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Permit
hi /940/6 a � TE -1(1 CITY OF TIGA D U MASTER PERMIT `rl ; COMMUNITY DEVELOPMENT Permit a: MST2008 -00119 T f (.1 A R I) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/21/2008 Parcel: 25110BD05000 Jurisdiction: TIG Site address: 11901 SW VIEWCREST CT Subdivision: Lot: Project: SCHAER Project Description: 168 SF. addition. Mechanical other- duct work. 4/13/09, adding 27 sq ft to addition. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: 195 sf Basement: sf Left: 5 Parking Spaces: Height: 1 3 Bathrooms: Second: sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: sf Value: $0.00 Rear: 15 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters. Water Lines: Bckflw Prevntr: MECHANICAL Fuel Tvpes Air Conditioning: Vent Fans: Clothes Dryers: Heat Pump: Hoods: Other Units. 1 Fum <100K: Vents: Woodstoves: Gas Outlets: Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 0 -200 amp: W/ Svc or Fdr: Ea add•I 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add! Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Other: Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) RON & KATHY SCHAER 11901 SW VIEWCREST TIGARD, OR 97224 PHONE: 503 -624 -7702 PHONE: FAX: Total Fees: $876.83 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 ddne .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 e 180 days. ATTENTION: Or -eon 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 • • -00 -0 r . You may obtain a copy of the rules or direct questions to OUNC by ca 03.246.6699 or 1.800.332.2344. � _ l sued By: I Permittee Signatu : - �r� MASTER PERMIT - CITY OF TZAR® • = COMMUNITY PERMIT #: MST2008 00119 D E VELOPMENT DATE ISSUED: 8/21/2008 TI C ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 110 B D -05000 SITE ADDRESS: 11901 SW VIEWCREST CT ZONING: R -4.5 'SUBDIVISION: ASPEN RIDGE LOT: 015 JURISDICTION: TIG PROJECT: SCHAER Project Description: 168 SF. addition. Mechanical other- duct work. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED • CLASS OF WORK: ADD HEIGHT: 13 FIRST: 168 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: st FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 168 sf 16,112.88 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS �j 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: S EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR: IA ' Q LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR: SIGNAL/PANEL: IN PLANT: /r MANU HMISVCIFDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: 1000+ amp /volt : O PLAN REVIEW SECTION Reconnect only: CO > =4 RES UNITS: SVC /FDR>=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL 8. COMMERCIAL 0 AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC'. LANDSCAPEIIRRIG: .PROTECTIVE SIGNL: we.. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable RON 8. KATHY SCHAER OWNER taws. All work will be done in accordance with approved plans. This 11901 SW VIEWCREST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503- 624 -7702 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Reg #: TOTAL FEES: $ 751.83 REQUIRED ITEMS AND REPORTS • A ll • . Warr/ / ) i ' ! J Issued By Permittee Signature : , /a _ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion .' e project. Approved plans are required on the job site at the time of each inspection. 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. ih BUILDING DIVISION ■ 1 I (, A h. I) TRANSMITTAL LETTER a TO: i DATE RlECEIVEwED DEPT: :UILDING DIVISION APR 13 2009 CITY OF TIGARD BUILDING DIVISION FROM: -V COMPANY: .o,A ... PHONE: 5- 0 3 C d `i 7 90 2 s RE: j! 0( 5u) U 1 al/Cl/V.7r cT H4r t - CV//7 (Site Ad ress) (Permit/Case Number) Ttc d 6 � a �if (Proje t n e or s name a n lot numb 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): 1 ( n / MARKS: 1 , ,_ �_ . � . .