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Permit CITY OF TIGARD MASTER PERMIT 1111. 1 ,. COMMUNITY DEVELOPMENT Permit #: MST2012 -00013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2012 Parcel: 2S103AC06400 Jurisdiction: Tigard Site address: 11445 SW FONNER ST Subdivision: 1997 -080 PARTITION PLAT Lot: 2 Project: Greco Project Description: 2 -story single family home and garage addition BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 315 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 22 Bathrooms: 1 Second: 515 sf Garage: 943 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 830 sf Value: $122,191.78 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 2 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr. 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 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 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2 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! 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 3 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: ADD SF VB R -3 830 Owner: Contractor: GRECO, LEONARD R HALLMARK TILE & MARBLE INC Required Items and Reports (Conditions) 11441 SW FONNER ST 13289 SW DEERGROVE LN 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97223 TIGARD, OR 97224 PHONE: PHONE: 503 -407 -5607 FAX: Total Fees: $3,887.51 This permit i ' • _ • bject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i' accordance .• 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. • ENTION: Oregon aw re•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 0010 through OAR 95 - • -00 , .0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23 . � � �� Issue. =y: , _alp_ / / L � _ Permittee Signature: ` � / i Call 503.639.4175 by 7:00 a.m. for the next available Inspectio • •.te. This permit card shall be kept in a conspicuous place on the Job site until co pletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVED I:ol, 0rr1Cl (is,. oNI City of Tigard Dare • e2 , / 4 7if Permit No $ , _ 0 i, /3 13125 SW Hall Blvd., Tigard, OR 97223 FEB — 2 2012 Plan Revie :��j Phone: 503.718.2439 Fax: 503.598.1960 DateB : a`i 3 �j a ' er Permit ' - : / /.1 ^aDDQ.3 Inspection Line: 503.639 Date ReadyBy: �J !tads ® See Page 2 for T' I G A R D Internet: www.tigard -or.gov CITY OF TIGARD Notified/M ' � jr� 776- Supplemental Information BUILDING DIVISION .e Vio / . t#' ' ' � V � 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 ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® m 1- and 2- family dwelling ❑ Comercial/industrial Valuation: 2.2. R (:78 ❑ Accessory building ❑ Multi- family Number of bedrooms: 1 El Master builder ❑ Other: Number of bathrooms: 1 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 11449W Fanner St New dwelling area: square feet City/State/ZIP: Tigard. Or. 97223 Garage /carport area: €1' square feet Suite/bldg. /apt. no.: Project name: Greco Covered porch area: 40 square feet Cross street/directions to job site: Deck area: 0 square feet Other structure area: 0 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.: 2S103AC06400 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. Two story home addition (St e F� i A ( LW\ Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Lenny Greco Type of construction: Address: 13289 SW Deergrove Ln. Occupancy groups: City/ State/ZIP: Tigard, Or. 97224 Existing: Phone: (503 -)407 -5607 Fax: ( ) New: •® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Hallmark Tile Structural plan review fee (or deposit): 302 , Fp Contact name: Lenny Greco FLS plan review fee (if applicable): Address: 13289 SW Deergrove Ln Total fees due upon application: City / State/ZIP: Tigard, Or. 97224 S32 �� Amount received: Phone: (503) 407 -5607 Fax: : ( ) E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: Halmark Tile Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 13289 SW Deergrove Ln Solar Installation Specialty Code checklist. City / State/ZIP: Tigard, Or. 97224 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503 5 Fax: ) State surcharge (12% of permit fee): $21.60 CCB S / 3" Total fee due upon application: $201.60 Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1__Q__013 n I r� ^ I I � 4 ( ( - ) I - — Iv)' I * Service Booard.� set by Tri County Building Industry P rint name: Date: I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 4404613T(11 /02/COM/WEB) ' Electrical Permit Application � �j F, roll of i ici.: usE (J l., Cl of Ti and 1 ECEI V yD Received `.1 g Date/By: /o 2�v2 4$ r nnit No. �t/f�747 - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 FEB -2 2017 Date/By: Other Permit: T I C. n It a Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF W(Jili ,pI NGDIVISIUN PLAN REVIEW ❑ New construction A ddition /alteration repl Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 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 ", "I -2 ", "I -3 ", (, u IOOHP or more. occupancy. Job no.: Job site address: I 1 - 7 / ' $ ( '`I .