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Permit p CITY OF TIGARD MASTER PERMIT '' a COMMUNITY DEVELOPMENT Permit MST2011 -00049 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/14/2011 Parcel: 2S103DCO2700 Jurisdiction: Tigard Site address: 11300 SW VIEWMOUNT CT Subdivision: VIEWMOUNT Lot: 15 Project: ADAMS Project Description: Interior remodel. 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: Yes Total: 0 sf Value: $6,000.00 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 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 1 Furn <100K: 0 Vents: 0 Woodatoves: 0 Gas Outlets: 1 Furn > =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 add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 6 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R -3 0 Owner: Contractor: ADAMS, KELLY H /KAREN L ROYAL REMODELING RESOURCES INC Required Items and Reports (Conditions) 11300 SW VIEWMOUNT CT PO BOX 230805 TIGARD, OR 97223 TIGARD, OR 97281 -0805 PHONE: 503- 624 -7330 PHONE: 503 - 684 -7873 FAX: Total Fees: $499.75 This pe ,' 's 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 •one in acco • - • e 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 • -ys. ATTENTION: Or >.on la. requires you to follow the rules adopted by the Oregon Utility Notification Center. •se rules are set rth i 'AR r52- 001 -0010 through OA' 95 -001-0)90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198,•r : 10.332.2344! / Is -d By: Permittee Signature: Ai_ /I L Call 503.639.4175 by 7:00 a.m. for the next available inspec ion 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 6 ; , tk C% ; !`i Residential Fox OFFI( I: I SE ONLI Tigard of Ti • City Received ty Permit No.: •J g ` Date/B : D �� L, .C.�►% —lylJ et IN " 13125 SW hall Blvd., Tiga OR 97223 v Phone: 503.718.2439 Fax: 503.598.1960 Plan Review. - VIII r j� �"� p r n Da t e/B : ]♦�j��lt ll� der Permit: TI GARD Inspection Line: 503.639 Date Rea. '„ /t furls: ® See Pa ge 2 for Internet: www.tigard- or.gov NotiSed/M Y d // � / . Jr Supplemental Informat wf 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 ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. d 2- family dwelling ❑ Commercial /industrial Valuation: $ 4 5 0 C. b 0 (- an ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 1:1 Other: Number of bathrooms: 57' JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: l I 3 O d 5 (..1/4) /t e„u p J ik.,t L4 • New dwelling area: x• square feet City/State/ZIP: "T"t 4 /{ O O 4 . 0)- 2 Z 3 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: G r,m 5 Covered porch area: / square feet Cross street/directions to job site: 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. 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. Valuation: $ 2�,, ,, O ti/_ - ,,,.)-- r bc.4 rat_(__ t- 0 t E L. `+ Existing building area: square feet New building area: square feet tig. PROPERTY OWNER — 1 ❑ TENANT Number of stories: Name: it! ( _ - / 7Arn6 Type of construction: Address: I I 300 t s ti/ (6 - V 00 n.) 4 G 4 Occupancy groups: City/State/ZIP: Ti i 4 a r( D Existing: Phone: (3j)3) Lel. 4-1 33p Fax: ( ) New: •4- APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* / (Please refer to fee schedule) Business name: iL O A a �.,v, O t'7 E t Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: , i / U -7` Total fees due upon application: )- City/State/ZIP: Phone: ( ) Amount received: t ?- I Fax:: ( ) r E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: teni--i4,.. L 0 w, op e _ (,V 5 Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 7p C3' '- Z.; ft) SO s Solar Installation Specialty Code checklist. / City/ State/ZIP: Permit Fee (includes plan review 1 ic� �� �' 4„e �/l C( '� Z �' and administrative fees): t Phone: (3) 4„g• • • g ? 