� / - - - =' '- ' _•i - _ - 7 ` /9 54 (12 our L 2T 1.04 oG A tiff /nom 1'14 • up LC) 1777 (Cr/4 /A)Ih -v 4.A t--1 t.- �r P.i- , . , _) FOR 9FF10E USE ONLY Routed to Permit echnician: Date: 4116,(0‘? Initials Fees Due: es El No Fee Description: Amount D ue : -=t. .) V( $ (2 -.00 $ $ $ $ Special s ructions: _� �:�y,;.. '(per PE . - 766 No ❑ Done Applicant 1 o 1 : te: y / , //0 Initials: ,ttoi- k/ 4/ 1:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 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. I N BUILDING DIVISION ■ T l G A R D TRANSMITTAL LETTER a TO: 00LY1 D • ' C 'ED: DEPT: BUILDING DIVISION 4 CE1VED hA AUG 0 3 2009 )(FROM: k ' + 1 1 f h.& - �� O CITY OF TIGARD COMPANY: Woo \44 DIVISION PHONE: 57 3 - Co op- - () 9 By C4,0 ki RE: l ( Cj 0 ( S Ul €c,) CheS C. 1 (Site Address) dress) (Permi Case Num er) -- t r a 01,--e °1 ' 701 / (Project n m ors 'division\name and lot number) ATTACHED ARE THE ,FOLLOWI GITEMS: Copies: Description/ ipies: Description: Additional of pl. s. Revisions: Cross section(s) and • - tails. Wall bracing and /or lateral analysis. Fil al W •15 raming. • &v J5 Basement and retaining walls. : earn calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY Routed to Pe 1 , i 'echnici : Date: �; Ill I OCi Initials: ` •, Fees Due: r.; es o Fee Description: Amount I ue: 17 2 3 S ' $ f r iq ,` `k' $ ; _xa� r' $ Special Instructions: Reprint Permit (per PE): ❑ Yes El No ❑ one Applicant Notified: Date: i bA Q 9 Ini 'als l:\ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 1I'/o( DAL VicvJcresi- Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Date/By: $ 08- /37 Permit No.: x//757 - 4 9.. y)F )i (C Illq q 13125 SW Hall Blvd., Tigar*'..- 1 ''''2'. a Plan Review / / / 11 .: Phone: 503.639.4171 Fax: . t".?.'•:. 060 DoQ Date/By: .5 & v8 Other Permit: I' I G A R D Inspection Line: 503.639.41 r $ Date Ready /By: /` Juris: See Page 2 for Internet: www.tigard or.gov \U ' �� Notified/Method: /p /( �� �� ® Supplemental Information TYPE � �O l (2, V REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction Q It D Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all23 S [3/Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for t'he CATEGORY OF CONSTRUCTION work indicated on this application. , / /6 i / / q , a e 13 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: Number of bathrooms: ❑ Master builder [�lOther: - JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i I q ©l S U,) u ( ewc 'Tyr C T New dwelling area: L C i g square feet City /State /ZIP: Ti i -! r d Ore 9&a q Garage /carport area: , - _ square feet Suite/bldg. /apt. no.: Project name: .�` h (ice r - c Covered porch area: �� square feet Cross street/directions to job site: I L Deck area: -- square feet Other structure area: - -square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. a ad • + 1 0 R. Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Kct-t-tiveo, cw d VON N . - c htte r Type of construction: 5 & ) Address: 1 1 O . (1 1 eu) L ' V' 57- C.+ Occupancy groups: City /State /ZIP: 4- I lli A J. 0 `' e., Existing: Phone: 603) Co a Q r / WI Fax: ( ) r sc ha e r a e M sn , Coil New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: BUILDING PERMIT FEES* Address: n v } V \ X r (Please refer to fee schedule) Structural plan review fee (or deposit): / (r /( a-) City /State /ZIP: Phone: ( ) ( ) FLS plan review fee (if applicable): • Fax: CCB lic.: Total fees due upon application: / f ) Amount received: Authorized signature: This permit application expires if a permit is not obtained A../ within 180 days after it