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Permit CITY OF TIGARD MASTER PERMIT I r :'• COMMUNITY DEVELOPMENT Permit# MST2O11 -00188 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued 10!28/2011 Parcel 2S102CD02709 Jurisdiction Tigard Site address 9715 SW OMARA ST Subdivision FREWING'S ORCHARD TRACTS Lot 28 Project SANCHEZ Project Description Bathroom addition Inside detached garage BUILDING Floor Areas Required Setbacks Required Stones 0 Bedrooms 0 First 0 sf Basement 0 sf Lett 0 Parking Spaces 0 Height 0 Bathrooms 1 Second 0 sf Garage 0 sf Front 0 Smoke Dwelling Units 0 Third 0 sf Right 0 Detectors No Total 0 sf Value $500 00 Rear 0 PLUMBING Sinks 1 Water Closets 1 Washing Mach 0 Laundry Trays 0 Rain Drain 0 Unnals 0 Lavatories 1 Dishwashers 0 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 0 Drains 0 Tubs(Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines 100 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 0 Ice Maker 0 Hose Bib 0 Backwater Value 0 Drywell- Trench Drain 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning N Vent Fans 0 Clothes Dryers 0 Heat Pump N Hoods 0 Other Units 0 Furn<100K 0 Vents 0 Woodstoves 0 Gas Outlets 0 Furn > =100K 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders 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 0 Mfd Home /FeededSvc 0 401 -600 amp 0 401 -600 amp 0 601 -1000 amp 0 601 +amp -1000v 0 1000 +amp /volt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo N HVAC N Security Alarm N Vaccuum System N Garage Opener N All Other N Other Description Ecompasing N BUILDING INFO Class of Work Type of Use Type of Constr Occupancy Group Square Feet ALT SF VB R -3 0 Owner Contractor SANCHEZ, J GUADLUPE OWNER Required Items and Reports (Conditions) ZAVALA, BLANCA E 9715 SW O'MARA ST TIGARD, OR 97223 PHONE PHONE FAX Total Fees $319 45 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 is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0090 You may obtain a copy of - _ - or ,direct questions to OUNC by calling 503 232 1987 or 1 800 • • 2344 Issued By _....ei r^ — -- •• iee Signature /' a? ES' _ .%•3 ' 4175 by 7 00 a m for the next available ins ion •a te This permit card sh. • • -Pt 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 Plumbing Permit Application Building Fixtures � FOR. OFFICE USE ONLY City of Tigard By Ii q 13125 SW Hall Blvd Tigardt9R 97223 °' Received Q�� Plan Date /By ,)_ �� I�r Penn" No C7 /_ / on Phone 503 718 2439 P 3 598'196A% t, JJ �r J� ` r� Dale/By !I ) /©'3 O (Mar Permit No TIGARD Inspection Line 503 639 5 B r A a ` r 4 , O� Date Ready/By 1�2,���/, _ her, el See Page 2 for Internet www tigard-or goy O e. ,c \ Notified/Method mi t Q/) Supplemental Information TYPE OF WORJcd \ 4 \ \ 6\ T t4 Li / fr FEE* SCIIEDULE ❑`� oh ❑ New construction �nli on wXr" For special information use checklist wu Description I Qty [ Ea I Total ❑ Addition /alteration /replacement ❑ Other New I- 2 -family dwellings (Includes 100 ft for each utiht connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312 70 El I- 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. lob site address C/ ?-) s / .. a YI/' ' L Catch basin or area drain 18 76 City / State/ZIP -- ! t 6 / , '�ZZT Droving, drain leach (no trends drain 18 76 n I noting dra (no linear ft ) Page 2 Suite/bldg /apt no 1 Project name Lop r Sat rho? Manufactured home utilities 5003 Cross street/directions to lob site Manholes 18 76 Rain drain connector / 18 76 Sanitary sewer (no linear ft 60 ) I Page 2 On Storm sewer (no linear ft _ _) Page 2 Water service (no linear It l a')) Page 2 ( '2* - Fixture or item Backdow preventer 31 27 Backwater valve 12 51 Clothes washer 25 02 Dishwasher 25 02 ♦ I Drinking fountain 25 02 7 j Electors /sump 25 02 OWNER G` PROPERTY ❑ N'1' Expansion tank 12 51 ppp 'f l EN � 1 A � f � Name d i I [ Q '�,iwq I �(�j Fixture/sewer cap 25 02 wr .0 ` L ! I I J (� r f/ lY f 'C '^-4 ' Floor drain /floor silt hub 25 02 Address Hs- 5 j , � `� n r J'� s� Garbage disposal 25 02 City /State /LIP l ,mat) 0 Y , ry- Hose bib 25 02 Phone (50 /0 -4 Fax ( ) Ice maker 1251 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02 Business name Medical gas (value $ ) Page 2 Contact name L. U pr, 5ge Primer 12 51 / Roof drain (commercial) 12 51 � / Address i( !S ( o , 0 M Qa / 5 L Sink/basm /lavatory / tiutc I LAY 25 02 5Q, CA: City /State/ZIP / , ) p O/'L Solar units (potable water) 62 54 Phone (50, 7( A-6 ) 5"--- Fax ( ) 1 ub /shower /shower pan 12 51 E-mail Urinal 25 02 Water closet 1 25 02 09— CONTRACTOR Water heater _ 37 