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Permit *Olt to 6 ? "d:. e .... c . Ad; ..c.J940 E../..e_ ,..-0 2 A e ) i CI F TIGARD MASTER PERMIT q IN • COMMUNITY DEVELOPMENT Permit #: MST2008 -00021 T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/12/2009 Parcel: 2S110BA04401 Jurisdiction: TIG Site address: 14315 SW MCFARLAND BLVD Subdivision: Lot: Project: GENTRY Project Description: Two story addition on west side of existing home. Mechanical other - A/C unit.4 /'4/09 ADDED (12) branch circuits to permitted work. 4/16/09, adding (1) electrical service. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 7 2 5 sf Basement: sf Left: Parking Spaces: Height: 22 Bathrooms: 2 Second: 700 sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $0.00 Rear: PLUMBING Sinks: 2 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 3 Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: 3 Garbage Disp: Water Heaters: 1 Water Lines: Bckflw Prevntr. MECHANICAL Fuel Types Air Conditioning: Vent Fans: 3 Clothes Dryers: 1 NAT Heat Pump: Hoods: Other Units: 1 Fum <100K: Vents: Woodstoves: Gas Outlets: 3 Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0-200 amp: W/ Svc or Fdr: Ea add'l 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 8 Stereo: HVAC: N 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) TODD 8 LAURA GENTRY HYBRID HEATING 8 AIR CONDITIONING C 14315 MCFARLAND PO BOX 329 TIGARD, OR 97224 CORNELIUS, OR 97113 PHONE: 503 - 748 -0455 PHONE: 503- 357 -5663 FAX: Total Fees: $4,630.40 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 day • ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-'110 through OA' 952 - 001 -0100. You m=y obtain a copy of the rules or direct questions to OUNC by calling 503 ::.6699 or 1.8Q0.332.2344. Issued z : - -%` ` Permittee Signatur %' .. ( 1 (ZiLcorint.t6 - to add O z) b rcLrcC1n e. r e_t s. ...... ,,; .11 . CITY OF TIGARD MASTER PERMIT 2 . COMMUNITY DEVELOPMENT Permit#: MST2008 -00021 T l GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/12/2009 Parcel: 2S110BA04401 Jurisdiction: TIG Site address: 14315 SW MCFARLAND BLVD Subdivision: Lot: Project: GENTRY Project Description: Two story addition on west side of existing home. Mechanical other - A/C unit.4f 4/09 ADDED (12) branch circuits to permitted work. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 72 5 sf Basement: sf Left: Parking Spaces: Height: 22 Bathrooms: 2 Second: 70 0 sf Garage: sf Front Smoke Dwelling Units: Third: sf Right: Detectors: Yes Total: sf Value: $0.00 Rear: PLUMBING Sinks: 2 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 3 Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: 3 Garbage Disp: Water Heaters: 1 Water Lines: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: Vent Fans: 3 Clothes Dryers: 1 NAT Heat Pump: Hoods: Other Units: 1 Fum <100K: Vents: Woodstoves: Gas Outlets: 3 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! 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: N 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) TODD & LAURA GENTRY HYBRID HEATING & AIR CONDITIONING C 14315 MCFARLAND PO BOX 329 TIGARD, OR 97224 CORNELIUS, OR 97113 PHONE: 503 -748 -0455 PHONE: 503- 357 -5663 FAX: Total Fees: $4,451.08 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: pAeinyViitlature: CITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00021 IN ° COMMUNITY DEVELOPMENT DATE ISSUED: 2/12/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 110 BA -04401 SITE ADDRESS: 14315 SW MCFARLAND BLVD ZONING: R - 2 SUBDIVISION: SHADOW HILLS LOT: 021 JURISDICTION: TIG PROJECT: GENTRY Project Description: Two story addition on west side of existing home. Mechanical other - A/C unit. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 22 FIRST: 725 /f BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 700 of GARAGE: of FRONT: PARKING SPACES : . TYPE OF CONST: 5N DWELLING UNITS: THIRD: of RIGHT: VALUE: 1 36 671.75 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,425 of REAR: PLUMBING SINKS: 2 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 3 CLOTHES DRYER: 1 NAT FURN >u10OK: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 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: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: let W/O SVC/FDR: 1 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU NM /SVC/FDR: 601 - 1000 amp: 601•empa- 1000v: MINOR LABEL: 1000+ amp/volt : PLAN REVIEW SECTION . Reconnect only: >e4 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 S 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 TODD & LAURA GENTRY WIN CONSTRUCTION laws. All work will be done in accordance with approved plans. This 14315 MCFARLAND 14055 SW KENTUCKY PL permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 BEAVERTON, OR 97008 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- 748 -0455 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 148436 TOTAL FEES: $ 3,701.08 REQUIRED ITEMS AND REPORTS Issued By : &P(int (M. --)s\itt. OA'D Permittee Signature : 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. a CITY OF TIG, D _ ' PLUMBING PERMIT ip li COMMUNITY DEVELOPMENT Permit #: MST2008 -00021 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/12/2009 '� {' g Parcel: 2S110BA04401 Jurisdiction: TIG Site address: 14315 SW MCFARLAND BLVD Subdivision: Lot: Project: GENTRY Project Description: Two story addition on west side of existing home. Mechanical other - A/C unit. Owner: FEES TODD & LAURA GENTRY Quantity Description Date Amount 14315 MCFARLAND 1 [BUPPLN] Pln Rv Deposit 03/10/2008 $750.00 TIGARD, OR 97224 1 [CDCPLN] CDC Pln Rev 02/12/2009 $46.00 PHONE: 503-748-0455 1 [LRPF] LR Planning 02/12/2009 $6.00 Surcharge Contractor: 1 [BUILD) Bldg Permit 05/30/2008 $968.61 HYBRID HEATING & AIR CONDITIONING C 1 [TAX] Build 12% State 02/12/2009 $116.23 PO BOX 329 Surchrge CORNELIUS, OR 97113 1 [TIGCET] Tig -Tual School 02/12/2009 $1,425.00 CET PHONE: 503 - 357 -5663 FAX: 1 [MECH] MEC Permit 02/12/2009 $72.50 1 [TAX] MEC 12% State 02/12/2009 $8.70 Surcharge 1 [PLUMB] PLM Permit 02/12/2009 $182.60 Type of Use: SF 1 [TAX] PLM 12% State 02/12/2009 $21.91 Class of Work: ADD Type of Const: 5N Surcharge Occupancy Grp: R3 1 [ELPRMT] ELC Permit 02/12/2009 $53.50 Stories: 2 1 [TAX] ELC 12% State 02/12/2009 $6.42 Surcharge , 1 [BUPPLN] Pln Rv Balance 05/30/2008 $629.60 1 [METCET] Metro Const 02/12/2009 $164.01 Excise Tx Total $4,451.08 Required Items and Reports (Conditions) 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 -0100. You may obtain a copy of the rules Issued By: Permittee Signature: 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. CITY OF TIGARD BUILDING DIVISION PERMIT #:ms 2,069 ° 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR "'DATE: 4/ trato TIME: PAGE: SITE ADDRESS: 145 16 5 W ma f ® kiLilz. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1-41 t j � Pour Time: Code # Inspection Description Confirm # Contact # Message 320 PINTAS. RA ;cv Corrections /Comments /Instructions: ts o s G p . pcza� ell.57- 7 7 . R5q, X 2- z' t o s o P% C `703 rau Rso v ∎ ■&Es Tc ?1, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C • N ®U L Date: 1 6 Phone #: (503) 718- ����, CITY OF TIGARD _ BUILDING DIVISION l PERMIT #: f45f Z C°61--°°2 / 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: Phone: (503) 639 -4171 � a p3 •Inspection Requests (24 Hrs.): (503) 639 -4175 �� -_.. INSPECTION WORKSHEET FOR 333 3 - / 3 TIME: PAGE: SITE ADDRESS: 17 3 I J l"' G Ff) R.LA» ' �L �� CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: % PROJECT NAME: • DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 33.E Rol fl )2. //A) Corrections /Comments /In tructions: 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Dater V3 �� Phone #: (503) 718 - d`k.k askA CITY OF TIGARD - BUILDING DIVISION Y O n ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 , qi Inspection Requests (24 Hrs.): (503) 639 -4175 '__ I INSPECTION WORKSHEET FOR DATE: 3 /� _ Q 9 TIME: PAGE: / SITE ADDRESS: X313 FA AL-4A-40 51-v P CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3 / S /' J r 13L4n P` VnjJiAJJ Corrections /Comments /Instructions: TIAIN1 `C (5-c ❑ PASS ❑ ,PARTIAL APPROVAL ❑ CANCEL PI NO ACCESS I FAIL ❑ CALL FOR INSP CTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( Dater ‘1 1 6 C Phone #: (503) 718- �� 1.J1 • r "` z x j „"t., Y ; ti < T ' V _ .,.+ � � '}�yywp; "' .., { " z r' ,. � •,r ~F" Edit l nspecbom w h . 1 h a File Inspection CAP Parcel Tools Map Tools Help. Project / CAP Inspection) Guidesheet I File 1 Report 1 Drawing 1 Map Select Address: '<SELECT> • Number Fraction . Prefix Street • Type • Suffix Unit Unit Type • Address: . 114315 1SW 1MCFARLAND 1 • • 1 1 . 1 City / ST / Postal Code: f <SELECT> ( t i. I t 1r: a. 1 ..:,• • 1 Inspection Unit Number:. ! Inspection Contact Number: 1 • At CAP Addresses I Identifier: 1210 Foundation walls GIS Location 1 Category / Inspection Type: 18_MST -j 210 Foundation walls -� Inspector: 'Gary Noble , Date: � ...:.. •... Time: r f � •s Start Miles End Miles Total Miles Vehicle Id Start Time End Time Tracking: f0 p � 1p f 112:00 AM — ;•1112:00 AM Scheduling Comments: 000401 -01 MSG! 503-209 -6908 Disposition: 5aiedule � I :Sign -off . Contractor Sign oft 1.. Inspector Sign -off -1 Comments: Standard Comments 1 (� Create new copy after submit Edit CAP 1 r., .::>r ; 1 Action:. • 'Update Submit Save 1 Cancel 1 0 Outgoing, 2 Returned successfully, 4 Failed. p $��� Inboz MiaosaFk 4 Edit in .pecdun r ••••., 6' , r 'r'- 7,.2 ^AM City of Tigard, Oregon Page 1 of 2 City of "Tigard, Oregon i API) l`I d.r w fall lln,rie Search i PropaM I I nlennuin I i Crirno, 111 ?i 1 SttmmarY I Prrmlt Summary I Community I Hoard: 14315 SW MCFARLAND BLVD Property Summary W s o -t TREEHILL CT J f 9 h WILOWOOD ST 120TH PL Property Owner Info Tax ID Number: Tax Account Number: Sae Address: Site City: Site ZIP: Owner Address: Owner City: Owner State: Owner ZIP: Acres: Sq Ft: Bldg SF: Bldg Value: Land Value: Total Value: Taxable Ass'd Value: Sale Price: Sale Date: Year Built: District & Community Info Municipality: Tigard Urban Sery Bndry: Tigard Neighborhoods: L Name Link to Website Area 12 Area .12 Neighborhood News School Attendance Areas: L School District Name District Number Elemental TIGARD- TUALATIN 231 Alberta Rid Tigard Parks District: Water Service Area: Garbage Hauler: L Hauler Residential Residential Hauler Commas Name Hauler Phone Hauler Pride Pride Disposal (503) 625 -6177 Pride Dis Disposal Precinct: L Precinct 403 Phone Service Areas: http: / /www.tigardmaps.co... 3/9/2009 , i'lti:tc)siv1sica) — \i'llti isiffiti.. E. ,---- , ---w ' ., _ :.--------. 0 \---- -, 4J _ v n https://av.accela.comljetspeed.iportalimedia-typelhtmliuseriTIGARD.GNOBLE/page 5 : 4t x - - := = - File Edit View Favorites Tools Help ? 4? t43 - 0 0 W - 6} Page ■ ±) Tools ■ (.0■ 7 CAP ID: MST2008-00021 H = _ = — --.7.-. ,, i — il-aJ : Menu i I Help 5.--- .---.." F.- . lo Go To _Libman; (29) Address (1) Ada Info App Specific Info Tables (2) Application History (2) Assess Fee History (21) Calenda■ j F.' "..---... A \I :. 2 i> 1,4] = : =- - 1 Period Fee Cede Fee Item Quantity Fee Record DaterTitre Record By Action -1 FINAL EPRMT7 Branch Circuits w/Purc... 12 579.80 04/14/2009 12:53:47 PM LSELLERS Inserted = ----- FINAL SUR? 12% State Surcharge - ... 1 59.58 04/14/2009 12:53:47 PM LSELLERS Inserted ,..21 FINAL SUR1 12% State Surcharge ... 1 50,00 04/14/2009 12:52:09 PM LSELLERS Deleted FINAL EPRMT8 Branch Circuits wc/Pur... 12 5120.00 04/14/2009 12:52:09 PM LSELLERS Deleted ----I h r---..- FINAL EPRMT8 Branch Circuits . 