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Permit A r - CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00084 O�I DEVELOPMENT SERVICES DATE ISSUED: 3/18/04 - `"' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08021 SW VIOLA ST PARCEL: 2S112BC - 09400 SUBDIVISION: RAZE MEADOWS ZONING: R -4.5 BLOCK: LOT: 017 JURISDICTION: TIG REMARKS: Replacing patio cover post, extend gas for new bar- b -que, relocate a/c and add (4) branch circuits. BUILDING REISSUE• CUSTOM STORIES' FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT. FIRST: sf BASEMENT: sf LEFT. SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST. 5N DWELLING UNITS• Two sf RIGHT• VALUE: 3,600 00 OCCUPANCY GRP• R3 BDRM: BATH: TOTAL: 0 sf REAR: PLUMBING SINKS: WATER CLOSETS WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN' 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: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: 1 VENT FANS: CLOTHES DRYER: LPG FURN > =100K: UNIT HEATERS: HOODS• OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR• PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR. 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp. 401 - 600 amp' EAADDL BR CIR• 300 SIGNAL/PANEL IN PLANT. MANU HM/SVC /FDR: 601 - 1000 amp: 601 +am ps-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. LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 139.64 This permit is subject to the regulations contained in the NORDLUND, SCOTT + CINDY B SUMMIT CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and 8021 SW VIOLA PO BOX 10345 all other applicable laws. All work will be done in TIGARD, OR 97224 PORTLAND, OR 97210 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: Phone: F - - 3841 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: fk 9703 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Footing Insp Mechanical Final Mechanical Insp Final inspection Electrical Rough In Framing Insp fl et rical Final I / , , Is sued By : 1 14 . L .. % .14..., 1 / Permittee Signature : x f��(/ 7/f Call (503) 63• -4175 by 7:00 p.m. for an inspection needed the next business day Building' Permit Application - FOR OFFICE USE ONLY City of Tigard D � le; , y Permit No jhrAt, _1oo$y 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone. 503.639.4171 Fax: 503 598.1960 tco.a;. k11K.' I ' � , Date/By Other Permit Inspection Line: 503.639.4175 ^ Date Ready/By See Attached Checklist for Internet. www.ci.tigard.or.us Notified/Method: � � n ® Supplemental Information . 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. ❑ 1- and 2 -family dwelling ❑ Commercial /industrial Valuation. $ t,� ©m ❑ Accessory building ❑ Multi- family Number of bedrooms: ✓✓ ❑ Master builder ® Other. PATIO & BBQ ADD Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors. Job site address: 8021 SW. VIOLA ST. New dwelling area: square feet City /State /ZIP: TIGARD, OR. 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: FROM HALL BLVD. TURN LEFT ON BONITA TURN RIGHT ON 81 AND LEFT ON VILOLA Deck area: square feet Other structure area: square feet • REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: RAZE MEADOWS Lot no.: 17 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ EXTEND EXIST. GAS,& ELECTRICAL SERVICE TO PROPOSED PATIO Existing building area: square feet RELOCATE EXIST. AC UNIT & MODIFY EXIST. 6 X 6 COL. DEMO EXIST DECK & CONSTRUCT NEW PATIO WITH BBQ ENCL. New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: RON AND SUE NAFF Type of construction: , Address: 8021 SW. VIOLA Occupancy groups: City /State /ZIP: TIGARD, OR. 97224 Existing: Phone: (503)620 7395 Fax: (503)684 1514 New. ® APPLICANT ® CONTACT PERSON NOTICE Business name:‘SAME AS OWNER All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: apply: Phone: ( ) Fax:: ( ) E -mail: rg na1"T'a a ae!