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Permit CITY OF TIGARD MASTER PERMIT - [� Permit MST2011 -00016 . • m COMMUNITY DEVELOPMENT 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/15/2011 TIGARD 13125 1S134CB00500 Jurisdiction: Tigard Site address: 12185 SW SUMMER ST Subdivision: SUMMER HILLS PARK Lot: 3 Project: Wilbur Project Description: Addition and interior remodel to be done in 2 phases. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 543 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 712 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 543 sf Value: $125,000 00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 • Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 2 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 20 Ea add' 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr 0 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 & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other. N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 543 Owner: Contractor: WILBUR, ERIK J & JOANNA C MANOR CONSTRUCTION INC Required Items and Reports (Conditions) 12185 SW SUMMER ST 3410 NW 118TH AVE 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 PORTLAND, OR 97229 PHONE: PHONE: 503- 533 -5339 FAX: Total Fees: $4,000.78 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 i ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th• - -) are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may ` btainpy -of- f, - • .r-di -ct questions to OUNC by calling 503.232.1987 or 1 : i r 4. / fr Issued By: � � = _ t_ P thee Signature: Call 503.t...0 7:00 a.m. for the next available inspection date. 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 CE ' FOR OFFICE USE ONLY City of Tigard (® �� Permit No.: 5T�l1'�/ , IIIII ° 13125 SW Hall Blvd., Tigard, OR 97223 JAN 1 2 211 P> Plan Review, I/ ' ' Phone: 503.639.4171 Fax: 503.598.1960 Date/B : a t Other Permit: 1 I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /B : - ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: . I I I I WI E 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. x 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ I Z ❑ Accessory building ❑ Multi- family Number of bedrooms: 0 ❑ Master builder ❑Other: Number of bathrooms: i. JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 21 8 5 sit/ S K,t i ,.e,.. St New dwelling area: 6C1 square feet City /State /ZIP: 775 Cil-d , 0 R 9 i" Za Garage /carport area: - 7 j 9-, square feet Suite/bldg. /apt. no.: Project name: i ` I✓ Covered porch area: 9„5 square feet Cross street/directions to job site: / Deck area: square feet $� / 2 / S / 1i4- 9 5h) -.(�+�. .'/ 5 . Other structure area: square feet i REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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. j /' „h — / Valuation: $ 2 p f e _s I Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER T ❑ TENANT Number of stories: i <` Name: e a k f rda.,,i. 4 C I/r /6 Type of construction: Address: / 2 / t j-- .Ski S 14-01-7 en ey. sit- Occupancy groups: City /State /ZIP: 7-/-5 a' I , Poe 4 ? ZZ3 Existing: Phone: (Sa3) ,s-34/.... gar Z 9 Fax: ( ) New: ' ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: Y All contractors and subcontractors are required to be Contact name: - it-IV 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: 2 et or Corn S 4, 4. 64)vi W. G BUILDING PERMIT FEES* (Please refer to fee schedule) Address: 3 N / O AieGt/ lie R / Q Structural plan review fee (or deposit): City /State /ZIP: f o�lt� l�4 b "/ zz FLS plan review fee (if applicable): y- Phone: ( Sa3) z& } -6 6 Fax: ( So3) 5 3 3- s 7- CCB lie.: Gt 6 PZ 9 Total fees due upon application: . 