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Permit @' MASTER PERMIT • Iy �, i i , � C Y �• rY I L q i PERMIT #: MST2008-00104 il ' COMMUNITY DEVELOPMENT D ATE ISSUED: 7/9/2008 y GnKO 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DC 01900 SITE ADDRESS: 09300 SW EDGEWOOD ST ZONING: R SUBDIVISION: EDGEWOOD LOT: 015 JURISDICTION: TIG PROJECT: SIMMONS Project Description: 520 sq. ft. accessory structure. Plumbing other fixture: drywell. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 12 FIRST: sl BASEMENT: 51 LEFT: 5 SMOKE DETECTORS: N TYPE OF USE: SF FLOOR LOAD: 50 SECOND: st GARAGE: 520 sr FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: T 51 RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 s1 0.00 REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 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: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 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 ORLE55: 0 • Many: 0 - 200 amp: WSVC OR FD R: PUMP /IRRIGATION: PER INSPECTION: W �► EA ADD'L 5005F: 201 - 400 amp . 201 • 400 amp 1st �OSVC FDR: SIGN /OUT LIN LT: PER HOUR: V I LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp EA ADDL BR CR: SIGNALJPANEL: IN PLANT: MANU HM /SVC/FDR: 601 - 1000 amp: 601ps -100W: MINOR LABEL: 10 �am 1000. amp /volt : O PLAN REVIEW SECTION Reconnect only: q. > =4 RE5 UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY $ A. SF RESIDENTIAL B. COMMERCIAL AUDIO 5 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE 51GNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable CRAIG SIMMONS OWNER laws. All work will be done in accordance with approved plans. This 9300 SW EDGEWOOD ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 -0D1 -0080. You may obtain copies of these rules or direct Phone: 503 - 524 - 3488 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Reg #: TOTAL FEES: $ 631.77 REQUIRED ITEMS AND REPORTS i205 0 f:J X013 %20 5 & 81-ye.f 1 7/4 1 i Issue : : t Permittee Signature : ..i/j ...—....-- 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. • 114 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT PERMIT #: M /2008 00104 DAT ISSUED: 7/9/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DC 01900 SITE ADDRESS: 09300 SW EDGEWOOD ST ZONING: R -4.5 SUBDIVISION: EDGEWOOD LOT: 015 JURISDICTION: TIG PROJECT: SIMMONS Project Description: 520 sq. ft. accessory structure. Plumbing other fixture: drywell. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: AC S HEIGHT: 12 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: N TYPE OF USE: SF FLOOR LOAD: 50 SECOND: St GARAGE: 520 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: THIRD: st RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf , ,'w REAR: 15 PLUMBING 4 /9 70C) . 406 SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: I RAIN DRAIN: 100 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: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 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: WSVC OR RD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp 201 - 400 amps 1st WGSVCFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp EA ADDL. BR CR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601+erps•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: LANOSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable CRAIG SIMMONS OWNER laws. All work will be done in accordance with approved plans. This 9300 SW EDGEWOOD ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 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 of these rules or direct Phone: 503 - 524 - 3488 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 631.77 REQUIRED ITEMS AND REPORTS 606/ 6 0 JT so3 681-Y/e/ Issue : _Al t /_/, 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. , 'sa iiding�Pelrmit Applicatidn 9\'` t_ ' `, :if s O) i '' /, i _ - _ • Residential G O � FOR OFFICE USE ONLY a Ili • City of Tigard p Z Q w Date/Date/13 : OW� I Permit N o.: ���cti/ /�� 13125 SW Hall Blvd., Tigard, OR 9722 !