52 Business name ! . Water piping/DWV 5629 Address (� Other 25 02 _ City /State /ZIP Subtotal '200 .14 Phone ( ) Fax ( ) Minimum permit fee $72 50 CCB La, Plumbing Lie no Plan review (25% of pernul Ice) State surcharge (12% of permit fee) "2-4-.02 Authorised signatu - e* o 'IOTA!. PERMI I' FEE '24, t L EiI�� permit if a permit is not obtained within ISO days � /a� i ' �i�4 I a Da le / ! - L . ...4 � This application e after it has been accepted as complete *Fee methodology set by fn- County Building Industry Service Board I \BUnding\Permlb\PLMU- Perm'tApp doe 10/01/09 040 -401 ST(10 /O2ICOM/WLB) 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 ( 62 54 3,601 to 7,200 $233 20 Sewer - 1st 100' �-, 54 7,201 and greater $327 54 Sewer - each additional WO 37 52 Water Service - 1st 100' 6254 Medical Gas Systems: Water Service - each additional 100' 3752 Valuation: Permit Fee: Storm & Rain Drain - I st 100 62 54 $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 P 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 Ice 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 tor hours (minimum charge -2 hours) each additional $100 00 or fraction thereol_ 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 $ 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 ", please indicate work performed by fixture. Failure to accurately report Fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations Quantii by Fixture 'Type Plan review is required for any of the following Fixture Type for Replace/ Please check all that apply Work Performed: Capped Added Relocate Baptistry/lent Any new commercial building with water service 2" and Bath - Tub /Shower greater, except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure - Driv I lira as defined in OAR918- 780 -0040 Cuspidor /Water Aspirator ❑ Medical gas and vacuum systems for health care facilities Dishwasher - Commercial ❑ Any multipurpose fire sprinkler system - Commerc ❑ Any complex structure as defined in OA R918- 780 -0040 c Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above Floor Drain /sink - 2" -3' Isometric or Riser Diagram 4, ❑ Isometric or I iser diagram is required for new buildings -Car Wash Drain Garbage - Domestic non -food that meet the qualifications above Disposal - Domestic food related - Commercial food related - Industrial food related Ice Mach /Refrig Drams Comments regarding fixture work: Oil Separator (Gas Station) Rec Vehicle Dump Station Shower -Gang -Stall Sink - Lav/Bar non -food related - Bradley - ConnSci v /Uhl loud related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filar increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet - Toilet plumbing permit can be issued. Urinal Other Fixtures - I \Building \ Permits \PLMF- PermitApp doc 08/04/2011 2 Building Permit Application n , , � • Residential �1 0 FOR OFFICE USE ONLY City of Tigard Received Q Date/B Perm" No r ° 13125 SW Hall Blvd , Tigard, OR 97td O �01\ �' �� S rim - (t� Plan Review Phone 503 718 2439 Fax 503 598 1960 oC\ Date/By Other Perrot TIGARD F Inspection Line 503 639 4175 n - \ x1000 Date Ready /By .Ly)s I/ See Page 2 for Internet www tigard -or gov LI` li i`" ` s0 Notified/Method /J5(p Supplemental Informatton TYPE OF WOIlla yr 4 REQUIRED DATA: I- 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 0 I-and 2-family dwelling 0 Commercial/industrial Valuation $ dU(J ❑ Accessory building ❑ Multi- family Number of bedrooms ❑ Master builder ❑ Other Number of bathrooms JOB SITE INFORMATION AND LOCATION Total number of floors Job site address 9 7 /5 514 s(, yvvF ' et J� New dwelling area square feet City /State/71P (( An_. 07L 2_2^ / Garage /carport area square feet Suite /bldg /apt no Project name L(/ 19 « c - 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 Lot no Permit fees* are based on the value of the work performed "fax map /parcel no Indicate the value (rounded to the nearest dollar) of all equipment, materials. labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application .�1(ts ! ! �--'' yy ,, S U Valuation S to of, t . , iAJLL+�t(V'/_ (!lam - •• Existing building area square feet ,.