/J! _ai, -, - ael: . CONTRACTOR Business name: SUMMIT CONSTRUCTION BUILDING PERMIT FEES* Address: 1335 NW 20TH Please refer to fee schedule. City /State /ZIP: PORTLAND, OR. 97296 Fees due upon application 5'341 Phone: (503) 223 9703 Fax: (503) 242 3841 Amount received CCB lic.: Date received: i ' Authorized signature: s This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: RON NAFF Date 03.16.04 * Fee methodology set by Tri -County Building Industry Service Board. : Electrical Permit Application l= R (rrlc1: tisl ON I.) 4, City of Tigard r Received �j `� i Permit No- .- 8'91 Date 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re. ✓ ! U/�u,rr Plan Review Phone: 503.639.4171 Fax: 503.598.1960 e i A Date/By: Other Permit Inspection Line: 503.639.4175 eII i Date Ready/By Juris ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ['Service over 225 amps, comm'I ['Hazardous location ❑ Other: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi-family ❑Master builder ®Other:�rQ]f0 ['Building over three stories ['Feeders, 400 amps or more ems/ ['Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park Job no.: Job site address: Ano, V /l�`J sr ❑Health -care facility ['Other: Submit 2 sets of plans with any of the above. City /State /ZIP: Tov o ! � � ,q7�ZZq The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: 1 Project name: n Qt Fee. Total Description Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: i'AZ�- it i G . w/.0 Lot no.: / 7 Ea. add'I 500 sq. ft. or portion 33.40 l Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular _ dwelling, service and/or feeder 90.90 2 A/6W,v aoroceP , (/ (//ZCtJ /727 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 I PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: �,�„� % 4 „„ /jF 601 amps to 1,000 amps 240.60 2 Address: �e7 f c/�� . U /UC4 Over 1,000 amps or volts 454.65 2 77 Reconnect only 66.85 2 6 / City/State /ZIP: �p 4e , Or � .: Temporary services or feeders installation, alteration, and/or �`e�/� - �/' ' relocation Phone:( - p3) (p �j _759 ,s _ ` I Fax: ( 5:0 C, 8:4 — /574 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel [X APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with �` branch circuit eder fee, each c�F�� 4, COY.() (,e bran 6 65 2 Business name: _ B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 46 �5 2 Address: each branch circuit l Each add'I branch circuit ,3 6.65 /q4c 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Fax: ( ) Sign or outline lighting 53.40 2 E -mail: i ptaJ ) . o 4/ •. titre Signal circuit(s) or limited - v CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: f,r.5f °BL —, /off /fl C / 1,„ C. Address: �� /�� Each additional inspection over allowable in any of the above • fie Per inspection 62.50 City/State /ZIP: en 1,1 ife,,, - � ` 6 ,, e Q 7j 3 Investigation per hour (I hr min) 62.50 Phone: 3)91, 9....2f Lt/ Fax:Ca3 ) 24D re 9D 3 Industrial p lant per hour 73.75 /[`� ELECTRICAL PERMIT FEES* CCB Lic.: /egg -3 Electrical Lie.: -.7/./. _ 4 —A / S el Suprv. Lie.: �1 4� Subtotal 60 Suprv. Electrician signature, required: / _ , � 7 ` yp e, �� y ® �, Plan review (25% of permit fee) / 6 Print name: „jam e - e , e e s Date: 346— .7D State surcharge (8% of permit fee) o •� J c 5 / TOTAL PERMIT FEE !J7/L Authorized signature: This permit application expires if a permit is not obtained within 180 A � days after it has been accepted as complete Print name: 0l U 4 FT - Date: /7 / • Fee methodology set by Tn- County Building Industry Service Board • • Number of inspections per permit allowed Mechanical Permit Application 1:0k oFFICr 11sI: 01.1 A City of Tigard Received Q i f Date/By O Y _/ Permit No.. • 1 /� � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �e Phone. 