( ' 9 t- ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ( � Cam- 2 �3 ❑ Health-care Hazardous locations. ions. 0 ❑ Supply voltage for more than "l / 600 volts nominal. Suite/bldg. /apt. no.: I Project name: G f.a_c-c, ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: i (4,1 Ntiy-}__ Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. 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 WI 6igei�'DJ V. / 6 f41-1 A--I 4, 1-1, N residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 N O PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: L.e' O rJ r4,,..,,..3_ 401 amps to 600 amps 200.34 2 �f' a___ C so 601 amps to 1,000 amps 301.04 2 Address: ' ' L i t / c s w ,n P 9._ D ( � Over 1,000 amps or volts 552.26 2 City/State /ZIP: —n 'T t �� �-- Temporary services or feeders installation, alteration, and/or relocation Phone: (5-0) �-r /„ 03 j (7t l (9 Fax: ( ) 200 amps or less 59.36 1 _ 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, t r exchange, a c rding to ORS 447, 449, 670, and 701. 12". Branch circuits — new, alteration, or extension, per panel Owner signatur Dater —12 A. Fee for branch circuits with ❑ APPLICANT I 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: 1 n �` g < 7. 1 - c � branch circuit 11 1 Each add'I branch circuit 2., 7.42 2 Address: 1 l 14 l' ' G ( p , �^ �, Miscellaneous (service or feeder not included) � I(y� W j '?--2_3 Each manufactured or modular City/State /ZIP: ' t -) {L 01 1 dwelling, service and/or feeder 67.84 2 Phone: (5� Li, 03 , 01 ( I 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: panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: Additional inspection (I 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 90.00/ hr specifically listed ()A hr min) CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: days after it has been accepted as complete. Date: • Number of inspections allowed per permit. 1:\Building\Pennits\ELC- PermitApp.doc 07/01/10 440-46t5T(11/05 /COM/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* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El 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 El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation • ❑ Intercom and Paging Systems / ❑ Landscape Irrigation Control* ;• .. • ❑ Medical = - El Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling ❑ Other Total number of commercial, systems: . *No licenses are required. Licenses are required for all other installations • I:\ Building \Permits\ELC- PermiIApp.doc 07/01/10 ' Mechanical Permit ApplicationRECEIVED FOIZ OFFICE USE ONLY :/ City of Tigard Date/By: o ? Permit No 07 _ /75/ O/J - 13125 SW Hall Blvd., Tigard, OR 97223 FE - 2 2012 3 P lan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'Other Permit: TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: kris: ® See Page 2 for - Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees' are bascd on the value of -the work ❑ New construction ( Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition la Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning • ' Job site address: (requires site plan showing placement) 46.75 I (� 5 r•— A � \ Furnace 100,000 BTU (ducts/vents) (,. 46.75 4i, r City /State /ZIP: 1', (1 z _ O`�ZZ3 Furnace 100,000+ BTU (ducts/vents) 54.91 - Suite/bldg. /apt. no.: 7 - f - L oz _ name: 6 te..._�� Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: ?Ai 4-1 ti ..) , 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' F' 23.32 • Gas fireplace ., 33.39 I '-V PA-c_- Fir- N . N'\--c D 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 Rr PROPERTY OWNER I ❑ TENANT Chimney/1iner /flue /vent 23.32' • Other: 23:32 Name: L45 /V dr;_'..j rA L.d-, Environmental exhaust and ventilation: Address: / I t, l 5- .s j,,,/ Fo.� nv3Y, C_ Range hood/other kitchen 1 l equipment 33.39 City /State /ZIP: --rya p .r C C) 7 22-3 Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: ( ) Le 03 0 CI t . ( ) toilet compartments, utility rooms) I 23.32 - 73:2.-- ❑ APPLICANT NeCONTACT PERSON Attic /crawlspace fans . 