has been accepted as complete. Print name: ct 4 h e_) so b 4 e -Date: * Fee methodology set by Tri- County Building Industry ` Service Board. I:\ Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB) • Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFIC U. .ON City of Tigard Received permit No.: n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGA`KD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical Internet: www.tigard -ocgov ❑ Other: FOLLOWIN ■ G ITEM AR R EQUIRED FOR PL "ANtREVIEWI 3 +x'it` ` ' `'Iii Yes ;'`:; No it -N / I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ . 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ 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. I 1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions: property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator: lot area; building coverage area: percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade. etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ 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. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and /or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be a to the •roject under review. �r���JURISDICI:IONL�SPICIIICS !F 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11 or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ 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, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 4404613T(1l /02 /COM/WER) Mechanical Permit Application ' NO "'OF ,LsN � a i 1 , „ ; 1 "� ' t i Received .' „ '. City of Tigard Sr /3j' PermitNo:// fi t — / /7' fi t v) ' a -� ,f Date/By: V lS � 13125 SW Hall Blvd., Tigard,OR " • 4 ' 4lei C . Phone: 503.639.4171 Fax: 503. ? :. "'! 1 D ate B y: Review Other Permit: b Inspection Line: 503.639.4175 tT hG n'RD' _ Q ` O% Date ReadyBy: • Juris: ® See Page 2 for t lt: ti Internet: www.tigard - or.gov fa i7 Notified/Method: Supplemental Information ' E OF '-d , , it iIRO COMMERCIAL FEE *:SCHED USE CH ❑ New construction Addition /al r.;,tlilll/r Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. y g ❑ CONSTRUCTION . Value: $ CATEGORY OF dwelling Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .. : and 2 -famil ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 11 q b 1 S 0 r f C �' S T Air conditioning o heat pump " C o f C. '('� (requires site plan showing placement) 14.00 City /State /ZIP: T I (; P)v ()ire a m P a q Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work f 10.00 id . tx) Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 l t �� ( T 1 0 , 1 Gas fireplace fo 10.00 /�J Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 0/PROPERTY OWNER ❑ TENANT Other: 10.00 Name: rict 4 1? g .A) . 3C. 41 Q)€ Environmental exhaust and ventilation Range hood/other kitchen Address: ( 1 q l 1 (J Q ( ,0 s1 (,�' equipment 10.00 City /State /ZIP: T 1 1C J, a., 6 V- q q()a (4 Clothes dryer exhaust 10.00 GlC `r o 2 F ax: r C hat p Single -duct exhaust (bathrooms, rooms) , Phone: d 3) � � ) � � S`�,('fgpjtftftcompartmenu, utility rooms) 6.80 APPLICANT - ❑ CONTACT PERSON • Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace ' E -mail: Range • CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: r 1 MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal _ Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) — Plan review (25% of permit fee) _ CCB lic.: State surcharge (12% of permit fee) _ TOTAL PERMIT FEE S0 Authorized signature: This permit application expires if a permit is not obtained within 1 da after it has been accepted as complete. Print name: k u.4 h e S C h u to — Date: • Fee methodology set by Tri- County Building Industry Service Board 1: \Building\Permits\MEC- PermitApp.doc 