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Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT r _ Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov RECEIVED TO: CITY OF TIGARD JAN 21 2020 Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits4W►M /ISION FROM: ❑ Owner ❑ Applicant 12 Contractor ❑ City Staff Check(✓)one REFUND OR Name:INVOICE TO: (Business or Individual) Ran(,a I( ka, An 0 '" Mailing Address: /7- '2 S 4 c Azi -h,r`J g/(IQ City/State/Zip: / / Y' OR 7 2 Z 7-' Phone No.: (5-03) 3 n , /O ..D PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ C FL VOID PERMIT APPLICATION. REFUN PERMIT FEES (attach copy of original receipt and provide explanation below). ICE FOR FEES DUE (attach case feescheduleand provide explanation below). se Permit#: 41 �'/ 1 Gv 16meCYO " 3 1 Site Address or Parcel #: irf7 5 4 n —Cr-/ct ri) 16//f� Project Name: /KaVfi1'tX A Subdivision Name: Lot#: EXPLANATION: fig? le,1-Qdt 7 4- Zc,,4- toohti ge-4-u C.& —CCU/ g l=o 0 7 of r9--a d . 7-70.J ACT-cc L 7 7A/dd "(I i U,✓ tom. /az1!7 /-- -c , ,5 -- Signature: �'sa7.77/ Date: J .../ Zb Print Name: �-7 // 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. Route to Sys Admin: Date ' iv By =''-- Route to Records: Date 7 1/' , By .Q C Refund Processed: Date ,3 , /La By • Invoice Processed: Date By Permit Canceled: Date M By Parcel Tag Added: Date By I:\Building\Forms\RegPemutAction_120518.doc INu TIGARD City of Tigard April 3, 2020 Randal Kaufmann 14425 SW McFarland Blvd Tigard, OR 97224 Re: Permit No. MST2019-00396 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 14425 SW McFarland Blvd Project Name: Kaufmann Job No.: N/A Refund: ® Check#235138 in the amount of$741.82. ❑ Credit card "return" receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comments: Scope of work was reduced resuling in a reduction of permit fees. Refund difference. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Ornelas Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov • I INRI a City of Tigard T I G A R v Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Randal Kaufmann DATE: 3/20/2020 14425 SW McFarland Blvd Tigard, OR 97224 REQUESTED BY: Dianna Ornelas TRANSACTION INFORMATION: Receipt#: 426758 Case#: MST2019-00396 Date: 10/31/2019 Address/Parcel: 14425 SW McFarland Blvd Pay Method: Check Project Name: Kaufmann EXPLANATION: Scope of work was reduced resulting in a reduction of permit fees. Refund overpayment. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Cash Over 100-0000-48001 $741.82 TOTAL REFUND: $741.82 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff `�L g If under$12,500 Division Manager If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: 9/3 /2-/ By: 6 I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT ' 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD Receipt Number: 436218 - 09/03/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 $-741.82 Total: $-741.82 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 235138 DHOWSE 09/03/2021 $-741.82 Payor: Randal Kaufmann Total Payments: $-741.82 Balance Due: $741.82 Page 1 of 1 CITY OF TIGER® RECEIPT illill a • 13125 SW Hall Blvd.,Tigard OR 97223 - 503.639.4171 1 I GAR D Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD Receipt Number: 426758 - 10/31/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 DC Provision Review, SF-Ping 100-0000-43112 $102.00 MST2019-00396 Building Permit-Additions,Alterations, 230-0000-43104 $846.23 Demolition MST2019-00396 12% State Surcharge-Building 100-0000-24001 $150.11 MST2019-00396 Erosion Control w/Development 640-0000-43134 $236.40 MST2019-00396 Metro CET 230-0000-24010 $148.00 MST2019-00396 Tig-Tual School CET-Residential 230-0000-24102 $594.00 MST2019-00396 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $20.00 11x17) MST2019-00396 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $38.00 11x17) MST2019-00396 Duct Work 230-0000-43102 $23.32 MST2019-00396 Minimum Fee Adjustment-Mechanical 230-0000-43102 $66.68 MST2019-00396 12%State Surcharge-Mechanical 100-0000-24001 $10.80 MST2019-00396 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60 Feeder MST2019-00396 12% State Surcharge-Electrical 100-0000-24001 $7.63 MST2019-00396 Rain Drain Connector 230-0000-43101 $18.76 MST2019-00396 Hose Bib 230-0000-43101 $25.02 MST2019-00396 Minimum Fee Adjustment-Plumbing 230-0000-43101 $28.72 MST2019-00396 12% State Surcharge-Plumbing 100-0000-24001 $8.70 MST2019-00396 Cash Over 100-0000-48001 ,24 ,NL $741.82 4— Total: $3,129.79 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 1992 JDRINKWATER 10/31/2019 $3,129.79 Payor: Randall Kaufmann &Mary Kaufmann Total Payments: $3,129.79 Balance Due: $0.00 f 1 Page 1 of 1 CITY OF TIGARD RECEIPT II g , • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T C G A R D Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD 0/Z t l ,AI/—t_ Receipt Number: 426758 - 10/31/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 Building Permit-Additions,Alterations, 230-0000-43104 $1,293.19 Demolition MST2019-00396 12% State Surcharge-Building 100-0000-24001 $155.18 MST2019-00396 PFI Permit Fee(LIDA) 100-0000-43114 $300.00 MST2019-00396 DC Provision Review, SF-Ping 100-0000-43112 $102.00 MST2019-00396 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $14.00 11x17) MST2019-00396 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $26.00 11x17) MST2019-00396 Metro Const. Excise Tax 230-0000-24010 $156.46 MST2019-00396 Tig-Tual School CET-Residential 230-0000-24102 $934.20 MST2019-00396 Erosion Control w/Development 640-0000-43134 $236.40 MST2019-00396 Additional Plan Review 230-0000-43106 $45.00 MST2019-00396 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60 Feeder MST2019-00396 12% State Surcharge-Electrical 100-0000-24001 $7.63 MST2019-00396 Plan Review 230-0000-43106 $-467.20 MST2019-00396 Duct Work 230-0000-43102 $23.32 MST2019-00396 Minimum Fee Adjustment-Mechanical 230-0000-43102 $66.68 MST2019-00396 12% State Surcharge-Mechanical 100-0000-24001 $10.80 MST2019-00396 Rain Drain Connector 230-0000-43101 $18.76 MST2019-00396 Hose Bib 230-0000-43101 $25.02 MST2019-00396 Minimum Fee Adjustment-Plumbing 230-0000-43101 $28.72 MST2019-00396 12% State Surcharge-Plumbing 100-0000-24001 $8.70 MST2019-00396 Cash Over 100-0000-48001 $81.33 Total: $3,129.79 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 1992 JDRINKWATER 10/31/2019 $3,129.79 Payer: Randall Kaufmann &Mary Kaufmann Total Payments: $3,129.79 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD RECEIPT 1111„a • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD Receipt Number: 426432 - 10/15/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 Building Permit-Additions,Alterations, 230-0000-43104 $404.68 Demolition MS12019-00396 Plan Review 230-0000-43106 $813.09 MST2019-00396 Additional Plan Review 230-0000-43106 $45.00 MST2019-00396 Additional Plan Review 230-0000-43106 $45.00 Total: $1,307.77 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 5662968 JDRINKWATER 10/15/2019 $1,307.77 Payor: Raneall Kaufmann Total Payments: $1,307.77 Balance Due: $0.00 Page 1 of 1 INCITY OF TIGARD RECEIPT a 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TFCARD Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD 614/ NBC_ Receipt Number: 426432 - 10/15/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID I M512019-00396 Plan Review 230-0000-43106 $1,307.77 Total: $1,307.77 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 5662968 JDRINKWATER 10/15/2019 $1,307.77 Payor: Raneall Kaufmann Total Payments: $1,307.77 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD RECEIPT 11111, A 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T[GARD Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD 0/2 /6-/t//fe.--- Receipt Number: 426758 - 10/31/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 Building Permit-Additions, Alterations, 230-0000-43104 $1,293.19 Demolition MST2019-00396 12% State Surcharge- Building 100-0000-24001 $155.18 MST2019-00396 PFI Permit Fee(LIDA) 100-0000-43114 $300.00 MST2019-00396 DC Provision Review,SF- Ping 100-0000-43112 $102.00 MST2019-00396 Info Process/Archiving- Lg $2.00 (over 230-0000-43135 $14.00 11x17) MST2019-00396 Info Process/Archiving- Sm$0.50(up to 230-0000-43135 $26.00 11x17) MST2019-00396 Metro Conet. Excise Tax 230-0000-24010 $156.46 MST2019-00396 Tig-Tual School CET-Residential 230-0000-24102 $934.20 MST2019-00396 Duct Work 230-0000-43102 $23.32 MST2019-00396 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $23.32 Utility Rooms) MST2019-00396 12% State Surcharge-Mechanical 100-0000-24001 $8,70 MST2019-00396 Minimum Fee Adjustment-Mechanical 230-0000-43102 $25.86 MST2019-00396 Hose Bib 230-0000-43101 $25.02 M ST2019-00396 Lavatories 230-0000-43101 $50.04 MST2019-00396 Tub/Shower/Shower Pan 230-0000-43101 $25.02 MST2019-00396 Water Closet 230-0000-43101 $25.02 MST2019-00396 Water Heater 230-0000-43101 $37.52 MST2019-00396 12% State Surcharge- Plumbing 100-0000-24001 $19.51 MST2019-00396 Erosion Control w/Development 640-0000-43134 $236.40 MST2019-00396 Additional Plan Review 230-0000-43106 $45.00 MST2019-00396 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60 Feeder MST2019-00396 12% State Surcharge-Electrical 100-0000-24001 $7.63 MST2019-00396 Plan Review 230-0000-43106 $-467.20 Total: $3,129.79 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 1992 JDRINKWATER 10/31/2019 $3,129.79 Payor: Randall Kaufmann & Mary Kaufmann Total Payments: $3,129.79 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD RECEIPT 1111 g 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Kaufmann Site Address: 14425 SW MCFARLAND BLVD As( Receipt Number: 426758 - 10/31/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2019-00396 Building Permit-Additions,Alterations, 230-0000-43104 $1,293.19 Demolition MST2019-00396 12% State Surcharge-Building 100-0000-24001 $155.18 MST2019-00396 PFI Permit Fee (LIDA) 100-0000-43114 $300.00 MST2019-00396 DC Provision Review, SF-Ping 1 00-0000-431 1 2 $102.00 MST2019-00396 Info Process/Archiving- Lg$2.00(over 230-0000-43135 $14.00 11x17) MST2019-00396 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $26.00 11x17) MST2019-00396 Metro Const. Excise Tax 230-0000-24010 $156.46 MST2019-00396 Tig-Tual School CET- Residential 230-0000-24102 $934.20 MST2019-00396 Erosion Control w/Development 640-0000-43134 $236.40 MST2019-00396 Additional Plan Review 230-0000-43106 $45.00 MST2019-00396 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60 Feeder MST2019-00396 12% State Surcharge-Electrical 100-0000-24001 $7.63 MST2019-00396 Plan Review 230-0000-43106 $-467.20 MST2019-00396 Duct Work 230-0000-43102 $23.32 MST2019-00396 Minimum Fee Adjustment-Mechanical 230-0000-43102 $66.68 MST2019-00396 12% State Surcharge-Mechanical 100-0000-24001 $10.80 MST2019-00396 Rain Drain Connector 230-0000-43101 $18.76 M5T2019-00396 Hose Bib 230-0000-43101 $25.02 MST2019-00396 Minimum Fee Adjustment-Plumbing 230-0000-43101 $28.72 MST2019-00396 12% State Surcharge-Plumbing 100-0000-24001 $8.70 M5T2019-00396 Cash Over 100-0000-48001 $81.33 Total: $3,129.79 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 1992 JDRINKWATER 10/31/2019 $3,129.79 Payor: Randall Kaufmann & Mary Kaufmann Total Payments: $3,129.79 Balance Due: $0.00 Page 1 of 1 w r Mechanical Permit Applicationlr7 Loc.,1 FOR OFFICE USE ONLY . City of Tigard Received ( : t' 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 4 201 Date By: Permit No.A.L 7.,d/ 1 69396 Plan Review : Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 CITY OFg IGA Date B tu;s:T I G A R D e Ready/By: BI See Page 2 for Internet: www.tigard-or.gov IL '" N!»; "*If,, (Ci Notified/Method:. Supplemental Information ` COMMERCIAL FEE* SCHEDULE - U CHECKLIST TYPE OF WORK USE C I CKLIST r� Mechanical permit fees*arc based on the value of the work ❑New construction ❑Addition/alteration/replacement JAN 2 1 202`J performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: OF-WARD mechanical materials,equipment,labor,overhead,and profit. CITY q Value:$ CATEGORY OF CONSTRUCTIO ��I DING { i �r0.01 Q FEES* I-i..il t�i I S` RESIDENTIAL EQUIPMENT SYSTEMS ❑ I-and 2-familydwellinge.a,_� El El 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: /VCJ/L 5 r1-4,1 f cre Wall y1 cl l2f(/d Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1.-")Q 6 /' O� 97 2,2S Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no-: 7 Project 7Nr �r /4y�1 Jye yYiC A 406 f/e 14 Heat pump - 61.06 Duct work ` 23.32 Cross street/directions to job site:70,44: tc, AI 9111/ .0 /}n(.4I Ai f Ai Hydronic hot water system �i.% 23.32 42,�,2, .- - o Me �/L /4H d /Iva V 11414( etA 6f t Residential boiler(radiator or +c � hydronic) 23.32 Unit heaters(fuel-type,not electric), t l in-wall,in-duct,suspended,etc. 46.75 rye Flue/vent for any of above 23.32 i Other. 23.32 Subdivision: J/ bk 0(A) Ait 1 jii Lot no.:/7 Other fuel appliances: Tax map/parcel no..7.s//5/1 —0 tj/Q 0 v Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 / t/ c r Flue vent for water heater or gas ! T LJ b e& O l�1�1 '�l fireplace 23.32 f%x.,1--e S'4 4 0 Ii s !, 6'.4.6 Log lighter(gas) 23.32 ` Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER ❑ TENANT' Other: 23.32 ,^� Environmental exhaust and ventilation: Name: rf`AN eld/ ///14 y /14 U cre41 4140 Range hood/other kitchen Address: /,-/y Ls- s /1C R./a.4 c' Clothes /voi equipment33.39 dryer exhaust 33.39 City/State/ZIP: T qd/L O/ OA- 77 ZZ`I Single-duct exhaust(bathrooms, a r // toilet compartments,utility rooms) 3.32 :L Js ,- Phone:(563)-8 f 7• g 1 S3 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Of 4ijtti/,,,e., Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Myj , E-mail: ,,,/ Range • l�S��fM1�>7 ! (/�~y • Cam Barbecue CONTRACTOR Clothes dryer(gas) /yt;•k•� 402 ai 4 l^ Other. Business name: �,� O�)rn �9_ 9 J MECHANICAL PERMIT FEES* Address: , '? �ya�,6 Subtotal at',f. City/State/ZIP: +��-(��". ' .6 ,�,,i yr `7 70 Minimum permit fee($90.00) Phone: Fax: Plan review(25%of permit fee) ( ` j 0 ( ))km State surcharge(12%of permit fee) C . 'i? CCB lie.: t 4, l ) If! )-- f;1 TOTAL PERMIT FEE e rL t This permit application expires if a permit is not obtained within 180 �� days after it has been accepted as complete. Authorized signature: �61.4^a.�f 2-4-1- * Fee methodology set by Tn-County Building Industry Service Board lZavtCI4/) /<au�..tvj'4Yl Pinta-tine Permit Application Bui1ding'Fixtures r:,, ,i , „ „ , }()K OFFICE t( is !PSI: ONLI' City of Tigard Received OCT 12019 Date/By: Permit No.: J7 f 111111 13125 SW Hail Blvd.,Tigard,OR 97223 ��' ' ® ; Plan Review Phone: 503.718.2439 Fax: 503.598 9 Other Permit No.: Inspection line: 503.639.4175 e) i „ tl L Date/By: TIGARD i8 E� Date Rea By: Jens: 2Internet: www.tigard-or.gov dY See Paget l for 'Notified/Method: Supplemental Information TYPE OF WORK 1 ED FEE* SCHEDULE For special information use checklist❑New construction 0 Demolition ®Addition/alteration/replacement 0 Other: �y Description I Qty. I Ea. Total JAN '21 2020 New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION 1 y ,, SFR(1)bath 312.70 t,. li Y 0 t 1-11( SFR(2)bath 437.78 ® 1-and 2-family dwelling 0 Commerci4/ flu G IJ• d1�� 1O ? 0 Accessory building 0 Multi-family h7 i l 1l SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: l yyZ$ s� I'p c-ra2I A avid Ni Catch basin or area drain 18.76 City/State/ZIP: -f'�gb2� 9722-/y/ �J Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt.no.: Project narri fau�J astit AINV A ZIA bil Manufactured home utilities 50.03 Cross street/directions to job site: piu;L a/hw7fgf'iv le � /� Manholes 18.76 aiii-r 0A Mt P02-/eX Al Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 I Water service(no.linear ft.:_) Page 2 Subdivision:f"ho�z.� N,/1s Lot no./7 Fixture or item: Tax map/parcel no.:2 S/IOeA C74/AO0 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 �/ ) Clothes washer 25.02 r/Ai. . 'et.4),�'"" �* OA& 4Alir6614 Dishwasher 25.02 F -•, ' 4N d iilj ' Drinking fountain 25.02 Ejectors/sump 25.02 si PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: 141,1 dui/-+ 41 ha Lt .F44 t Fixture/sewer cap 25.02 �/ /„ � a4 ,/) I/C Floor drge oor sink/hub 25.02 Address: /�7 Z5 (1if) �/'l L ati !1 /,�� Garbage disposal 25.02 City/State/Z►17 ge0 ti OL YZ-tJ 7Z Hose bib 1 25.02 ' Q 2.,Phone:gO))/Pi, (f$ $' Fax:( ) Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 • Primer 12.51 Contact name: B/ dria#'/e Roof drain(commercial) 12.51 Address: _ Sink/basin/lavatory Ay.--25.02 'cy City/State/ZIP: Solar units(potable water) 0 62.54 Phone:( ) / Fax: :( ) Tub/shower/shower pan A t l94 I/�12.51 7 j 6 2 E-mail:Ai alQy.k0u a,"yet G b114J LOJj/1 Urinal 25.02 C` Water closet ' /25.02 25Q 2_ CONTRACTOR 7 ,y. Water heater • . {ri y7.52 !r j 2-- Business name: �•�-teg.f Pn. pe..,, P' C sctvaf./bh Water piping/DWV 56.29 Address: .( 1 1 ! - L. 14 Other: 25.02 City/State/ZIP: Oree ., p y '-26741 Subtotal ;` , G.,_ Phone:(So3 if739 2,58? Fax:( ) /2 Minimum permit fee: $72.50 11 .St1 CCB Lie.: f z... i ----4 (1 1 Plumbing Lie.no.• 7f i Plan review (25%of permit fee) t ,�� State surcharge(12%of permit fee) 7t:T / Authorized signature: 12 TOTAL PERMIT FEE Ff. 0 Print name: /241461 4/:I1/ /111 Date: /0 j/[ l//y Tbis 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. c.' 7t. id I Fee Calc.Factor: I Job Vaave(Calculator)$130,379.41 v I Fee Total $4,437.56 ii Showing 1-24 of 24 i 'iT 1 Invoice Date Fee Item Quantity Unit Fees S tus # Assessed ❑ 215424 10115/2019 Plan Review 1 Each $1,307.77 INVOICED 1 D 215759 10/15/2019 12%State Surcharge-Building 1 Each $155.18 INVOICED ❑ 215759 10/17/2019 PFI Permit Fee(LIRA} 1 Each $300.00 INVOICED l 0 215759 10/30/2019 DC Provision Review.SF-Pint I Each $102.00 INVOICED ❑ 215759 10/30/2019 Info Process/Archiving-La$2.00(over 1 ix17) 7 Each $14.00 INVOICED iJ 215759 10/3012019 Info Process/Archivina-Sm$0.50(up to 11x17} 52 Each $26.00 INVOICED 0 215759 10/30/2019 Metro Coast.Excise Tax 1 Each $156.46 INVOICED ❑ 215759 10/30/2019 Tia-Tuai School CET-Residential 1 Each $934.20 INVOICED 5 0 215759 10/3012019 Duct Work VO t b/kat> 1 yr-6-- ✓Each $23 INVOICED 0 215759 10/30/2019 Single Duct Exhaust(Bathrooms.Toilet.Utility. \/fit b ,- O Each $23 3 INVOICED = 7,2_• S ❑ 215759 10115/2019 Plan Review / Each ($44 INVOICED 6❑ 215759 19/30/2019 Minimum Fee Adiushnent-Mechanical U Q I(j/�fj(} 25.86 ✓ Dollar Amt .86 INVOICE ❑ 215759 10/30/2019 Hose Bib / 1 Each $25.02 INVOICED 4-6-.- go 1 . ❑ 215759 10/30/2019 Lavatories a Each $50.04 INVOICED ❑'215759 10/3012019 Tub/Shower/Shower Pan ,2— D Each $25.02 INVOICED ,S�/� `D ❑ 215759 10/30/2019 Water Closet y Each $25.02 INVOICED µ`7' ❑ 215759 10/30/2019 Water Heater Each $37.52 INVOICED !rU C.I,u trC7S ❑ 215759 10/30/2019 12%State Surcharge-Plumbing lit f i 14 ,t= b i t/ Each $19.51 INVOICED w 4..7.t.2 ❑ 215759 10/30/2019 Erosion Control w/Develooment 1 Each $236.40 INVOICED [ f ❑ 215759 10/30/2019 Additional Plan Review 45 Dollar Amt $45.00 INVOICED r"` rfj'T-C O 215759 10/30/2019 Branch Circuits wolPurchase Service or Feeder 2 Circuits $63.60 INVOICED I AI Is IJ 0 215759 10/30/2019 12%State Suretlarae-Electrical i Each $7 63 INVOICED O 215759 10/15/2019 Building Permit-Additions.Alterations.Demol... 1 Each $1 293.19 INVOICED ❑ 215759 10130/2019 12%State Surcharge-Mechanical vi9 If,/$t.b ✓ Each $8.70 INVOICED ii Page 11 of 1 ,. . /1"4 e (/1"J ,6/24'1A/ Co.vniE-cr 0P / V" C a-v/6X----- OP l • 3 3 City of Tigard I Permit Center , , SIGN-IN SHEET ❑ Planning/Development Services 0 Building 0 Engineering Date: 1 ..Z J- 2 0 * Time in: `Z b� Your Name (First& Last): �lt.v 1 d` Z- i *Phone or email: (503) F7%-33 Site address es /Locations : /4" 2-S gc? rl cj. Permit/Case# (ff applicable): Reason for visit: Check all that apply ❑ Apply for New Permits/Submit Plans: • ® Revise Existing Application/Permit ❑ Pay Fee ❑ Pick Up Ready Permit ❑ OTC Appointment ❑ Scheduled Meeting (with/for): ❑ Code Compliance Case ❑ Public Records Request ❑ Other: For office use only: Jurisdiction Verification ❑ By: Assisted by: Time Assisted: Time Out: Assisted by: Time Assisted: Time Out: Assisted by: Time Assisted: Time Out: Assisted by: Time Assisted: Time Out Staff Comments: 1:1Community DevelopmentSPermit Counter lSign-in Sheets Rev.01/2019 f/ MST2019-00396-Kaufmann Menu Add Delete Void Invoice Invoice&Pay ReCaic Help N Go To iv Summary Case Addtt Info ASI-Building A SI-Electrical ASI-Mechanical ASt-Plumbing (2) Fee(32) 'Fee Fee Calc.Factor: Cob Value(Calculator)$130,379.41 vJ Fee Total $4,437.56 Showing 1-32 of 32 ❑ Invoice Date Fee Item Quantity Unit Fees Status Adjusted 4 Assessed ❑ 215424 10/15/2019- Plan Review 1 Each $1,307.77 INVOICED ❑ 215759 10/30/2019✓Branch Circuits weiPurchase Service or Feeder 2 Circuits $63.60 INVOICED ri 215759 10/302019 V Additional Plan Review 45 Dollar Amt $45 00 INVOICED • 215759 10/30/2019 ✓Erosion Control w1Development 1 Each $236.40 INVOICED • 215759 10/3012019✓Tiq-Tual School CET-Residential 1 Each 6934.20 INVOICED ❑ 215759 10130/2019✓Metro Cosst.Excise Tax 1 Each S156.46 INVOICED ❑ 215759 10/30/2019✓ DC Provision Review,SF-Ping 1 Each $102.00 INVOICED ❑ 215759 10/15/2019✓Plan Review Each ($48720) INVOICED Y (_ 215759 10/30/2019, Info Process/Archiving-Lg$2.00(over 11x17) 7 4 (_ v to Each $14..00 INVOICED ❑ 215759 10/15/2019 Building Permit-Additions.Alterations,Demoi.. 1 Each $1,293.19 INVOICED ❑ 215759 10/15/2019 ✓12%State Surcharge-Building 1 Each $155.18 INVOICED '--7 ❑ 215759 10/17/201 / 6 pt.CE-6 F-6e7,1Z-1 Afr re 7 . 1JF. Each $300.00 INVOICED 215759 10/30/2019/12%State Surcharge-Electrical G'd'1- N t 1 Each S7.63 INVOICED H. 215759 10/30/2019 ✓info Process/Archiving-Sm$0.50(up to 11x17) 52 4-2 y s 7(P Each $26.00 INVOICED ✓ 216937 1013012019 12%State Surcharge-Plumibf 1 Each __-. - $19.51 f 216937 10/30/2019 Water Heater 1 Each $37.52 REDITED ❑ 216937 10/30/2019 Water Closet 1 Each . CREDITED El 216937 10/30,2019 Lavatories 2 Each--- " $50.04 CREDITED ❑ 216937 10/302019 Hose Bib 1 Each $25.02 CREDITED ❑ 216937 10/302019 Minimum Fee Adjustment-Mechanical .86 Dollar Amt $25.86 CREDITED ❑ 216937 10/30/2019 12%State Surcharge-Mechanical t Each $8.70 CREDITED • 216937 10/302019 Single Duct Exhaust(Bites,Toilet,Utility... 1 Ea $23 32 CREDITED ❑ 216937 10/302019 Duct Work_-- 1 Each 2 CREDITED • 216937 10/30/2019 Tub/Shower/Shower Pan 2 Each $25.02 EDITED • 216938 01/222020 v Duct Work -~- - ac- ------" On. 7- --114Vt7ICi=TT- ❑ 216938 01/22/2020✓Minimum Fee Adjustment-Mechanical 66.68 Dollar Amt $66.68 INVOICED ❑ 216938 01/22/2020✓ 12%State Surcharge-Mechanical 10.8 Dollar Amt $10.80 INVOICED ❑ 216938 01/22/2020 ✓Rain Drain Connector 1 Each 518.76 INVOICED ❑ 216938 01/222020 iv Hose 1 Each $25.02 INVOICED ❑ 216938 01/22/2020 v Minimum Fee Adjustment-Plumbing 28.72 Dollar Amt $28.72 INVOICED • 216938 01/22/2020 v'12%State Surcharge-Plumbing 8.7 Dollar Amt $8.70 INVOICED ❑ 216939 01/22/2020 Cash Over 81.33 Dollar Amt $81.33 INVOICED Page 11 of 1 a) MST2019-00396-Kaufmann C a Menu Add Delete Void Invoice Invoice&Pay ReCaic Help Go To . Summary Case ° Addtf Info ASI-Building ASI-Electrical ASI-Mechanical ASI-Plumbing ASI Table(2) Fee(32) F Fee Calc.Factor: Job Value(Calculator)$130.379.41 v Fee Total $0.00 Showing 1-32 of 32 11 Invoice Date Fee Item Quantity Unit Fees Status Adjusted 1 Assessed ❑ 216937 10/3012019 Single Duct Exhaust(Bathrooms,Toilet,Utilii y... 1 Each $23.32 CREDITED _,i 216937 10/302019 Duct Work 1 Each $23.32 CREDITED ❑ 216937 10/30/2019 12%State Surcharge-Plumbing 1 Each $19.51 CREDITED L_.1 216937 10/302019 Water Heater 1 Each $37.52 CREDITED ❑ 216937 1013012019 12%State Surcharge-Mechanical 1 Each $8.70 CREDITED .El 216937 10/30/2019 Tub/Shower/ShowerPan 2 Each $25.02 CREDITED ❑ 216937 10/30/2019 Lavatories 2 Each $50.04 CREDITED ❑ 216937 10/30/2019 Hose Bib 1 Each $25.02 CREDITED ❑ 216937 10/302019 Minimum Fee Adjustment-Mechanical 25.86 Dollar Amt $25.86 CREDITED 216937 10/30/2019 Water Closet 1 Each $25 02 CREDITED ❑ 217314 10/30/2019 Additional Plan Review 45 Dollar Amt $45.00 CREDITED ❑ 217314 10/30/2019 Branch Circuits wo/Purchase Service or Feeder 2 Circuits $63.60 CREDITED ❑ 217314 10/30/2019 12%State Surcharge-Electrical 1 Each $7.63 CREDITED `1 217314 10/15/2019 Plan Review Each (546720) CREDITED Y ❑ 217314 01/22/2020 Duct Work 1 Each $23 32 CREDITED ❑ 217314 01/22/2020 Minimum Fee Adjustment-Mechanical 66.68 Dollar Amt $66.68 CREDITED E 217314 01/22/2020 12%State Surcharge-Mechanical 10.8 Dollar Amt $10.80 CREDITED ❑ 217314 0122/2020 Rain Drain Connector 1 Each $18.76 CREDITED ❑ 217314 01/22/2020 Hose Bib 1 Each $25.02 CREDITED ❑ 217314 0122/2020 Minimum Fee Adjustment-Plumbing 28.72 Dollar Amt $28.72 CREDITED ❑ 217314 01/22/2020 12%State Surcharge-Plumbing 8.7 Dollar Amt $8.70 CREDITED 217314 10/30/2019 Erosion Control wlDevelooment 1 Each $236.40 CREDITED E 217314 10/302019 Tiq-Taal School CET-Residential 1 Each $934.20 CREDITED !-I 217314 10/30/2019 Metro Const.Excise Tax 1 Each $156.46 CREDITED • 217314 10/302019 Info Process;Archiving-Sm$0.50(up to 11x171 52 Each $26.00 CREDITED ❑ 217314 10/30/2019 Info Process/Archiving-La$2.00(over 11x17) 7 Each $14.00 CREDITED 217314 10/30,2019 DC Provision Review.SF-Ping 1 Each $102.00 CREDITED F.] 217314 10/17/2019 PFI Permit Fee(LIDA1 1 Each $300.00 CREDITED ❑ 217314 10/15/2019 12%State Surcharge-Buildjnq 1 Each $155.18 CREDITED ❑ 217314 01/22/2020 Cash Over 81.33 Dollar Amt $81.33 CREDITED ▪ 217314 10/15/2019 Building Permit-Additions.Alterations,Demol_, 1 Each $1.293.19 CREDITED PI 217314 10/15/2019 Plan Review 1 Each $1,307.77 CREDITED Page 11 of 1 - - _ v w., CITY OF TIGARD MASTER PERMIT 111 ■ . COMMUNITY DEVELOPMENT Permit#: MST2019-00396 T i l;A h.013125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2019 Parcel: 2S110BA04800 Jurisdiction: Tigard Site address: 14425 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 17 Project: Kaufmann ___._ Project Description: detached garage with storage above. .:>-.S i_?/2-y rw e u A -��.,h9a'ren C-AS�-7` EZ.61/,=9 71--- P BUILijAGi"CZ/"1- fie.,"" , Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First. .setz.0O sf Basement: 0 sf Left 5 Parking Spaces• 0 Height: 15 Bathrooms: 0 Second: ,tytya sf Garage: 528 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right 5 Detectors: Yes Total: 692LiHD sf Value: $130,379.41 Rear: 20 PLUMBING Water Closets:/I',) Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0Urinals: 0 Vc) 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 Tubs/Showers:^O Garbage Disp: 0 Water Heaters ' ` Drains: O Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: A' b Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 1. ''f/' Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 am.' 601-1000 amp: 0 601+amp-1 r,Ov: 0 0 CD 1000+amp/volt: 0 of *44 2-e64 1 �r d. , „ -c-ir Ai" ELECTRICAL-RESTRICTED ENERGY fa v Cat C SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 692 Owner: Contractor: KAUFMANN,RANDALL BUILDSTRONG CONSTRUCTION Required Items and Reports(Conditions) %KAUFMANN,RANDALL&MARY 43222 SE PHELPS RD 1 Ersn Cntrl 503-639-4175 TRUST SANDY,OR 97055 PO BOX 357 MOOSE,WY 83012 PHONE: 503-819-6955 PHONE: 503-894-3348 FAX: Total Fees: $1,307.77 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: Oreg law requires you follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 2-001-0090 You m btain a c f the rules direct questions to OUNC by calling 503 2.1987 or 1.80 .332.2344. Issued By: -/ Permittee Signature: 4 - "avi x 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 th project. Approved plans are required on the job site at the time of each inspection. Ph fi CITY OF TIGARD MASTER PERMIT I '.''' COMMUNITY DEVELOPMENT L. VIS , ( Permit#: MST2019-00396 Date Issued: 10/31/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t Parcel: 2S110BA04800 Jurisdiction: Tigard Site address: 14425 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 17 Project: Kaufmann Project Description: 440 sf addition, 289 sf deck, and a 528 sf detached garage w/storage above. 2/13/2020: REPRINT to reduce sf. 3/31/20: REPRINT to add (1)steam shower, (2)exhaust fans, (1)200 BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 240 sf Garage: 528 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 440 sf Value: $130,379.41 Rear: 20 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Drains: 0 Catch Basins: 0 Bcktw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 2 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 13 Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 440 Owner: Contractor: KAUFMANN,RANDALL BUILDSTRONG CONSTRUCTION Required Items and Reports(Conditions) %KAUFMANN,RANDALL&MARY 43222 SE PHELPS RD 1 Ersn Cntrl 503-639-4175 TRUST SANDY,OR 97055 PO BOX 357 MOOSE,WY 83012 PHONE: 503-819-6955 PHONE: 503-894-3348 FAX: Total Fees: $4,719.11 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 obtain a cony of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued ey: t�%' -- Permittee Signature: ,� �, r m 03.639.4175 by 7:00 a.m,for the next available inspection date. //�' _p 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. City of Tigard1f } COMMUNITY DEVELOPMENT DEPARTMENT ■. T I G A R D Building Permit Review — ResidentialOCT 16 2019 JJTV CII. p" /\ iii H IJ_DING f)sv,s,r, ,, Building Permit #: � �j7�/y- (�3 �� Site Address: ji1925 S1A/ MC. i-c'►r)c,r- c, 811/41a Project Name: K c u f-m c rl vi h ous C, A t i cLI ti CeLot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review t'A0't . t� t6ttt ` A, � '�'-Ott : `E 2�-Uu �C ftJroposal: tieMJ 52a ss i-� Accessory S')`ricfv�JOCAratge cs 692 -home.` (Q Verify address/suite#active in Accela. $1 In River Terrace: gr No 0 Yes,River Terrace Review Addendam4 t4�' //ile Plan Elements: sion Control t// 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ed trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) ootprint of new structure (including decks)and FFE North arrow • ty locations&easements(required for new and additions) ire address,project or subdivision name and lot number/ Sidewalk/driveway approach R L.u L 4. 'iat iv ( Applicant information(name and phone number) a of wells/septic systems ^ d� Lot dimensions and building setback dimensions /I/4eer tree size,type an '. ,ation 6 th quare footage of buildings to be demolished viierStreet names Willi t GM'I 0, , Existing structures on site fZiomer elevations(2'contours if more than 4'differential) .; — pig-bet area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes�No1 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes,ONo 1Z'Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995) N3 M,Vt119 tl: &s'af5 'y Required: ❑ Yes,applicant was notified 0 No t Received: Yes ❑ No Public Facilities Improvement (PFI) Permit: 'e C Clc�Y' /(/1A- Required: ❑ Yes,applicant was notified No f� Applied For: �❑ Yes ❑ No,stop intake 45 LandUse Case #: A.�)J r-i01 ci� -`0000 e 0 Zoning: ,`Z �! Required Setbacks: rit ront: 30 4Kear: 2O (Aide: 5 es eet Side: 2� Zarage: 2 t0 J1' Building Height: �/ (� Max. Height: 3 0 S Actual Heigh ' S XLandscape Area: W/ ` ' % p Lot Coverage Max: W I fl % Entrance Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage 0 Garage door is behind widest street-facing wall 0 Yes 0 No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. i PC ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. 0 Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer O Accent siding 0 Window trim ❑ Window recess 0 Window projection ❑ Balcony 7 Visual Clearance ❑ Urban Forestry Plan 0 Sensitive Lands: 0 Yes ❑ No Type: Conditions met prior to issuance of building permit Notes: �� Approved By Planning: M tY `.^' -� f'�-- Date: 1 U J IS 1 J ci Revisions (after Btyifding Submittal only) Rev ewer Date Revision 1: L Approved ❑ Not Approved (e. f 2 j �G It) Revision 2:' Di Approved 0 Not Approved z- - ' , Revision 3: L1 Approved ❑ Not Approved `,- — " .s9 Z 1:1Building\Forms\BldgPerntit Rvw_RES_0228I 9.docx Building Permit Submittal Original Submittal Date: 10 451/ 9 Site Plans: # Building Plans: # Building Permit #: r.' nter building ermit#above. Workflow Routing: 13 Planning ngineering rmit Coordinator ilding Workflow Sign-off: Sign-off for lanning(include notes from planning review) Route Application Documents: 4 Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. -Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: ()Sr i Engineering Review Er—Slope at building pad: (0 7 ❑_,/Conditions "Met"prior to issuance of building permit t-7 Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No 1 LIDA Facility on lot: 0 Yes ❑ No ❑ Final Plat Recorded: [NOT Approved by Engineering: 7..,,.,�./ Date: !oh --f Notes: NIJJ .rb Sh.n✓ ei0,0 - Cll,b. k4/ ,,Jes.v2.g5 L/DA h4,,,o/6•ra . Lr©A- r/a ( y✓ y 1,1l0114 l Approved by Engineering: % Date: /19/421%W9' Revisions (after Building Submittal only) eviewer Date Revision 1: Er Approved 0 Not Approved i J 3 0 /2020 Revision 2: C'Approved 0 Not Approved .2,.f /LOLo Revision 3: LirApproved 0 Not Approved y/Z9/Z0Zt Permit C ' ator Review ❑ C 'lions "Met"prior to issuance of building permit qApproved,NOT Released ti"phni ,— —`'tISit>� � k.