+ Received i Phone: 503.639.4171 Fax: 503.598.1960 � apAI V MM Other Permit T I G A R D Inspection Line: 503.639 G�� �+` 4, y B y : Juris: El See Page 2 or Internet: www.tigard- or.gov r �� �` otif : ?�� d A, Supplemental Information V �A` p \N Go \v` atO u 0,),0 z TYPE OF WOR) REQUIRE A ATA: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 0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. H 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ IQ 700 . 04 3 El Accessory building ❑ Multi- family Number of bedrooms: — El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9300 S New dwelling area: square feet City /State /ZIP: T t-cs, 0 ci IAA 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: . „„` n S Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: ,5 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 E equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. -�- bt✓ d. n� // Valuation: $ J L�E�nS� r tX:`tKY1. % )(a Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: T E , . n Vt7 ; . (v■ r .0 ii-S- Type of construction: Address: ? c eY) Sim; stI '-1-. - Occupancy groups: City/State /ZIP: L�,�8. QA? g 7„1.2.3 Existing: Phone: ( 3) c „4,1 ` - � S 51, Fax: ( ) New: ,,,E] APPLICANT ❑ CONTACT PERSON NOTICE Business name: J All contractors and subcontractors are required to be _______ Contact name: �� licensed with the Oregon Construction Contractors Board v.., 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: a applicant is exempt from licensing, the following reasons apply: 7 > 4 Phone:( ) Fax::( ) — 3n. I r E -mail: q ' [ CONTRACTOR 5a., o0 Business name: BUILDING PERMIT FEES* Address: I " V ' - (Please refer to fee schedule) U` — Structural plan review fee (or deposit): /C 7. City /State /ZIP: FLS plan review fee (if applicable): "— Phone: ( ) Fax: ( ) CCB lie.: n Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,S-} e u P n Cs.,tCr . ,�� rv, C,zS Date: 7/ fbf * Fee methodology set by Tri -County Building Industry /" Service Board. I:\Building \Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) Building Permit Application Checklist • One- and Two - Family Dwelling FOR OFFICE, USE ONLY City of Tigard Received Date/By: PermitNo.: I II 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: ■ Phone: 503.639.4171 Fax: 503.598.1960 t 1 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: . 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ El 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 ❑ ❑ El 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 El ❑ ❑ 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. ❑ El ❑ 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 El El ❑ 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 ❑ ❑ ' El architect licensed in Oregon and shall be shown to be ap plicable to the •ro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". El ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ El 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. 0 ❑ ❑ 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 ❑ ❑ ❑ J 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 accompanied by 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(I1/02JCOM/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Date/By: Permit No.: I aa6B .