3 Fax: ( ) I SO 1 CI ©, State surcharge (12% of permit fee): l # G%r CCB lie.: 9 (o COI f 2 Total fee due upon application: (0 7, 2 v1 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I. I * Fee methodology set by Tri- County Building Industry Print name: 111E-C 1 1 Date: I - ( 1 Service Board. I:\ Building \Permits\BUP- RESPermitApp.doc 02/24 /2011 440- 4613T(11 /02/COM/WEB) APR -06 -2011 WED 09 13 AM ROTH HEATING FAX NO. 5032663478 P. 01/01 Mechanical Permit Application [Olt orrli F. I !sr. ON City of Tigard Received ;�� 13125 SW Iinil Blvd., Tigard, OR 97223 Plan Review 111111 0 Phone; 5133.718,2439 Fox: 503.598.1960 Datc?8 Other Permit I ..‘ I . ; - z Inspection Line: 503.639.4175 pate Ready /rty: tnn ; RI See rue 2 for Internet: www,tignrd er.gov Notified /Method: $nppkmetMt Information :v ..re, "rig:::::K'i:.!i 7.-7 er t 1 *, . - 11E . . 4' • Mechanical permit fires* are based on the value of the work [,1 New construction ra Addititmialtexation/reptacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition f Other: mechanical materials. equipment, labor, overhead, and profit. Value: S . {L;::1 ... .#,.... 1.,y, t,-.yr. .., r `4'.0Y� -,�� rAn 5++_•` "�* �,. M ' ! fi7R,rsa tea ....... . ....... : J°'jl' �'�i''. ' '7 Igl 1- and 2- family dwelling ❑ Comtmxentl/indusirial ❑ Amory building = For spedalIt mrrriax umchecklist Multi - fami 0 Master builder I] Other: Description I Qty. Ea, Total 2; ":•..,,, .., ": B�I')3?QR11'it,`a►;'. ":::'•:r • 1'tQ�N: i![ Air ooaditioning Job site address: 11300 SW Viewmont Ct, (rewiirc:i site plan showing placement) 46,75 — Furnace 100,000 BTU (ducts/vents/ 46.75 City / State/ZIP: Tigard, Oregon 97223 Furnace 100,000+• BTU (ductevcnts) 54.91 • Suite/bldg./apt. no.: Pm'ect name: 15570 Heat pump J (requires site plan showinr placement) 61.06 Cross street/directions to job site: ! Duct work I 2332 23.32 14 dronic hot water s 23.32 Residential boiler (radiator or h dronic) 2332 Unit heaters (fuel -type, not electric), in -wall, in -duct, su 'ended, etc. 46.75 Subdivision; Lot Fluelvent for any of above 23.32 Other. 23.32 Tax imp/parcel no.: Other fuel appliance*: r —�... + :•.:. • hter 2332 «' `; °x • • .:a H'.• _ i t NrQ - : '. ;_.: . .'. %°" :- t er ea �....,' •.•, . f. -4:::.„ ::.:.:. . ' , Wa Gas fireplace 33.39 Relocate exalting return floor grille. Venting of a new down draft range, Gas Flue vent for water heater or gas line from tee at furnace to new cook tap. fireplace 2332 Log lighter (gas) - 23.32 Wood/pellet stove 3339 Wood fireplace/insert 23.32 f �., Chimney /Liner /tluelvt:nt 23.32 YR_��`. _'. f.:'. . � ��* t rra�ns ; r ti- ti'.$:!�N,: '�?�,. . ,' �•t�;'�t� �:_.. Other: _ 2332 Name: Kg Il AOl tdr'Yi 4.. Environmental exhaust and ventilation: Address:. • 0 a 3 V i ` Range hood/other kitchen rj 1 r t 4 _ equipment 1 33.39 33.39 City/Stele/ZIP: t,srA, d iZ_ ci -4-7_1- Clothes d r exhaust f 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet cam .ailments. utility rooms 23.32 v : r , .- ;r -4 ')_ k,', • . Attie/ rawls ace tans Other: _ KUM Business name: e... AA t:t o LA ...A , Fuel i .in.: r. Contact name; V e, Ltz_ ' ,r• $14.15 fir first four; 54.03 for each additiooat Furnace, etc. Address: ' EP 2-1013,5- - �, Gas heat pump City / State/ZIP: ' - gc.i,th o e _ a1 ? 2_8 r Wall /sus: -ruled/unit heater Phone: (t )1) -z s_soi Irv- : ( ) Water heater Fireplace E-mail: Ran 1 Il l 14.15 -- ,•--.- ;:a: :. .",r. ;+er. ?¢• >: :•1•1":,• -tea,: ::~r a. Barbecue Business name: Roth Heating and cooling Clothes dryer (gas) Other Address: P.O. Box 1265 ....-•- s y• �. ..,:,::;•. .�:!: �','a,• �iAy i ' y ," ' -• • "• " • � 'C�'•rFf�.�M� " nT'�, ».. ��M:��r? City/ State/ZIP: Caney, Oregon 97013 Subtotal 70.06 Minimum permit fee ($90.00) 90.00 Phone: (503) 266-1249 Fax: (503) 266.3478 Plan review (25% of permit fee) CCB lie.: 14008 — St ate surcharge (12% of permit fee) 10.110 '77 TOTAL PERMIT FEE 100-80 This; permit application expires if a permit is not obtained within 1110 Aulhorixed signature: days After it has been accepted *a complete. Print name: Steve MorRfr ( Date: 04!06/11 7 . Foe methodology set by In CilUiSty Building Industry Service f$nnrd Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/B : Permit No , i l 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Tt � � 1 • 1 4 8 Phone: 503.718.2439 Fax: 503.598.1960 D : Other Permit: I I n r i , Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction 'Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. t g i dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1_ and 2-family g ❑ Commercial/industrial ❑ A ccessory 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 ", "1 -3 ", Job no.: Job site address: , 300 so i) w , r .' f C, ( 100HP or more. occupancy. Six or more residential units. ❑ Recreational vehicle parks. ty L(/ C City/State/ZIP: t I , G,� 5722.E ❑ Health -care facilities. ❑ Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: 1 4, {Gat e" a L y a 0 jc' ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: G4orc , /Lc 5 Description I Otv. I Fee. I 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 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 J PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 I t C. f / ct f( Q,C/� C Gi V► IS 401 amps to 600 amps 200.34 2 Name: / 601 amps to 1,000 amps 301.04 2 Address: 1 3 00 S 1 ,,� v �i,d v n n i L 1 Over 1,000 amps or volts 552.26 2 City/State/ZIP: �. CjQ/' , 0' y 7 2 23 Temporary services or feeders installation, alteration, and/or relocation Phone: (S03) G 2 i 733 O 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 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or ovhange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: ( K4 a, ` 'i ✓+Y Date: A. Fee for branch circuits with A APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: B. Fee for branch circuits without /4 service or feeder fee, first ' 56.18 ^{ ' " " 2 Contact name: eL 1 1 y f dmen5 branch circuit Each add'l branch circuit 7.42 3 7, 0�j 2 Address: ) 13 00 s W 1" / c.�n, d 41 f C _ irot Miscellaneous (service or feeder included) t Each manufactured or modular City/State/ZIP: I'C eir ! D/ dwelling, service and/or feeder 67.84 2 Phone: 5c 3) 62'1 - -7 330 Fax: : ( ) Reconnect only 67.84 2 E -mail: /(i) 1 401, ( ✓ 7 Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: ©W,0 62 panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr City / State/ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed ('A hr min) CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: q ,�' Plan review (25% of permit fee): _ Print name: Date: State surcharge (12% of permit fee): I� C � l / , Authorized signature: TOTAL PERMIT FEE: `0 "► • 4/7 gn e. This permit application expires If a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. N um b er of inspections allowed per permit. I:\ Building \Pamits\ELC- PermitApp.doc 07/01 /10 440- 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 Mann El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (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 El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El 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