4 2 7, / 9. Amount received: Authorized signature: 61 7410 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 6 e, u , S Date: �+2Et -- / ' / Z ' ZO / / * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I1 /02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY lig City of Tigard Received Permit No.: U 1 3125 SW H all Blvd., T igard, OR 97223 Date /By. Phone: 503.639.4171 Fax: 503.598.1960 Associated permits. I" I G A R D 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. Y r 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 project 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\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(1 I /02/COM/WEB) Plumbing Permit Application Building Fixtures O EI'J FOR OFFICE, USE ONLY 114 City of Tigard I DateB (/. / / t��✓ Permit No.: �Ta',Dll - // a 13125 SW W Hall Blvd., Tigard, OR 472 N 1 2 i Plan Review r � n 0 . Phone: 503.639.4171 Fax: 503.598 1960 Date /By: pi r :}n _ I Other Permit No.: I' I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lur s: ®See Page 2 for Internet: www.tigard- or.gov BUILDING DIVl0 � . Notified/Method: Supplemental Information 1tl d kV . + TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total RI Addition/alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 p 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: / 2 f es- ski S u � /- s 1 Catch basin or area drain 18.76 �' Drywell, leach line, or trench drain 18.76 City /State /ZIP: 5 / e � 9 Z 3 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: / Manholes 18.76 . h/ /Z f .< f SO!! to-Awn c 1< Rain drain 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: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 � � Clothes washer 1 25.02 Ara s 4 aIL ( / Dishwasher 25.02 2 /)/k..r.es Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 y t Fixture /sewer cap 25.02 Name: ,E✓1 1 4l- G J 06i 4 h , t_ ! ll, V idar / Floor drain/floor sink/hub 25.02 Address: /y f j S!� ..S �yt(-e -,1 s• r Garbage disposal 25.02 City /State /ZIP: 7 - 014_1 / '/ 4 2 Hose bib 25.02 Phone: ( 5'3) 3 1 - s 9 Z 9 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/649> 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub/show- pan / 12.51 E -mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater !• 37.52 Business name: F/ titt -51A. r Pia , b/ �S LLC Water piping/DWV 56.29 Address: ( )8 Sf" /36 °"-' Other: ' 25.02 City /State /ZIP: • • ., 2 4 7 b Subtotal Phone: (S03 ) 9 / ?- _ s -00,0 Fax: (5"o3) 4 2- $" c Minimum permit fee: $72.50 CCB Lic.: / rf Plumbing Lic. no.: Pb 9--C) Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: Pt•`„eL.,. 0 /It TOTAL PERMIT FEE Print name: De bet l 17 Date: ! -/ Z, ��/ 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) 1- 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 drain - 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 Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fee: $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 as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. D Tani ❑ 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: L\Building \Permits \PLMF - PermitApp.doc 2 Electrical Permit Application FOR OFFIC USE ONLY , ". E . V City of Tigard i + � to /B i , Permit No.: 1 a 1® ./4 - f r feD It .-Q�l b . 13125 SW Hall Blvd., Tigard,OR 97223 R EC I ' ;.R Plan Review n LCD • Phone: 503.718.2439 Fax: 503.598.1960 20 Date /By: /l a //r /' ��,, Other Permit: TIGARD Inspection Line: 503.639.4175 JAN 13 Date Ready/By: t ails ®See Page 2 for Internet: www.tigard or.gov Notified/Method. a 1J/,1 Supplemental Information ..:: -. zr : - ,: :., e s :,:.r:;a.. .. r ... .,<, , :_ a 2fiP. ir::: - , :. r , ::u><:zc..:- ,>, rYf'` N . ,n.. `� , .,t ,.. .:..l:: ;, , z , N..^s ., __,r.- - : � , , w� All - - � q„ ...; �,�q ::7:; :'r�- ui¢��•.:..:sa. r�.�.- -r: , .i:� :.•+.M ,;..�,_.r.:. : ` ; M ::;9p _g;,._ -_ '-°`'- z!EekY.., N.. r r . :, .MIL s" _1, ::.x+_. �: :,, ! ? . :, :4 '7•, .r: .: ,� z , -9 ,r : .' ft9.4 tar ... :• n r � ..,., y,,t, ,l .-ay ., r,r:,ar - _. s - m ; � , .. }:it a�. 1 .. ''i:a alu • rg 4;�sp ', t�,,.:,_,,.�,4 r . , ,_, . ,, t ..•. _ � ,. -- .;�r: .,: T,1.P W .,... , . � -�: - 3 � „ ra: zz rr ...�;r :x,PLAN;•REVIEWt;�' ., 4�� ” ^n:• ,=:�:. . -!,;. M1•��. <'I,_.•..:.