Permit : . ' Y ' ,, CITY OF TIGARD MASTER PERMIT
;� COMMUNITY DEVELOPMENT Permit #: MST2011 -00203
Date Issued: 12/14/2011 '
TIGA 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S1106604800
Jurisdiction: Tigard
Site address: 12297 SW CHANDLER DR
Subdivision: ARLINGTON RIDGE Lot: 25
Project: Kremidas
Project Description: Retrofit enclosed deck w /shear wall support.
12/14/11, added (1) inspection for electrical work.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 242 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: 242 sf Value: $1,200.00 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
Drains: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 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: 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
Fum > =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' 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• N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: • Occupancy Group: Square Feet:
ALT SF VB R -3 242
Owner: Contractor:
KREMIDAS, THOMAS JD HOME SERVICES LLC Required Items and Reports (Conditions)
12297 SW CHANDLER DR 12768 SW BEXLEY LN
TIGARD, OR 97224 TIGARD, OR 97224
PHONE 503- 314 -4545 PHONE: 503 - 922 -3324
FAX:
Total Fees: $244.09
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a co• of the •_• direct questions to OUNC by calling 503.232.1987 or 1.800.332 2344.
�
Issued By °_ / _� �Permittee Signature: \ } r D .
Cal 0.04. i�?•y 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application '
Residential V q:4V9 FOR OFFICE USE ONLY
City of Tigard SC %\ Received � %J�_ permit No.: 1 Date/B : / / 0o - / ° 13125 SW Hall Blvd., Tigard, 7223 �-
Plan Revi
0 • Phone: 503.718.2439 Fax: 503.501- ! 1 Other Permit:
9$ 1 0 � � „ ,�
T I GA RD Inspection Line: 503.639.4175 U `W' Date/B : 0 Date Ready/ r: Juris: ® See Page 2 for
Internet: www.tigard- or.gov C1 0* ,,, 1S Notified/Method: Supplemental Information
TYPE O \ 1RK 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.
ee
l 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ e �'
❑ 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: / 97 54) �,. New dwelling area: square feet
City /State /ZIP: j 6 Q'( 9 . S1 Garage /carport area: square feet
Suite bldg. /apt. no.: Project name: rt 1 `0 pA S - Covered porch area square feet
Cross street/directions to job site: vvv 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.
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.
e C4' ign W 1 Eat Wa, � � S 4 /0P°`ft Valuation: $
ID /l Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
'7;, Name: � M
TU 4A S Type of construction:
Address: / ;a 97 Se.) r✓kandlgv' 1>r Occupancy groups:
City /State /ZIP: lif at,„/ e d Q 7701 y Existing:
Phone: (50 )314/ - ys Fax: ( ) New:
[.]'APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: "Up 44 me 44m Scme (Aces Structural plan review fee (or deposit):
Contact name: �"01.. trS 'p JtAr FLS plan review fee (if applicable):
Address: i a.763 .$ cAlf is, ,∎
Total fees due upon application:
City /State /ZIP: — ri,arpL a Q 97g2q
Amount received: d r,. Phone: (53 ) 92 333 J Fax: : ( ) D.
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and esidential prescriptive installation of
roof -top mounted' 'hotoVoltaic Solar Pan stem.
Business name: .3'p ih d Ul ces Submit two (2) sets roof plan wi nnection details
and fire department ac , alo ith the 2010 Oregon .
Address: )27(.' s w ( ,�„ IN Solar Installation Special • 'ode checklist.
City /State /ZIP: �I dQ J 7,204 Permit Fee (in ses pla eview $180.00
a administrative '; • s
Phone: ( a,
,2 33A4 Fax. ( ) State s12 %of permit fee . $21.60
CCB lie.: / T 967 Git 113 Total fee due upon application: $201.60
Authorized signature: j ato40 , `f t�_ v This permit application expires if a permit is not obtained
J� within 180 days after it has been accepted as complete.
-ice c1_ • Date: * Fee methodology set by Tri- County Building Industry
Print name:
Z-411%.$5 b �7 +( �°ti /I�/i ( Service Board
I: \Building\Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11/02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR, OFFICE USE ONLY
C, ` Tigard Ti d Received
g Date /By: Permit No.
0 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD,
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- ❑ 0. ❑
floor, wall construction, roof construction. More than one cross section maybe 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. t a r•
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. r „ ,
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 t on and shall be shown to be a. s icable to the .ro'ect under r e v i e w .. . . . .. t • ' 3
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 ortape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. 3 ..„: ❑ " . ❑ ❑
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, I ❑ • ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval. r ..
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. ,
1:\Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB) • ' " °
Electrical Permit Application j FOR OFFICE USE ONLY
City of Tigard Date/B / r� �� Permit No.: u -Jr o- it — c.ckd -&3
1 3125 SW Hall Blvd., Tigard, O 97223 Plan Review
Q
- Phone: 503.718.2439 Fax: 503.598. E.\ Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard or.gov { Notified/Method. Supplemental Information
TYPE OF WORKDEC 4 2� 11 PLAN REVIEW
❑ New construction ❑ Addition/alteration / repl acagtp Please check all that apply (submit 2 sets of plans w /items checked below):
1,(� VVt' A® ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other: � C` DIVISION where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSgnbiSI V exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
El I- 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 ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "I - ",
Job no.: Job site address: Q / 2../z I OOHP or more. occupancy.
i Z I�VLA IA ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
l �� 0 ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Ri L IN\ 1, Pr S 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description i Qty. I Fee. ] 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'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: ' R— E yy t i A 401 amps to 600 amps 200.34 2
t l h lT 601 amps to 1,000 amps 301.04 2
Address: C as 9 7 s A_ L 2 I l /
n � ! Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State/ZIP: �� p 1 Q a a relocation
Phone: (5d 46 .7/37 Fax: ( ) 200 amps or less 59.36 1
VVV 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, r nt, o exchange, according to ORS 447, 449, 670, and 701.
, n Branch circuits — new, alteration, or extension, per panel
Owner signatur - — Q_./ t.. ttli Date: -1 y - 11 A. Fee for branch circuits with
❑ APPLICANT ❑ 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'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67 84 2
ty 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: Oki/ panel, alteration, or extension. Pa•e 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 i 90.00 / hr *Lc%
specifically listed (V2 hr min)
CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES
Subtotal: O
Suprv. Electrician signature, required:
Plan review (25% of permit fee):
Print name: Date: State surcharge (12% of permit fee): /c)..�
1 TOTAL PERMIT FEE:
Cd(f
Authorized signature: /ll This permit application expires if a permit is not obtained within 180
Print name:
K k s V h id (f d ^ c "--�� Date: 1 3 -IV I'/ days after it has been accepted as complete.
• Number of inspections allowed per permit.
P\Building\ Permits \ELC- PermitApp.doc 07/01/10 440- 4615T(1 I /05 /CON/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 Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
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
n Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n 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