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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2010 00020 • TIGARD • 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/05/2010 Parcel: 1 S 135AD01100 • Jurisdiction: Tigard Site address: 8807 SW SPRUCE ST Subdivision: Lot: 0 Project: Moon Project Description: Repair fire damaged SFR. 8/18/2010: Reprint permit to add A/C; unit must meet 3' minimum rear and side yard setbacks. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: 2 Second: sf Garage: sf Front: Smoke Dwelling Units: 1 Third: sf Right: Detectors: Yes Total: sf Value: $254,000.00 Rear: PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 2 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 2 Clothes Dryers: Natural Gas Heat Pump: N Hoods: 1 Other Units: Furn <100K: 1 Vents: Woodstoves: 1 Gas Outlets: 2 Furn > =10OK: 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: 20 Ea add'I 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MOON, BRETT A & SHERRIE A OREGON HOME IMPROVEMENT CO 8807 SW SPRUCE INC TIGARD, OR 97223 17255 SW PILKINGTON RD LAKE OSWEGO, OR 97035 PHONE: PHONE: 503 - 635 -6248 FAX: 503- 636 -7183 Total Fees: $4,781.76 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 4.- 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: I Permittee Signature: p/i7 / O■\,/ ,,' CITY OF TIGARD '' 4 MASTER PERMIT , , n ': COMMUNITY DEVELOPMENT Permit #: MST2010 -00020 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/05/2010 T f,, I?, Parcel: 1 S 135AD01100 Jurisdiction: Tigard Site address: 8807 SW SPRUCE ST Subdivision: Lot: 0 Project: Moon Project Description: Repair fire damaged SFR. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: 2 Second: sf Garage: sf Front: Smoke Dwelling Units: 1 Third: sf Right: Detectors: Yes Total: sf Value: $254,000.00 Rear: PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: Rain Drain: Catch Basins: Lavatories: 2 Dishwashers: 1 Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: Drains: Bckflw Prevntr: MECHANICAL . Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: Natural Gas Heat Pump: N Hoods: 1 Other Units: Fum <100K: 1 Vents: Woodstoves: 1 Gas Outlets: 2 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: 20 Ea add'I 500 sf: 20 1 -400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MOON, BRETT A & SHERRIE A OREGON HOME IMPROVEMENT CO 8807 SW SPRUCE INC TIGARD, OR 97223 17255 SW PILKINGTON RD LAKE OSWEGO, OR 97035 PHONE: PHONE: 503- 635 -6248 FAX: 503 - 636 -7183 Total Fees: $4,729.40 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 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 oug 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:'. till �_ ' 0 _ - I ■ - I � ` Signature: ` P . / I . a Ili ► 1 Permittee Si nature: Building Permit Application , � mwf 1 i I 5�e g z z r-Z<"m-R ''3�`' -T; riP , 1 ; Residential '� ', " ol OI G tii I O i L \ .E Received City of Tigard FEB 0 5'2010 Date /By: Permit No.: c O ° 13125 SW Hall Blvd., T OR 97223 Plan Review 0 Phone: 503.639.4171 Fax: 503.598.1960 `� a Other Permit: TI GA 'RD' Inspection Line: 503.639.4175 CI TIGAI3D Dat /B Date Ready /B: y: i �� , Jur ' ® See Page 2 for .1 = -, K , Internet: www.tigard - or.gov BUILDING DIVISION Notified /Method: r �C)) Supplemental Information 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 X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - CATEGORY OF CONSTRUCTION work indicated on this application. tgf 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 2 S`} OCOO, �`� El Accessory of bedrooms: Accessory building ❑ Multi - family ( El Master builder ID Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: gjF07 Ski Sf)?--V(Ce r New dwelling area: square feet City/State /ZIP: l lU jt t 01e_ 0,1,2 2 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: H 1'e D MGr' Covered porch area: square feet Cross street/directions to job site: Deck area: square feet ti ct' C - k - L, SIA•GC. Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ., ; . •, . DESCRIPTION OF WORK . ' . ' work indicated on this application. ( ( I Valuation: $ e r avt a pas- t 0.1 fe.pl ac.ev>�e AA- 6+ i (e_ Aa vtA a t(e c s ci-k we a Existing building area: square fee — v New building area: square feet OWNER _: , _- ; t3 P ROPERTY G1 . Noon •' , . _ ; ❑TENANT, ,• ' : Number of stories: Name: 3y, k i 5 iip r r t Type of construction: Address: 5E50'7 2 ,,\,\) c y1,l.c. e Si- , Occupancy groups: City/State /ZIP:7:-Lyin cS rg• q, 223 Existing: Phone: ( " D3 ) (161 . Zit 0 2 Fax: ( ) New: ' ' ''APPLICANT ` ' [t, CONTACT PERSON NOTICE Business name: 1 M y ripe/ C oil 1-t- v u 6 vi c e ( S All contractors and subcontractors are required to be Contact name: 1 I �r�b ( licensed with the Oregon Construction Contractors Board p under ORS 701 and may be required to be licensed in the Address: ft 51 nw o U t 1 c 54, , I 100 jurisdiction in which work is being performed. If the City/State /ZIP: 1 t an d t 0 t l 2 2 3 applicant is exempt from licensing, the following reasons apply: Phone: (99.3) 4 • 39 " 4 O0 1 Fax:: J( ) .445 - 3700 E- mail:Y h rbau \ 0 Y De VI Yt Q > C()w1 �J v1 CONTRACTOR Business name: Otc�0 1 1 � � o w ie, T Q i�v 1 � p r ov e ,v � . � - fo BUILDING PERMIT FEES* Address: \ 1 _s5 l 1 1 -t h y �t�l FIA tPleaaereje/m aelFidalel � , �. -1 J O , � Q uo55 Structural plan review fee (or deposit): 32` L7 City /State /ZIP: 6�- low �. 1 FLS plan review fee (if applicable): Phone: (5 ) (03S • 624 g Fax: (53 ) ( .1173 CCB lic.: 34 G(p °p Total fees due upon application: 1 �J� Amount received: Authorized signature: \ This pe rmit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: - Ka. \ p1 1v, K bay IA Date: a ` f I It * Fee methodology set by Tri-County Building Industry }' Service Board. 1: \Building \Permits \BUP -RES PermitApp.doc 10/01/ 440 -4613T(1 I/02 /COM/WEB) Plumbing Permit Application g A r I O R 01 I I c' ; � Us i, O N l'1 v. r` .. n arc Building Fixtures -. .. I � ° F 0 , S _ y ,x'.�,.y,t a �1tM.�lrf,k a' Received 1 ,� 1 1_ O City Of Tigard ce 111 Re Date/By: Permit No.: -( WQ� V 13125 SW Hall Blvd., Tigard, OR 97 Y fB 2 4 2010 Plan Review ' IC � IL1 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ^ � �" ✓ (.- ( b Other Permit No. Inspection Line: 503.639.4175 CI GAHD Date Read Page 2 for s. 2 Y /B Y lu ris: ® See Pa g . Internet: www.tigard- or.gov l Notified/Method: Supplemental Information TYPE OF wOR D IAlO G D T � IVISIG� FEE* SCHEDULE • ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total Addition/alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 86 O-7 S W S \ I-Vv. Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Ti Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: ; e„ \ \ Manholes 18.76 Rain dram connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: 1 Lot no.: Fixture or item: - Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer \ 25.02 26, NoGii'r Avr N^'%-c1 t Dishwasher 1 25.02 •Z�j,02 Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: �(V Fixture /sewer cap 25.02 l0 0 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 1 25.02 2 . O Z City /State /"ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 3 25.02 WO& City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan Z 12.51 05.472. E -mail: Urinal 25.02 Water closet Z- 25.02 56.04- • CONTRACTOR " Water heater t 37.52 57,5'2, Business name: ..Ec.V \ec,\/1 -C Water piping/DWV 56.29 Address: 3(j, ?O S \./,y CDY� a cJ Other: 25.02 City /State /ZIP: 1 , i, 5,- \,,, Q.2 ca ---1 1 Z 3 Subtotal z;:2 ;7p Phone: 507 ) 9 b `7 - (oL - "Z Fax: 5C}3) 4,10-93 y e Minimum permit fee: $72.50 CCB Lic.: 1 484 '1 2q Plumbing Lic. no.: 34 6 1 1� t3 Plan review (25% of permit fee) i 7 / r /� State surc (12% of permit fee) jl , 0 j Z Authorized signature: a �! ! TOTAL PERMIT FEgft i r Z 1 Print name: V Y /C 61c� / E. cc., Date: 2 - 2 4 \ U This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(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 - I" 100' 50.03 0 to 2,000 $121.90 Footing dram - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity_ by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type:. Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath Tub /Shower ❑ New exterior plumbing site utilities for any complex structure Jacuzzi /Whirlpool as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Comments regarding fixture work: Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes Water Extractor plumbing permit can be issued. Water Closet - Toilet • Urinal Other Fixtures: 1:\ Building \Permits\PLMF - PermitApp.doc 2 Mar02 10 01:43p Columbia Heating /Cooling 503 - 598 -0270 p.2 Mechanical Permit Applic FI cif ` a City of Tigard .. ^ / E TJ " I)alclly Permit Nn � CJ�/ W W V� 6 13:25 W Hall Blvd„ ? igard, (1R 97 i I Phone: 503.639.4171 Fax: 503 -598b 0 2010 '1xn Rc�ie, . 7nt Other Permit: LJ ,'" '';'• Inspection i_ine: 50.09.4175 Dae Reay /Ry: to I tv TIG`ARD) C � TIGARD 65 See Page 2tor . d Interne:. www,ttgt:rd- or.gov TY O F ► IGAR ve edi h d teted BUILDING D Vi D t Supplemental Information Sf rti �____ TYPF. OF WORK • . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical echanieal permit fees' are based on the value of the work ❑ Neu construction (,,Zr-( performed. Indicate the value (rounded to the nearest dollar) of all ❑ 13cmeli: ion ❑ Otllet: mechanical materials, equipment, labor. overhead. and profit. CATEGORY OF CONSTRUCTION . Value: 5 RESIDENTIAL EQUIPMENT, SYSTEMS FEES* p.4 -l- and 3- family d wet :ing ❑ Commercial /industrial [] .Accessory building For .specia1 inp,.- ,nn:ion use checklist. ❑ \hilts- farnily ❑ Master builder ❑ Other: Description ! Qtti. Ea. Total JOB SITE INFORyIATION .AND LOCATION Heating/cooling - loh site address : 7 _�� � /`/� I Air cendie plan g T- � - � 1 I C Je (requires sitle pla showing placement) J 46.75 City /State /7.IP: l "` + /�-- _ Furnace r Fua;e 1 JU,030 BTI.i (duccs'vents) j .. 4 6.75 t�( 1 ��++ Furnace iCH),ODU+ 13.1 (due- Ls/vents) 54.91 Suiiriblde. -apt. no.: Project name: Heal pump _ 61.06 Cross streetidi-ections to job site: Duct work v__ 23.32 '2 Hydronic hot water system 23.32 Residential boiler (radiator or F I hydronic) 23.32 Unit heaters (fuel -typc, not electric), ' , in- wall, in -duct, suspended. etc. 46.75 Flue /vest for any cf ahrnc - , 23.32 t 5 ,nd:s•isio:, 1 Lot no.: , i Other: 1 ' I 23,32 I f " as roan /parcel no.: Other fuel a tyliances DESCRIPTION OF WORK. • Water healer 1 _ 23.32 23. • / 3 ' • L � f� �f l _ t . �,� . �. t.i0. C �� Gas fireplace 33,J? / f Flue vent for water heats- or gas I J 4 _ 1- � ` / - q-0111-- fireplace ?3 32 ' Lai liehtcr (gas) 23 32 -e.- !kW Wood /pellet stove 1 33 39 - 33.N' Wood fireplace/insert 23.32 •- PROPERTY OWNER ' ❑ TENANT ChimncyJlincr,f1ue/vcni 23.32 � Other: 23,32 ' Name: JR -O O 1 `, Environmental exhaust a nd ventilation — t _ -- � /fir Range hood/other kitchen ?q ddre.s • () /`� 7 l..4 X .. . equipment 1 33.39 '3 cJ t t c ".'. -State'71P: ��,;� j/ / I Clothes dryer exhaust 33.39 Single-duct Phone: ( ) Fax: ( ) toilet compartments, utility Single -- duct exhaust (bathrooms, rooms) . , ity rooms) - " 23.32 , 0k ❑ APPLICANT 0 CONTACT PERSON Atticicrawlspace fans 23.32 I Other: I 23_32 I 13,,sincss name: - -- -- --- Fuel piping I (: on:sc: name rt 514.15 for Drat four; 54.03 ror additional J Address: Furnace, etc. - Gas heat pump (j •, Slate/7.1P: �/ !� s� Wall/suspended/unit heater _ / Phone: (.5b3) ((;' 4L. 701i Fax::6 S) 5,1B - bt-70 Water heater I Intl FireplaCC I I.- snail_ Range CONTRACTOR Barbecue - -_ i �, Clothes dryer (gas) i4us:ress name: �p im /'-l� � � )6.