�':a.., �'�x;��,r���� ., „„i..;.,.cr,_:e�.:�wr: ,.., r” i6d�lt�r � I.'' ";i i �-t.:.:::x,a���'r�A ,.- +#t rk z�..:..-... � ..' �»,:'..,.,_' I_:: w - 8::--;:.. �. :;.���,f.:>.....,,•�...,,k,.,•w �Ka.�i�.di£�.p xC^* R '!;...�:.. ❑ ® M t ? ° 1� t Please check all that apply (submit 2 sets of plans whtems checked below)' New construction Addition /alteration/ t ,I en ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. !t'"E::I,r•;`.7�rr ,�- „,:r - -, .•,x ,ra :'y 2! "s ..Kam�.uo n,:; ,F,:cES�saa:• .,'.a:;:., .w , ....:<SU e_N- i.,•,ii,. i,i,i:d :: 'E iE r'r,ire r. r-i,ii2z '-„x r i; : r"',�l+t ?,, ,,.r . ;i thi',,.., .f „tt i E , r :�� i lli�_,l exceeds 10,000 amps at 150 volts or ❑ Floating buildings { fir, � , �CATEGOR °Y- rv ,OF,,CONSTRUCTION- ���4r?k less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ['Fite pump. ❑ Installation of75 KVA or w, ,� -- s , ..._;.. >,;: El Emergency system. larger separately derived system P. �5;" =s:.r Ti , 2 qJ ; - r - - - ri a - :e-i - ,,- v - - Ie 3 E 'E,' wi ,. +: '-x, 6 Y Y g P Y . k:gii3 I” q �°`_dOB,j(SIT'E INF,,ORMA`rLq AND LOC,ATLON a2 itU q +� h ❑ Addition of new motor load of ❑ "A" "C "I -2” "I -3" Job no.: I Job site address: 12185 sw Summer St 100HPormore. 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: ❑ Service or feeder 600 amps or more. 3x::' :i`r. vElt ;,i a'••: rl is n =air' _ a. rt=;' tlti: s,S'I st gr E kt >, ,.. :._ ,'` ,t lf..et SCHED ..D € ,. �r, _r_,...._.�:,:�,�:r�: �'i�tk -.. spa`' '!�: , J..... f _r.,. i.a r ,frn�. Cross street /directions to job site: Sw 121 ave and Sw Summer St Description 1 Qty. 1 fee. 1 Total j New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential c _. z, " ':IA tt';E,+ ;,;1 ,�; >elr?i;r_ „,:r:. , a;,yr: t :- v _ - IO g- -,s 75.00 2 .�„ vsl�= .Y _ �t t.., a ..�.. yh ' , 'r*Ir': - t'`'(r.•`:,'�•�n h - ri ?ih law •,, , 0„:;ie ,.0 :l i t4, 2 i. , r s s IV , IL A : , ; ".'F .:' „rd l •aL:. � .k :� -�:. .s.,,. ^ �+ :: ; :r:1::�,,. '� �: �_: , .r- a -. °r�` ^���`. E,z:,- ,,rv.;'�k;'�;s'�s,;:a� (with above sq. ft.) ..aar =,sys:. Y:.- „,trh'tsr.a:aJ,Po . L ( I.:. r: i4_ H: �,., rs,,.•ryn._.,, 'ifrn- :..a�.i.�::,-_�.� -� _n,.a3Pblu: ���rl.. aw.� . , ..., ,o:m:u.:J�•r.w.,,� {i. Limited energy, multi- family 75.00 2 Low Voltage residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 a'�:t � Iry °,pr "._ qu,+ a,�.�F i t :' 4 P j � w l'4:. tf - 1 ,: ,” r W!iP:. `. . , ? -,� , . It; , ∎Il',.';1•,l„ . i, t,l , ,;fl'; _ x�.:r • :1.1 , r' ' t . ` 201 amps to 400 amps 133 sr,: di:J ®= €PROPER ,� "r r u• 2 �`""'eGf.,; ..�.h T X.,,:O.W.NE 'Rt;(. �� a q� � �,9,'`rr� s , t �I'ENANi s�m � '�';.'� t�� P P ,c ..h .5z.,, xFrs„� „. ,x , .. - ' Tl�,,rN!�3Y� ' $,I "Ei"a °; e1i� ,rh ,„ ����t,,.a n a' aft, i, Va*t lr,doa P,F'� a1:Er�l. . s r°�' Klan :,. 401 amps to 600 amps 200.34 2 Name: 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 I own which is not 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with _ . : } i VE . ��.' " :, y .: ; .�,.' �l. r•M -. . •� - - - - . - _ b t � " v; , � . kEIIR.:S : R, +.; ; ;, ( , war t ' s:'. ° i „ .,. ,. : r , a Er A Y E t. 1° above service feeder f ce or eeer ee, O;i t � l in eal iAPPLICANTr: w; 'ri ` ' , , , r•t:,�! o C :;'x_3.1, 7.42 3 Ile't ait4:!1;04 ,t� h aid. .... a.,.,.,,:t»,t,::_:.::..,r,,,,,. ;,.Milt” le:1. 6;,i:�,a_2.i',z�: , - .?5.•..., .r - r - n5, - ,:,.::.,,r„ ti :_ A d;r t!�u'.�,, '' each branch circuit Business name: Manor Construcion, Inc B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Dean Duitsman branch circuit Each add'l branch circuit 7.42 2 Address: 3410 nw 118 Ave Miscellaneous (service or feeder not included) City /State /ZIP: Portland, OR 97229 Each manufactured or modular 67 84 2 dwelling, service and /or feeder Phone: (503 - ) 267 - 6767 Fax: : (503) 533 - 5337 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: dean @manorconstruction.net ...... _ .. .... •. xia:"z: e_ .... -..�. ,.- .:'1; " ,...;,Err k- I 1re . 3 -r 9 _4> . r r•pa, r r ,:..,. � -. .- .,. -_... w. _ Sign lighting 7. 4 2 „t�•it,.a. §...