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Permit • q CITY OF TIGARD MASTER PERMIT m . C OMMUNITY DEVELOPMENT P ermit #: MST2010 00218 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1S125DD08800 Jurisdiction: Tigard Site address: 9686 SW VENTURA CT Subdivision: WASHINGTON SQUARE ESTATES NO. 3 Lot: 96 Project: Schroeder Project Description: Install (2) windows and relocate (1) branch circuit. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,100.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O SvcJFdr: 1 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8. Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF 0 Owner: Contractor: SCHROEDER, TED C & JENNIFER GREEN CONSTRUCTION & DEVELOPMENT Required Items and Reports (Conditions) 9686 SW VENTURA CT PO BOX 1303 TIGARD, OR 97223 WASHOUGAL, WA 98671 PHONE: 503 - 245 -8337 PHONE: 503 -545 -1835 FAX: 503- 296 -5905 Total Fees: $274.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci- . and all other applicable law. All work will be done i accordance with approved plans. This permit will expire if work is not started within 180 day of issu e, or if work is suspended for more the 180 day . ATTENTIO . • egon ..• eq es you to follow the rules adopted by the Oregon Utility Notificatioenter. Those rules are set forth in OAR 9: - 001 -0010 rough OA : 2-001-11 •0. You may obtain a copy of the rules or direct questions to OUNC by calling 5' • 987 or 1.800.332.2344. sued By: ■ C �� �/ bt Permittee Signature: A, L Call 503.639.4175 by 7:00 a.m. for the next available inspection ate. 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. Building Permit Application Residential RE\JED FOR OFFICE USE ONLY Cl DEC 2 of Tigard Received Tigard 1 2010 DateB : / i 1-t' /0 IIMM Permit No.: 2440 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review TM � II Phone: 503.639.4171 Fax: 503.598.1960 Date/B : .411.42111 M , Other Permit: I' I i n It I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Read 7y: luris: ® See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: 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 ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 14 • Pd ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder CI Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 74436, Sty /./&-- 7fr /r New dwelling area: square feet 770/7 City /State /ZIP: 19. 97647-3 C.� ' Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: &A, �� ,�,�, l Covered porch area: square feet Cross street/directions to job site: i � ' � Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. /—)1/5•771-1.-1... - - 1 p 9X g/041 VAN / Valuation: $ if/` //fJ1).0Lt9s .. FR-A-/P7 7 32e7/.eg,9 OP FA4 4 4, S Existing building area: square feet / New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 71b S /znc-hz-12 Type of construction: Address: 9l✓/60 51.0 // '1^ Occupancy groups: City /State /ZIP: Die. 97a-62-3 Existing: Phone: (93) e2- 833 7 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: /� CONTRACTOR / Business name: � E.c) eews7 i4 -'T7�/ it-- ��c / Opl - h BUILDING PERMIT FEES* Address: /�O �0 ` (Please refer to fee schedule) ` X / Structural plan review fee (or deposit): City /State /ZIP: /ins „,h,„,,L- ft... '9N Phone: (50) S b B Fax: (93) 02p - .5--,94s- FLS plan review fee (if applicable): CCB lic.: /5" p/ / Tot fees d upion: al! Am ount received: Authorized signature: This permit application expires if a permit is not obtained within 18 0 days ue after it has applicat been accepted as complete. Print name: R6 / 4R E -gA) Date: 4z z44 0 * Fee methodology set by Tri -County Building Industry / Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 1 114 1 3125 SW Hall Blvd., Tigard, OR 97223 D social Permit No.: III Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: 'IIGAl &I) 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical 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- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore _on and shall be shown to be applicable to the •ro "ect under review. .JURISDICTIONAL, SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permits\BtJP- RES- PermitApp.doc 03/21 /06 440- 4613T(11/02JCOM/WEB) RECEIVED ..... ....:••: • , . . .. Electrical Permit ApplicatioBEC 2 8 2010 FOR OFFI(1: ('SIi ONI.I City of Tigard Received /W/�� 5 4tl OF TI GARD Gil!` Pe""it • 13125 SW Hall Blvd., Tigard. OR Date!Bv: iQ r�Q / — B Plan Review• Phone: 503.639.4171 Fax: i c f �rtt t� �ty / Q t�' 17ate /Bv Other Permit: TIGARD Inspection Line: 503.639.4 ✓t DIVI DateReadyiBy: ions ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF „WORK PLAN.:REVIEN!. ❑ New construction rL- T/ Addition/alteration /replacement Please check all that apply (submit 7 sets of plans w!uems 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 CONSTRUCTIOAr exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground. or exceeds 14.000 ❑ 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 o('75 KVA or _ .. ... - ❑ Emergency system. larger separately derived system. • : :,J O$ : STC INFOR A ND LO ❑ Addition of new motor load of ❑ "A•' "E”. "1-2 Job no.: 1 -67 1--1 ,31 Job site address: 9(0% JLU Ve,'rly i t �I �- 100HP or more occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: a, F N ' r- � D7 at ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: 6041 r ue ' T 4 / ❑ Service or feeder 600 amps or more. / FEE SCI�DULE Cross street/directions to job site: Description I Otr. i Fee. T Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Fa. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: - Limited energy, residential I)ESCR [PTiON.' Oh'.WORIC (with above sq. fl) 75.00 • � Limited energy, multi - family 75.00 2 / &.— 76 & , 74 ,,.--/-0 -0 i O / / l /7,2, residential (with above sq. fL) / 't/—ii Services or feeders installation, alteration, and/or relocation 7 /�rc� ( ,( �i 200 amps or less 100.70 2 ROPERTY OWNER . •:' ❑ .TENANT 201 amps to 400 amps 133.56 7 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 Temporary services or feeders installation, alteration, and/or City /State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I 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 ❑ •APPLICANT ❑ :CONTACT:' PERSON above service or feeder ice, 7.42 2 each branch circuit Business name: B. Fee for branch circuits within' service or feeder fee, first 56.18 h 1.V .1D 2 Contact name: branch circuit Each add'I branch circuit 7.43 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular City /State /ZIP: dwelling. service and/or feeder 67.84 7 Phone: ( ) Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: _ .. outline 67,84 7 Sign or out e fighting • • .. CON TRACTOR . Signal circuit(s) or limited Business name: anel, alteration. or extension. Payee 2 2 West Side Electric Co., Co Inc. Inc Each additional inspection over allowable in any of the above Address: 1834 SE 8th Ave . Additional inspection (I hr min) 66.25/ hr City/State/ZIP: Portland /OR/97214 Investigation (I hr min) 66.25; hr Industrial plant (t hr min) 78.18/ hr Phone: (503) 231 Fax: (5 0 3) 736-0677 Inspections for which no fee is 90.00, hr specifically listed IV: hr min) CCB Lie.: Electr Lie.: Su rv. Lie.: . - • 13 3 0 6 2 6 -13 5 C P 4 6 5 4- S ELECTRICAL PERMIT: FEES . " `.,; •:'':' Suprv. Electrician signature. required: r / G�/ (25% Subtotal: Plan review (25 /o of permit fee): Print name: Randall F Roberts Date: / I I • /� State surcharge (13% of permit fee): p , L TOTAL PERMIT FEE: .t/ Authorized signature: This permit application expires if a permit is not obtained within 1110 days after it has been accepted us complete. Print name: Date: • Number of inspections allowed per permit. I .` JluddinePcrrtmsiELC.PermitApp.don 07!0 1!10 J40- 4615T( I UOVC0MWED 1/ L 0106 - 8Z - Z l S£:86:01 OIt110313 3GIS IS3M 1966 L£Z £0S