01X1 / / 440- 4617T(I1 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: . $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard , • Received / ,SJ No.://1-2579c,.? Jv/ i 7 `J g s i �/l % Date /By: / (f C5 Permit j II 13125 SW Hall Blvd., Tigars .1 � � Plan Review Ill -fiT II ' Phone: 503.639.4171 Fax: '�• 5e 8,,, N 4 Date/By: Other Permit: ■ T I G A R D Inspection Line: 503.639.417 ,. r L1 , t Date Ready /By: s: ® See Page 2 for Internet: www.tigard - or.gov Oa � Notified/Method: Supplemental Information HYP OF WORK. • i , o; ,,„ t PLAN REVIEW L`�J o tr e ert t t ❑ New construction Addition /aliioh /reRlac� - - Please check all that apply (submit 2 sets of plans w /items checked below): a Mt` ❑ Service or feeder 400 amps or more ❑ Building over three stories. Z� C ❑ Demolition ❑ Other: 1 where the available fault current ❑ Marinas and boatyards. CATEY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. U, d,/ less to ground, or exceeds 14,000 ❑ Commercial -use agricultural El 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: 1 Job site address: / Sal �S� 100HP or more occupancy. ��q �(� `t/C- l / ' ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: ��9' 7 l, ❑ Health -care facilities. 0 Supply voltage for more than / ❑Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. l Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) A ^! 4 - , O v L energy, multi- family a `c :k c & 1 Y v residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 11 r' +k4 Quid Q O in s - c J ` 401 amps to 600 amps 160.60 2 nal "� R . 601 amps to 1,000 amps 240.60 2 Address: (< - I 0 5 U I e cd f. ,e J" c.,-t- Over 1,000 amps or volts 454.65 2 City/State /ZIP: 1 i ri rd, q q Temporary services or feeders installation, alteration, and/or relocation Phone: ( („ ( 7 0,19 Fax: 4 ) rSe, k coe i,- R e 248 66.85 t Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 alla intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, / `[6 46 85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: u Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) I Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: 1 Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: ��ll G I Date: Plan review (25% of permit fee): �l �l Cp � LimilA �C. cue State surcharge (12% of permit fee): Authorized signature: ) ✓ T OTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: (/ a .1 e s- Y 4 (ter Date: days after it has been accepted as complete. 1 , Y * Number of inspections allowed per pennit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(1I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: :'RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY:. Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls H Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations C\ Building \Permits\ELC- PermitApp.doc 03/23/06 Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box and complete the following statement: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 1 will be performing work on property I own, a residence that I reside in or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If 1 change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. ct-t itt LA 5c,k - 1/LAJ Print name of pet applicant Signature of pe t applicant 1 0, 6 g- Date Permit #:r 2-e)0 °! This form is supplied to building ._ , permit offices by the Oregon Address: /f q aw. (Arc/0c ( Construction Contractors Board �'' = 44Z7 z i as required by ORS 701.055 (6) ' `�` = T ` rwe < O g Issued by: • : Date: MAE( This copy to issuing permit office RE `� AUG - 8 2008 1 TV O . TiGARD 91 IL ,'7'''r fii;� � B1DN L = - N‘ (i ! I 1I 1 A 1 • I • 4W, &2iTto PLAN 111, 1 u 11_ wr Tx 116v , .. . ...