�i,d $ " x,L *.a- °.G,;a+ E , i'! ": •.:�?. r.'Ih.7:m�' "'i''�:�,a'� " " =1I f ,,., 1a�;•:e= ;.l�`.�, ;; :.,, . * . Ws:; l e„w,:, l , _ or outline :Fax, c7 ;:G „,.` P . 5,`-, xaF�„ 1 R°i „., ,., M «t ,� ;I ,R ::, !;I.+ y �Lf,l, ' Ria r y' € Si • c ir cu it(s) • orl energy me Business name: C - fit r f O - J e, panel, alteration, or extension. / Page 2 75 2 ,' - Each additional inspection over allowable in any of the above Address: Additional inspection (I hr min) 66.25 / hr City /State /ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (I hr min) 78.1 8 / hr Phone: ( ) Fax: ( ) Inspections for which no fee is specifically listed (%2 hr min) 90 00/ hr CCB Lie.: 96829 Electrical Lic.: Supry Lic.: E ri : EELECTR1CAIs'APERMIT;FEEs s 35�; ;art' 'i rs P t_,:.dagu:..r: �o- x Suprv. Electrician signature, required: Subtotal: 7 - 1 Plan review (25% of permit fee): Print name: Date: ,2,.. State surcharge (12% of permit fee): q .00 ` TOTAL PERMIT FEE: �• 00 Authorized signature: �/� This permit application expires if a permit is not obtained within ISO Print name: Dean Duitsman Date: Jan 13, 2011 days after it has been accepted as complete. Number of inspections allowed per permit 1:\ Build ing\Permi ts`,Ei-C- PermitApp.doc 07/01/10 440-461 5T(1 I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ORES' I i 1 ji, i 4 f� I �i': ��I^ tg a �,; E+ ei I. l',t �''t,E;i�' °' i.' :iwu IDEN�TaI�AtirWO ,R�gitON;LY�;,><[::,:� : ,�. s�...a.,..,� ��1.;� f_E�.�,,.��tl,:� 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: All MAW: .... _- _ � _ gel .r.:..:,,.. >z �_-� _ �[ � � 1 � °`� °::s: st:�:r'4'?e'r'��M, � .fi.,i.b dl +l �;t" "F:i",�Y�o�ii 1 °':�, G®M : tg IAL. gVgg NLY:,Fg a 1 , p � �1� ,, E 4 _ -- � .. .. ;�- � +�r �� I. ,,,'ice Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I: \ Building \Permits\ELC- PermitApp.doc 07/01/10 Mechanical Permit Applicatio r - FOI? OFFICE USE ONLY l � �� City of Tigard P R e ceiDateBy: Plan Review ved ® mom Permit No.: �r � 000/4) / f � C n n' q ° 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 JAN f V 1 2 2 Q Date/By: Other Permit: I" I C. A R D Inspection Line: 503.639 Date Read B orris Ready /By: ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information RI TIT !limn TAT\IIRT(1Rt TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction 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* ` X 1 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling 2 I S fir/ -$ tL -vyt- Si Air conditioning Job site address: / �./� (requires site plan showing placement) j 46.75 City /State /ZIP: 7 ,� -- ct / ""f qiz �3 Furnace 100,000 BTU (ducts /vents) 46.75 5 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work / 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map /parcel no.: - -1"(y- Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 /► Gas fireplace / 33.39 / 'A r� i h,0- cie./( Flue vent for water heater or gas 2 /4 s,es fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment / 33.39 City /State /ZIP: Clothes dryer exhaust ! 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Fuel piping Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: S � (. Other 'AtitBt Poet 1 Address: r! ea 7.5 SC J /Lief/4/044 1'14 MECHAItIi VIMIT FEES* City /State /ZIP: PO (f 4 - If e 4 7 ZO Z ( Subtotal S 03) Z 3 S (:).0 Sj 3 Fax: ( Z3 _S , Sy Minimum permit fee ($90.00) Phone: ( Y Plan review (25% of permit fee) CCB lic.: S-0 L ` l State surcharge (12% of permit fee) t TOTAL PERMIT FEE Authorized signature: /4Q.4.