12 5120.00 04/ 12:51:44 PM LSELLERS Inserted 1 11 - FINAL SUR1 12% State Surcharge - 1 514.40 04/14/2009 12:1:44 PM LSELLERS Inserted . FINAL EPLC Reversal - :BLIPPLN] Pl... 1 (5750.00) 05/30/2003 12:00:00 AM AA LONV Inserted ....... _ ...., h FINAL EPLD [BUPPLN1 Pln au Balance 1 5529.60 05/28/2008 12:00:00 AM AA COW/ Inserted FINAL MCET [METCET] Metro Const E. 1 514,01 05/28/2008 12:00:00 AM t'.A CONV Inserted , -- -- -___•,--=-_.--1 II FINAL SLIR [TAX) ELC 12°.'. State Su.. 1 SE.42 03/21/2008 12:00:00 AM AA CONV Inserted I — H FINAL ELCF [ELPRMT] ELC Permit 1 553.50 03/21/2008 12:00:00 AM AA. CONV Inserted , FINAL StJP,3 [TAX) PLM 12 State Su... 1 521.91 03/21/2003 12:00:00 AM AA CONV Inserted ,-- -=,.------J) t FINAL PPRT [PLUMB] PLM Permit 1 5182.60 03/21/2008 12:00:00 AM AA CONV Inserted A :,_--- — FINAL SUR2 [TAX] NEC 12% State Li. . 1 58,70 03/21/2008 12:00:00 AM AA COW/ Inserted ; — FINAL MPRT [MECH] NEC Permit 1 572.50 03 12:00:00 A.M AA COW; Inserted ...= -----.. EfEE FINAL TCET [TIGCET] Tig-Tuel czchc 1 S1.425.00 03/21/2008 12:00:00 AM Ag COW./ Inserted — ==== FINAL SUR1 [TAX] Build 12- State 1 51 03/21/2003 12:00:00 AM -.A COW/ Inserted — — FINAL BPRT [BUILD] Bldg Permit 1 5968.61 03/21./2008 12:00:00 AM AA CONV Inserted ==== — FINAL CDCP [CDCPLN] CDC Pin Rev 1 C' 03/21/2008 12:00:00 AM AA CONV Inserted MEE FINAL LRP1 [LRPF] LR Planning Sur.., 1 56.00 03/21/2008 12:00:00 AM AA CONV Inserted , I ==== ------ - --- - - -- ---- -- ____ . _ ---- 171 ----- ,11 ___ _ __ _ _ _ _ __ . _. _ -------- - . , G Internet 4 4: 100 - d ...ad j 1St ; 5 Inspection List i ,..- Inbox - Microsoft ... i 1",, 410 8:00 AM .J , . . „ • . — . W.I.fid ,1 ':.; J.fi ' ' L, ' ; _,j a _„,, Lif2:,› ____ I t A II (4,j) — -, ■ 'n https://ay.accela.comjjetspeed/portal ;; • t" - H 414 1 1 : L E j cie File Edit View Favorites Tools Help ;AcceAutomation® „rue - ;.,:;:, Page •■• '',.., Tools ■ )); n la ' _I q - 0 i_- _______________ _____ , _____ ____ _ ----, I Menu CI, I Search t ...! I New !GIS - I i Help My QuickQueries --Select-- H) ' Module Euildirg [J .,..r. .„, .... V Vj . . Case # Number Street Plarne Suffix Unit # Description Active Task Opened Balance Ic-T,r1-:e_ 14315 MCFARLLND BLVD Two story addition on ,.. Inspections 03'10/2008 0 C --- . p - ---; i I ------- ____ ..-,.. - ::-.."..,., .i• ---= CAP ID: IVIST2008-00021 . --- = 1 K-1 i I — • Submit (5 i Reset , ei Cancel ' , f ; Help ,.- - • -- • _ + Go To Jr (1) Parcel (1) Payment Histor, Professionals (7) Related CAPs Section Township Range Status Structures & E . , License Type ' License # ' First Name Last Name Primary '-' 1CCB 1180540 ERTELL ELECTRIC LLC . _ Business Name Primary Phone (cxxx)xxx-xxxx) .. _ =1 l! ETcTELL ELECTRIC LLC (503) 341-:-511 El h ..; _ _ . .„ ......; Address Line 1 Phone 2 -_----- !, Address Line 2 Fax — Address Line 3 City State Zip Code —__ FOREST GROVE 1CR !9712.6 — . _ .. . . Email _---_=- ----=_---__- --_---;— Reports i 1,1H PI --__----- ----_—_--- --_•_=•.....------_- >11. Reports 10 Case Specific Permits v . ,----ki.... -___ ....--,-..._.......,L= Done 0 Internet ''''+': 100% - (4)420VCiAW[g 803 AM CITY OF TIGARD • BUILDING DIVISION PERMIT #1661/ 430 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: �� Phone: (503) 639 -4171 li Inspection Requests (24 Hrs.): (503) 639 -4175 44. F 'I_I: INSPECTION WORKSHEET FOR DATE:4I) 3I 09 TIME: PAGE: SITE ADDRESS:) L\ 3 t, S w t fiAL o BL AD CLASS OF WORK: SUBDIVISION: LoT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: '1I 13 I 0 Pour Time: Code # Inspection Description Confirm # Contact # Message I 710 C&S""\iW"‘ Corrections /Comments/ Instructions: ` P9M\I\ k lctA 1+ C;i,( i Pte►. Mil' s ■cL. C. S ova. \Z*. \--Cb \1 ( Oa 4P-i Nij • n PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N I Date: H 13 ( 0' 3 \ Phone #: (503) 718- 2 3 _ Electrical Permit Appli ► > � ,E' D FOR OFFICE USE ONLY • City of Tigard 1 6 2009 p "`B , le b �� „rb i 100 • • NI . 13125 SW Hall Blvd., Tigard, OR t!' e' 3a. Plan Review Phone: 503.639.4171 Fax: 503. 8.1960 dr �j�� ,trl�.. Other P lit: T I G A RD Inspection Line: 5036394175 �'�Gr ►a"' Dale Ready; By: lords: ® See PM!! 2 for Internet: w w'w.tigatd- or.gov . . ,,��,,' X�11 D Nig10N Notified/Method: (( �j Supplemental Information CI T5'PlIFALWORK PLAN REVIEW ❑ New construction ® Addition/alteration /replacement arose check all that apply (submit 2 sets of plans wiitetns checked below): • ❑ Service or feeder 400 amps or more ❑ Building over three stories. . ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. Icss to ground, or exceeds 14,01)0 ❑ Commercial -use agricultural ® 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 ❑Emergency system, larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ". "E', '1- 2", "I -3 Job no.: Job site address: 14315 SW Macfarland Blvd tooxP °re. occupancy. ❑ Six or more residential units ❑ Recreational vehicle parks. City/State/ZIP: Tigard, Or 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg.:apt. no.: Project name: Gentry ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qly. I lee. l Total I • • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 ! 4 Ea. add'I 500 sq. IL or portion 33.40 Tax map/parcel no.: _ Limited energy. residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 Add 200 amp service to original permit residential (with above sq. ft.) _ Services or feeders installation, alteration, andfor relocation . 200 amps or less I 80.30 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 j 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or . relocation . Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 Branch circuits - new, alteration, or extension, per panel - Owner signature: Date: A. Fee for branch circuits w ith ❑ APPLICANT 1 0 CONTACT PERSON above service or feeder fed, 6.65 2 ' cacti branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'I branch circuit 6.65 2 _ Miscellaneous (service or feeder not included) City/StateiZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 • E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 • Signal circuit(s) or limited - Business name: Ertel) Electric, LLC energy panel, alteration, or Address: P.O. Box 279 extension. Describe: Page 2 2 City/State /ZIP: Forest Grove, Or 97116 , Each additional inspection over allowable In any of the above Per inspection 62.50 Phone: (503) 841 -4511 Fax: (503) 359 -5652 Investigation per hour (1 hr min) 62.50 CCB Lic.: 180540 I Electrical Lic,: C390 r Suprv. Lic.: 5420S . Industrial plant per hour 73.75 _ ELECTRICAL PERK TC FEES Suprv. Electrician signature, required: / Subtotal: 80.30 G Plan review (25% of permit fee): Print name: Dylan Wentworth D 1 April 9.64 e Authorized signature: / _ / State surcharge TOTAL (1290 PER p A1IT rmit FEE: fee): 89.94 T permit application expires if a permit is not obtained within 180 Print name: Dylan W I ate: 16 April 09 days after it has been accepted as complete. • Number of inspections allowed per permit. l:' Building\Permite.ELC- PermitA c 0523/06 440.4515T( I 1 /05 /COM /WEB Z'd Z999 011 0 !- 1 1 0 e13 s,11e3- eLZ:ll 60 91 JdV I :._ a. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received �� • uatc:B: 1� err. 1 13125 SW Hall Blvd., Tigard, OR 97223 plan Review • Phone: 503.639.4171 Fax: 503.598.1960 Datc:l ;v: Other Permit: Inspection Line: 503.639.4175 Date Ready /By: Jun ® gee rage z rur T I G A R b Internet www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW CI New construction ®AddillOn181[CratiOT1/rt placement Please check all that apply (submit 2 sets of plans vv /dents checked below): ❑ Service or feeder 400 amps or more ❑ Building owe three stones. Q Demolition ❑ Other: where the available fauh current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 snips at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ® l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Fire pump. ❑ Installation of 75 KVA or El ❑Master builder ❑ Other: : ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A'•, "E•, "1 2 ", "1 - ", 100HP or more. occupancy. Job no.: Job site address: 14315 SW M eiarland Blvd ❑ Six or more residential units. ❑ Recreational vehicle parks. ❑ Health -care facilities. CI Supply voltage for more than CiryiStatc/Z[P: Tigard, Or 97223 ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Gentry ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Denrinemn I Qn. I rK. I Taal 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. It. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 • DESCRIPTION OF WORK (with above sq. ft) Limited energy, multi - family 75.00 2 Add 12 circuits to existing permit MST2008 residential (with above sq. ft.) - 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 - 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or 1 3' relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I , 1 201 amps to 400 amps 100.30 2 Owner installation: This installation is being made on property that 1 own which is not - 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 wifhoui service or feeder fee, 46.85 2 Contact name: first branch circuit , Each add'/ branch circuit 12 6.65 79.8 2 Address: Miscellaneous (service or feeder not included) City/State/LIP: Each manufactured or modular 40.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53 2 Signal circuits) or limited - Business name: Ertel) Electric, LLC energy panel, alteration, or extension. Describe: Page 2 2 Address: P.O. Box 279 City /State/ZIP: Forest Grove, Or 97116 • Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 841 -4511 Fax: (503) 359 -5652 Investigation per hour (1 hr min) , 62.50 CCB Lie.: 180540 Electrical Lie.: C390 . Suprv. Lic.: 5420S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES / Suprv. Electrician signature, required: f Subtotal: 79.8 J Alia— Print name: Dylan Wentworth ' Date: 13 April 09 Plan review (25% of permit fee): State surcharge (12% of permit fee): 9.58 Authorized signature: f , permit a TOTAL PERMIT FEE: 89.38 T his ppplication expires if a permit is not obtained within 180 Print name: Dylan Wentworth I Date: 13 April 09 ' days after it teas been accepted as complete. • Number of inspections allowed per permit. 1: tauadinglPcrmitvELC-PamilApp.doc 0527/06 440.4615T( I I /05 /COIWWE0 £ 2999 011 3 P1 0 el3 S,Ilel dg17:Z0 60 £L JdV 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. 1 I q BUILDING DIVISION T I G A R D TRANSMITTAL LETTER a TO: Dctfl A) 0, n DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FEB � 13 2009 FROM: LR -L4rzL G,Q.vd ' CTfY OFTIGARD COMPANY: BUILDING DIVISION . NE: (5J)5 0 O7 j, g 3+ By: RE: I4315 6 t Ole rarifoid , (v . h� Sii 2 008•o©z 2.. I (Site Address) (Permi ase umber) 41 lo-f• 4 -1 Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: Description: Additional set(s) of plans. X Revisions: (.) Cod►, S . 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 Q 4 V I ck �t p �c, 9- a a 6._( C' q a 1 CA OOr L -4cQr --, 00 I v . FOR OFFICE USE ONLY Routed to Permit Technicia' 2 ' Date: ' ' Initial Fees Due: Ill L' Yes No Fee Description: Amount u $ $ $ $ _$ Special Instructions: Reprint Permit (per PE): ❑ Yes 15, No ❑ Done Applicant Notified: Date: A . ( .0 ct Initials: yn 2 P - - w / jct.wta- — l: \Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 FEB -12 -2009 THU 02:09 PM KG [nvestment Management FAX NO 503 748 0460 P. 02 CITY OF TIGARD COMMUNITY DEVELOPMENT -r i u n n u 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 RECEIVED Electrical Signature Form FEB 2 31 2009 • CITY OF TGARD IMPORTANT PERMIT NOTICE BUILDING DIVISION ERTELL ELECTRIC LLC PO BOX 279 FOREST GROVE, OR 97116 Permit # MST2008.00021 Date Issued: 211212009 Parcel: 2S110BA -04401 Site Address: 14315 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 021 Jurisdiction: TIG Zoning: R_2 Project Name: GENTRY Description: Two story addition on west side of existing home. Mechanical other - A/C unit Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form Lo: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 50344.5691. If you have any questions please call 503.718.2433. 