23.32 Business name: Other: 23.32 Fuel piping: • Contact name: / e h'' 6, $14.15 for first four; $4.03 for each additional Address: I L/ S 6 t,�( may, Jr Furnace, etc. i fir, ( S J Gas heat pump City/State /ZIP: --f--7 -4- n (9 Z _ Z �3 Wall /suspended/unit heater . Phone: ( , o3 aQ i ` Fax:: ( ) Water heater r E -mail: 7 Fireplace Range CONTRACTOR Barbecue • Business name: Clothes dryer ( gas) C - \ Other: - Address: J MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal 10J,+� Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic:: - - • State surcharge (12 %of permit fee) 12, 0 0 TOTAL PERMIT FEE (?a . kak- Authorized signs / This permit application expires if a permit is not obtained within 180 joi � ! days after it has been accepted as complete. Print name: to N or r n ) Date: 7, — f Z • Fee methodology set by Tri- County Building Industry Service Board ,I :\ Building \Permits\MEC- PermitApp.doe 09/09/10 440- 4617r(I1 /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 $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. • • • • • • • 1 1:\ Building \Perrnits\MEC- PermitApp.doc 09/09/10 2 „ Pldimlbing Permit Application RECEIVED Building Fixtures . _ 201q F OR OFFICE.: USE ()NIA City of Tigard Received 2�/ a 13125 SW Hall Blvd. � ' y Permit NoMST a(1/) - 0 a O..2 , Tigard, OR 97223 t'ITY OF TIGARD plan Re Phone: 503.718.2439 Fax: 503.598.19 Other Permit No.: z DIVISION D T I G A R D Inspection Line: 503.639 Date Ready/By: orris: RI See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 hi I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler L - _ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I t 4 S 6 �-(J n - Catch basin or area drain 18.76 /State /ZIP: 7 V g '2 Drywell, leach line, or trench drain 18.76 City/State/ZIP: T) c Pei / ' g [ ZZ-- Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: (') ? c___, ., Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 [ A-1 to Ji------ Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.:1Sn Page 2 (02.., - Water service (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 ALA el 1 I (C TQ f Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: J� 0 ,4A,-d G � -� G Fixture /sewer cap 25.02 ` I Floor drain/floor sink/hub 25.02 ` Address: 1 t...1 �7t'k- (N .(-- S Garbage disposal 25.02 City/State /ZIP: - g - trc OR- 6 1 '72---3 Hose bib ( 25.02 2.6,02. Phone: 6'o3) (p (.7 3 D ol I tc Fax: ( ) Ice maker 12.51 ❑ APPLICANT 1 (CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 l� G Primer 12.51 Contact name: n � G t� Roof of drain (commercial) 12.51 Address: 1 1 LI l� _1 c � �O a-� 5't. _ Sink/basin/lavatory ''L 25.02 �,t � City /State /ZIP: e'� ��►� (9-- � ") Z..7 3 Solar units (potable water) 62.54 Phone: f50 6 OC1 I Fax: : ( ) Tub /shower /shower pan Z 12.51 Z`S•OZ E -mail: Urinal 25.02 CONTRACTOR Water closet I 25.02 2.., 02- Water heater I 37.52 rj2-- Business name: o i WV 56.29 Water t *' PP Address: _ Other: 25.02 City /State /ZIP: Subtotal 25► I Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) 1 State surcharge (12 %ofpermit fee) 2.7.02. Authorized signatur . TOTAL PERMIT FEE 2.5 1 e Print name: L._ 0 (s) jrd 2 6 re_ c.-e I Date: 2 - z - This permit application expires if a permit is not obtained wit�in 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\PLMU- PermitApp.doc 10/01/09 4404616T(10 /02/COMIWEB) 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 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' • 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fee: $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 fee 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 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, 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 $1.20 for (minimum charge - 1/2 hour) each additional $100.00 or fraction thereof. . Subtotal: j Commercial Fixture -Work: Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to • - accurately re.t rt fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations : . ' _ Quantity 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 ❑ Any new commercial building with water service 2" and ' Baptistry/Font greater, except systems designed and stamped by licensed Bath: - Tub /Shower - -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall' ❑ New exterior plumbing site utilities for any complex structure Drive tall 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. • • - Domestic •❑ Any complex structure as defined in OAR918 -780 - 004 Drinking Fountain " ' Eye Wash Submit 2 sets of plans with 'any of the above. Floor Drain/sink: - 2" - .. 3" ' - Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain ' • Garbage -Domestic non-food ' that meet the qualifications above. , • Disposal: -Domestic food , . • ', ` . - Commercial food related - . -Industrial food related . Ice MachiRefrig. Drains C omments regarding fixture work: Oil Separator (Gas Station) ' - Rec. Vehicle Dump Station Shower: =Gang . • ' , . -Stall - . Sink: - Lav/Bar non -food related - - - Bradley ' - Com/Serv/Util food related - • -- • - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes fees assessed for the sewer- increase must be paid before the Water Extractor • WaterCloset - Toilet plumbing permit can be issued.' Urinal ' • - • - - - . - Other Fixtures: ' • • I:\ Building \Permits\PLMF- PermitApp.doc 08/04/2011 2 • RECEIVED FEB - 2 2012 Property Owner Statement CITY OFTIGARD Regarding Construction Responsibilities BUILDING DIVISION 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 CCI3# 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. or ,d I will be performing work on property I own, a residence that I reside in, or a residence that I w ill I . Ale 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 homeowner statement is true and accurate. LE fired t2 Print Name of Permit Applicant Si nature Permit Applicant Date Permit #: firra( /al ' ( 3 Address: � I " P1 'd'`)- —' • / !