Permit a'R` + a MASTER PERMIT
X11, CITY OF TIGARD
PERMIT #: 2/ 26/200 00
COMMUNITY DEVELOPMENT
DATE ISSUED: 2/26/2008
T:IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 '
PARCEL: 1 S 134 DA -05200
SITE ADDRESS: 11300 SW 108TH AVE ZONING: R -4.5
SUBDIVISION: DOREEN COURT LOT: 009 JURISDICTION: TIG
PROJECT: WOODCOCK
Project Description: Garage conversion.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
•
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT, sf LEFT: SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: s1 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: 1 BATH: " TOTAL: 0 sf 5,600.00 REAR:
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 < 1006: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K. UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS; WOODSTOVES: GAS OUTLETS:
ELECTRICAL •
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
VA EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNALJPANEL: IN PLANT: t_y
MANU HM /SVC /FDR: 601 - 1000 amp: 601•amps- 1000v: MINOR LABEL: `°
1000. amp /volt : R V
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY i
A. SF RESIDENTIAL 8. COMMERCIAL 0
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
CY
BURGLAR ALARM: OTH: BOILER: HVAC; LANDSCAPE /IRRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 8 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
STEPHEN & FLORENCE WOODCOCK OWNER laws. All work will be done in accordance with approved plans. This
11300 SW 108TH permit will expire if work is not started within 180 days of issuance, or
TIGARD. OR 97223 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 - 579 -651 1 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Reg #:
TOTAL FEES: $ 247.22
REQUIRED ITEMS AND REPORTS
/ /' SA N " "
Issued �� /, ___ _ _ Permittee Signature : ��J /,ZA / yI"./ _, /l X i
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 of the project.
Approved plans are required on the job site at the time of each inspection.
cry/ w w r�; T ' t -' � MASTER PERMIT
,I� ? :;,:b ,. ' I T Y O F T I
i ,, PERMIT #: MST2008-00007
COM DEVELOPMENT DATE ISSUED: 2/26/2008
T1GAi26 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DA-05200
SITE ADDRESS: 11300 SW 108TH AVE ZONING: R -4.5
SUBDIVISION: DOREEN COURT LOT: 009 JURISDICTION: TIG
PROJECT: WOODCOCK
Project Description: Garage conversion.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL: 0 sf 5.600.00 REAR:
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:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL: IN PLANT:
MANU HM /SVCIFDR: 601 - 1000 amp: 601 *amps- 1000v: MINOR LABEL:
1000* amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 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
STEPHEN & FLORENCE WOODCOCK OWNER laws. All work will be done in accordance with approved plans. This
11300 SW 108TH permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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 - 579 - 651 I Contact #: questions to OUNC by calling 503:246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 247.22
REQUIRED ITEMS AND REPORTS
Issued ( Permittee Signature : 1/ �'�L. % .
Call 503.639.4175 by 7:00 a.m. for an inspection that business da .
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.
1
t. Building Permit Application ,
Residential „g r 4: <, , s; .,v
r w t- rk t ONLY ` _
,u , �a * � �� . FOR OFFICE USE ON
Received �p Q �/•
1111 City of Tigard E I VE Date/By: f a Permit No.: �fj/� v / '
. a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. C ; Phone: 503.639.4171 Fax: 503.5941.186 Date/By: . a S , Other Permit:
TIGA TAN ?`' Inspection Line: 503.639.4175 ,) 02008
®
Date Ready /By: S See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
�L
CITY OF TIGARD
-. .. -1444 RWpIRIVISION . . REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
? Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
( 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ Std bu
J
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. JOB. SITE :INFORMATION AND LOCATION Total number of floors:
Job site address: 113 OC) 5 V1, I DWI^ A Ve_AOC, New dwelling area: square feet
City /State /ZIP: •--1 cyAr U(' 91 Z23 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square f ct
(1/ e4? hiv 9 KocAri to eGde�rrlcn /7 Other structure area: square feet
/ V drt Dc:,. Lo (-Gs- 1-0 /b.5 / REQUIRED DATA: COMMERCIAL-USE;CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: /S D �/ � Indicate the value (rounded to the nearest dollar) of all
1 O — Q��0() equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
6)// ltV/ C i� ' - 5� ir)/7) hi/4 hlt2 _
,5� Ce _ 5 et'i i ' a /j � a L,e_ %ogi Existing building area: square feet
I f (� !! / U New building area: square feet
❑ PROPERTY OWNER ❑ TENANT - Number of stories:
Name: S fe n hen ,i. Flor c a j Type of construction:
Address: I i 300 . ii,) . i Qi; Ave n Lid'. Occupancy groups:
City /State /ZIP: - c „,,_„ C ' Z e 1 223 Existing:
Phone: (; ) - (o5I 1 Fax: ( ) New:
IA APPLICANT • LA CONTACT PERSON - _ • NOTICE ' ,
ss n rie:391(4E /1: / Move- 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
/i .�vo S• w�io8 f4u°nu
Address: P . jurisdiction in which work is being performed. if Lite
City /State /ZIP: .7- /r-/ Qg 9 1ZZ3 apii ant is exempt from licensing, the following reasons
apply:
Phone: 66 )5 , 1 s--1 I � e Fax:: ( )
E -mail: Sand C` I/ onc(�-cl ,k 0 Omec . ii- -. n.e
CONTRACTOR;
-1415477r5S—rrartre #402671,01e ohen I C thj • BUILDING PERMIT FEES*
Address: i/30(- 5 , LO i (R)E Alen (Pleaserejatojeeschedule)
/State /ZIP:' -�- p Z Structural plan review fee (or deposit): fp ( � , 7 g
Cit
Y / J CrC( 6,2 I 7 ZZ:!