- 06 /D • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.: TI G A K D Inspection Line: 503.639 Date Ready/By: �Ju ^ 0 See Page 2 for Internet: www.tigard - or.gov Notified/Method: / LO Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist: Description I Qty. I Ea. [ Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: L 3 p O .Sc... £ i d Catch basin or area drain 16.60 City /State /ZIP: T f.� ,- � Qpp__ q 7,; .1-3 Drywell, leach line, or trench drain / 16.60 A - 6 0 �J Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: ,„„.,. 0. Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: /(h7) Page 2 . 5 - s - : U , ) Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 1 1 DESCRIPTION OF WORK Backflow preventer Page 2 6 '1- 0 b0-,' . 540C m. W e,. Cp4Llt i ►1 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 0 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: C ,� ;- .....N, Q , on. ce / Expansion tank 16.60 Address: 1100 St,..) £i e_Lo&Id Fixture /sewer cap 16.60 City /State /ZIP: rt d- a 1Z ? 7.1.413 Floor drain/floor sink/hub 16.60 Phone: (� J) Sd ti - ySi Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) Fax::( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Water heater 16.60 (A Address: Other: City /State /ZIP: Subtotal �/ • G G Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 7 2 .SU CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) ' F . . 70 Authorized signature: / TOTAL PERMIT FEE g' /, aD Print name: .' -e OT-A "'j. 1•fv‘. ,,,,,,1 Date: 71 f p 6" 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:\ Buil ding\Permits\PLMF- PermitApp.doe 12 /27/06 440- 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 - 1' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. 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I N a BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: 1 DATE RECEIVED: DEPT: BUILDING DIVISION — - ! g / ' A ' 6 FROM: � r �, COMPANY: 4 PHONE: TC-Ajk2 RE: ill (Site Address) ermi ase urn (Project name or subdivision name and lot number) 6% paog -cam lo 4 ATTACHED ARE THE FOLLOWING ITEMS: C e10$: IDS ,i n:. t f < Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other plain): - il REMARKS: o 3 _ / ■ 6 yl .. Foittoppia u 0 44* Routed to Permit Technician: Date: Initials: _Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ Special $ Instructions: Reprint Permit (per PE): ❑ Yes H No ❑ Done Applicant Notified: Date: Initials: 1 :\ Building\ Forms\ TransmittalLetter- Revisions.doc 4/4/07 4 • Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box and complete the following statement: I own, reside in, or will res in the completed structure and my general contractor is: g-'41.-*§ " r ,, ,. ` �Y ^. n x� �'s mss' ^' * " r� , , 4 fl 4 4 pie . - t r^ '' w" 4es2 " F � - §. g 4 1a ll :7 ^P .' w t' '� $ 4., , y ii. zr [ s`,� itstet‘ ? a 3 . A , s :x �{ ` .� t7f.: *r � , " ti s - ,c F ' Ft .* t� �,:4 F ,: 4 . * ;„` f "" * r `' �,^ *t i r*vz,z' . - will `be performing work on property I own, a re side nc e "tha t resid in`or a re sid e n c e that T will - ? Ir.' res i n. If I hire s , bco $. a s, I wall h o�z a torrs cad with C t ct i on t x s , A l i x .l F r z tiF m g r Contractors c d general c or � a c to r, 'I wi Co with a `" c ontractor w h o • s I +r ed th the CB v i '� !l ® + t the office issuing this building '' 2 `. 1 # ,,I,,,^4,4' � f k :a 44., z a ,. ^e,, ya� ''7¢ t � R . �r'� � :. r ,4=4.. x z _�F s ; 4, lr • „mo ,„`,44',',4'4 ' "� . r W .. 