�. 1r• ( ! Issued bet)! Date: : LP �A This Copy for Permit Offices " Building Division Y 2 Development Code Provision Review .;tw. TIGARD Residential Projects Building Permit No: M-57;20/02 00 o/3 ,. CWS Service Provider Letter Received: Yes 1:;1C No ❑ N/A ❑ ,9y°•°R.41/E /N ..5'iaor /— 0 Routed Plans: Original Plan Submittal Date: ,/,.. J9.--- 1st Revision Submittal Date: ❑ Site Plan Only ; 2nd Revision Submittal Date: ❑ Site Plan Only ,,.; To the Applicant: - Each review type must be approved. If the plan is not approved, please re and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not appA ed and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriat,ff person(s) listed above each section. Staff: please check items along left only if approved. ` • . Planning Review (contact r IS ht., r lt ., at 503 8- 2452- or k 6rr, v @tigard- or.gov) Land Use Case No. M UPC" G " . 0 0Off/Name G v , .'0 fc' - rio h GI/Zoning E. II, CY Setback , )F(4 (o+(• ba`l'k side. to Front JO Rear t 5 Side Street Side Garage 2.= ❑ Maximum Building Height .S o p Actual Building Height 2,2_ LV Visual Clearance G]."'Easements �ensitive Lands Type: s2- K K p , 3 ma cS r Notes: (IAA* w" .14;e4.. p 1 . Original Plan: Approved El7 Not Approved ❑ Date: 1.43 II z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) Xi Slope: 1 Notes: Original Plan: 4proved.er Not Approved ❑ Date: Z 7 t Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: , Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) o (,t 4,I / /�- Q'Vieve+� .4 y l�"R `)% gidil P1 4e 1 0,6214 In x141 Ne/ Y A 4 91 /7 ,1 5tr" taz5 1- e/d "V) / a z-A-/,/e-i-N ki,z,/,- Dl ' 7 I a 1 t.U; i�r " / ( 4) ,pilia c j ' 2 40 2 _ Page 1 of 2 a City borist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) El Street Trees Protected Trees 1 c Notes: ►° 4t‘,<- re r" t," c, ck P 1 - 7 Original Plan: Approved X Not Approved ❑ Date: 'I7 / 7 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes M . N • ❑ Date Routed to Building: , / i / / ■ Page 2 of 2 Nov 15 11 01:29p Royal Remodeline 5036846290 © p.1 i I RE EIVED NOTICE OF TYPE I DECISION - 22012 SENSITIVE LANDS REVIEW (SLR) 2011 -00003 - F B `I C OF TIGARD GRECO HOME ADDITION T I G A R D BUIL ING DIVISION 120 DAYS = 03-09-2012 SECTION I. APPLICATION SUMMARY FILE NAME: GRECO HOME ADDITION CASE NO.: Sensitive Lando Review SLR2011; 00003 PROPOSAL: The proposal is an addition to a single family residence which will encroach into the edge of sensitive lands, slopes >25 %. Footings will be excavated in steps to minimize soil disturbance and the spoils from excavation will remain on site. All excess soil will be placed behind 2 to 4 foot high retaining walls north and west of • the project. Erosion control will be provided at all areas downslope of the project APPLICANT Leonard IL Greco AND OWNER: 13289 SW Deergrave Lane Tigard, OR 97224 LOCATION: 11445 SW Former Street, WCTM 2S103AC, Tax Lot 06400. ZONING DESIGNATION: R-4.5: Low- Density Residential District. The R-4.5 zoning district is designed to accommodate detached single -family homes with or without accessory residential units at a minimum lot size of 7,500 square feet. Duplexes and attached single - family units are permitted conditionally. Some civic and institutional uses are also permitted conditionally. APPLICABLE RENEW CHAPTERS: Community Development Code Chapters 18390,18510,18.745, and 18.775. SECTION IL DECISION Noticed is hereby given that the City of Tigard Community Development Director's designee has APPRbVED the above request. The findings and conclusions on which the decision is based are noted in Section IV. THIS APPROVAL SHALL BE VALID FOR 18 MONTHS FROM THE EFFECTIVE DATE OF THIS DECISION. SLR2011 -00003 Greco Home Addition Decision 11 -10 -2011 Page 1 Nov 15 11 01:29p Royal Remodeling 5036946260 p. - J ! SECTION HI. BACKGROUND INFORMATION Site Information: The subject parcel is located at 11445 SW Fortner Street, WCTM 2S103AC, Tax Lot 06400. The parcel contains slopes greater than 25% and requites sensitive lands review for an addition to the residence. Proposal Description: The applicant is requesting to build an addition to the west side of the existing residence which encroaches into the edge of a sensitive lands area, slopes >25 %. Work within this area includes excavation for stepped footings and construction