5Q8&19f00 No electrical Inspections will be authorized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: TODD & LAURA GENTRY ERTELL ELECTRIC LLC 14315 MCFARLAND PO BOX 279 TIGARD, OR 97224 FOREST GROVE, OR 97116 Phone*: 503 - 748 - 0455 Phone #: 503 Reg #: ELE C390 LIC 180540 SUP 5420S AN INK SIGNATURE IS REQUIRED ON THIS FORM . X _ Jg _ /, (A)-( � L t s S Si - of u ■ ∎ - ising Electrician Namprinted) SUP LIC # l d Z999 011 o!a1pe13 s,f1e1J3 8 147 :60 60 £Z qe3 • Building Y atiob ` vt°v%40( avii 1 ►vim- Oy v _ • Residential Ce‘\11. ) FOR OFFICE USE ONLY e . * r �,_ City of Tigard p�� Dateivy: Received !(J ( Permit No.: /J �[x) — °mil 13125 SW Hall Blvd., Tigard, OR 2 1 Plan Review Phone: 503.639.4171 Fax: 503.598.19601-'0' G �, p�wt Dat 3. . 1 �4 fit(. Other Permit: , ,C Inspection Line: 503.639 .(� O ` `` V``� Date Ready/By: 0 See Page 2 for T I G A R l� Internet: www.tigard or.gov G`` Notified/Method: term Supptemeutallafdrmation SV a rusts lam[ i rit 51/0/0 g P.It- w/ A.04 TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. . _ Indicate the value (rounded to the nearest dollar) of all Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application / 3€ ( - 7J. "75 Valuation: $ ri Ai 1- and 2- family dwelling ❑ Commercial/industrial Number of bedrooms: ^ tS / 000 - l ❑ Accessory building ❑ Multi- family r� ❑ Master builder ❑ Other: Number of bathrooms: a � p - 4 .., JOB SITE INFORMATION AND LOCATION Total number of floors: c Job site address: 143 I5 .5w I/rLtre...r -/Q yld 8 ) ye/ , New dwelling area: ' , i.a5 square feet City/State/ZIP: I ' jc�ui / O crY 1 q - 7 ,..:344- Garage /carport area: square feet Suite/bldg. /apt. no.: ProjM name: (,.p1 - fr fi 5(16 e� Covered porch area: square feet Cross street/directions to job site: A qQ +a K n C' U I I Y)1ou a : V ,, Deck area: square feet P )Oad 1 A., yre Or) 171' r Other structure area: square feet i REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: S ,) 01.85 Lot no.: 02 I 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.: pR 5 II 0 (3,4 0 ' 0 I equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. W O "6r ' t Valuation: $ (- OI1 �¢, Existing building area: square feet ,1 New building area: square feet 5 ,134 PROPERTY OWNER ❑ TENANT Number of stories: Name: 4 - 4. , 6 Type of construction: Address: 14315 5 (,J ' &r la 81 Nd . Occupancy groups: City /State /ZIP: —n A-rl� I 0 q L}. Existing: Phone: (5 p 3) - I ( - / 0 3 I Fax: (503) 14 - O4(p0 New: 14 APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name:_ a * u licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14315- Sc. m 1a two/ g1 jurisdiction in which work is being performed. If the City/State /ZIP: �; applicant is exempt from licensing, the following reasons 11 0 re O in Cl 1 -C 4 apply: Phone: (5(8) 9 (o$'- 103 I --- S 1a - $ 134�Czi 0 E -mail: 13.tr) +Y j0.- i 43 i n ✓e 4- r 4- t. C0n ) CONTRACTOR Business name: /0 W k J) (It QV.■g}. , BUILDING PERMIT FEES* Address: l y (\ 3 (A, tJ _ �� C) P ` • p (Please refer to ep schedule) W City /State /ZIP: 6 •� Q �� Structural plan review fee (or deposit): ?S'v,�.� Qui .e. � r �v o o Fax: ) FLS plan review fee (if applicable): Phone: G - 2,oq ( c C g ( CCB lic.: 1q8 436O Total fees due upon application: Amount received: Authorized signature: ' ;- This permit application expires if a permit is not obtained r [ ,, within 180 days after it has been accepted as complete. Print name: L. 44.4 -ta- Date: 3/-7 /Q $ * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1 /02/COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY t. , IN City of Tigard Received Date/By: Permit No.: 1 3125 SW Hall Blvd., Tigard, OR 97223 C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical T I G n R D 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. ❑ ❑ ❑ 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- ❑ ❑ ❑ / ;) n protection, etc. 10 ( Com plete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ ding 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 0 11 copyright violations exist. 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 Ore • on and shall be shown to be applicable to the . ro'ect under review. JURISDICTIONAL SPECIFICS 'X 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:t Building \Pennits'BUP- RES- PermitApp.doc 03/21/06 4404613T(11/02/COMM'EB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard D avy 3 �� , , Permit No.:".?? , _ ` E eceived • 13125 SW Hall Blvd., Tigard, OR 97223 E. �U Permit Phone: 503.639.4171 Fax: 503.598.1960 MAR 1 �� Date/By: hew Other Permit: /1,' ti - ..A cw s Inspection Line: 503.639.4175 rA l �'/i - E_ Page 2 for " T I G A R D P r ttelVa to Ready/By: Juris: ®See Page 2 for Internet: www.tigard -or.gov 01 O1V ,S, I i fied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction .J Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling C Air conditioning or heat pump Job site address: 143 5-- sw m l�-t IOf I J` 14'( (requires site plan showing placement) I 14.00 City /State/ZIP: -- n6ay - 'd, 0 re3Or, ' 1 c -4 Furnace 100,000 BTU (ducts/vents) I 14.00 J Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: 6 Re t��� Gas heat pump 14.00 • Cross street/directions to job site: (..t 99 -t I I ot. - tac n Duct work I ' 10.00 L I Hydronic hot water system 14.00 A o Q d ) Y'l'erL o n m 'Q oat Residential boiler (radiator or U hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: e5 Vl „ ,' 1 Lot no.: g. I Flue /vent for any of above 6.80 S Other: 10.00 Tax map /parcel no.: Q5 I I 0 SA /04.4 I Other fuel appliances DESCRIPTION OF WORK Water heater I 10.00 Gas fireplace 10.00 - r1. 0 0 - r1. 0 0 S 0.4kit r 4 Or) L )eS -L 511 O f Flue vent for water heater or gas rte"(., fireplace 10.00 ■LC! r' h o r� Log lighter (gas) 10.00 Wood/pellet stove 10.00 .. .. Wood fireplace /insert 10.00 ,a PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other: _ 10.00 Name: p 6e-ft.