Phone: (j()i . & S I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application: Le S ,
Amount received: CIS t . 7g
Authorized signa WI This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3 ph D ) kariCCI' k Date0/ - -- c5 * Fee methodology set by Tri- County Building Industry
} � 1 , l � Service Board.
1: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(I I/02 /COM/WEB)
1 '
•
Building Permit Application Checklist
One- and Two- Family Dwelling T, rt " " , 0 F FICE USE .�i ONLY K +
ti ,: R FY -. ,
City Of Tigard Received permit No.:
" - q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
Asso
Associated permits:
2 Phone: 503.639.4171 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 ID Electrical El Plumbing ❑Mechanical
TIGARD
Internet: www.tigard - or.gov ❑ Other: .
"'` ` att: t OLL"OWINCaTEMS NR UIRED, FOR PLAN R EVIEW � � '` 4 a ; i ;Yes ; N N /A
1 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.
1. 11 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 applicable to the .ro'ect under review.
t .[+a+r - .. �.. .• ._ •, , K 7. q 7'ti {}f 4 i4 ^�° ;s4 %. x ur tt ":n 4h 3.. „ *fir - rn”" w . -�
TU R ISDICT 'IONAL= SP ECII'IC -S-� �k ; "> - `'� ., y r; ,' . * "•^ ' � . ` x ` '
'�r.alSa i, t - F . r T n; t r gvn4 � � �`i72�d - mt m,,, . a sx Q
23 Five (5) 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 accompanied by 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.
1: \ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB)
■
Electrical Pe Application EC IV ' I rt „ ' .:, l o H U s o r<. � ` " #`x� y
x ,. r.:
rfWk: Received t Q
City of Tigard SAN 3 p 2008 DaeB r . lI X57 ;2�
ill 4 a
Date/By: O Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Other Permit:
is +, ` Phone: 503.639.4171 Fax: 503.598.1960
"° "x �" Inspection Line: 503.639.4175 CITY OF TIGA D ateBy:
Ready/By: Sun ® See Page 2 for
r g g Internet: www.ti azd -or. ov pP
BUILDING DIVISI( /Method: / / f C� Supplemental Information
T rru TYPE OF WORK PLAN REVIEW
•
❑ New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
)4 ' CATEGORY OF CONSTRUCTION
1- and 2-family dwelling ❑Commercial /industrial ❑Accessory building exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
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.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
f / , � " I OOHP or more. occupancy.
Job no.: Job site address:
1130o 5 . t/J /0g f- Avenue . ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: • 1 I /tn arc/ 0 9' 72 ? ❑ Health-care o c a t facilities. ❑ Supply 0volts voltage for more than
` � 3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: �rec✓�bc�r� Description l Qty. Fee. Total 1 *
�-- / � / I � p , ', , New residential single - or multi- family dwelling unit.
l / ([ M✓ 1 &/? to N®/ ' /f t Dot L 1 v /b07414/"7n 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.: /5 I ��p/ - 0 5--g,00 Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
_ ( 4 Veil 'c rage. s �aL�+ e / 7) / !�/ Pi /f.r b`t° residential (with above sq. ft.)
