Permit (161) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00060
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2019
I'Ot1 ,L g Parcel: 1 S 125DC08700
Jurisdiction: Tigard
Site address: 7158 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 20
Project: BONELLO
Project Description: Interior remodel: Demolition of(2) non-load-bearing walls in kitchen and soffit construction above
kitchen cabinets. Electrical permit created separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $2,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Natural Gas Heat Pump: N Hoods: 0 Other Units: 1
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 addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 0
Owner: Contractor:
BONELLO,REBECCA A&MICHAEL P OWNER Required Items and Reports(Conditions)
7158 SW ASH CREEK CT MICHAEL BONELLO
TIGARD,OR 97223 7158 SW ASH CREEK COURT
TIGARD,OR 97223
PHONE: PHONE: 503-360-8546
FAX:
Total Fees: $446.21
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may a copy o - rules or direct questions to OUNC by calling 503.234.1987 or 1.80' .32.2344.
Issued By: 11.? • •''ttee Signature: 4111 !
.P'503.639.4175 by 7:00 a.m.for the next available in • •"''0"e .111111P
This permit card shall be kept in a conspicuous place on the job site until completi.n of the project.
Approved plans are required on the job site at the time of each inspec ion.
•
' Building Permit Application
ResidentialC c I OR 01l�ict. sl:ON Ll
City of Tigard RECEIVE E` `;dc —�t�;
E � �. ' : 1 Permit No.: M.
�' � :,y
11,1 U 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieMEMw Permits
_ Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 5 2019 Date/B :
T I. A Ft o Inspection Line: 503.639.4175 Date Ready/By: ® see Page 2 for
Internet: www.figard-or.gov CITY OF TIGARD Notified(Method: l Supplemental Information
BUILDING nIVISION
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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $2000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7158 SW ASH CREEK CT. New dwelling area: 0 square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:KITCHEN REMODEL Covered porch area: square feet
Cross street/directions to job site:EXISTING ADDRESS Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:- Lot no.:20 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1 S125DC08700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1.DEMOLITION OF TWO INTERNAL NON-BEARING WALLS IN KITCHEN Valuation: $
2.ADDITION OF DRYWALL/STEEL STUD SOFFIT ABOVE WALL MOUNTED Existing building area: square feet
KITCHEN CABINETS New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Michael Bonello Type of construction:
Address:7158 SW ASH CREEK CT Occupancy groups:
City/State/ZIP:97223 Existing:
Phone:(503)360 8546 Fax:( ) New:
C. APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:As above
(Please rejamjeeachedWli�
Structural plan review fee(or deposit):
Contact name:As above -
FLS plan review fee(if applicable):
Address:
Total fees due upon application: 6 7 to
City/State/ZIP:
Amount received:
Phone:(s. ) 3 64 e>5 q co Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: fY\t KE 6 1302 LE7 alMRIL •mom Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Work will be carried out by home owner Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Total fee due upon application: $201.60
Authorized signature: •//� / This permit application expires if a permit is not obtained
/a� ' , within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:MICHAEL t ONELLO Date:02/20/2019 Service Board
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
, i. .
Mechanical Permit Applicatio> cwt ,, ' l OR 014 l( I. l SI_ ON 1.1
Received
City of Tigard ._c, it ;l Date/By: Permit No/4,2s-70267/" / .6 0
- 13125 SW Hall Blvd.,Tigard,OR 97223 i t Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: other Permit:
1-1 G R D Inspection Line: 503.639.4175 t t Date Ready/By: Jurist ® See Page 2 for
Internet: www.tigard-or.gov ,.i, .k ' Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:7158 SW ASH CREEK CT Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:KITCHEN REMODEL
Duct work i 23.32
Cross street/directions to job site:JOB SITE IS AN EXISTING HOME ADDRESS 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:N/A Lot no.:20 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:1S125DC08700 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
INSTALL RANGE VENT HOOD&RUN 8'OF RIGID 6"DUCTING TO EXISTING Flupvent for water heater or gas
fireplace 23.32
VENT
Log lighter(gas) 23.32
EXTEND 1/2"NATURAL GAS PIPING BY SEVEN(7)FEET TO NEW COOKTOP Wood/pellet stove 33.39
PRESSURE TEST PIPE ADDITIONS WITH AIR TO ENSURE NO LEAKS Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:MICHAEL BONELLO Range hood/other kitchen
equipment 1 33.39 33.39
Address:7158 SW ASH CREEK CT Clothes dryer exhaust 33.39
Ci /State/ZTP:97223 Single-duct exhaust(bathrooms,
tY toilet compartments,utility rooms) 23.32
Phone:(503)360 8546 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:PROPERTY OWNER $14.15 for first four;$4.03 for each additional
Contact name:AS ABOVE Furnace,etc.