- / Environmental exhaust and ventilation Address: (4j1 S C ) �� 6 pYJI I 61 (/Q`, Range hood/other kitchen equipment 10.00 City/State /ZIP: O j n tnn - .- ? _ Clothes dryer exhaust I 10.00 Q / /� t Single -duct exhaust (bathrooms, Phone: (5Q3) 57 _ O f34. ( d i / ) Fax: (6o3) 14' .. 04(P() toilet compartments, utility rooms) a 6.80 la APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: - - Fuel piping Contact name: r1.&*ifttil $5.40 for first four; $1.00 for each additional Address: 1431 5 5 W )'r i inet f)1► -d Gas h ea t p Gas heat puu mp City/State /ZIP: - &,� 0 9 '] . WalUsus P ended unit heater Phone: (503) 5 a _ 4 1 4 _ Fax:: 503 1 q g. O1-/ Q Water heater 1 Fireplace E -mail: (p ✓t�"1i V(d / t� A i/'r V� rr e . dory) Range �} `--� CONTRACTOR Barbecue I n Clothes dryer (gas) Business name: 76 r/ ✓ , 1 , b i ∎ CA Other: Address: / `� MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fcc ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (12% of permit fee) t TOTAL PERMIT FEE Authorized Signature: i ► " This permit application expires if a permit is not obtained within 180 i days after it has been accepted as complete. Print name: La t.49 , 0. _ rs , Date: 311 MI • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440-4617T01/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information T .. 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 ' Plumbing Permit Application osp3,0 Building Fixtures . `�� 3 FOR OFFICE USE ONLY i , 0 City of Tigard ` R eceived `� • 13125 SW Hall Blvd., Tigard, OR 97223 � ` r ` � �� �1 � ? R� . ateBy. ���� /( Permit No cf7s�"�(x/& cy(,�I Ian Review / V Phone: 503.639.4171 Fax: 503.598.196 ,, ``, Other Permit No p �, O�V DateBy: �jCJO - }!1 TI G A It D Ins pection Line: 503.639.4175 Q zNI� � Date Ready/By: Juris: Si See Page 2 for Internet: www.tigard or.gov VVUU�� Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total l a Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 14 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: j 4 3 S Sw I / r l CCU 8 I (ed._ Catch basin or area drain 16.60 City/State /ZIP: Ti 0�, ,per, Lj ���,.4_ Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: " , f Project n ? n : ge5 j e_e_ Footing drain (no. linear ft.: ) Page 2 � u. I Manufactured home utilities 110.00 Cross street/directions to job site: 1-4 4Q (, fo 1 I 1n1 t0l'IT2iv► Manholes 16.60 R oad l'") + 6Y) ni 414yt04- Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: S/l1j .t) l'I M5 I Lot no.: a, I Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: x511 I O 6A / 0440 I Absorption valve 16.60 I DESCRIPTION OF WORK Backflow preventer Page 2 ti [ i +i jy) ()n WE-5 / - 6id. -4- 0- Backwater valve 16.60 r O t'Y.� (, Clothes washer 16.60 Dishwasher 16.60 PROPERTY OWNER 1 ❑ TENANT Drinking fountain 16.60 Ian" I J Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: /43(5 t ' � (� r7 / t/ I Fixture /sewer cap 16.60 City/State /ZIP: t Floor drain/floor sink/hub 16.60 - Ti awl i 7 . Phone: (505-..a. 31 /34. 8 I Fax: (a n4s-- Garbage disposal 16.60 A APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: L Gam-- Medical gas (value: $ ) Page 2 Address: 1143/5 5 ti) /'r)C rla,,o gl 1 L Primer 16.60 City/State/ZIP: f / C J l " 1 Roof drain (commercial) 16.60 t,) 1 Sink/basin/lavatory S 16.60 5-- Phone: ( -(=� Fax: : (s)3 - Tub /shower /shower pan 3 16.60 E -mail: I t� vI (� 1 rl 0 2 .„4yM . C01'� `J ` J Urinal 16.60 ONTRACTOR Water closet a 16.60 Business name: ,J /E� n Water heater ( 16.60 - Address: J Other: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: , 1 . i r TOTAL PERMIT FEE Print name: - .4 Date:3/ 1 107 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1: \ Building \Permits\PLMF- PermitApp.doe 12/27/06 4404616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - l 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater _ $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing El New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\Building\Permits\PLM- PermitApp.doc 12/27/06 • • Electrical Permit Application >�� FOR OFFICE USE ONLY City of Tigard � � Date/By: �0 (� 6 6 Permit No.:/r),gT ii • 13125 SW Hall Blvd., Tigard, OR 97223 �lW Plan Review / O C . Phone: 503.639.4171 Fax: 503.598.1960M AR 1 D DateBy: Other Permit: / tee-- aosj T I G n R I7 Inspection Line: 503.639 �+`� Y t )t • (IUP Date ReadyBy: yetis: El See Page 2 for Internet: www.tigard- or.gov V �1 otified/Method: Supplemental Information allt4� 1 TYPE OF WORK PLAN REVIEW ❑ New construction lit Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service OT feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural . 1- an d 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. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "l -3 ", Job no.: Job site address: 43 5[ I'yl CF& 81,,,,i or more. occupancy. ❑ Six or more residential units. 0 Recreational vehicle parks. Six or City/State /ZIP: "1 j , 0 r 'p ci '� l ❑ Health-care facilities. ❑ Supply voltage for more than (lard ° • r� ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Projec: name: GP I cS7 P U ❑ Service or feeder 600 amps or more. '" FEE SCHEDULE Cross street/directions to job site: 1,1 Git - 6 (A i( rn -- n Description I Qty I Fee. I Total I • New residential single- or multi- family dwelling unit. Aodd r►,- on m lame _ Includes attached garage. Subdivision 6T, , , ow 41 115 I Lot no.: 0L1 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: eQ 51 I OBA 0440 / Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) ' e - i Limited energy, multi - family 75.00 2 T r "Two 54-0 4dDt i on we S1 1 Of residential (with above sq. ft.) _L Services or feeders installation, alteration, on, and/or relocation tab Orh.Q_ 200 amps or less 80.30 2 ,i PILOPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 1_.