�,, New building area square feet E PROPERTY OWNER ❑ TENANT Number of stones Name T-J_ f QnAl o P F L V Q n t J a I1 2 R ^ 17 ) �� it " % r� type of construction Address c l`N _ - /5 r 5 (,f - inic Q ..b+' V Occupancy groups City /State /ZIP j ) pig) o Y_y 2 �3 Existing Phone ( SC) l #.4 - 0 —6 )) s Fax ( ) New ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name (Please refer to fee schedule) O '� Structural plan review fee (or deposit) Contact name J �4 i di) ' `= � FLS plan review fee (if applicable) Address 9 , SW , OM � � 3 - ,S t � Total fees due upon application 2 ( , ( 0 3 City/State /ZIP i (pi � 0 _ /992- Amount received yS.7}1 , (p3 Phone ( 0-4 - Fax ( ) 1� E - mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescnptrve installation of roof-top mounted PhotoVoltam Solar Panel System Business name n 1 �� Submit two (2) sets of roof plan with connection details CJ and fire department access, along with the 2010 Oregon Address Solar Installation Specialty Code checklist City /State /ZIP Penmt Fee (includes plan review $180 00 and administrative fees) Phone ( ) fax ( ) State surcharge (12% of permit fee) $21 60 CCB lie Total fee due upon app5cahon $201 60 Authorized signatureThif �/,fPG/ \ / 41,---1/--- This permit application exptres If a permit is not obtained rt vc / J within 180 days alter it has been accepted as com plete. Print name r, l) °/ 6. p L l l / E c'9� , , � -'Date � � Z `/ / f * Fee methodology set by Tn- County Building Industry `M1" l- Service Board 1 \Building \ Permits \BUP- RESPermitApp doe 02/24/2011 440- 4613T(I 1 /02 /COM /WEB) Building Permit Application Checklist One- and Two - Family Dwelling - FOR OFFICE USE ONLY City of Tigard Received �' g Permit No " 13125 SW Hall Blvd, Tigard, OR 97223 Date/By ' II ; : Phone 503 718 2439 Fax 503 598 1960 Associated permits TIG "ARD 24- flour Inspection Line 533 639 4175 ❑ Electncal ❑ Plumbing ❑ Mechanical -- Internet www ngard -or gov ❑ Other THE FOLLOWING ITEMS ARE FOR PLAN; R EVIEW Yes N9 N/A I 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 I t Site/plot plan drawn to scale. The plan must show lot and building setback dimensions, property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft elevation differential, plan must show contour lines at 2 -ft intervals), location of easements and driveway, footprint of structure (including decks), location of wells /septic systems, utility locations. direction indicator. lot area, building coverage area, percentage of coverage, impervious area, existing structures on site, and surface drainage 12 Foundation plan. Show dimensions, anchor bolts. any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans. plumbing fixtures, balconies and decks 30 inches above grade. etc 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists. sub- ❑ ❑ ❑ floor, wall construction, roof construction More than one cross section may be required to clearly portray construction Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc 15 Elevation views. Provide elevations for new construction, minimum of two elevations for additions and remodels ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope Full -size sheet addendums showing foundation elevations with cross references are acceptable 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations, for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing. spacing and bearing ❑ ❑ ❑ locations Show attic ventilation 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations" 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam /joist carrying a non - uniform load 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances 22 Engineer's calculations. When required or provided, (I e , shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore on and shall be shown to be a • i hcable to the r ro ect under review :JURISDICTIONAL SPECIFICS 23 I hree (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 Cl ❑ ❑ 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 Of 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 pnor to September 9, 1995 I \Budding\Penmts \BUP- RESPenniApp doe 02/24/2011 440- 4613T(11 /02 /COM /WEI3) Property Owner Statement Regarding Construction Responsibilities 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 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing per mits. 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 I own, reside in, or will reside in the completed structure and my general contractor is Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board I will be performing work on property I own, a residence that I reside in, or a residence that I w ill reside in If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this hom eowner statement is true and accurate. /01 1 ft , _ / IOC — Pnnt Name of Permit App 'cant gnature of Permit Applicant Date Permit it M.57 arl // — COW q Address q Si-V= Arlti T v2 ?,a3 rs .'“r• Issued by _ 7 Date Mktg j g 1/41' This Copy for Permit Offices