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Permit ,, CITY OF TIGARD MASTER PERMIT '''!';.,.- COMMUNITY DEVELOPMENT Permit #: MST2011 -00205 131 25 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2011 . .,. TIGARD 9 Parcel: 2S102BC08000 Jurisdiction: Tigard Site address: 12765 SW WATKINS AVE Subdivision: 1999 -007 PARTITION PLAT Lot: 1 Project: KRAL Project Description: Bathroom addition. BUILDING Floor Areas Required Setbacks Required ' Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 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: Yes Total: 0 sf Value: $15,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain. 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 ins 0 Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Dra 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: 1 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 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: 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 0 Owner: Contractor: KRAL, GEORGE L & SARA JAMES YANZICK CONSTURCTION INC Required Items and Reports (Conditions) 12765 SW WATKINS AVE 14020 SW PLEASANT VALLEY RD. TIGARD, OR 97223 BEAVERTON, OR 97007 PHONE: PHONE: 503 - 539 -5079 FAX: Total Fees: $618.47 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 da . A � TTENTIO 1 . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 2- 001 -0010 through • • R • 2 -0 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5si .232.1987 or 1.800.332.2344. , I sued By: �/ P ermittee Signature: / a A:..16.111"A:..16.111"1.-' a Call 503.639.4175 by 7:00 a.m. for the nex available inspection x • . This permit card shall be kept in a conspicuous place on the job site until com ,. n of the project. Approved plans are required on the job site at the time of each ins. ction. Building Permit Application Residential FOR OFFICE USE ONLY Received � y„� i. \\ , III City of Tigard Date/B : • �_ � Permit No.:^1' V 'It ° 13125 SW Hall Blvd., Tigard, OR ` 14 Plan Revie ^1 C Phone: 503.718.2439 Fax: 503.5`x; . 1 l.� DateB : �� � Other Permit: TI G A R D Inspection Line: 503.639.4175 � Date Ready/By: q � la See Page 2 for Internet: www.tigard- or.gov y 1\ "' � �,` 4• ethod: /0 � Supplemental Information .1 ■ \ ``� Imo•! /AWAY' ;, TYPE OF WO' ' o\' ' / R Q a 0 DATA: 1- AND 2- FAMILY DWELLING Permit fee are based on the value of the work performed. ❑ New construction ❑ Itmolition P 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. - and 2-family dwelling Valuation: $ / 5aoo ' 1 y g ❑ CommerciaUindustrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Aki i Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: `a 7/6 ( 50 ',(/ 1h Av New dwelling area: square feet V City/State/ZIP: / , �1 U �, o g V � 23 Garage /carport area: square feet J Suite/bldg. /apt. no.: Project name: /�/ _=•.. Covered porch area: square feet s rli/� x191 �' .,� P q 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. 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. A . ci i 13 re Valuation: $ W A 4 c v v 're r± b r Ob o r Existing building area square feet - d 1�'' Te- rle W in l k • e_ 4 f P r 4-I1-t 6, wails New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: ( �. e, .5�.rti k �' Type of construction: Address: l 765 ,.. �d ; n 5 A ve, Occupancy gro City /State /ZIP: 7 Ora' 01<' 9i ? 3 Existing: g: Phone: ( ) Fax:( ) New: %APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Y(4 h�es `.6 . �,\ �n5 ���� h L view True/4161 Structural plan review fee (or deposit): Contact name: 3-cows Col - Zia( FLS plan review fee (if applicable): Address: 1 CIO 20 S) ' , S ,u i. / • y /6( A 0 ,^ Total fees due upon application: f City/State/ZIP: k I b` ci.7 b b Phone: (5)3) 5-31— 5 4 Fax: : ( ) Amount received: E - mail: • Yail 2i Gk @l d CD PHOTOVOLTAIC'SOLAR PANEL SYSTEM FEES* • 10 Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: / /'�" r 4 `^ �/ 6V� Sola Installation Specially Code checklist. City /State /ZIP: �WYr� �--- �i5 Permit Fee (includes plan review and administrative fees): $180.00 Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: criti 22 54 g! / 2 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: . ..a Ywn �� Date: 12. — 1 j -1/ * Fee methodology set by Tri -County Building Industry 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 City of Tigard Received Pennit No.: 11 111 Date/By: , . 'I 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated ermits: II Phone: 503.718.2439 Fax: 503.598.1960 P 'TI.G'ARD 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 j 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. 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- ❑ ❑ ❑ 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 applicable to the •.ro'ect under review. JURISDICTIONAL SPECIFICS 1 ■ 23 Three (3) site plans are required for Item I I above. Site plans must be 8 -1/2" x 11" or 1 I" 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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, ❑ Cl ❑ 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- RESPermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) 12/21/2011 03:34 FAX 5036404483 Z0001/0001 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard 0 Received 9 13125 SW Hall Blvd. , Tigard 0 , �; Date/By: No.: � �j' �j /�o�6s Phone: 503.718.2439 Fax: 503:. '60 I Plan Review TIGARD Inspection Line: ,503.639.4175 0 201 DatelBy; Odter PermiiNo.: Internet www.tigazd or.gov G � Ready/By: LY S) Notified/Method: _..._ _.:.. .._. -_ �:.:..,.... :,r...:.....:,_ _.rEL-:r•i. - . *:= - ':<<:: _. PPI Information ❑New construction : ... _ _;..... A -- ` ._...,, - ..... ❑ ��iQ1``ir, I For s.edalin ormation use checklist Addition/alteration/replacement CR��r: escri,tion Qty- Ea. Total Add D . :^. _; ,, ,_ ___ 4 New 1- 2- family dwellings (includes 100 ft. for each utility connection ) .':::;. �:..» ��. J r::.:;.: ai:;:` � ._...,...... »va:n,:•c:�� ._�,- �s..