of 2 to 4 foot retaining walls behind which will be placed the spoils from excavation. A preliminary sensitive area pre - screening site assessment has been approved by Clean Water Services as exempt from review per ORS 92.040(2). Erosion control will be provided in place prior to excavation. There are no trees to be removed and the fill at the retaining walls will be planted in natural grasses and shrubs. SECTION IV. APPLICABLE REVIEW CRITERIA AND FINDINGS COMPLIANCE WITH COMMUNITY DEVELOPMENT CODE SECTIONS: TDC18.775.020.E.c — Administrative sensitive lands review. The Tigard Community Development Code (TDC), Sensitive Lands Review Section, states that `"The G • . shall review minimal ground disturbance(s) or landform alterations involving 10 to 50 cubic yards of material, except in the floodway area, by means of a Type I procedure, as governed by Section 18.390.030 subject to compliance with all of the standards in this chapter." The standards of this chapter that apply to the proposal are those of Section 18.775.070.E TDC18.775.070.0 — With steep slopes. The appropriate approval authority shall approve, approve with conditions or deny an application request for a sensitive lands permit on slopes of 25% or greater or unstable ground based upon findings that all of the following criteria have been satisfied: 1 The extent and nature of the proposed land form alteration or development will not create site disturbances to an extent greater than that required for the use; Per the submitted plan, the development will not extend beyond that area necessary to excavate the footings and place the spoils behind 2 to 4 foot tall retaining walls. The plans indicate that a maximum of 41 to 47 cubic yards of soil will be excavated and placed as fill. This criterion is met. 2. The proposed land form alteration or development will not result in erosion, stream sedimentation, ground instability, or other adverse on -site and off -site effects or hazards to life or property; The development is 110 feet from a stream, 60 feet from a vegetated corridor, and 50 feet from a wildlife habitat area. The terrain slopes away from the development area through native grasses, bushes, and dense trees. With the requisite erosion control measures around the work site, it is not likely that the proposed development will result in any erosion, stream sedimentation or other adverse on -site or off-site effects. The ground is stable and will have a stepped foundation. No hazards to life or property are anticipated. This criterion is met. 3. The structures are appropriately sited and designed to ensure structural stability and proper drainage of foundation and crawl space areas for development with any of the following soil conditions: wet /high water table; high shrink-swell capability; compressible /organic; and shallow depth -to- bedrock, and SLR2011 -00003 Greco Home Addition Derision 11 -10 -2011 Page 2 Nov 15 11 01:29p Roya 1 Remodeling 5U361341i2EiU p. a I The addition is designed to have a stepped foundation /footing on soil known to the owner to be of sufficient depth with no bedrock or rock outcroppings in the area of the excavation. The crawispace will be easily drained on the lower corner. There are no known unstable soils present and no evidence of springs or high water table. This criterion is met. 4. Where natural vegetation has been removed due to land form alteration or development, the areas not covered by structures or impervious surfaces will be replanted to prevent erosion in accordance with Chapter 18.745, Landscaping and Screening. Disturbed areas outside the structure and impervious surfaces will be planted to natural grasses, shrubs, and flowers in terraces. The retaining walls and fill from excavation will be used for the terraced planting areas. This criterion is met. FINDING: Based on the analysis above, Staff finds that the criteria for a Type I sensitive lands review of a site development on slopes >25% have been met SECTION V. PROCEDURE AND APPEAL INFORMATION Notice: Notice was posted at City Hall and mailed to: X The applicant and owners X Affected government agencies Final Decision This Sensitive Lands Review is a Type I procedure. As such, the Director's decision is final on the date it is mailed or otherwise provided to the applicant, whichever occurs first. The Director's decision may not be appealed locally and is the final decision of the City. THIS DECISION IS FINAL ON NOVEMBER 10, 2011 AND BECOMES EFFECTIVE ON NOVEMBER 11, 201L Questions: If you have any questions, please call the City of Tigard Planning Division, Tigard City Hall, 13125 SW Hall Boulevard, Tigard, Oregon at (503) 639 -4171. • 4: November 10. 2011 APPROVED BY: arrel "Hap" Watkins DATE • ability Compliance Specialist SLR2011 -00003 Greco Home Addition Decision 11 -10 -2011 Page 3