° This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: /J ,eG /1 ,,b,,,,,,,- Date: / • /2, - 2_0/7 * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \PermitskMEC- PermitApp.doc 10/01/09 2 Electrical Permit Application ��( FOR. O FFICE USE ONLY City of Tigard g �� ' 1 * ~/ Received � r� O �( ) � (Cp / " ' ,' Plan DateB Review l ®�t' ° 13125 SW Hall Blvd., Tigard, OR 97223 :I V " ' /` ' Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 t � Date/B . w Permit No.: �(Ot 'f I Ci A R l7 Inspection Line: 503.639.4175 JA �) Date Ready /By: Juris: 10 See Page 2 for Internet: www.tigard - or.gov p D t Notified/Method: Supplemental Information TYPE OF P R Y t O ( F � I'IGA PLAN REVIEW . P e li ❑ New construction ©Addition/adP/ I$C'L'Sf1WttE Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CAT EGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural nil 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. " ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND 'LOCATION • ❑ ❑ Addition system. larger separately derived system. of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", p _ I OOHP or more. occupancy. Job no.: Job site address: 2 / a Ski S �� S'1 ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: T' /� ZL ❑ Health -care facilities. ❑ Supply voltage for more than [ El Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I_Qtrza Fee. 1� Total S t / New residential single- ormulti= family dwelling unit\ hi gV ji. /2 1 i f'lr.- / j lG✓ Ssvw►. cwt1., St. Includes attached garage Subdivision: Lot no.: s 7 4 11 !!! 1,000 sq. ft. or les � 4 68.54 ii 4 Ea. add'I 500 sq. /fib or 33.2 // 1 Tax map /parcel no.: Limited energy, re §idential(^ 1 // • / DESCRIPTION OF WORK (with above sq, ft,), I 00 / 2 _ Limited energy, multi =f`ily - 5 00 2 n i h 74 r, 444,14 residential (with above sq °ft.)_ -f ,T Services or feeders installation, alt ration, and/or relocation - ,(� 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 • / 1 / [ 401 amps to 600 amps 200.34 2 Name: e-� Ir` 5 b�,vt.it ,e I A, r( [s !/ / 601 amps to 1,000 amps 301.04 2 Address: / Z / Q'." Sw 5' wy ,, - ,� y � Y/ , . ,— Over 1,000 amps or volts 552.26 2 ! 441 X Z Temporary services or feeders installation, alteration, and /or City /State /ZIP: 77 U 2- 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 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ >A'PPLICANT 0 CONTACT PERSON above service or feeder fee, /�� 7.42 2 each branch circuit /� Business name: B. Fee for branch circuits without - service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'l branch circuit `,, 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 -1 h dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle-. 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: VV �C panel, alteration, or extension. Page 2 2 �.„ Each additional inspection over allowable in any of the above Address: r it (31_ E 6 ` ie Z.Z / 2- Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: 7)- ! _ _r f� C f l �/' Investigation (1 hr min) 66.25/ hr w� v i - f ��^o Industrial plant (1 hr min) 78.18/ hr Phone: (.SQ3) ,v y- 74- Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed (% hr min) CCB Lic.:/ Li/ Electrical Lic.Z1 -/- /6 L Suprv. Lie.: '76 ZS 5 ELECTRICAL PERMIT FEES ' Suprv. Electrician signature, require �. f %l 0 /t II) Subtotal: Plan review (25% of permit fee): Print name: 31e_ 4 E ,ve,t. 5 D ate: /e / 7., as State surcharge (12% of permit fee): ` TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit. I:t Building\Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(I 1/05 /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: n Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* �p vi Other: Alf ed eot- 045.s(ld I° COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systcms ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical • n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling I � n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermitApp doc 07/01/10 7 9)// y D09/• Clean Water Services File Number RECEIVED CleanWater Services 11- 0 0 0 0 7 8 JAN 13 2011 Sensitive Area Pre - Screening Site Assessment 1. Jur i j� prr :�D IL ING Dtvt 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Erik and Joanna Wilbur Company: Address: 12185 sw Summer St Site Address: 12185 sw Summer St City, State, Zip: Tigard, OR 97223 City, State, Zip: Tigard, OR 97223 Phone /Fax: Nearest Cross Street: NW 121st Ave E -Mail: 4. Development Activity (check