Gas heat pump
Address:AS ABOVE Wall/suspended/unit heater
City/State/ZIP: Water heater
Fireplace
Phone:( ) Fax::( ) Range 1 14.15 14.15
E-mail:MIKEB1302@GMAIL.COM Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: ow h r7 MECHANICAL PERMIT FEES*
Address: Subtotal 47.54
City/State/ZIP: Minimum permit fee($90.00) 42.46
Plan review(25%of permit fee) 22.50
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 10.80
CCB lic.: TOTAL PERMIT FEE 123.30
This permit application expires if a permit is not obtained within 180
i ' days after it has been accepted as complete.
10 1 * Fee methodology set by Tri-County Building Industry Service Board
Print name:MICHA -i • 11 L 0 Date:2/18/2019
I:\Building\Permits\MEC PemritApp_0401 3.doe 440-4617T(11/02/COM/WEB)
Plumbing Permit Application
Building Fixtures � FOR OFFICE lsE ()NE)
City of Tigard Received
Permit No r G
IN ll 13125 SW Hall Blvd.,Tigard,OR 97223 r r , fit :r.1,1,?, Date/By: Sj CI�/"(JC�V
_ Phone: 503.7182439 Fax: 503.598.1960 L. toPlanReview Other Permit No.:
Inspection Line: 503.639.4175 Date/By:
T[G A R D Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WO "L"I i' iy°' R''.r t . FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
®1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder DI Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:7158 SW ASH CREEK CT. Catch basin or area drain 18.76
City/State/ZIP:97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:KITCHEN REMODEL Manufactured home utilities 50.03
Cross street/directions to job site:JOB SITE IS AN EXISTING HOME ADDRESS Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:N/A I Lot no.:20 Fixture or item:
Tax map/parcel no.:1S125DC08700 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
MOVE FRIDGE WATER SUPPLY PIPE APPROX 7FT TO NEW FRIDGE LOC. Dishwasher 1 25.02 25.02
EXTEND HOT/COLD PEX PIPING APPROX.1 FT.TO NEW KITCHEN SINK. Drinking fountain 25.02
MOVE VERT.SINK DRAIN(INC.AAV VENT)8"TO NEW SINK LOCATION Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:MICHAEL BONELLO Fixture/sewer cap 25.02
Floor drain/floor sink/hub 'i` 25.02 25.02
Address:7158 SW ASH CREEK COURT Garbage disposal 1 25.02 25.02
City/State/ZIP:97223 Hose bib 25.02
Phone:(503)360 8546 Fax:( ) Ice maker 1 12.51 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name:PROPERTY OWNER Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:AS ABOVE
Roof drain(commercial) 12.51
Address:AS ABOVE Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:(503)360 8546 Fax::( ) Tub/shower/shower pan 12.51
E-mail:MIKEB1302@GMAIL.COM Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:N/A /O�� ?77 Water 1 to WV 1 56.29 56.29
VV Pip
Address: Other: 25.02
City/State/ZIP: Subtotal 143.86
Phone:( ) Fax:( ) Minimum permit fee: $72.50 0
Plan review (25%of permit fee) 35.97
CCB Lic.: Plumbing Lic.no.:
/ State surcharge(12%of permit fee) 17.26
Authorized signature: / TOTAL PERMIT FEE 197.09
41
Print name:MICHAEL 1 1 ` ' Date:02/18/2019 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:\Building\Permits\PLMU-PenmitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building,electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Print Name of Permit Applicant
Si.._ Date r
Permit#: ,,S/d i— oc. c k O
Address: 7/STi i CvYe,Gr eY1
Issued by: 6 '% - Date: 3 z/7/
This Copy for Permit Offices