c :uilding Height: Maximum Height 36 Actual Height Z S.S
DE/Visual Clearance
nVi ensitive Lands:
0 Yes CJ No T e
rban Forestry Plan Type
Conditions "Met"prior to issuance of buildingperlmit
ote 04441 44+ p )-) , 16lil.) (Wr,� iivIAtt
Approved By Planning: /. -o Date: 7-
3G_1 f
Revisions (after Building Submittal only) Reviewer
Revision 1: :"Approved 0 Not Approved /� ot tsD to
Revision 2: 0 Approved ❑ Not Approved J,v
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms131dgPennitRvw RES 061417.docx
4
Building Permit Submittal
Original Submittal Date: SG\
Site Plans: # 3
Building Plans: # 2
Building Permit#: R'Enter building permit#above. 2/Building Routing: R'Planning [/Engineering [ 'Permit Coordinator
Workflow Sign-off: El'Sign-off for Planning(include notes from planning review)
Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - A.;`-''`- Date: Clri\c
En eering Review a
L✓1 pe at building pad: 69.2570
[[W Conditions"Met"prior to issuance of building permit
Rasements (encroachments)per engineering conditions of approval and plat
L"J Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
IDA Facility on lot: 5Y/es 0 No
final Plat Recorded:
0 NOT Approved by Engineering:
Date:
Notes:� � Q
C'1 Approved by E ineering: Date: ` /{
/%,., ewer Da e
Revisions (after B ' ding Submitta only) C-7 / Viff/
�Revision 1: Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Condi ons"Met"prior to issuance of building permit /�� �/ � Z., �Q
VA'''. proved,NOT Released: . ate: f
P
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Re i • otice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: lies 0 N/A
Parks SDC: eriY 0 N/A
LIDA Yes 0 N/A
K to Issue Permit
Ot y
Approved by Permit Coordinator:
Date: /J /Sf'V-
I:\Building\Forms\BldgPermitRvw_RES 010118.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Tempering valve installed at water heater.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Mechanical final approved at previous inspection. See inspection dated 5/6/19.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Not ready for building final inspection.
Provide approved Lida final.
No inspection done at this time.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved final Lida inspection as noted on previous failed final inspection.
No inspection done at this time.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved duct seal test report or whole house leakage test report for ductwork in
crawlspace. AF103.4.8
All else appears ok.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00245
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Final erosion control approved.
Moisture content form received.
Moisture barrier form received.
High efficiency lighting form received.
Duct seal test report checked.
Insulation certification checked.
C of 0 left on site with contractor.
Violation Summary:
Inspector Contractor
K
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
a City cii Tigard , li'l'!"; t4r-vid _
15125 stir Hall Blvd.,Tigard OR 97223
/ A.
�: � F : 5'13;3.598.1964 0 7. �: �"`' .:
Inspection Line: 5113,639:4175 Rate Ready LillFa'd§kepip.vior
www,tl
New 1 2y4rently dreaMngerfmcludes 1401 it for each anti ttteCti
New ion X Demolition sift ) 31/70
>
de ltalaltet'ationtre acement Other: (z bath 437.78
', f k 5... . d.' s:A < 4 ':>.> i� ,4_L SFR(3)beth 5
Ae,B.aT: 4n�. vy y w.:
32
1-and 2-family dwelling A C rercial a4 adt a SI tt tchen 25,02
v _ __ - _ Fire (lett ) page
A building
Mater Wilder other Catch basin or area din 18.E _.
4rytiwell,teach lame;or then MI1816
Jab site a •6/9 5&) GcJ 1 LNU l %1,R1 Faaatir q 01$111016 now ft.:) mage 2
7 M urec Mere utilities 50.43
City/State/ZIP:
7774 _ _Of 9T Z 2
mea 1 .76
StrlelbidgfaFt no.: Prniant name: Rein dein connector 18.76
Cross streatdrecticos to job ate: a 4'':•,Air Sugary no.linear ft,:) MB Page 2
' t!i 1 Sexmliewer(no.linear ft,:) aill Page 2
Fixture sr biros
€+rp I 31. '•
Suiac9vISIon: Lot no.: 2. Beclovater naive ( 12.51
Tax map/parcel no: draftee washer i 2602
DIshwesher I 2602
IVJW C0h5 Cfi/Ori Ejectors/arm 21 i
Evanesce tub 12.51
W
Rid1 sewer°-- . 25.02
r
'�� • � < Fitxx dtainlr
Getbege*Pali Name: 2 .
., Bare biia
Addirasir
les strr 1251
City/State/ZIP warceptorigreav trap - 2542, ,
Phone,.0 Fax:0 Marina tom* • , 2
- MINI 12.51
l3uidr drain(c rcial 12.51
SiniubtobGLOBAL 4(0GCs/�(l6 1wC
Contact : �Rk V k(o f/R4V rUlav 26
A - urita miter) am
Cs m
y//( Ste-) 52 ho( N 'E Ttialhowentehower
pen 12.51 ,
City/State/ZIPPD 17'2.z.1 Urinal 2
Avow 0�33f; 't5Y :0 .
Wear healer 37.52
T r
Business norm r,,hLe, "cr ' , `71{/is, Subtotal
Andreae:
, ' Bo xi 2??O. `� _ Minimum permit fee: 572.511
City/State/ZIP //0/2 ./L''1' _• .r4 7 Ran oft fee)
l*:0300 7.72 - 1 L � Fu-*0 7 1 (12%of pewit fee)
CCB Lie.: t 7 /� 1.t rlo. Ta a pone
TOTAL PERMIT FES
Prtrrt rte: > IOW nor mrd a map *
C7dJ,221 o' 1 Lose:I, It olleSetek
*fee 5y Ter-teeny n lettermen Seem.end
Fix inireal rattat tree ettereklet
gyp! vott ttteekt1r-cletnetwitc 10 R4 ,b -- 440.03st(7 MES)
!Ofv , -/ /t 4/i� Ci47' ✓1 ^ ` r cf
iii/1_3 //I