- Other: 1ddress: ,/ 1 * I � ��,� . . � { MECHANICAL PERMIT C i :.'Stalc/7..IP: � - : " 0,- T702? / ..._ Subtotal pert, Phone: ( 3) ( drl Fax `- �cti; _ �1 7D Minimum pcmtil fee (390.){:1 L Plan, review (25% of permit ice) i CI) tic.: 76,2 �q State surcharge (12% of permit fee) ( .50., ( TOTAL PERMIT FEE 74 7 4..gi This p ermit application expires if a permit is not obtained within ISO Aut:torized signature: iMit days after it has been accepted as complete. • I Pr'.nt na:nc' / / ^-� 0 • • Date: ,3„ -K • Fee methodaloFy set v Tri County Building lnduxtr Service Beard 1 '. ?,d a ,,, Pc.miIApp.doe ia•ouro 440-46 ITT (I 1l0:rC6h1 VEBI 0i ll r 71, H cr�to UopaO ' , Electrical Permit A �' t l , , oni. J p. k -, l; t .` , s l•:0i )F.KIC L:it St L g � a � t '" .'F City of Tigard M AR 0 2 2010 Received + Q , �^ Permit No...MST- 2010 -00020 0, , a Date/13v p OC /0 I i. J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ra .- ' Date/By: - 9 Phone 503.639.4171 957 516 Other Permit: yr r k,4117 1 ARD X 7:1 G I RD, Inspect Line: 503 1 ; t Date Ready/By: iuris: Fa See Page 2 for a toli;`xcusaZ. !Memel: www.tigard- rLDING DIVISION d Notified/Medrod: Supplemental Information TYPE, OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ® Addition/alteration/replacement ❑ 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 0 rloating buildings. less to ground, or exceeds 14,000 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. 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "6 ^ , "1- 2 ", "I.3' , Job no.: Job site address: 8807 SW Spruce St. 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97223 ❑ Health -care facilities 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Moon 0 Service: or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: nescriytinn j, go, 1 Fee 1 Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. or less 168,54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no -: Limited energy, residential DESCRIPTION OF WORK (with above sq,_ft.) 67.84 2 Limited energy, multi - family 67.84 2 Fire Repair and Add Electrical to Permit MST -2010- 00020. residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 1 100.70 100.70 ' 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps , 200.34 2 601 amps to 1,000 amps _ 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/ State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 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 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with 0 APPLICANT ID CONTACT PERSON above service or feeder fee, 20 7 42 148.40 2 each branch circuit Business name: • B. Fee for branch circuits without service or feeder fec, first 56.18 2 Contact name: _ branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular 67,84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67 -84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: Vast Electric, Inc _panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 1525 Seattle Slew Dr S.E. Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: Salem, OR 97317 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18 / hr Phone: (503) 780 - 8597 Fax: (503) 585 - 8828 Inspections for which no fee is specifically listed (%r hr min) 90.00/ hr CCB Lic.: 175531 Electrical Lic.: C - 280 Suprv. Lic.: 5186S ELECTRICAL PERMIT FEES Suprv. Electrician signature, required. Air ,. d Subtotal: 28849___ 'C Y ' - �>,.+M Plan review (25% of permit fee): Print name: Tim Vander Stoep Date: 03/02/10 State surcharge (12% of permit fee): 29.8•t Act • gQ o Authorized signature: TOTAL PERMIT FEE: .... 2.7.81-21* - ' -' ?t9. 9 r This permit application expires if a permit is not obtained within 180 OO Print name: days after it has been accepted as complete. D ate: ., -.- �--- °- - - - - -• - -- -•• -� - -- —.. a• 8e88- S8S -E0S • o u1 6otuI.oaT3 1SwA dea :eo OT ZO new Aug 1710 01:OOp Columbia Heating /Cooling 503- 598 -0270 p.3 Mechanical Permit Applic GC t - TJ t n ,I i f)riri)r r Ic l` I Sl 011 i City of Tigard 13125 SW Y: • /f/ff iii. Pe No 2 a • Hall Blvd.. Tigard OR 972 , 2 AU G 1 7 2010 QatoRl +id /� S7o20/Q 0QQ (/ is :, Phone: 503 639.4171 Fax: 503.598.1 fir Plan l rly : � . 