6 / Services or feeders installation, alteration, and/or relocation
�aC e pJe /r / / ("C't/�il / J,/ Q 'C! rc 7'? 200 amps or less 80.30 2
R_PROPERTY OWNER ( I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: � fephlrl r ilorewee V `hccL 401 amps to 600 amps 160.60 2
"L 601 amps to 1,000 amps 240.60 2
Address: /1300 !/ d, /0 [ ,s Yk , r/ , yt V e I Over 1,000 amps or volts 454.65 2
City/State /ZIP: fir/ O fC 9 7Z Z 3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (5D3) 5---/q.05 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, re , or exchan l : 'a ord g ORS 447 ' ' ' . i, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, ter panel
Owner signature:.. ,- - , i. Date: 01- a$ - og A. Fee for branch circuits with
❑ APPLICANT above service or feeder fee, 6.65 2
\ CONTACT PERSON each branch circuit
J
Business name: 0.V4.'tr q fi� / / //r / B Fee for branch circuits
/ Y without service or feeder fee, 46.85 yo 2
Contact name: I
/, woodcock_ first branch circuit
1 ,fL ,�� 6.65
Each add'I branch circuit J •� 2
Address: /(J 0 j J , ' D Q Av l �` '�
Miscellaneous (service or feeder not included)
City/State /ZIP:. , ( d k c i '�'� Each manufactured or modular 90.90 2
J dwelling, service and /or feeder
Phone: (5 el . 1 f Fax: : ( ) Reconnect only 66.85 2
E- mail:.`? 11& ' I e rrk e C'!W)h cat-,I -, no- _ Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
�/
Business name: /_ Signal circuit(s) or limited-
Horn e ex.,61'1 e r , � � ��� l ef- W l) cICoGk energy panel, alteration or
Address: 1/ 300 - i. lob ,. - I i--) l> P extension. Describe: Page 2 2
City/State /ZIP: a l h a-Ct 01Z - I. ZZ3 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (5 03 )5 - H 1, 5 - 1 , Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: I Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES .Sb
Suprv. Electrician signature, required: Subtotal:
Print name: +- �" Dater�`` ■ , Plan review (25% of permit fee):
_ {� .� t/ • Y C V Rio OV State surcharge (12% of permit fee):
Authorized signature: ` �� l � TOTAL PERMIT FEE:
• _ Q � This permit application expires if a permit is not obt within 180
Print name: - 1.11_ Date: O , - Q V days after it has been accepted as complete.
■ Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(1l /05 /CO.M/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
❑ Clock Systems
❑ Data Telecommunication Installation
•
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems - -
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I:\Building\Permits\ELC- PermitApp.doc 03/23/06
February 4, 2008
Stephen & Florence Woodcock
11300 SW 108` Ave.
Tigard, OR 97223
RE: RESIDENTIAL ALTERATION
Project Information
Building Permit: MST2008 -00007 Construction Type: VB
Address: 11300 SW 108 Ave. Occupancy Type: R -3
Area: 0 Stories: 1
The plan review was performed under the 2005 Oregon Residential Specialty Code (ORSC). The
review of the submitted plans will be completed when the following information is provided.
1. Please provide a drawn or written detail on ground clearance and protection from
decay of new wall in -fill (old garage door) Per R319.1 Item 5.
2. Insulation summary on plans is not compliant to prescriptive code requirements,
please provide summary of Energy Code compliance, see Energy Code packet.
3. Please submit verification that existing furnace and water heater are not of
combustion fuel, i.e., gas, oil, or solid fuel. If combustion appliance exists they need
to comply with combustion air requirements Per G2407.1 See sections and diagrams.
4. I am available for a consultation meeting to clarify any questions you may have.
When responding, provide an itemized letter stating in what way each issue has been
addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of
Tigard in tracking and processing the documents.
Respectfully,
Brandon Shaw
Plans Examiner
BrandonS @tigard - or.gov
Phone: 503.718.2425
Fax: 503.624.3681
i +a--
ti Stephen & Florence Woodcock
11300 SW 108th Avenue
Tigard, OR 97223
February 20, 2008 f
OS"
Attention: Brandon Shaw, Plans Examiner
RE: RESIDENTIAL ALTERATION FILE COPY
Project Information
Building Permit: MST2008 -00007 Construction Type: VB
Address: 11300 SW 108 Avenue Occupancy Type: R -3
Area: 0 Stories: 1
In response to the letter we received (copy enclosed) we have made the following
revisions to our plans.
1. We will install metal flashing to the front of garage/ renovated area extending 6"
vertical from concrete.
2. We will blow 12" of additional insulation throughout the whole attic cavity.
3. We have cut a ventilation hole in the garage ceiling measuring 36" x24" to comply
with combustion specifications.
Please let us know if there is anything else we need to do to come into compliance.
Thank you,
W r
Misty Woodcock
(on behalf of Stephen and Florence Woodcock)
1111111
.3 06 /d E c1:4-1
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
I will be performing work on property I own, a residence that I reside in or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will 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.
,ST6P/I6A . (,io o lO C o CK
Print name of permit applicant Signature of permit applicant
0j/0 /d2oo 8
Date
Permit #: ?"ir$ '
This form is supplied to building u-
permit offices by the Oregon Address: « l�$� � �
Construction Contractors Board YrG'' N
a loAegb 02 ?7a
as required by ORS 701.055 (6)
•
Issued by: OW- Date:
This copy to issuing permit office