-6.., G 401 amps to 600 amps 160.60 2 . ,- 601 amps to 1,000 amps 240.60 2 _ Address: « 3115 51 m b he/ I N vet, Over 1,000 amps or volts • 454.65 2 City/State /ZIP: o 'I aoZ� Temporary services or feeders installation, alteration, and/or 1 relocation Phone: 6056 — $ / 31.1 1 Fax: (5 14t-, 04-4 200 amps or less 66.85 I 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, 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 Iv( APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits I _ without service or feeder fee, / Contact name: ! a u t. (.1 t7 first branch circuit 46.85 2 Address: /4.3 f5- W j 75) - �� J S t f Each add'I branch circuit / . 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: 7 ,,, () q1.2.2.4. Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (503)5'6 -z/31. Fax: : 3)1 4-8' - 01-&6 Reconnect only 66.85 2 E -mail: I J � , e r T } r i mC i j r2 Veal t% gory) Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: 780 780 energy panel, alteration, or Address: f extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): r ./.. Authorized signature: / Print name: ��, t . ; TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 , at p Date: 3 1 �Q� days after it has been accepted as complete. • Number of inspections allowed per permit. 1: Building \Pennits\ELC- PetmitApp.doc 05/23/06 440- 4615T(11/05 /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 ❑ 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 \Prnnits\ELC- PmnitApp.doc 03/23/06 � 1111, ar. . 006 9: 5 ri „ r ' u� . i - . . � � 19/ ...... 2 h......... 6AM -.2 PM. KG Investment Manage FAX N0 503 748 04 MAR 1 4tub,i ... p CO C ~ � � T CITY OF TIGARD • BUIWDINGDI Ili • MAR 10 2008 - M S r - igoe• 8 - eve, CeanWatei Services Our curumiln,aul t• clan*. By---- $FtloNvmbur ens ve • rea - re - ' Bening 0 $ — oo a C i, 1 Site Assessment _ .Juasdlctten: ri aetg Q Property Information: (aremp!o tS2a4Amoi4Oo) Owner In ormatlon:� + ..r To)dot 113(0 p I I 0 Ii 11 04401 - Name:, Company: V - Address: 14 5L4.) maParla t'31Vd . Site Address: 14;,15 Sri I ref-t ar(akul 811/d— I •:.,Y' • Ls o. ' " _ -y M + 0r ' I 1 st, J : �. L — 1 I 021 1 . r3 0 Nearest Cross t: A II t1NIQIh 1 T�acto Phone&Fe l. E-malC _ rt� a Ka i h Ilc [e Development Activity: Cheek all that apply • L.c Applican m Addition to Single Family Residence (rooms, deck, garage) sal Name: e Information: +� . f' Lot Line Adjustment ❑ Minor Land Partition CI Oompany: Residential Condominium ❑ Commercial Condominium ❑ Address: 14315 SW trtr-ellAt91 8111,0L. Residential Subdivision Q Commercial Subdivision CI J . , , el : . "T _ . Single Lot Commerdal Cr Multi Lot Commardoi ❑ phonelFax:f r, ' —Wf •. / 0 rr. - a . = a . Other E-mail; iq.gh`�rt�a 1MvestmorrP. Will the project Involve any of(-3lte work; YES El NO IA Unknown ❑ J Loc and description of off-elte work: Additional comments or Information that may be needed to understand your projects • This application does NOT replace the need for annum and area on Contra emits, Oonnecuen Fermin, guts 9 Parents, no Dovotonmont Permlk, DEQ 1200 - C Permit or other permits es tasaed by the Department of EnVtrohmontsl quality, Dopanmohl of state Uses andrer Depanment of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By eloping tale form, the owner or owners authorized agent er reprecentatluu, aoknawtedges and ugreoo that empleyeaa of Men Water aeMeoe have authority ID enter me protest Otte of all teesonsb;e Um for the purpose of inspeuttntl project site eoneillons>3n5 natherkig Amalie() related to the prolael efts. I cc* that I am remits tab the Infers Ilan conlelned In this dsrumant, and to the bast or my Inavtadge and betel, I tla Information Is true, cam ale, and acourele. Print/lype Ne 1--u-+ st. G Pdntrype l itte: • W d. ?4. signature: " 1T . Date; l0 •' .. ._. r .....^.._...... s.. N gip FOR DISTRICT USE 0 LY ^TT ❑ sensitive areas poten ally exist on alto or within 200' of the site, INS APPUCANT MUST PERFORM A RE MERRIMENT PRIOR TO 1®SLLANO OP A 8ERViOR PROVIDER LCY7aa. ti Sensitive Areas exist on the site or within 20D feet on ad)eoent properties, a Natural Resource° Aeeossmonl Report may also be required, i .• Based on review of the submitted material, and beet available Information Sensitive areas do not appear to exiat on site or within 200' of the elte. Thla Benaltive Area Pre- Screenlag Site Assessment does NOT eliminate the need to evaluate and protsol water quality senwhive areas if they are subsequently discovered. This document wit serve as your Service Provider letter ea required by Resolution and Order 07 -20, (section 3.02,1, AU required permits and epprovele must be obtained end completed under applicable local, State, and federal law, ❑ Based on review of the submitted meteriels end beat available information the above referenced project will not significantly Impost the existing or potentially sensitive erea(e) found moor the alts. This Sensitive Area Pre•Soreenlug Site Aeseaument dope= eliminate the need to evaluate end protect additional water quality sensitive cases If they are subsequently discovered. This document will serve as your Seriloe Provider letter ea required by Resolution end Order 0740, Section l required permlte and approvals must be obtained and completed under eppiloabio local, stets, and federal law. 0 This Service Provider Letter Is not valid unlore CWS approved alto plane) are attached. ❑ The proposed activity dews not meet the definition of development or the lot was platted after 9/13/65 ORS 92.040(2). NO SITE ASSEB8MENT ,Q RVIOE P OVIDER LETTER IS REQUIRED. • Reviewed lay: ��w�c,„ . _ _ , Date: -(L3�O B 1 2550 aW Hillsboro r°yiwey• Hilbaors.O(aaoa 07122 P4 Phone: OM) eotraf0o ran low) 111a4ua. reayuI m•,aIt. a r • P.4.411w4:1.47 WESTERN PLUMBING S096849016 02/12/09 04:19pm P. 001 rco tc - cuuu Inu uC.1u r11 nu Investment Ilanagemena rrin iu. ;)U3 140 u4UU r. UL a CITY OF TIGARD COMMUNITY DEVELOPMENT .r tr; n It 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • Plumbing Signature Form • IMPORTANT PERMIT NOTICE WESTERN PLUMBING 9460 SW TIGARD STREET SUITE 101 TIGARD, OR 97223 Permit #: MST2008 00021 Date Issued: 2/1212009 Parcel: 2S11 OBA -04401 Site Address: 14315 SW MCFARLAND BLVD Subdivision: SHADOW HILLS Lot: 021 Jurisdiction: R - Zoning: TIG Project Name: GENTRY Description: Two story addition on west side of existing home. Mechanical other- A/C unit. • Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this . Plumbing Signature Form prior to the star, of the work. Please mall the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.6243884. If you have any questions please call 503,718.2433. 598 141 c� No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: TODD & LAU GENTRY WESTERN PLUMBING 14315 MCFARLAND 9460 SW TIGARD STREET TIGARD, OR 97224 SUITE 101 TIGARD, OR 97223 Phone #: 503 - 748 -0435 Phone #: 503 639 - 5296 Reg #: LIC 148436 LIC 142703 L1C 180540 LIC 2439 , Pl..y1 34 - 29PB AN INK SIGNATURE RS REQUIRED ON THIS FORM X 4 Signatur ? IAA of Authorized Plumber Name (printed) • a _ I I SW McFARLAND BLVD , - -0 • . MkM Architecture Inc .. .... . 3304 SE 52nd Ave , '.I : ,\ .',, . ;', - '• l• /' . 1 , . Portland, OR 97206 - PQORFYUNE _..-.._.._—_.. _ . . V ///: - - -- - - - -. - - - - • • , _, _. .. 503.432.8588 , , • 117.94 . - - - / '. ■ / I \ 4 412D 4/47 i . / i • 1 P \ i / ■ dk 1 OR • i ,,,, /// !N \ \ • / / i • -4 OF [ ./' f ',/ • i / • 5 , REcovED FEB 1 3 2009 !.. / 1 !' i CITY OFTIGARD • / 1 - ',// : 1 , ; ; ,, tAREASOO;727.R.K&nc,,/,,,, 13121,1,m4D /i/ IVISION • 7 • // %."`" //./ 14315 SW McFARL AND BLVD 1 /V . .. . . . !• /i,,,y ,/,,/,./ BUILDING OUTLINE ' ' i • A -'31 IV r ZONE R2 • . r . i i . . i I /7' I■ I ,I ' /1 - i . T,oltr, • i . Nel xErAww WALL • 1 1 1 3 i • / / i' " ‘. i S ETA!. 4/.46 • > 1 i ' . / I / 1 ...... 1 7ING/IETZ;InG aS a I ■ EaS11NG I 1 i• i 1 - .. • \ , PA110 PLANTING i - . , r /. •• I, ( 0 t3 ---).----------,\ , o•-. 1 ', . k / 1 . ,,,, /,‘•,,./ • ID 7:3 6 '''/•-- --- ! / i V? < 0 r: u) LL 0 PLANTING CZ L C. i / ! .; LCDCIT,CAPING , I I 0 - V , • : ORA NAGE ay / ,i onicts EmTING 2C , P ! ___,,1 EXISTING POOL 1.. .- `../ -SE (./.) 0 i ' • k // ,.• • 1 RETAINING 1 wALL H 1, / .. • • .i,. i / ., • ■ raw, 2/2ENIENT ... \ . . • • ■ ....._. . , _ ' _ ,• 1 ...,- - ••• .. • ' . i' I .../-'7—, - i / \ i ,r, 5'4' /"<■1 i I . i , • t i i: - _ _ _" ,- . . • , , , .. . ,' • ., ,' 1 • i , Job No: 07:27 , . I (..• i , i Date: 12.06.07 . , . , j I >/ i ' - , , • . Revisions: ' . • •,r, , - • , . i ,,, / . , „ . -. , . - _ .. - [/ .- - .i - - Cover, Site & Existing Elevations N N 0 SITE PLAN Sc I" = ig-G" ACTUAL (1) PLANS AO frfl :Ma . CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: tviat2poiR - oO 0 2 I Street Trees: Approved ❑ Not Approved Protected Trees: Approved 091/ N t. roved By: . . • ��6 l f j p Date: Notes: CITY OF'TIGARD. - SITE PLAN REVIEW BUILDING PERMIT NO.:Iy1 312608.00OZt PLANNING DIVISION: Required Setbacks: � Approved ❑ - Not A.ppro ed R 7/ Side: Er Side: a,S' Front. / Garage: 2J Rear: Visual Clearance: Q' Approved •0 Not A p oved Maximum Building Height IL feet '' WS Service Provider. Letter Required: ❑ Yes 0 No ri Rived _:.h : 4/ .a..... Date: - i ddol ENGINEERIN ' TMENT: Actual ope: % . Approved [7] Not Approved -Site PI : Approved ❑ . of roved By: . Date: 1 7 • Notes: G!f 2civxd f __, sam,. • • RECEIV r t V r, $ SW McFARLAND BLVD MAR 1 4 LUUd MkM Architecture Inc 0) � " l � ' x 3304 SE 52nd Ave ■ 6� " - ' 1. _ Portland, OR 97206 � r PROS ''�E .. .._.._.._.. >e 503.432.8588 / \ , 40 4/4= , i / 117.9' I -v^' • / j q215. PORTLAND OR ` . / / / \ . . I OF 1 . ; , / I — 1 Sp : • / SMACK 1 I 1 / I ii. I I k AREA OF , T r I • /IWO STORT ADDMO I •I I/ /, ; .r , ��/ 14315 SW McFARLAND BLVD - - .' ' I ///:/ ' BUILDING'OUTLINE ' 4 j s / 7/ ZONE R2 A � � IT / i ! ' - 1 %// ! ~ NEWRE7NNIN WALL . 4 r i ' I• !i \ I SEE DETAIL ,.�fA�6��DEMO • .d / f ,' • / / VTNNWG AS A • • I Ij ' E%LSTIN / I ��_C4S•RT - EXISTWG II "; "1.11!. N C - I I ;1 ))yy PAI10 ry 1 U . O V N I f. I (NTWG I .1.•I! /- - • C C N .-/-/,.___,,,,,%.--------. 41 18 - .3_ r I /_ i '25d � I 1H1 ■ UTILITY EASEMENT \ I , A •9 1 /I / I/ I \\ _ / / /_ -_ 1 I I /. ,- \ \ Vi / \ ;_j , Job No 07:27 i/ r I I : it! l • i' , i- / I �\ i f I I ! ! Date: 12.06.07 \ _ _.1._._._._._ Revisions: 11 11 4 I 1 20.21' 1 r — !(p Cover, Site & 1)1.1\J N N '�`� Existing Elevations e SITE PLAN K SCALE: I 0 10•-0" ACTUAL O PLANED AO 1 sty ^0c ,-14Kd aid, CITY OF TIGARD - SITE -PLAN REVIEW , BUILDING PERMIT NO.: 47/.57 200 ,5! CkDO I , IV PLANNING DIVISION: V" Required Setbacks: 0 A pproved ❑ Not Approved Side: S Street Side:. -I Front. .,3 Garage: 2Q.. Rear: �� Visual Clearance: pproved ❑ Not Approved . Maximum Building Height, feet CWS Service Provider Letter Required: ❑ Yes ❑ No ❑ R eceived B ; RIN Date: 3f a-( /UI ENGINEEDEPARTMENT: Actual SI pe: S % Approved 0 Not Approved Site Pla ‘4_ EhApproved ❑ of pproved By: Date: 3 25- O Notes: /wt- CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: Street Trees: ai Approved ❑ Not Approved Protected T p" Approved ❑ Not pproved By: ,—/otkifitie Date:. 3/2 4 1 Notes: M `bee • »j CITY OF TIGARD ^S dg 0 d 2 -1 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 %uyip� �‘ Inspection Requests (24 Hrs.): (503) 639 -4175 .'1 F:_.. INSPECTION WORKSHEET FOR DATE: •-1 / © f TIME: PAGE: SITE ADDRESS: , II / c , / v t_tI CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ^� OWNER: PHONE #:3 C7 — S 3 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: , A �� Code # Inspection Description Confirm # Contact # ., r essage 1/y - I -. 41 - . fin, 0® // 76 -0 Corr ctions /Comments/lnstructio o U 1/ 6 - O /4;;t el 0 ar al ' rf2 Icj 5 MO - G G (.....„„L 4., ±--Le aiL, , PASS I 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 159 Phone #: (503) 718 -1