----.1 CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: / 7 4 577 - PLANNING DIVISION: Required Setbacks: a Approved _. 0 Not Approved 0)l Side: _ _ ‘z.treet Side: V , Front. .2st, Ce: Ou Rear: _Li Vistgil Cleat-vice: / Approvekt n Not Approved Maximum 1-d:1 !-oigiii. ...$).0._ feet , _ i CWS Service Provider i..;',:.; ...Niiired: 0 Vs 0 N o , ? Received i 11‘.:.. ..,LILLIA-ta--t lini. g i/la - ENGINEERING \El'Ai's Actual Slope:____% 0 Approved 0 Not Approved Site Plan: 0 Approved 0 Not Approved By: Date: , Notes: a_ez-u-i rut_ 61.4444-1A-c4---cv--- rAt-v--- (-- CITY OF TIGARD - SIT E PLAN laVi01V BUILDING PERMIT NO: / 57.Je} ? : Street Trees: li 0 Not Approved Protected Approved F roved Date: / roved Notes: MapOptix 5.2 Interface Page 1 of 1 .. . . .. I !if ,i0 ;-):- 44 'EP p.2' 72. Dr: ci) cit (.. ilk La t -.4 621 '-''' X : '-' IC ( Layers �%,'' TIGARD MAPS El Show All O Hide All _ I . ,. .. 11925 II r 1 D 0 Address Label I i" 11885 ,4' , , 11750 11710 1 El Buildings 11949 1 ) t ,__ D 0 Parks -- ^. L _ - Cl ❑ TLID Label BULL MOUNTAIN RD __1 • ❑l ISI Tigard Area Tax Lots — r— ` J 1 I I ` I I ( 1 I 1 11754 i 1167 ❑ Community ■ 959 1 11933 11915 1 11991 , 11753 , - -_— a. b Districts and Boundaries I I I _ ; - , I L -- I_._ ' 11770 T E+1 i_-i Tigard Neighborhoods 1 ELEMAR CT - 14728 ❑+ L School District l v �`— i —� C 11798 11720 ❑+ L__1 T T'_D.AttendanceA.reas — �1 / 11938 1 11916 11882 I 11799 0 ; —� (7, ( 14764 1964 • I Q 0 i_; Tigard Service Area ` 11812 11 6 96 ,____ j -- ❑+ Tigard 'ultrSer Area inT ;:D ' I — Z,- — Li 94s I ' 11825 W` I { 14822 EE i_ T v' D Se rvice Area I �, 11836 ` ❑+ Li Garbage Hauler �__— —1= QI — I ` � —1 j I] El Park District _____ 1 - 11840 1 1 4889 14867 14849 ' I 1 —� 1 n [1 Selmer District i II El � 11852 ❑ Precinct �. , i i _ F't er: nc + 946 i � -_ t - -�-___ -- v r 1 i - — I I a �-- � _ Selmer Reimbursernent Dr tricts 1 14921 CI Ili T igard Urban Sergi Bndnr 1i 1188 %' 11864 ` � 4:j• ~~ 1 , _ 11937 , 11915 11903 I - -- ; � �� • ' +., 14916 Ei i hdetro Council Boundaries 1 I I El i _, Metro Urban Grorn.rth Boundary ` i Cityof Ti g ard2008 ,,-' ',, 11876 14943 I ! 14938 ❑+ ' Fire District — ._.._. ..,.._, _. ❑+ ill P hone Service Area ❑+ El Z ip Code Tabular Results CO ❑ Water System n 1. iL � Query Results IS t1 . � --j ®1 D ❑ Storm Water System b ID Sanitary System Address (1 - 2 of 2 Records) Li ❑ TVWD System IR _ _ Number Prefix Street Street Type Address Query at y p " - 1" p r . . tur MM. ;rl:l Buffer 2r My Map ,1; i =i�yj 1 1 190- - SW — VIE-WCREST_CT_- - =— =11901 -SW VIEWCREST -CT -1 Lat/Long T Labeling It Permits Y , http: / /tiggisiw /mox52 /staff.cfm ?action= mox52_if tigard &screenHeight= 797 &screenWidt... 8/18/2008 rior.5 0- . RECEIVED tete _./ . . - 1 3 2009 CITY I F TIGARD BUILD! i G DIVISION lk\ , T; ' I, - _ .rFOPA'?-17.' ... • ' rncti - I — \\. \,:1 s......A 1 l'Nk t V._ — F—)(1 --"? i 1 -i-\ ; -- ----.- - , L • i _ 1 1. ! . • eeta 1 . ____ .,. . . - ----•••• 1 i CIP g: Na V IF:ALA4----r;fr i : „yr . -n, r novehsP, os r • i '_- Y OF TIGARD - SITE PLAN REVIEW �� �� BUILDING PERMIT NO.: "� PLANNING DIVISION: rar►'��.ve /� 0 Not .Approved Required Setbacks' _. !S Side: �-_ wtre_t ` .it: Rear: - ; '� ' ; fit proved �l isua� C Iesrance: _ \:iaxu um Buildin,. _ . `des ❑ No •1.y Se:•vice Pro'JIk; . C ,.,_ {(;.�1•.. iic',_l Q kec•ived I !'. �`1AitL�ptw pJil.�4 ENGINEERING DEPART EN I Not Approved Actual Slope:_% A roved ❑ Approved pproved ❑ Not A pp B te Plan: Date: — t �sl! /e Notes: C }c.e / 2-t- "`R^ IN. ‘Fra 4-;;;? Oisfrit f‘feclif ° • e ' 5441e a r dre CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: ►, pproved ❑ Not Approved protected Tr- Trees: Approved II of Approved Pro • i pate. d G Notes: