Permit •
A
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00131
i
0\
4 i SERVICES DATE ISSUED: 7/6/2006
' �I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 e
.PARCEL: 2 S 110 B D -03200
SITE ADDRESS: 14916 SW 116TH PL ZONING: R -4.5
SUBDIVISION: HELM HEIGHTS &Ni LOT: 009 JURISDICTION: TIG
Project Description: Wine cellar.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: 9 FIRST: 230 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT:
VALUE: 29 520.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 230 sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 2 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
GENE HOPKINS THE WINE OUTFITTERS INC applicable laws. All work will be done in accordance with approved
14916 SW 116TH PL 01606 SW CAREY LN plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 PORTLAND, OR 97219 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies
Phone: 503 684 - 6202 Contact #: FAX 503 635 - 6185 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 - 675 - 7799 or 1-800-332-2344.
Reg #: LIC 127490
TOTAL FEES: $ 619.94
REQUIRED ITEMS AND REPORTS
( • J
Issued By : ,/ . , , r - _ (4 ,/_ , Permittee Signature :,�
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application F-ol OFF�: F
R 1s l: o',l.l
City of Tigard , hr 7 2006 Received V' p e Permit � utNo.i „ q�
b_ l
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.59 1 i . Other Permit: 11 Y OF I I�J�r hyp a i " i i Dates : to
Inspection Line: 503.639.4175 „ '� J„ Date Ready/13y: _ see Attached Checklist for
Internet: www.ci.tigard.or.us BUTT PTTG fl T , Notified/Method: • . laf` Supplemental Information
S 6 0 \ / (,J/ .�1� 3� \1'
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
KAddition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
jet 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ '29 I 2.0 •
❑ Accessory building ❑ Multi- family Number of bedrooms: "g-
❑ Master builder ❑ Other: Number of bathrooms: *9--
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 9 I (p S W 1 ■ Co New dwelling area: square feet
City /State/ZIP: T(GA 0 1 122 41- Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: �oPk► N S Covered porch area: square feet
Cross street/directions to job site: 5 . 60 srr44 4 vE . Deck area: square feet
Other structure area: 16$ 4... square feet
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
M ar DESCRIPTION OF WORK work indicated on this application.
Valuation: $
kat NE. G6U-A(U cow SraUCT1 o4 ►ki ExVs
G ILA W L s pA G-E. • Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,E , 6 H O i 1c._l N < Type of construction:
Address: AS lc t3o•V G Occupancy groups:
City/State/ZIP: T ►(Ann t Oa _ 912:24, Existing:
Phone: 6c2.3) (mac(• • ( Z- Fax: ( ) New:
%APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1e km N € nCTF 625 t ' N6 , All contractors and subcontractors are required to be
Contact name: Dt•NN4S YV ALL licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Q t 4006 SW CAILEii LANE. jurisdiction in which work is being performed. If the
City/State/ZIP: -PO tu A N 0 , Oa '11211
applicant is exempt from licensing, the following reasons
2 apply:
Phone: (5 (olS .' 11 C : (!,'Q3) 6,.. 5✓" .6(SS
E -mail: aEfslN14 (2 W 0.JEO -sfr- ?'E.n.f> • Cta'1e\
CONTRACTOR
■ RACTORR
Business name: (�� �i /V E V 1 S yv 1 1N BUILDING PERMIT FEES*
Address: b((O SW GA R,.E t.t LAN E
Please refer to fee schedule.
City/ State/ZIP: cb f(.V LA" /Q CL 12J
l Fees due upon application
P h o n e : ( ) 615- , -7'-6 5 Fax: (563 ) , • ( J 85- Amount received
CCB lie.: 12 450 �� 2.o. 6
R., Date received: l _ J /o Authorized signature: This permit appliation spires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: NN 15 g , l Y A l C 'FA LCD Date: * Fee methodology set by Tti- County Building Industry
I
Electrical Permit Ap i P 7 >b —' FOR OFFICE USE ONLY
City of Tigard ��' �'` Received Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan �Review
Phone: 503.639.4171 Fax: 503.598.1960 JUN 7 200'11-'"'t- Date/By: Other Permit:
Inspection Line: 503.639.4175 1„ . '. I Date Ready/By: Joie: RI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 4o40A[AOAooilor000
CITY Of' i 1 isai(Li r, I
❑ tea' �sa � jQRI>; TT'T0 PLAN REVIEW
New construction • I •'q i a c f Please check all that apply:
❑ Demolition ❑Other: 0 Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
Xl 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
0 Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park
Job no.: OC - 3 Job site address: I (4 C( S ' ' ^ , 1 t. :Wealth facility DOther:
1 `1 Submit 2 sets of plans with any of the above.
City / State/ZIP: T� (OA ]t.0 1 b� 1'122' The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: No pig.-(N e, FEE* SCHEDULE
Description I Qty. I Fee. I Total ..
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
• - - Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Aii6, :I Each manufactured or modular
dwelling, service and/or feeder 90.90 2
W I NE, C6 .(. 44_, COIJS'IP UG UC%I !N EZ( T IN Li Services or feeders installation, alteration, and/or relocation
G C p...1 l.- SPA 4. 200 amps or less 80.30 2
ROPERTY OWNER ❑ TENANT 1 201 amps to 400 amps 106.85 2
J 401 amps to 600 amps 160.60 2
Name: C- E oPtc4k1 4) 601 amps to 1,000 amps 240.60 2
Address: t OG6 Q SVs VA C. C4nN ALn Over 1,000 amps or volts 454.65 2
� Reconnect only 66.85 2
City /State/ZIP: T� (p A�_O U L� 9122-415- Temporary services or feeders installation, alteration, and/or
) relocation
Phone: (5113) (fpg 4 • 4 Fax: ( ) 200
amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: -- k i t ,c W 3, t 6 0 tali si € (7 3 \ N (• branch circuit
Contact name: �� B. Fee for branch circuits
`( ''"" ,NU l5 rn CFA L,l� without service or feeder fee, / 46.85 2
first branch circuit
Address: Q 1 D0( II CstfLE,11 L I J L Each add'l branch circuit 6.65 2
City / State/ZIP: e 02,T LA n 1 O a_ 11 2 Miscellaneous (service or feeder not included)
1 Pump or irrigation circle 53.40 2
Phone: (51) (p'15 , Gt Fax:: ( S 6 (�J5 ' (oS � �
1 Sign or outline lighting 53.40 2
E - mail. E,n4n/1 W i N Ec'1 t-cFrrrEn5, . GO Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% 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: I Date: * Fee methodology set by Tri- County Building Industry Service Board
FROM : McFALL ASSOC I ATES PHONE NO. : 503 635 6185 Jul. 31 2006 08: 49AM P2
la KU
07/28/2006 10:35 FAx 5035981960 CITY OF T1 GAM./ .
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RECEIVED
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•.: . - , _•. Request for Permit iietiOn Or 'im s '''
T1( ; A I Z f 1 ' ; ; BUILDING D,IViSii*
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TO; CITY OF TIGARD :: ": .. ', .. 4... :: : :: :: .. fL• - ... :' .•:: ••: - • i .: ...i .
Permit System Administrator
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13125 SW Hall Blvd., Tigard, OR 97223
Plume: 503.718.2430 Fax S03,398.1960 wwwtigaid-or:gOvi
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PL.K.tASE TAKE ACTION FOR THE,' ITEM(S) CHECXF.D (,): . . .. .. . •
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PI PERMIT APPLIcATION. ; . : .,..!. :. . : : •• . .1 ..:',... :: .. ..• ::. f. : ' i . 1.. .: .: :.."
REFUND PERMIT FEES (attach ro(cipt, if available).
REMOVE, CONTRACTOR FROM PERMIT (do not cAnCelperMit).• ,; , •:,, , .. :, . :,, , ,.. ..: ;•.:.... ; ..;:. .. ...., .:. : :
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Pit #: fr17 -- Oe)i) ' : • . . .
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1. The Building Official may atnhorire the refund of: • . . . .
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a) firlY fee which was etr paid or.coliected. . •
b) not MOTO than $) percent of the permit fee fill. issueci permit aprr to any inFocceitin requests. . .
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c) nor more than 80 percent of plan review fee when an applica its canceled before any plan review effort has been expended..
• 2 - Refunds :a..in be returned CO the original Paytt in the Dame nicthoi.1 in which payment was received. . .
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Re nd.Froccsscd: Date , f 0 k. 1 7y5ra Invoict ProceaKcl: Dr.;
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pelyair Canceled; ate If!'
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