�e.s,.. I Date: lV/04 / Notes: Revisions (after Building Submittal only) ��,y�� Revision Notice 1: Date Sent to Applicant: 3��2O Re�on Notice 2: Date Sent to Applicant: /J� ,G i o evision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes >�1� Tigard Trans SDC: ❑ Yes irl-°`/ /A Parks SDC: 0 es V N/A LIDA Yes ❑ N/A 41,/)-47. v(z7 /----- OK to Issue Permit ,/ 3 d 27c. PPby / Approved Permit Coordinator: 4 te: /" 4 19 c= -.�_ y.z.q/z/ t:\Building\Forms\BldgPermitRvw_RES_0228 I9.docx 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 _ " Transmittal Letter r:c;A ii n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.eov TO: _4ALyy\,,c DATE RECEIVED: DEPT: BUILDMIG DIIVISION RECEIVED FROM: PAA.4.94 Qr34IcL, O0__- y) APR 2 6 2021 COMPANY: CITY OF TIGARL PHONE: 5o 3 - - g I G —(aci,SS BUILDING DNISIOIt ByL .._ EMAIL: vra-i l . :1 C t .cML RE: i4�4 c ) rktr6+4&4.iL MCI-- .®l9- 00 3 cl �o (SiteAddress) (Permit Number) IlQd o,) 44-i,\\s ck, 4d Lc-1--i r7 (Project name or subdivision name and lot number) TTACHED ARE THE FOLLOWING ITEMS: I Co ies: 1 Description: I Copies: 1 Description: Additional set(s) of plans. t Revisions: "beck 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): ff ' II ,n, r � REMARKS: Lao V, -i7b Jylirtt�-4t o kc- 5 ca D o'er. . —t-r ,-, y.Q o oil`. ", .l• ► r#-4'--' - I/ 1 , ,. l._ • t...[ ,( .L tJll 9P nn n D_n -6) —4-e-44,,,,7-81 �c S.EY V 1 L\Ai . ) FOR OFFICE USE ONLY `� '� r _Routed to Perrgit Technician: Date: 571( /7,.., Alf I Initials: r Fees Due:TYes El No Fee Description: Amount Due: �� C:'' ' ' A $ S ,62S__ 1 Special Instructions: I 7 . � Reprint Permit(per PE): Yes 1 El No Done Applicant Notified: ,,� 1 ate: ..,-,41.y zl Initials: e•-•,--, 1:1Building\Forms\TransmittalLetter-Revisions 073120.doc 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. CrCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: iitilltp0Il2MS� 1lsi DATE RECEIVED: DEPT: BUILDING DIVISION FROM: ce erl Srsk4M RECEIVED COMPANY: -7.5 p p, t E, MAY 2 4 ZOZI CITY OF TIGARD By.0 PHONE: C.Sj,3Qg-8(Ol9 BUILDING DIVISION EMAIL: RE: / /2.5 So Mfar'IaND Rya, )9-G03160 (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. 0 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other(explain): REMARKS: Attached is the revised beam calculation for the replacement of the 4 x 12 df#2 beams to 4 x 10 df#2. There is also a calculation for the replacement of the 2 x 12 df#2 @ 16 O.C.to 2 x 10 df#2 @ 16 O.C., I have also attached a column calculation for the 4 x 4 post that are 8'-3" in height. I have added a drawing to show where these changes are taking place.Thank you for your time. FOR(OFFICE USE ONLY Routed to Pe echnician: Date: 3 21 Initials: meir Fees Due: Yes ❑ No Fee Description: Amount Due: $ ____,pb $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes // 10 ❑ Done Applicant Notified: i, Date: (, /�.r. , Initials: Aj, . I:\Building\Forms\Transmittal Letter-Revivsions_073120.doc Branden Taggart From: Branden Taggart Sent: Thursday, June 3, 2021 11:40 AM To: Mary Kaufmann Subject: RE: kaufmann fees and plan revision: MST2019-00396 - 14425 SW McFarland Blvd. Attachments: Invoice.pdf Mary, The beam calculation revision is ready to pick up now. The balance due is$45.00, and I have attached an invoice above for you to reference. This fee can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2019-00396 under the Building tab. There is a 3%service fee for credit cards, but e- checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we make the revised site copy plan set available to pick up. Please note that inspections cannot take place with outstanding fees due. Once these fees are paid, inspections can resume. Thanks, Branden Taggart w City of Tigard .. Senior Permit Technician Community Development T IGAtL 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Mary Kaufmann <mary.kaufmann@icloud.com> Sent:Thursday,June 3, 2021 11:25 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: Re: kaufmann fees and plan revision Caution!This message was sent from outside your organization. Allow sender I Block sender Thank you Branden! Sent from my iPhone On Jun 3, 2021, at 11:06 AM, Branden Taggart<brandent@tigard-or.gov>wrote: Hi Mary, I'm working on this now for you. I'll send you the invoice for online payment shortly. 1 Thanks, <i m age001.j pg> Original Message From: Mary Kaufmann <mary.kaufmannPicloud.com> Sent: Thursday,June 3, 2021 10:50 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: kaufmann fees and plan revision Hi Branden - I know Allyson has sent you her final revision in our plans. Can you let me know immediately when the fee is posted so we can come pay that and come pick up the plans. We are leaving on Tuesday for five months so I need to do this today so we can get everything done this weekend and call for final inspection on Monday. How late can I pick up the revised plans today. Thanks- Mary Sent from my iPhone DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 Approved plans :`?a'l be on lob s"-.., 8'-10" 18" X 18" X 12" \ \ _ CONC. FTG r - -10 rr ,P.T.. 44�X10p "2rIl i18" XIS" X12" L - 1 X 18" X 12" L J ( ('� N L J CONG. FTG r — C. FTG ��"'�� ~ N Nx I f1 L — in la 4 II RECEI ,ED 0 w t D- Ir C MAY 2 4 2021 0 � xQz °i @ n = w N CITY OF TIGARD P.T. 4 X 4 POST x oZ =� BUILDING DIVISION WI • 1?3544 4 t3C4�f r+ = W •a. u. II pTT1Z AT 7 TY-•. OF 6 Q ALONG DE CC � " 8 -1„ OF EACH E _ , "; \ I IP. . 4kl0pF �1iZ N + 8'-01"1 AtL X iuu ei off, Y Irg 0 0" x18" x12" O i• F y N GONG)FTG A PreNad Pls1 i O u nn ce Z le" x la" X 12" •--- N o 0 1 rate.. LONG. FTG s _ L _ -T oral.9 - oc)-j�C0 \ I p I P T. 4 XT F'ZIT G /"_ J aid `� + 8'-0"ITALL O x Q) iLi tezcsW t l l I iu :71- J Q O N ' OFFICE COPY i- 6_1 Olt 'Ai ® x o i x N 1-- N 1 61. Q . ,_ (E> 2 X l0 CLG. JSTS. -' 6 l6" O. . BeamChek v2016 licensed to:Zed Design Reg#7756-68222 KAUFFMAN REM DECK BEAM X Date:6/01/21 Selection PT dx 10 DF-L#2 Lu=0.0 Ft Conditions NDS 2012, Incised Min Bearing Area R1=2.9 in2 R2=2.9 in2 (1.5)DL Defl= 0.18 in Data Beam Span 8.0 ft Beam Wt per ft 7.87# Reaction 1 TL 1791 # Reaction 2 TL 1791 # Bm Wt Included 63# Maximum V 1791 # Max Moment 3583'# Max V(Reduced) 1446# TL Max Deft L/360 TL Actual Defl L/545 Attributes Section(in') Shear(ire) TL Defl(in) Actual 49.91 32.38 0.18 Critical 49.76 15.06 0.27 Status OK OK OK Ratio 100% 47% 66% Fb(psi) Fv(psi) E(psi x mil) Fc L (psi) Values Reference Values 900 180 1.6 625 Adjusted Values 864 144 1.5 625 Adjustments CF Size Factor 1.200 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Ci Incised 0.80 0.80 0.95 1.00 CI Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform TL: 440 =A Uniform Load A g/ 91 R2=1 Ri --17 91 SPAN=8 FT Uniform and partial uniform loads are lbs per lineal ft. . BeamChek v2016 licensed to:Zed Design Reg#7756-68222 KAUFMANN REMODEL DECK POST CC Prepared by: Date:5/21/21 Selection 4x 4 DF-L Select Solid Wood Column Conditions NDS 2012,Using values for 2x and 4x solid sawn,Dimension Lumber. Data Load 1898# Column Area 12.25 in2 Kf 1.00 Actual Height 8.4 ft le dl Effective Ht 101 in c 0.80 Unbraced Li 8.4 ft le d2 Effective Ht 0 in KcE 0.30 Unbraced L2 0.0 ft Ke Buckling Mode 1.0 FcE 688 Attributes and Values Controlling d is 3.5 inches Fc ii(psi) (psi x mil) Reference Values 1700 1.9 to/d psi Area(in2) Adjusted Values 628 1.9 Actual 29 155 12.25 CF Size Factor 1.15 Critical 50 628 3.02 Cd Duration 1.00 Status OK OK OK Cm Wet Use 1.00 1.00 Ratio 58% 25% 25% Cp Stability 0.32 Note:A wood plate under this column must have an Fc value, perpendicular to the grain,greater than 155 psi. BeamChek v2016 licensed to:Zed Design Reg# 7756-68222 KAUFMAN REMODEL DECK JOISTS CCC Date:5/21/21 Selection PT 2x 10 DF-L#2 16 in oc Lu=0.0 Ft Conditions NDS 2012,Repetitive Use,Wet Use, incised Min Bearing Area R1=0.9 in2 R2=0.9 in2 (2.0)DL Defl= 0.22 in Data Beam Span 9.5 ft Beam Wt per ft 0# Reaction 1 TL 380# Reaction 2 TL 380# Bm Wt Included 0# Maximum V 380# Max Moment 902 If Max V(Reduced) 318# TL Max Defl L/360 TLActual Defl L/527 Attributes Section(in3) Shear(in2) TL Defl(in) Actual 21.39 13.88 0.22 Critical 11.89 3.42 0.32 Status OK OK OK Ratio 56% 25% 68% Fb(psi) Fv(psi) E(psi x mil) Fc (psi) Values Reference Values 900. 180 1.6 625 Adjusted Values 911 140 1.4 419 Adjustments CF Size Factor 1.100 Cd Duration 1.00 1.00 Cr Repetitive 1.15 Ch Shear Stress N/A Cm Wet+Ci Incised 0.80 0.776 0.855 0.67 CI Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform TL: 80 =A Uniform Load A R1 =380 R2=380 SPAN=9.5 FT Uniform and partial uniform loads are ibs per lineal ft. %( e15a? . 5pd--4 13 - 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 Of Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ktUrhkdDATE RECEIVED: DEPT: BUILDG DIVISION ` RECEIVED FROM: \NGLAAA `i NAY 6 2021 COMPANY: CITY OF TIGARu PHONE: 603 —g Vi — Le SS— EMAIL: BUILDING DIVIS C 1 1( 'c;L •1CtenkA • Cal RE: 1,44QS SUD 1\kG�Ct.f IDAk_aL A Ns`T-2O4G-D03C1 I., (Site Address) (Permit Number) SArril-CIO,A 4 11—S f t 7 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: 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): pkayts t ..1.(-L��I.c� e*- �.r REMARKS: LVt, . , Y1l0, N WW1 CW-344:4-an •egk- • ----clk,at — cbia,L44.4 FOR OF I E USE ONLY /� Routed to Permit Techni 'an: Date: 5clj-Z,1 Initials: Fees Due: ❑ Yes lo Fee Descripti n: Amount Due: ( / $ (1 V .52T J $ V ( $ Special Instructions: Reprint Permit(per PE): ❑ Yes TNo ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions_073120.doc CITY OF TIGARD71 ��,,. l" MASTER PERMIT �r. I COMMUNITY DEVELOPMENT ram: Permit#: MST2019-00396 T I G A R f: 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2019 Parcel: 2S110BA04800 Jurisdiction: Tigard Site address: 14425 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 17 Project: Kaufmann Project Description: 440 sf addition, 528 sf detached garage&storage above.2/13/2020: REPRINT reduce sq ft. 3/31/20: REPRINT to add(1)steam shower,(2)exhaust fans, (1)200 amp service panel,and BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 240 sf Garage: 528 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 440 sf Value: $123,336.48 Rear: 20 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: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel TVDes Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 2 Fume100K 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr 13 Ea addi 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdc. Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm. N Vaccuum System' N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 440 Owner: Contractor: KAUFMANN,RANDALL BUILDSTRONG CONSTRUCTION Required Items and Reports(Conditions) %KAUFMANN,RANDALL&MARY 43222 SE PHELPS RD 1 Ersn Cntrl 503-639-4175 TRUST SANDY,OR 97055 PO BOX 357 MOOSE,WY 83012 PHONE: 503-819-6955 PHONE: 503-894-3348 FAX: Total Fees: $4,590.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Ore n law requ' s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 95 1-00 ou mdy obtai copy of th s or direct questions to OUNC by calling 503.232 1987 or 1.800.332.2344. t � Issued By: , Permittee Signature: cJ�-I C t < Ce ` .'