all that apply) 5. Applicant Information • Addition to Single Family Residence (rooms, deck, garage) Name: Dean Duitsman ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Manor Construction, Inc ❑ Residential Condominium ❑ Commercial Condominium Address: 3410 NW 118th Ave Li Residential Subdivision ❑ Commercial Subdivision Portland, OR 97229 d Single Lot Commercial 1:1 Multi Lot Commercial City, State, Zip: Other Phone /Fax: 503 - 267 - 6767/503- 533- 5337fx E - Mail: dean @manorconstruction.net 6. Will the project involve any off -site work? ❑ Yes lI No Li Unknown Location and description of off -site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as Issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering Information related to the project site. I certify that I am familiar with the Information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Type Name Dean Duitsman Print/Type Title President Signature Date Jan 13, 2011 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on she or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER, If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report ay also be required. 4 Based on review of the submitted materials and best available Information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered, This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law.�CAI v1/4.ct Gt?pectr s -(-o Loe'` p e_'6. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas If they are subsequently discovered, This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1, All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROV I LETTER IS R $,J IRED._ Reviewed b a ' et i YID Date Vi 3 A I 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • Phone. (503)681- 51'00 • Fax: (503) 681 4439 • www.cleanwaterservices:org. Rs % I.. 1020.11 N 4 __ __ __ __ END SITE e I07.00' GRADE ELEV = 6.0' . 0 I I F ■ r4 SCALE, I = 10'-0" D m ELEV = 4.0' - _ m I � 85' - l" I I -'\ le I I . • I5 I I - -- -- -- ,_511 1 I EXISTING STRUCTURE O 8 0 1 1 I A — 0 � F PROPOSED ADDITION I " - . �j La] 'o ;al PORCH I ii // / I 4, 6'_5" - 1 PROPOSED'.-';'; -- • 111 I I 1 101.00' - - .. \ START SITE GRADE ELEV = 0.0' S.W. SUMMER STREET SITE PLAN " t PROJECT. WILBUR RE T S. RAM INCI NOTES 0710. I. ALL EXTERIOR WALLS AND ROOF SHALL BE SHEATHED WITH 15/52" APA RATED PANELS ATTACHED WITH Sd NAILS. FLOOR SHALL BE COVERED WITH 23/32" APA RATED T t 6 PANELS, GLUE ALL JOINTS AND ATTACH WITH IOd NAILS. NAILS;SHALL BE SPACED AT 6" O.G. MINIMUM AT ALL PANEL EDGES AND 12' O.G. ELSEWHERE. SEE "SHEAR WALL NAILING SCHEDULE" FOR NAILING REQUIREMENTS AT SHEAR PANELS. 2. ALL WOOD IN PERMANENT CONTACT WITH CONCRETE SHALL BE PRESSURE TREATED PER NDS SPECIFICATIONS AND IN ACCORDANCE WITH ALL LOCAL GODES AND LAWS. 3. INSTALL GUARDRAILS A MINIMUM OF 36" HIGH RAILS SPACED 50 THAT A 4" SPHERE CANNOT PASS THROUGH IN ALL AREAS WITH A 24" OR GREATER VERTICAL DROP. 4. ALL FRAMING MATERIALS SHALL BE DOUGLAS FIR #2 OR BETTER UNLESS NOTED OTHERWISE. Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: H T ?/I u CWS Service Provider Letter Received: Yes No ❑ N/A ❑ Routed Plans: Original Plan Submittal Date: /( /2 //( 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (■) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact S Ti eJ ht,r ►"'.a.► - at 503- 718 - 2. $ or 4/'i @tigard- or.gov) Land Use Case No. N/ Name 9VA Li4- F • y. W— Setbacks: Front 2,1) Rear IS Side s Street Side A Garage ZO [ Maximum Building Height 3 0 Actual Building Height 13 R.-Visual Clearance Er Easements Er Sensitive Lands Type: NO N¢.. Notes: Original Plan: Approved Et"' Not Approved ❑ Date: 8 /11 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: • Notes: Original Plan: Approved Not Approved ❑ Date: V / Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) S treet Trees P rotected Trees Notes: Original Plan: Approved E Not Approved ❑ Date: /ly/21I/ Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes % No • Date Routed to Building: Y ' !! ' , f F� L Page