4 ; I have: and understand the Information Not to Property Owners a Construction' w ily es c•ntainet to these two pages and I hereby that the inf orm a t i on checked and 6 . t 3 ,. t c A B , ve ;�r� . } p # : ., ; R " z'"" a > > a _ ,,;„,,,,,,,,,44 r 4.,;...1;,..:-.:4i:.&,:::,-,,,::--- P u t ( ` '> M `" n i�d` k "� q F f 4 G t c " � ,,, ' a � 1 b s : ; - i is _. �" t 1 �, ^ Yi � l ' t Print name of permit applicant Signa / of / permiit applicant Date Permit #: 1-17 8 " o01DY This form is supplied to building QO ������ permit offices by the Oregon a Address: Construction Contractors Board e as required by ORS 701.055 (6) ? r Issued by: Date: This copy to issuing permit office 1 b • RECEI wm , . • RI N R 1N,, Ali ��Iir r ' I TC. 2� _ ���� �— ' 2 2008 0 _ cirYn�r�o,�R N Cm GENERAL SITE NOTES - 77......, Q 0 OM rn C I. CONNECT TO CITY SEPTIC SYSTEM IF REQUIRE) _ O J 2. VERIFY EXISTING GRADES WITH AND D REPORT ANY \ -- - - -- DISCREPANCIES TO DESIGNER BEFORE CU AN COMMENCING WORK. EDGEWOOD STREET 3. SEE ROOF PLAN FOR DRAIN D DOWN SPOUT INFORMATION \ V ) W ALL WORK SHALL BE CONSTRUCTED IN COMPLIANCE WITH AU. APPLICABLE CODES. N W ANY ADVERSE CONDITIONS SHALL BE REPORTED TO THE OWNER AND THE DESIGNER I W IMMEDIATELY. COORDINATE WITH LOCAL UTILITIES FOR APPROPRIATE CONNECTIONS M B lo AND PROVIDE COMPLETE WITH BID. CONTRACTOR 15 TO VERIFY LOT BOUNDARY LINE MD ASSURE THAT THE BUILDING IS WITHIN ANY MINIMUM SETBACKS. 1 k••,,,,,, M B CI ELEVATIONS OF !EXISTING AND FINISH GRADES ARE APPROXIMATE. ANY DEVIATIONS SHALL BE C REPORTED TO THE DESIGNER FOR DETERMINATION AND ADJUSTMENT. ALL ROOF DRAINS ��: SHALL BE SEPARATE FROM FOOTING DRAINS AND SHALL BE EXTENDED TO GRADE IN A MANNER THAT WILL NOT CAUSE EROSION OR IMPACT ADJACENT PROPERTY. 160,3 �� (9 MANNER STRIP AND STOCKPILE TOP SOIL f FUTURE BACKFILL. ALL EXCESS EXCAVATION MATERIAL _��� � � — T+f�l� (w IS TO BE REMOVED FROM THE SITE E I F NECESSARY. NNN N. U_ Cern \ U Cb 4c/11?Itli IM oo • 410 CI J DO • Nsi — NN 14 Q wo LEGEND - .(;: l! -::.; \,, Gb =Set 5/8 inch by 3O inch iron rod j \ O yellow plastic cap 'stamped ► � / � Property line I \ W R Pe Y \ P.U.E. - Public C ut y easement ' r � ' // %i ■ % % ---...,.. \ , • \ Q ELEV. - Elevation �, / i N. N\ Lil L: ( 7 ) 8 > : 13 !: C.O.T. -City of Tigard CD /l II11 / / � / r \ Ni... PWR - ELECTRIC POWER % \ \ f WATER - CITY WATER UTILITIES . SITE PLAN - , / / � u� CAN - CABLE T.V. / % / \ CA = i j \ oATE SCALE: 1 7-20 / - % \ ZX FIRE HYDRANT � j � • 19 JUNE 2008 FENCE LINE \ 1,.. / ' REVISED )<XX)CXXXXX)€ A \ 1 — — — CONTOUR LINES Al 2' INTERVALS ', \ \ \ I EXISTING BUILDING r A m NEW BUILDING AREA / I \ U M W to N / I CO EDGEWOOD ADDN. 1 S z ° w W H . CITY OF TIGARD In 261 ..---- \ - o Q ---- WASHINGTON COUNTRY 10 \ I �_ o LOT: 9300 SW 1/4 SE 1/4 SEC. 02 T2S, R1W W.M. ----- \ PROJECT: i SIMMONS -SITE 9300 SW EDGEWOOD STREET TIGARD, OREGON 97223 UN ROOF AREA OF ADDITION ONLY: 650 S.F. tv SITE PLAN LOT AREA 40,946 S.F. .94 ACRES \ sHEEr A.0 • CITY OF TIGARD • SITE PLAN REVIEW BUILDING PERMIT NO.: i(derT' - - PLANNING DIVISION: N ot A proes+ Required Setbacks: ❑ "Approved ❑ P �� S Side: Street Side: 1 ' Front. _ Ci.' - Rear: « __ ,; �, L Not Approve Visual Clearance: : �� - Maximum Buildimv 14ei,L1 t• 0 No CWS Service Provider Leiter ?`egt''ied: 0 Received Bs: e bate: 8 ENGINEERIN DEPAR WENT: ❑Not Approved Actual Siope:.5_% ,Z Approved Site PI . : 0 Approved ❑ Not Approved Date: Notes: c ia � DCc�vKe v�,�.c c wo uifi,l, tttv PC)4 ' CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: f _,T U7 /) Stet Trues: NR--{] Approved ❑ Not Approved Protect revs: n / A-_13-Approved ❑ Not Approved Bye: CAS Date: •