( Call 503.6394175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Meefia;aioal Permit ApplicatioflECE,\IE City of Tigard Received p 13125 SW Hall Blvd.,Tigard,OR 97223 Date/IIy: t� /.?l ,� Y�t? -Y �7� t: MqR 2 4 ill Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Z�2[] DateBy: Other Permit: T I G A RD Inspection Line: 503.639.4175 CIS.�„ Date Ready/Ry tuns_ See Page 2 for Internet: www.tigard-or.gov ,�t�[� Not fled/Me hod: Supplemental Information BUILDING DIV LION TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work 1 I;1 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDEN'I'IAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. ' Total JOB SITE INFORMATION AND LOCATION Heating/cooling: r- - n l Air conditioning 46.75 Job site address: ia�as. I L �Ate ``2�UG Furnace 100,000 BTU(ducttivcnts) 46.75 City/State/ZIP: `-,"{.18, d q- a a.-V Furnace 100,000+BTU(ducts/vents) 54.91 n1J Heat pump 61.06 Suite,bldg./apL no.: Project name: avIA talc�..vi`reel Duct work 23.32 Cross street/directions to job site: ' QtyckalHydronic hot water system 23.32 Residential boiler(radiator or ' hydronic) 23.32 Unit heaters(fuel-type,not electric),- in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 23.32 Other: VeACL M5 a'u 1 1 23.322 03.3'.1 Subdivision: o� �‘\1 S Lot no.: n Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 nn ,, 'I t r-L[Y _ � Flue vent for water heater or gas F-21� VJ `VD SFR aO lg- D0c\(p fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33_39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t�{ Other: 23.32 tb PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: ..?airvla\\.. '{N(1a,4-,) ` 1 1&YSi‘ac ` , Range hood/other kitchen eqAddress: 1"t�'ireZS �` -) ynC C1.T`3.Aa C)C Clothes pment 33.39 Su-) Clothes dryer exhaust 33.39 City/State/ZIP: i Cj C)( Cj--/as Single-duct exhaust(bathrooms, Q toilet compartments,utility rooms) a 23.32 4t,,b`t Phone:(S0 ) g 1 l^ 1SC Fax:( ) Attic/crawlspace fans 23.32 ' 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: 'ej—_ 2p Q-b671� 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 E-mail:y tOjf 1a(Na.tm @ 063,4t L l , Range EY"- Barbecue CONTRACTOR Clothes dryer(gas) • Business nameyt K Gf)e et'f i,,/�� Other: FEES* Address: /9� / /S vvt' MECHANICALPERMITot (/ Subtotal ' ± City/State/ZIP: f%�� at �G.3 Minimum permit fee(S90.00) l `� A [ u•./ Plan review(25%of permit fee) Phone:f ) j _�g� Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained aitbia ISO days after it has been accepted as complete. Anthorizedp ignaturr;: ' Fee methodology set by Tn-County Building Industry Service Board Print name: 7 Date: t ao 1.iBoddtog'Pennits\MEC_PermhApp_ 113.d MI 17r11 N'JCOx1/wEa) 1, RECFIVED . . .: Electrical Permit Application , r:R.l 4 IC f 1 .; E. City of Tigard rt MAR f q 2020 i .,....1. --,i'v't‘ )5 g) -20 /0 1.)+1' 1 .--e•C/1 I 5 1 ._ Me.R4.7444C,‘ Ptwer. Mi.:5.7115243Q FAN, 503.59 ..tir Or .!IGARD reerrIte hufecncyri I/fie: M.)3.62)9,4175 DIAL-DING DIVISION rtientkol.51.44eb.117XL: tWiyavd teram'el : halt I°%.**eket 21er Wan= AAI.A),-ti -n-11.er sen- Sappiest:sale leferweliee.. .....TYPE OF WORK 1 PLA.NI REVIEW Ripicvi cietromm inn 0 Additiovaltendionireplaccrampt t Flatett cleaditthn ietpl•(valeta.*2 reseed.plaw,waiarnseheched;•. El 504$1.4=VI.fewla 4.:4 page.er tegae 011.1E4dg:A ever taw=aeries. n Dcmpliti. i votes*ittt avaLsbk-talet totioi 0 liiisit toi lositattis. CATEGORY'OF CONSTRUCTION I ctuxis 10.000 swim w.14.5 wet,w 0 1 kagez teaktruht *a te emece..or tweeds)4;3M arweeseerePowwestrirathri) 0 I-Und 2-taraily 41..A.9 lin: 0 COMMangliasdirmal 0..i.retwery trailding mews hot all wbast irreelle6aw tvittanis 0 Me.116;-farttil). 0 Master build= 0 Other: ; OP=pomp EJ lerrAnnir ati310 3:1.-A.ef 4 .... JOB SETEINFORMATION AND LOCATION 1 ut...tnesuesev Weak% }PVT MCgrJttkr tiCrt4d Et mda.....li woe awnor teed of swum J.ih i.: ; fob address:144,-Q_s Sti) INte.Fralai.o.l.eit_41 ,- 1 Gt."ic%WIC keial-will+M * CSlate/IP'. --.17,vid ok qi •a4 0 7C=AkvislwAritir prig.t.. - 1 al leelett-ort eilter.. Suite/Kip:apt. *" f PrOject mew.Ioeg . 44,,,,614,.. ... _aiiiis !, ri)+Ae‘Aml•a)) )),..m) e... 0'Cave'?W4Ate ix Dors Max .... i 0 Seenr-s ve 40A.A5s ti.A)aeg..5....,444414,IC. V4i*:'V.L'll'.MI""Egi L.: 44 -1?)..b.h..atzect;),Itretleoes 1)1344)*etc g.SLQ ta...4f t SU P.4.4 ; FEIE CMMY, T-11.. I g.A. ; tttati •* I t liktartfttotn 7kt/0 r443(11021 Vtagtk-er tuttki-Evatly thetriter snit- 1 5466 ittt4ttn: c 3/4121414m) ttOis 1 LAYL A._ 0 'L Inclodatatisciwa mire_ i . . .. _....._— - SO it.Of kil. 1 1 f44 1.1. i 4 Tw:Irzapparcel#: Es,A•51 RV sq.ft or pinto i 119.71 ....... DeSiltIPTION OF WORti .ligasigd al=tv.ItAukcidAl 1 7 S.A1 ' 2 141ft-if)trnsio TA SIV._ aoic't —0-6'3.1(4, .,,,a Ancor sc,ft,i ...... t iivineti cales=0,imAi*.I.m.k. i, '., read:aged Imet show gq It y ,1 101141riSilit tAktrn_ ' u Stt3 Pins 2 3 VC PROPERT13'OWNTR 0 TENANT ... ,......_ , Semi...tor tattlers inonitii:403.Alcrittioni.=Vow relocation —-— Name: RaraaNk i-tiaxitStn *A.-4.1%kiit.\Kau.A.4nava 2"'"2/7%ce ier4. 1 1 ICC 7) ),ipono 2 _ I Ad'IrC5d- %44 as $.4) htticcurtut.4._ Pokoa , ;.-91 mart to4:AY=NIA , 113 2-6 r 2 4411 amps to AZKI snip% • 7.561-1 2 Cir,(State ZIP----T-T oV.._ ckiaaq fr(11 tUrtel itat I AK.mely 1 Kti 414 t 2.- V ' PNW.C:1503) E 1 -ta q SC-L:4`6. i i rav;{ ) ther:MC=rat ce-%MK - I irirporiry vertices or irricrt iota:at:Aim.Attrition.actor ' Cra35- VAttg t • Kif13-1.4teletNA'n @ '‘C.‘cntA .COW, felfiCiiilt OTOrner irMtlibtiOn:'this in-gal/260d Is bting.ntadc.OH mogul:.litat I our;•A hit±k mpg 2A-I araes.cle 1,-4.1. 7t,r-' e%----.7.."--'. --i: : illtValoktil for...ale, ex I_Or ex; -e. - 10 ORS 417.,449,670„ 0,7m. , :riT1'eacsa-ua AM atErs -12-C".'S : i ,,- • 1 ..)-Ancta•atiere.turc-. Duc: ,3 le2430 ...._ f Matadi)mesa%-Ik`14'..ladVgliNA.,w e karsiemir pane} 1 gi APPLICANT . @if CONTACT PERSON 1 A.!cc fiat'a-r...ci,..---1--= it.. iSatteSS assir. ,,,ittkiL- eti4 0136'042- ', abcmc scr-ia--at ItA-dt:A.e... ' . i evra-let r=rac: It kr.AV tv.a.)_h cer-ots resdotoof ! erserrxe ,Atee.0-Ate low Aci&ess: t....Is om= ..,.t Oh State:IT- Lath ati3-1 brand)arm= .-45 t r4: 31-la 2 • - Aiiillil411111**461‘14-1Vitrier reciter awl intiodirtb I Mix:3 ) 14,143,3•I ) Eat...ottifisti.oior minfilr_ senow aalJor foeder . - itmloomi well ! .1 ta :. BuSiritr“...rxrAt- tatani Ele.zzl-riLJ.J Add=„T - - stinw czer,..‘Agn,..:_ .' n .4", 2 , ; C, F cv C y3 _ IiInti 1....m.i....,,e1 CY Mettit.'e. ' ' — - . Eht*S4ddrbas30 iospottios o*.es agooabto io awl of IN.abotr Cit.:333144c AP: FA. Q> 9?CI Z-,. r Moat:i 5)3) -12‘---56(4-1 I-a.....( ) Fel rat)==)1 le=a) . 44-'444' ItteAsartai =4 t i brt v.ttr-tt 24 .');--v);;-1• -- n '.eAir i467e0 P-if try-7e2ic z_t_c @ne,-7"Jiff _ La._ , i -.,,-,...- , 1....'"'PeaRIMStarvelt=ea-• ) Lie__ /611,7 . 1.1,...2.12.ic_- f// sum: a ic- c7 --z5 ,-,,,,, ,f.=1.....,-,1'.. .d,—,1-:,-.i.:,..7....---• ' ! ! ELECTIUCAL MIMI 14.f.s . IXIC' 2-2-g--262-(1 S7A-trt.1 `...zeinciaes stvtatt):M.Pekolru.--,...1 - __-_...— I a Plan R)r), Iir Rcpz-ed- )72.4`toeifpeTr-a feel Prfat MraerIpprs ‘C) coll.,..iit.....(1__----- • . .., _ ; suar gad:sarx o 42*.a par=f= ' 3 ku l TOTAL PrA...SLIT WI- i, .teerrued saFr.alter: Ilis email eirioestihramstisee if e pereeit e.ow ebetealsed armee les -- . 1141c: &sr alteria hat two Lopevoet is eicatilese- • 'tiswerits-ei,..rot...,44113trwodpervernix. .IT?I'lt 441-C.:tr.11 1:44-0.4 Vt1P i' CITY OF TIGARD MASTER PERMIT . ,` Permit#: MST2019-00396 COMMUNITY DEVELOPMENT t TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 12 a' Date Issued: 10/31/2019 r Parcel: 2S 110BA04800 Jurisdiction: Tigard Site address: 14425 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 17 Project: Kaufmann Project Description: 2-story 440 sf addition of media room, master closet, elevator and 528 sf detached garage with storage above. 2/13/2020: REPRINT permit to reduce sq ft of addition as described above. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 240 sf Garage: 528 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 440 sf Value: $123,336.48 Rear: 20 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: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 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: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 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 Ecom asin N Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 440 Owner: Contractor: KAUFMANN,RANDALL BUILDSTRONG CONSTRUCTION Required Items and Reports(Conditions) KAUFMANN,RANDALL&MARY 43222 SE PHELPS RD 1 Ersn Cntrl 503-639-4175 TRUST SANDY,OR 97055 PO BOX 357 MOOSE,WY 83012 PHONE: 503-819-6955 PHONE: 503-894-3348 FAX: Total Fees: $4,437.56 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 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: a,,,/ /0e.-i C 4,-77 CAI 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. Approved plans are required on the job site at the time of each inspection. illCity of Tigard ECEI ,r) COMMUNITY DEVELOPMENT DEPARTMENT ■ OCT 15 Bois TIGARD Building Permit Review — Residential TY�lAtAiSfilifiTh Building Permit #: /'/ 57 r20L l- 063%, ILD1WG j Site Address: HI '2 6 SW Mc Fri r)crl►-) cal 13i a• Project Name: V- G1 V Fir)c1 r1 e1 1r1 ous-2, A c4 cLi ti ''i of #: (New dwelling=subdivision name;Addition or Alteration=last namee of owner) Planning Review ,{,r(li'fk I , I`CMa,tt, k& �" t' q � << r�1Tr� ec kijil-rtA (2 -Yu SC //Proposal: New 52-3 S'7. Yi" hCu2SSOr) S tniChlit/CC1aiye c 6 92 .hvn'u Verify address/suite#active in Accela. In River Terrace: No 0 Yes,River Terrace Review Addendum 4L tit. V ite Plan Elements: - sion Control 171f/liz J 3 copies of site plan on 8 i/2"x 11"or 11 x 17"paper ed trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE oarrow ' �''.iiity locations&easements(required for new and additions) te address,project or subdivision name and lot number Sidewalk/driveway approach Rw Z: Ue64 ilt efa" iv 9 Applicant information(name and phone number) �v�ocatlon of wells/septic systems 1 Lot dimensions and building setback dimensions / tettree size,type and location ( t � 1Ge'tl1n °F i quare footage of buildings to be demolishedc/Rugs_ Street names 411 +GYNA aft- 2.0. fan Existing structures on site %Corner elevations(2'contours if more than 4'differential)1 ry. 1v7'./t Inept area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 0Yes)INo1i. — impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes,leiNo (Z Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: l`-' Yes ❑ No Public Facilities Improvement(PFI) Permit: ',l��`�T� t Required: ❑ Yes,applicant was notified I No Applied For: ❑ Yes 0 No,stop intake Land Use Case#: A Di 2-0 1 c i - 0 coo S ❑ Zoning: 2- \AAX Required Setbacks: Aront: 30 ear: '2-0 ( de: .5 greet Side: '2.0 garage: Z J f i Building Height: ` Max. Height: ? 0 1 Actual Heigh i S Landscape Area: W / % Lot overage Max: Ivi 1 11 % Entrance Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. 