__.�'_';r:: Sri' •.�i� "1!tt- � "�E�'':;;:;;:�� SFR( ...-. .... �= • ;,:_ ��::� �a 312.70 1- and 2- family dwelling ❑ Commercial/industrial . SFR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SFR (3) bath 500.32 ❑ Master builder Each additional bath/kitchen 25.02 Fire sprinkler ( sq. ft.) Page 2 .. LL>.•..:W.__M..:...........:.. SAT? ,,, v �; Site utilities: Job site address: Ja 14,5 l J /� , S / " Catch basin or area drain 18.76 City/ State/ZIP: 7-71 -54e r ` "R ) Drywetl, leach line, or trench drain 18.76 // Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Proj name: - Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 f ' pkLY/ - #M $ `'7 ,4 `( , ,00 "^�-� 9-6 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 a Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 :;::% -{- _ ._,:... ..... ; ac water valve _ �•, �:,--: .. : ..�._..�� ...- .,. ...�.;:.__ ._r.�.,..,_:•- - :� �;�.#��:� 12.5 ���� igy - /i. ��� . Clothes washer 25.02 / Dishwasher 25.02 Drinking fountain \ 25.02 .,..... Ejectors/sump ;, 1tO. ERTY::OVVNE1 :�.__ .. ..,,.. Expansion .... : ......_ -, ,....,__ ...,: _._.... ;9�1.T:= �;= 's;;.'�- ,__:;:: �` Expans• tank : ...,•_m _ = - 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone: ( ) Fax �sr- CQ K. - _.�.. .. _- _... ... :... .... ...._ ,,. -'µ�✓ NT- AI�P*1Z50N�:_ "`_ , lutercePtudgease Interceptor/grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Page name: Primer 12.51 Address: Roof drain (commercial) 12.51 Sink/basin/lavato ry 25.02 O v� 15^,, n City / State/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 M Sl E -mail: Urinal 25.02 .... ;- .,.._..... _ .�;;.,<.;.:. ... . : .., :• : - - fl closet Business name.+ �► �1 Water heater 37.52 / / <lLll t , . O q . ar ,. r ij,., � . i 4 .. ', ater pipint/DWV 56.29 Address: / 0/1/ o • /_ r Other: 25.02 ity/ tate/ IP: .,/ ` /IL"/!�i' / � `/�+� Subtotal , • Phone: ( �3�y6 � D ! I J Fax: (93),D.-Y1-741 ' Minimum permit fee: $72.50 CCB Lic.: 7(/ . ` ` PIumbing Lic. no.: , Plan review (25% of permit fee) �� / � State surchaz a (12% Authorized signature: ,,/ g ( /° of permit fee) cc -'14) TOTAL PERMIT FEE Print name: ,rl // /� , ate: p2 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. Lt Building \Permits\PLMU- PermitApp.doc 10/01/09 440 -4616TO0 /02 /COM/wEB) Mechanical Permit Application FOR OFFICE USE ONLY Received 11114 City of Tigard Date/By: No.: % 0 // _ 0 0 205 v 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Phone: 503.718.2439 Fax: 503 60 Other Permit: TI G A R D Inspection Line: 503.639 Date/By: Date Ready/By: funs: ® See Page 2 for Internet: www.tigard or.gov �0 �c Notified/Method: Supplemental Information TYPE OF WORN � 4p( K`Q� c* *4 \' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �J , X1 1 ' Mechanical permit fees* are based on the value of the work ❑ New construction 1y, Addition /alteral performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ �\ "' mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �a 7695 sr) W S / J Air conditioning Job site address: ( 1 ' f�� . (requires site plan showing placement) 46.75 City /State /ZIP: 7 G 0� L c/ ` Furnace 100,000 BTU (ducts /vents) 46.75 �,� / Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: / /t/; / Heat pump II IIJJ�J l (requires site plan showing placement) 61.06 Cross street/directions to job site: ' Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 Ad 0 F j/1 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: G"eOree K / Environmental exhaust and ventilation: Address: vv W V !'/ [ Range hood/other kitchen �fi J � 0 C / © equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) r i , 23.32 %APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32 A,4_57- Other: 23.32 Business name: ,n19 C / T �� /IIC� 7 � �L /� i G Fuel piping: Contact name: CI 4 /H j, // " 7 e ( 1 , 0212 , -- _ L 514.15 for first four; 54.03 for each additional / 0 7 r !/ �.• Furnace, etc. Address: 4 0 �� Gas heat pump City /State /ZIP: ¢ ea /ask O� 9706 7 Wall /suspended/unit heater Phone: (5 753) 4q $ ' 7 I Fa Water heater / ' / Fireplace E -mail: n ZI a�A� ( _,C1;ini, lam Range • CONTRACTOR Barbecue Business name: Clothes dryer (gas) / Other: Address: S -4,11, MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: I days after it has been accepted as complete. Print name: Date: L 7 3 — // * Fee methodology set by Tri- County Building Industry Service Board I \ Building \Permits\MEC- PermitApp.doc 09/09/10 440 -4617T (I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including . $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. . . - L\ Building \Permits\MEC - PermitApp.doc 09/09/10 2