3 I [ ? �L� en3y: Other Per it' i Inspection Line 5o3 9.41?` ' ! ► t ltcadvtTv: � TIG \Ei �+ i' .. "_ . (J e I - Interact: www.tigard -ot.gov !o B �✓ "� SePagc 2 for tit ' ' /` BUILDING. DiVistv Suppl Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE •- USE CHECKLIST i H Mechanical permit fees' are based nn the value of the wort ❑ Neu' cnnstruction (x1 &ddition/alteration(replacement performed. indicate the value (rounded to the mares! dollar) of all Ei Demol.uDn 1 Other: -mechanical materials, equipment. labor, overhead, and profit. CATEGORY OF .CONSTRUCTION -. • . _ . . : . . . Vabue: g Co -I - and 2-family dwelling [] rnmcrciaE,'industrial RSTDENTIALEQUIPMENT /SYSTEMSFEES* ❑ Accessory building For special rnlormaricn use check I4: ❑ Mu El ❑ Master builder Oihcr: Description . Qty. I.:a. Total JOB SITE INFORMATION .AND LOCATION Ilea tieWcooting Air !o s ite address: P P � (requires site tan showin a � 6,75 y96, � 7� City: %State /7.1P: - 11 "° . J Furnace W0,000 BTU tdtietsivenis: j 4 6. 75 `/ ^ Furnace 100,000 BTU (duei,sivcnis: 54.91 Suitebldg. /ap_. no.: Project name: /O 0 Heat pump i 1 61.06 Gross street/directions to job site: : Ductwork i / 23 32 Hydronic hot water system I 23.32 Residential boiler (radiator or hydronic) 23.32 1 Unit heaters (fuel -type, not electric), in -wall, induct, suspended, etc. 46.75 Flue/vent for any of above i 23.32 Subdivision. Lot no.: l Other: 1 23.32 fax map!aarccl no.: Other fuel appliances DESCRIPTION OF WORK .' .. Water heater 23.32 if '/ 1 1 t� ' � �' ._. . _ _ _ /,. , ( l _ Gas fireplace 33.39 1 Itr� j �� �� , Flue vent for water heater or gas % �� fireplace 23.32 _ . If . i Log lighter ;gas) f 23 t 6 L Wood /pellet Stove T 33.39 _ Wood Ftreplaceiinsert 23.32 "PROPERTY OWNER I • . © TENANT Chirnnev/liner!fluelvent ! - 23.32 /��r n �jj �/ `�` /� T Other: 1 23.32 \anlc: / F ,2E -/ ` .-7 /C�s'C Environmental exhaust and ventilation •�•dress: ( o e)07 J/yv Range hood/other kitchen �`-'' l 5�� equipment 33.39 (:itv'Sta:eiZIP: I 9. ,p /-. t' Clothes dryer exhaust 33.39 l Single -duct exhaust (bathrooms, : Phone: ; ) Fax: ( ) toilet compartments, utility rooms) 23.32 • ❑ APPLICANT )] CONTACT PERSON Attidcrawlspace fans ! 23.32 • Business 23.32 . name: Fuel piping • <:ontec : name: (/ J(; f - /,oh� / - S1 4. 15forfirstfour ;54.G3for Address: / 1 / Fumace, etc. K _- Gas heat pump j ( it)''State(ZIP: Wallfsuspcnded%unit healer j Phone: f �a .a7c� 3 �` W ater heater j W Fax: ax:: � 3 5 -bt�7C� Fireplace I -mai I y Range CONTRACTOR . . Barbecue Il usiness name: - - Clothes dryer (gas) - - �� Other: I - Address: - y am,3 . MECHANICAL PERMIT FEES* Cit `3 j rStatcJZIP: Q I f�, j Subtotal 9 '7,5 Phone: 3) (D f r I Fax: ( 5 - °a Minimum permi! fee (m t1.o3) pL � �-'�✓ 1 Plan review (25.6 of permit fcc) CC[3 1:0.: '76 z Q State surcharge (12% of permit fee) 5. 6/ J TOTAL PERMIT FEE 5 , 3 (o This permit application expires if n permit is not obtained within 180 Aut hot: zed signatur - : 1 days after it has been accepted as complete. , Print name: a--w�� �✓i � ' 7 Date: ,31� }O - • Fcc methodology set b;: Tri- Count) Building Indnsir Service Board 4�0-�6 U7 (I /afro Ihii. ;line,Pcrn �+'MEC- Ntrnic ,pp.doc !XI.; G l � r /02 /WEEt) /COM Aug 17 10 01:01p Columbia Heating/Cooling 503-598-0270 p.4 t AUG 1 7 2010 HEATING & CO • LING, INC. CITY OF 1 P.O. BOX 230397 • TI cARD, OR 97281 BUILDING, DIVISION (503)624-27114 SITE PLAN _ . ADDRE'.S: &507 iD gipruCe., 09/17/2010 14:26 FAX 5036367183 OHI Construction 0002/0002 NAs 2ci 9 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, f , am the general contractor or the owner - builder at the follFing address: Site ;Address: • City: (9 #: �-r a. C/ O —©C» Subdivision/Lot #: and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: i rl��. 11, _ i' Date: 9 -/ 7-JD eneral r ntr. cto or O wner- ilder I:\Building\ Form \RES- MoistureSensitiveWood.doc 09t25/08