1 ` ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"floor. i� Cl Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60"/0 or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 7 Visual Clearance ❑ Urban Forestry Plan Sensitive Lands: ❑ Yes ❑ No Type: Conditions met prior to issuance of building permit Notes: 1 Approved By Planning: M �.•�`�...- Date: ( 0 ' )�S i' I CI Revisions (after Biyifding Submittal only) R 'ewer . Date Revision 1: C pproved ❑ Not Approved tivk t-Li-tZ4t o Revision 2: 11,4 Approved ❑ Not Approved Z. S--2.ab Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_0228 19.docx Building Permit Submittal Original Submittal Date: 10 !45-ll Site Plans: # Building Plans: # Building Permit#: nter building •ermit#above. Workflow Routing: Planning P ngineering rmit Coordinator - tiilding Workflow Sign-off: Sign-off for 'lanning(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. p"Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: //�I Date: 0 /ffg Y Engineering Review Dr-Slope at building pad: (D O. ❑ Conditions "Met"prior to issuance of building permit ET/Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes 0 No ❑ Final Plat Recorded: 2-NOT Approved by Engineering: 'T Date: f//i o i�'founj Notes: hGt11 1'D �Sh-.�+,� f..ii0i3 ✓ C/e' c'.j t i riA� L./014 Ltcr,�YJYJs+�1t^. (4 oil- /1t l 4-- y _t [ Approved by Engineering: % - 7g LI1 Date: 49 a3e/...?Q/9' Revisions (after Building Submittal only) eviewer Date Revision 1: L'Approved ❑ Not Approved j i/3 0 /2020 Revision 2: Kr-Approved ❑ Not Approved 7 ,-�► 2/G/Zozo Revision 3: ❑ Approved ❑ Not Approved Permit C ' ator Review ❑ C .tions "Met"prior to issuance of building permit-� Approved,NOT Released 44�/N-6— ��,± '5»►.S -- x e ,.. j Date: Ji'T Notes: Revisions (after Building Submittal only) '/ Revision Notice 1: Date Sent to Applicant: //' O Rev 'on Notice 2: Date Sent to Applicant: ` /3a yy�� PP evision Notice 3: Date Sent to Applicant: Id DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Tigard Trans SDC: ❑ Yes /A Parks SDC: Cl es N/A LIDA V Yes El N/A 2 &( >C / t9/'77 l[� OK to Issue Permit JJ/ �Approved by Permit Coordinator: / ate: l / 19 l:\Building\Forms\B1dgPermitRvw_RES_022819.docx CITY OF TIGARD MASTER PERMIT N .....,'. • COMMUNITY DEVELOPMENT Permit#: MST2019-00396 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2019 T t C,+l F.[� 9 Parcel: 2S110BA04800 Jurisdiction: Tigard Site address: 14425 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 17 Project: Kaufmann Project Description: First and second floor addition plus deck and detached garage with storage above. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 1 First: 516 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 176 sf Garage: 528 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 692 sf Value: $130,379.41 Rear: 20 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 at: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 692 Owner: Contractor: KAUFMANN,RANDALL BUILDSTRONG CONSTRUCTION Required Items and Reports(Conditions) %KAUFMANN,RANDALL&MARY 43222 SE PHELPS RD 1 Ersn Cntrl 503-639-4175 TRUST SANDY,OR 97055 PO BOX 357 MOOSE,VW 83012 PHONE: 503-819-6955 PHONE: 503-894-3348 FAX: Total Fees: $1,307.77 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: Oreg. law requires you • follow the ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR: 2-001-0090 You m, •btain a c.•y of the rules•-,direct questions to OUNC by calling 503 2.1987 or 1.80 .332.2344. Issued By: , /tel_ Ay,/ e,�. Permittee Signature: j /_ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 1;=/7 ,,. This permit card shall be kept in a conspicuous place on the job site until completion of th project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEI .V FOROFFICE l st.O\l City of Tigard Received Date/13 : 0 / /k,I " 9 % OL(/ f�(/ 13125 SW Hall Blvd.,Tigard,OR 97223 Q C T 1 5 2019 Plan Review lb = Phone: 503.718.2439 Fax: 503.598.1960f� Date/By: l V (co 11 Other Pecnut. T 1 G A R D Inspection Line: 503.639.4175 CITY�i V r` Date Ready/By: Juris. ® See Page 2 for Internet: www.tigard-or.gov l�H�►) y�ified Method: f f ' Supplemental Information � oli ING. r1,4,f+(,_,.,,,, 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 ,E Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and the rofit fqor,the CATEGORY OF CONSTRUCTION work indicated on this application. /SO, 3� / si 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3 ElAccessory building El Multi-family Number of bedrooms: ' ElMaster builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Z 17/� Job site address:/ 4 4 7,5 f� jv,c rGt2ru in�/ t I v j New dwelling area: 6 square feeteet j City/State/ZIP: "rI 1 q IL(l 012 f 1 Z Z y Garage/carport area: 3-2 S square feet S(,� Suite/bldg./apt.no.: / Project namcpb IA T,v'4 wv'. 1 t je_ 6f I i 4am Covered porch area: square feet Cross street/directions to job site: pa tt F(L. S q IV ( 'j er# ) Deck area:, Z l 7 square feet e Ll it m 1 1 /C r i r a t2 ice,in el Y '' thitc OJ1 �L ti. Otha�frd�6�'� ,-).(e square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 5 in c e p(N ,//A t 113 Lot no.: /7 Permit fees*are based on the value of the work performed. Tax map/parcel no.: .1„S I f O�rl T 8 b d 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. r"/(1-$ 1- 4_, .‘cc_out ri.ohlt_ A d 1 -i'/D• Valuation: $ rit—e st(.\ ell In) 6-4 f1A06-C Existing building area: square feet New building area: square feet [t PROPERTY OWNER 0 TENANT Number of stories: Name: al, dull a- a A/ 1?act i l yl Type of construction: Address: I LI ti L S SW rn L rQ 4 f a Mc 61✓t� Occupancy groups: City/State/ZIP: '7 / q oh. (f Oft- ?7 u y Existing: Phone:(S 0 3 g/ 9 6 5 f S Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Plaserefertofeeschedule) Structural plan review fee(or deposit): Contact name: 6 c' 4 6 d v.e..... FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: . Phone:( ) Fax: :( ) Amount received: E-mail: b ,K G a rM ASP e j C I D�l e( C D PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. r Business name: CI1�. Submit two(2)sets of roof plan with connection details ank fire department access,along with the 2010 Oregon Address: 1...1 A)-....z 5- t! A,//S A_d Solar Installation Specialty Code checklist. City/State/ZIP: 4 4. Cie_ ,7�ss Permit Fee(includes plan review $180.00 // and administrative fees): Phone:( 5 al 8 Y l�T 3 Y$ Fax:biA t ed avis lice q ivi Al k CO + State surcharge(12%of permit fee): $21.60 CCB lie.: -2._0 j -2,-7 5 `�lJ 12 J CC�� / Total fee due upon application: $201.60 Authorized si ur /Z /, --- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1L4h Dd;/ Ha /AA 600 I Date: g Zr----1, 1 *Fee methodology set by Tri-County Building Industry Buildinz Permit Application Checklist One- and Two-Family Dwelling I ol: 01 i 1( I. I sl. <)',.v City of Tigard Rea - _ Permit No.: III13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T 1 G A R I7 Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑❑ Li 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 .Q 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 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. ry 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size Jam' 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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 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. SY 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 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 V 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 2 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 ja" 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 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 J2 architect licensed in Oreton and shall be shown to be a.•licable to the Iro'ect under review. JURISDICTIONAL SPECIFIC'S 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. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 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. A .t Mechanical Permit Applicatio , ,,j1 v t FOR OFFICE,.PSI:ONLY Received City of Tigard OCT19 Date/By: Permit No: 71 M a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review T I C;A R D Phone: 503.718.2439 Fax: 503.598.1960�I �� h �` Date/By: Other Permit: Inspection Line: 503.639.4175 OFM1 L! Date Ready/By: Inns (a See Page 2 for Internet: www.tigard-or.gov UI( f l N( it iAil' l r) Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: ply Z 5 ILA/ /McretA l q y,0/ /2Jy/d Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 77 7 4A-c/ OA. 97 12-V Furnace 100,000+BTU(ducts/vents) 54.91 L Heat pump 61.06 Suite/bldg./apt.no.: Project ArdC/!>ri.4ylyl 1,14104 A[tOtI f/AliDuct work 2- 23.32 4/4,‘L-1 Cross street/directions to job site: 70,44:44._ r/ 9q w 7 o e0 II% �f Al Hydronic hot water system 23.32 u illvat �/ Residential boiler(radiator or #45 MC r/2 /4Lt of 'a((f Ci 4 �G ileac( 0 6 ft 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: J V,4.61.4.) frit d ji Lot no.:17 Other: 23.32 Other fuel appliances: Tax map/parcel no.:.$//8A -6 5/5 0 0 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert , 33.39 r Flue vent for water heater or gas I Z�- 'Co ar< /d1 1? fireplace 23.32 F-,,,,„ S)-4N d/��/ / „�e Log lighter(gas) 23.32 / V 6'8 �/N Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 n PROPERTY OWNER 0 TENANT Other: 23.32 �/ Environmental exhaust and ventilation: Name: /2-4A it'd/ '— /1/I efitl,\/ /)4'U`��t44144 Range hood/other kitchen Address: yyzs s-LA.., 446, weje yId X47/yea/ equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: -p-7,0,4,e/ ev- 77 2Z`/ Single-duct exhaust(bathrooms, a� p �l �y p toilet compartments,utility rooms) 23.32 L$j Phone:(5 6 3)-8(7. 6!c5 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Of Gjfjive- Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace , Range E-mail: in ,,,,.tfr k4i!fkf 4414 iQ / L,/pool. COm Barbecue f CONTRACTOR Clothes dryer(gas) Business name: M/�� D 4O fL9 4/n ._f of t 41 J..C a 4/i yt e� Other: MECHANICAL PERMIT FEES* //// ��/// Address: ! /-c 6 O Subtotal f r g4,City/State/ZIP: 6.71r6-5/1„5,Aty OOK1?t�3 V Minimum permit fee($90.00) Phone:(cv 31 z Fax:( ) Plan review(25%of permit fee) s . State surcharge(12%of permit fee) CCB lie.: /6,7 3, , «f Lf j cl TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 2,44. * Fee methodology set by Tri-County Building Industry Service Board 2 aolc(k!) A/u441/4r00 Electrical Permit Permit Application _ _ . FoR()Flit FT`,1 ONLY City of Tigard . 2 , i‘.i hReceived Permit 4. • DateBy. 13125 SW liall Blvd.,Tigard.OR 97223 Plan Review . Phone: 503.7182439 Fax: 503.598.1964;1 ; ; t ''..11-`. Daiel3y: Related Pernut ii Inspection Line: 503.639.4175 Ready Dateilly runs 1121 See Page 2 for Intranet: nww.tigard-orgov ;2,1-1`..," 01- ', -,•,.,-,,L•„' Butiliedilefethod- Supplemental Information TYPE OFV-WIWK,.1!" ,0,1;;'1:';' 1' PLAN'REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w)tems checked). 0 Service or feeder 400 amps or more 0 Building over three stones. 0 Demolition 0 Other: where die available fault current 0 Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings f21-and 2-family dwelling 0 Commercial/industrial 0 Accessory building loss to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings i 0 Multi-family 0 Master builder 0 Other: 0 Fire pump 0 lostallatton of 150 KVA or JOB SITE IN'FORNLATION AND LOCATION 0 Emergency system larger separately derived t0 Addition of new motor load of system Job II: Job site address:irVir2,5 44) „14,,Altiaiii e lid 10011P or more 1 cl/y/SlateraP: 17144.1 OIL 1'7 z-V1 0 SI X or more residential units occupancy. 0 Recreational vetucle parks 0 Health-care facilities. Suite/bIdgJapt.14: Project BaillerniAbeil, AMU 4411,06164 0 Hazardous locations 0 Supply voltage for more than 0 Service or feedm 600 amps or more 600 v91"99.919.1- . Cross street/directions to job site: Pik,;,17.,Z_y ??Iti 44 8u1/Art- 44 FEE SCHEDULE timerlotma 1 Ett, 1 Each 1 Total I • R)firt eaitr) 44z,fint4.40 odor New residential single-or multi-family dwelling unit. Subdivision: rietoglOw kill Lot#: /7 Includes attached garage. 1, ` I; 1 4 Tax map/parcel#: 2.si 10 IBA_ 000 sq.ft or less 168 54 64,18 00 Ea.addl 500 sq.ft or portion 33_92 1 I DESCRIPTION OF WORK Limited energy,residential I 75.00 1 2 1 . .fr';la S 1-',4 it CA In fte. 1:4.0434.. a i 44-te v A. (with above sq fi.) Limited energy,multi-family 75 00 2 i RU-v_ J4414 01)Ofy 64tt,40490L, residential(with above sq.ft.) , I 1 . 0 PROPERTY OWNER I 0 TENANT Renewabk Enem. 0 See Page 2 , Services or feeders installation.alteration.andfor relocation Name: /2_*101 lel/ - Ad 4A1 i au f44 elm 200 amps or less loam : , . _ 201 amps to 400 amps , 133.56 ' Address: /if Y LC f L.4) A#ICF*41010C/ 17/14 401 aims to 600 amps 200 34 , : ' . City/State/ZIP: -71 rut/ eve., 9 722.ty 601 amps to 1,000 amps . 301 04 . i ! .Phone:( .5-63_17 i 1 _6 55. I Fax:( ) Over 1,000 amps or volts 55226 ! 2 1 Temporary services or feeders installation,alteration,and/or Email: reloestion Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.011 , ; - Owner signature: Date: 401 amps to 599 amps 168.54 1 1 2 1 0 APPLICANT I 0 CONTACT PERSON Branch circuits-new,akeratioo,or extension.per panel A.Fee for branch circuits with Business name: above service or feeder fee, 1 each branch circuit 7_42 Contact name: 4,/ 4 ii„si/t., B.Fee for branch circuits without service or feeder fee,first 1.... Address: branch circuit 56.18 City/State/ZIP: Each add.'branch circuit 7.42 2 ilnacelloneons(service or feeder not included) Phone:( / i Fax::( ) Each manufactured or modular 67.84 , dwelling,service and/or feeder . Email: 4/ 07.keti/41400 e "CierUtd.ftekaot Reconnect only 1 67.84 2 CONTRACTOR Pump or irrigation circle 1 67.84 - Business name: P.p. •Te...1"Ele-c-k..ri c Sign or outline lighting 67.84 2 i Address: 2 1 V .6.-., Signal carcuit(s)or limited-anew 0 See Page 2 panel,alteration,or emcnsion. C --:..2.12. Each additional inspection over allowable is any of the above it)ISlate/ZIP: 0 02 40- Addttional Inspection(I hr min) 66.25/hr Phone:fs0.3) r-i=V:- 34-'1 Fax:( ) havesugatioo(1 hernia) 90.00?hr Industrial plant 0 br min) 78.111Chir Email: /-_-7/11C;X-4/IC"e LC4-7 2 IC 4_4,c 62 fib7A-1414-- C(‘--"-- Inspectiorn for which no fee is 9o.00:hi CCB Lie.:/6/3 5---) Electrical Lie.:6 igi Suprv.Lic.:5— -2.5 specifically listed Cir hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,require Wit a-a..1 Subtotal: . CI Plan Review Required(25%of pamit fee): State surcharge(12 of permit fee): Auk)t'-t- ....•- 7.--' - i TOTAL PERMIT FEE: ----- This permit application expires if a permit is not obtained within 15t Air days ante It has been arrested as complete. 1 Print nuns, .. -,-- - -',,,--,..• 1.1 *,-- ,,.±...-_-.....,-. • _ --_. -• ‘DekVi.c) c ---yia -t ( - 1 Electrical Permit Applicatio _ NEPl�oR(Wi 1( 1. E L ONLY CityofTigard Received g DateB : Permit#: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196 C T 1 2019 DateB : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: funs: H See Page 2 for Internet: www.tigard-or.gov CITY OF T ( AHL) Notified/Method: Supplemental Information TYPE OFF , ,°d . `kilqr, • PLAN REVIEW ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. rit 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: /4'9Z5 syr 1J le, ,i Ct a e?ve 100HP or more. ❑"A","E",°`i-z "1-3", 0 Six or more residential units. occupancy. City/State/ZIP: �o4/f( O2 1'7 Z� ❑Recreational vehicle parks. / ( ❑Health-care facilities. i Suite/bldg./apt.#: Project name/jO4!$)/ Amu 0,114/AIA 0 Hazardous locations. 0 Supply voltage for more than 4' /� 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ert,4Ls/1 y4V /hi 8j,I/or 119' FEE SCHEDULE /2)y�� at D Me4-044 N0( ` d Description Qty. Eachi Total * /(/7/ New residential single-or multi-family dwelling unit. Subdivision: r1401014,1 #I.l/i Lot#: /7 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: ZS/iO 8A - 0Y8 00 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) 1.4 it CdIn }%7 ddb add, i... (with energy,multi-family 75.00 2 Fn e ^ f�414 J}�. /r ditm� residential(with above sq.ft.) l�� Q CY`r Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: I .a14 14 .. 4 A.)e luau F44 0,$4 200 amps or less 100.70 2 Address: r if 1 L c rW /(.F.4//QI gyi 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 1 r f daft_( Ort. ?7ZZy 601 amps to 1,000 amps 301.04 2 Phone:( 563— k/7 - 6?..13" Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: Q/ d 4a l/, B.Fee for branch circuits without service or feeder fee,first 2;K 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: 4/1447 /ca,ilmeti ?C. ,,G I D 1/Q.(o�.) Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: C j /172 a -EeG i c Sign or outline lighting 67.84 2 ' , � ^ Signal circuit(s)or limited-energy Address: lo�6 S� ( ' W1O t4' _ panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Q Additional inspection(1 hr min) 66.25/hr Phone:(150 7s) 1— :G 41 Fax:( ) Investigation(1 hr min) 90.00/hr Email: ✓ Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: 258,VI Print name: Date: 0 Plan Review Required(25%of permit fee): �� State surcharge(12%of permit fee): Autho�i s g a 1LIA-.1.----' TOTAL PERMIT FEE: // This permit application expires if a permit is not obtained within 180 1 Print name• /2.4 /4/4// /.yau¢ti14 , 1 -,-,.,„,007 I days after it has been accented as complete. Plum in Permit A lication Building'Fixtures ECE1VED ► t>►., OFr►t l , ,,i t1y►.v City of Tigard OCT O Q Received Date/By: Permit No.: , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - Phone: 503.718.2439 Fax: 503.598.�� ` ri�A � Date/By: Other Perm it No.: Inspection Line: 503.639.4175 T1GARD DateReadyBy: Juris H See Page 2 for Internet: www.ti and-orov BUILDING Vis1 `' 'Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist. 0 New construction ❑Demolition Description I Qty. I Ea. I Total ®Addition/alteration/replacement 0 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 ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: C ytl/�5 c / c,`4E-lad /1 id Catch basin or area drain 18.76 City/State/ZIP: -1116/2e1 9 72zy ,J Drywell,leach line,or trench drain 18.76 ( Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project Hatt au j 17 h/y� AJQ/T/b/ n/ Manufactured home utilities 50.03 Cross street/directions to job site:la�Gl;C AAA/ q?g/' o last//Q Manholes 18.76 Ity ct O✓1 Mt r o /aX /Pa' Rain drain connector 18.76 ''' t-uK C Q Q Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:IA A4iffr./ y/lis Lot no./'7 Fixture or item: Tax map/parcel no.:Z,S((D g IAF -01./800 Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 hI2 f'c•CLO RD h'& ?art'10n Dishwasher 25.02 ftLQ , fi4I4 diol /J_6QD . Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: ' 41,,,e11111,-, M a.A / M t�r Fixture/sewer cap 25.02 /�yZ j fl v 4C rad,/ate/ Ig1�� Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIrp4 (// ex. 1'7725/ Hose bib l 25.02 jJ'L Phone:573)911 (ff 5 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: et/ A4gVc Roof drain(commercial) 12.51 Address: Sink/basin/lavatory a 25.02 50.eV City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan dam, 12.51 25.6 2 E-mail:MO/.kau,ands 4/-,'"/d p(/44 GO/� Urinal_ 25.02 / Water closet 1 25.02 15 el 2.... CONTRACTOR /� L Water heater / 37.52 .,7 7k s'2-- Business name: Pe„-rei f /P20 Du,yip PK,efe,t V€p I* V Water piping/DW 56.29 Address: 1t-(?S7 K(-G11 1 I C.. D f /-0 Other: 25.02 City/State/ZIP: are v,,,_ 64__ rig._ "•2ve:1 5 - Subtotal /CZ.62_ Phone:(5t 3 4739 11 Fax:( ) 711 MO Minimum permit fee: $72.50 CCB Lie.: L ( !J'--- l t1 i) Plumbing Lic.nolajo,IWPlan review (25%of permit fee) /� State surcharge(12%of permit fee) Authorized signature: /�y��i��yre/j..� TOTAL PERMIT FEE Print name: �i,)a U M�h �// Date:Ae//t/0 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-Couniv Building Industry Service Board. City of Tigard � f 1111 C . COMMUNITY DEVELOPMENT DEPARTMENT D TIGARD Building Permit Review — Residential OCT 15 2019 BuildingPermit #: �� -'�BRNZ aS1O ` C Site Address: l J' `Z 5 S vv M c f-c'►r)cl r-) cL 8`\i'Ct Project Name: 14- c4 0 GI n Y1 Yl ousz A Gl cLi'h C''i.ot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (VM sGb sci, k1' AccQJco Sins' ct itiow1r'i e It 69 ,1 ''honz_ Verify address/suite# active in Accela. X In River Terrace: 7 No ❑ Yes,River Terrace Review Addendum 61A1' G" Site Plan Elements: E3rasion Control /3 copies of site plan on 8-1/2"x 11"or 11 x 17"papereft-Mined trees with drip line and tree protection measures /Drawn to scale (standard architect or engineer scale) ootprint of new structure(including decks) and FFE Z1North arrow Felty locations&easements(required for new and additions) /tie address,project or subdivision name and lot number /Sidewalk/driveway approach Applicant information(name and phone number) EttriaIIon of wells/septic systems /Lot dimensions and building setback dimensions C&treer tree size,type and location 'quare footage of buildings to be demolished Street names %Existing structures on site %Corner elevations(2'contours if more than 4'differential) area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes/No - impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes,No Z Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ NoSLY f l,�Received: X Yes 1=1 No 0 Public Facilities Improvement (PFI) Permit: ' Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: tot D j2,,oici -- 0 CAO c ❑ Zoning: g-2 Z0. Required Setbacks: Front: 30 Rear: ` '2,<,Q Side: 5 Street Side: '2Garage: 2. 0 Building Height: f/l A Max. Height: ? CI / I S Actual Height. I S JZ1 Landscape Area: W / , % A. xiZ Lot Coverage Max: I/ /1 % EntranceSet back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street facing wall ❑ Yes ❑ No,one of the following is met: ..) ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. � g i ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. 'lv / n ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 7 Visual Clearance ❑ Urban Forestry Plan Sensitive Lands: ❑ Yes ❑ No Type: Conditions met prior to issuance of building permit Notes: Cl AApproved By Planning: ,,,A. V-\_... -- ._..- Date: to l l S / 1 v 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_022819.docx Building Permit Submittal Original Submittal Date: ((7 i�91/, Site Plans: # Building Plans: # Building Permit#: vititer building ermit#above. Workflow Routing: �PJ Planning ngineering ([n'rermit Coordinator /, - iilding / Workflow Sign-off: 2 Sign-off for lanning(include notes from planning review) Route Application Documents: G Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. p-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: / / / By Permit Technician: ;ir /,Wi,- /) Date: [/AW" i Engineering Review Er-Slope at building pad: 4 Z ❑ Conditions "Met"prior to issuance of building permit 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: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No E Final Plat Recorded: Et-NOT Approved by Engineering: '77.........491-4 Date: /0j/s-42,a, Notes: `telt 6 sh,,-i✓ 0,000. / �e Ckk.w tc ,SenhZt5 L/b14 Lt4s-loAtl ErApproved by Engineering: % Date: /..94 Y/,,?Q/9' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Cs : •inator Review El C• ..tions "Met"prior to issuance of building permit is142 q 1 Approved,NOT Released ,,n4-6- 3v/StL>s C1x u I* Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Re •• 'on Notice 2: Date Sent to Applicant: revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: CI Yes Tigard Trans SDC: CI /A Parks SDC: ❑ es N/A LIDA V Yes ❑ N/A I ip OK to Issue Permit Approved byPermit Coordinator: 1 ate: a 24/1/9 I:\Building\Forms\BldgPermitRvw_RES_022819.docx 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 111 I Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www_tignrd-orgov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: U\ad\ i(eLU- MO-f‘ OCT 3 0 2019 CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: pp'JO3 `Z�f — 5 S—S By: t7•• RE: SieJ I"`C-.C&4'EC J611/4J n'I��I c9.0f' ' b ) ( (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: 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: �ja / 11 pc(1G.L c s 4 rep-k 1. cz 1 FO OF ICE USE ONLY Routed to Perms efician: Date: le 3b I `� Initials: Fees Due: [e� ❑ No Fee Desc ptio : Amount Due: 1 1Z— citiNSl`cam CEJ $ . v Special Instructions: Reprint Permit(per PE): ❑ Yes I N6' D Done/ A. .licant Notified: _!,, Date: 7' Initials: � I:\Building\Forms\TransmittalLetter-Revisions_061316.doc CO V cop- 4 `��j,/ Clean Water Services File Number C1eanWate� Services 19-001058 u, Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 1 T 2019 2. Property Information(example 1S234AB01400) 3. Owner Information sING E V IOht Tax lot ID(s): Name: Randall&Mary Kaufmann 25110BA-04800 Company: Address: 14425 SW McFarland Boulevard Site Address: 14425 SW MCFARLAND BLVD City, State,Zip: Tigard,OR,97224 City, State,Zip: TIGARD,OR,97224 Phone/Fax: 503-819-6955 Nearest Cross Street: BULL MOUNTAIN E-Mail: mary.kaufmann@icloud.com 4. Development Activity(check all that apply) 5. Applicant Information IA Addition to Single Family Residence(rooms,deck,garage) Name: Randall&Mary Kaufmann ❑ Lot Line Adjustment U Minor Land Partition Company: ❑ Residential Condominium Li Commercial Condominium Address: 14425 SW McFarland Boulevard U Residential Subdivision U Commercial Subdivision U Single Lot Commercial LiMulti Lot Commercial City, State,Zip: Tigard,OR,97224 Other Phone/Fax: 503-819-6955 E-Mail: mary.kaufmann@icloud.com 6. Will the project involve any off-site work? U Yes II No U Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Add 513 sqft of which 279 is already impervious surface(concrete patio)so a net of 274 new sq ft of impervious surface This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Randall&Mary Kaufmann Print/Type Title ONLINE SUBMITTAL Date 4/4/2019 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. O Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 17-05, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening SiteAssessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE P • • • • Reviewed by Date 04/05/19 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone. (503)681-5100 • Fax (503)681-4439 • www cleanwaterservices org (NOTE: ALL GRADES SNOW ARE APPROXIMATE CONTRACTOR TO VERIFY ALL EXISTING AND FINISH GRADE& s._m. '� '`�CNi \`33, -4iVb I / N. n 14p, 4.4... N. \ i `I /f 1 ' ee> �,jI / ( I ��..// , j 8. I • ^' / 1 / /i I ------------------------;,/ I / P / � 20' EASMENT ---- -- - -----------__ 26.00' 91.16' tlI SITE FLAN lir SCALE: I" = 20'-0" ' 14425 SW MCFARLAND AVE A NO. TIGARD,OREGON 97224rIrLE: $1 T>t �'L.4N TAX LOT 41300 PROJECT:KAUFMA NN REMODEL MAP "25110BA OWNER: RANDELL and M4RY CM' OF TIGARD fr DATE: DECt1RbER 11,2017 , WA51-IINGTON COUNTY :. 21..2i.110 WATE OF OREGON PROJECT NO: 17-100-132 Albert Shields From: Mary Kaufmann <mary.kaufmann@icloud.com> Sent: Monday, October 21, 2019 5:51 PM To: Albert Shields Subject: Re: MST2019-00396, 14425 SW McFarland Blvd. Attachments: Clean Water Services Approval.pdf Caution! This message was sent from outside your organization. Allow sender Block sender Hi Albert- We had a Clean Water Services Sensitive Area Pre-Screening Site Assessment done and attached is their certificated approving our addition- is this what you are looking for? Please note that we are only adding a net 274 sq feet of impervious surface as the addition is going to be constructed over what is now an aggregate concrete patio. Thanks- Mary Mary Kaufmann r ma kaufmann icloud.com O ------- 503-819-6955 Arr- On Oct 17, 2019, at 12:44 PM, Albert Shields< albert@tigard-c ft y,A t- Z ittpi o Mary and David ... regarding your application for MST2019-003: 0,2/4_0 Vrfrd has noted that the plans need to show a LIDA installation. (See ��gh/)t .r handbook.) Accordingly, I have put this application on hold pent Review will proceed but the permit will not be issued without rel know if you have any questions. <i mage001.j pg> DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule.,, <Albert Shields.vcf> 1 Albert Shields From: Albert Shields Sent: Thursday, October 17, 2019 12:45 PM To: mary.kaufmann@icloud.com Cc: buildstrongllc@gmail.com Subject: MST2019-00396, 14425 SW McFarland Blvd. Attachments: Albert Shields.vcf Mary and David ... regarding your application for MST2019-00396, on review of your plans Engineering has noted that the plans need to show a LIDA installation. (See the Clean Water Services LIDA handbook.) Accordingly, I have put this application on hold pending receipt of a revised site plan. Plan Review will proceed but the permit will not be issued without receipt of the new site plan. Please let me know if you have any questions. Albert Shields City of Tigard Permit Coordinator 1 a-2426 Wo rk 13125 SW Hall Blvd. Tigard; Oregon 47217 wwvw,tigard-or.gov 1 RECEIVED Off, Z11511 7 Water Services File Number •off ("-Tt NEctt)58 CleanWater S , �.r-N Sensitive Area Pre-Screening Sit *w, t 1. Jurisdiction: Tigara 2. Property Information(example 1S234A801400) 3. Owner Information Tax lot ID(s): Name: Randall&Mary Kaufmann 25110BA-04800 Company: Address: 14425 SW McFarland Boulevard Site Address: 14425 SW MCFARLAND BLVD City, State,Zip: Tigard,OR,97224 City, State,Zip: TIGARD,OR,97224 Phone/Fax: 503-819-6955 Nearest Cross Street: BULL MOUNTAIN E-Mail: mary.kaufmann@icloud.com 4. Development Activity(check all that apply) 5. Applicant Information DA Addition to Single Family Residence(rooms,deck,garage) Name: Randall&Mary Kaufmann ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 14425 SW McFarland Boulevard ❑ Residential Subdivision ❑ Commercial Subdivision Tigard,OR,97224 ❑ Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: g Other Phone/Fax: 503-819-6955 E-Mail: mary.kaufmann@icloud.com 6. Will the project involve any off-site work? ❑Yes gi No U Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Add 513 sqft of which 279 is already impervious surface(concrete patio)so a net of 274 new sq ft of impervious surface This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Randall&Mary Kaufmann Print/Type Title ONLINE SUBMITTAL Date 4/4/2019 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. O Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 17-05, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑The proposed activity does not meet the definition of development or the lot was platted after 9/9195 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE P" ' - Reviewed by Date 04/05/19 2550 SW Hillsboro Highway • Hillsboro.Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • wowv.cleanwaterservices.org ;l .gym FOR OFFICE USE ONLY—SITE DRESS: 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 111 = Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FEB 5 2020 FROM: �{ [/dt TIGARD BUILDINGCITYOF DIVISION COMPANY: Po/7 S/Fr) 17 L A 5-A-6, G_7 7 74 PHONE: ( Z). y` 33 V BY RE: / � $ / 'Ia,) ,&/Li/9 ? 7-20/?—, 9/ (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: 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: Cn,/fie / / f E/. Vic�bf 9).4,"e 1/5� �� r��>' �'r j7 re r' «I''c-c C)�' e 6bt ',el?,M�' .* si?sc p�,�1 7�b •Evcv- eoy) b• �oz �' ,( 1a� cs,nc <-12,2r}" cit,Tit. fly /I t�e FO OF ICE USE ONLY Routed to Perm Technician: Date: 2- 10 Z;cYLc7 Initials: -- Fees Due: Q Yes ❑ No Fee Desc 'pti : Amount Due: //_ ciArl $ Special Instructions: Reprint Permit(per PE): Yes ❑ No E-Vone Applicant Notified: MLOO'. . Date: <?f/.3%n Initials: :®."- Vr I:\Building\Forms\TransmittalLetter-Revisions_061316.doc 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 !PI Z 41 Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ,f�/77. evt) DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: _/GZ ei id 1-Ze r FEB 10 2020 TIGARD COMPANY: u04;4/1",n y 6 bs-/rac/x2)` UI OF BUILL DD ING DIVISION PHONE: g? V— 33 By: '7' RE: /`/1(2,` 5, £ O c / f„1 /34 j /l /20/7- 033gG, (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. X Revisions: Axe eop 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: e24-AV n o re ,S N�'(1S FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: 1 $ Special Instructions: Reprint Permit(per PE): ❑ Yes /53To ❑ Done Applicant Notified: .n/t0.6 Date: 2//3/.2-6 Initials: '''' I:\Building\Forms\TransmittalLetter-Revisions_061316.doc 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 = Transmittal Letter T I G A R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www,t i jdrd-or.gov TO: 4-11e01-k DATE RECEIVED: DEPT: BUILD DIVISION FROM: at/id JAN 2 9 2020 Cif Y OF fl °A COMPANY: Pelild S1 c h yy Co)-s1ru c d;) BUILDING DMP3; PHONE: yo3) ‘74/y- 33 "/ ' By: J RE: /9izc 5 G r kro NET 2oN-00310 (Site Address) (Permit Number) Uet L <Plan/. �j (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Pe/Wed- /ut)rrnar. 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: r-er',,; Ifeet 71-‘ 6ct-4-0014- 4` e'Cz,d t' -44 r►h`�- $1n e.1%.r et rk ietot an gle_Bahr-, FO O FICE USE ONLY Routed to Perm' echnician: Date: tt ?rZv Initials: / — Fees Due: Yes ❑No Fee Des 'pti n: Amount Due: CIPY\ $ $ Special Instructions: Reprint Permit (per PE): Yes 0 No [ Bone Applicant Notified:-,6*rf LS Date: ,/ /,9 Initials 2 101 I:\Building\Forms\TransmittalLetter-Revisions_061316.doc