503.639.4171 Fax: 503.598.1960 /�,n; ;I ( Date/By Other Pet Inspection Line: 503.639.4175 -a-ai a •I i i Date Ready/By. kris ® See Page 2 for Internet: www.ci.tigard.or.us Nonfied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Et Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2-family g ❑ Commercial/industrial ❑ Accessory building � For special information use checklist. ❑ Multi-family ❑ Master builder ® Other:PA�jp G Descnption I Qty I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: , ; / (44A .7' (requires site plan showing placement) 1 14.00 ittell City/State /ZIP: 77c 40 , Ole f 7z z I Furnace 100,000 BTU (ducts/vents) 14.00 TT Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: S'a)_) , Q j � Duct work 14 00 e� Hydronic hot water system 14 00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Rod 7C �L /2J U� Lotno.: 17 Flue/vent for any of above 10.00 Gl Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 X[- /) 77:r A Q /=X/ j f C ./� (-( J6 . Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 1000 Wood fireplace /insert 10.00 Bit' OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 1000 Name: Ka( / 4 6U/ A / ro Environmental exhaust and ventilation _ '/ `r l Range hood/other kitchen Address: w sal via.44 7-..-. equipment 10.00 City/State/ZIP: waAip p 7.q' Clothes dryer exhaust 10.00 l Single -duct exhaust (bathrooms, Phone: ( 5 40 . 7f5 Fax: (CC3) 6S4. /S/L toilet compartments, utility rooms) 6.80 (" APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: 6 /r Ai, evi)(1 /6 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/ State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax :: ( ) Water heater / + Fireplace E -mail: ryndrii c act/Qnr/!//Ii-i if Range CONTRACTOR Barbecue 1 6.46 5„ �� Clothes dryer (gas) Business name: x2/e / / t(G ( ,zi'c' / Other: Address: l oo 2 5 Air S _e, 6zy ,4,.,- MECHANICAL PERMIT FEES* City/ State/ZIP: f f e fz . off,,,, q 724 y Subtotal IQ . 4p) Minimum permit fee ($72.50) - 7 24 }0 Phone: (.373 Z 3g -03 ge Fax: (.5 03 ) Z3 Y -4,7 ci q Plan review (25% of permit fee) f S , 1 3 CCB lic.: 33 o2... State surcharge (8% of permit fee) Cr w TOTAL PERMIT FEE � Authorized signature: - %� < This permit application expires if a permit is not obtained within ISO „ *, A_ or, ,ii days after it has been accepted as complete. I Print name: / Date: / • Fee methodology set by Tn -County Building Industry Service Board � n A Q t k ,17 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST -OO?� ' -00.6 W INSPECTION DIVISION "Business Line: (503) 639 -4171 / / �/ BUP Received - r () q� Date Requested - 7 1 7 -- AM PM BUP Location �S ()2--i /Y/ •//, Suite MEC Contact Person 1 / P • - — <OS PLM Contractor Ph ( ) SWR BUILDING Tenan w ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear In S hear rmin ��� I ovZN e ---- ` oe VALYr—. xrrf ry 6' of &kg -6 nsulation i Drywall Nailing Qu c-= — S EL. ^i Lo cA - T40AI 1 Away .M - Firewall Fire Sprinkler 1. sra.T ei� Fire Alarm Susp'd Ceiling Roof e ^ l _ . A ti / Other Fir - ` APPIZo v c.3N bNG[% co-4 R er.-T &D co ~ ( q 'ART FAIL ,' :ING Post & Beam Under Slab it ■Noin..- Rough -In ; Water Service _ Sanitary Sewer Rain Drains Catch Basin / Manhole �' Storm Drain f � w Shower Pan .�� It: A' Final 'Other: AMP! * ` — .. PASS PART FAIL - MECHANICAL Pnct R Ream Rough In GAStsK t Smo,e Dampers F r ART FAIL RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City H- 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Una. e to inspect — no access Fire Supply Line ADA " Approach/Sidewalk Date \ \ Inspecto L -r`_ Row Other: Final DO NOT REMOVE this Inspection re ord from the job site. - . PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST O0V--a)() 2' INSPECTION DIVISION ` Business Line: (503) 639 -4171 BUP Received I4 -/ 7 Date Requested D 5 - -- 7 / - ( I AM PM BUP Location Zl 2 )/ire a. i/ /' Suite MEC Contact Person Ph (, S 96 219 1 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing S - L N ) ly r (� ELC Foundation Access: n Ftg Dr i rain Eb J p ro 9 2� _ ELR Crawl Slab Inspection Notes: � � 9 SIT � , Post & Beam l 7Z c.� Shear Anchors ` lALC C OL Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final 1/9411/: PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole I Storm Drain Shower Pan Other: Final PASS PART FAIL _ MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage hU f_k RT FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S Please call for reinsp -ction RE: Unable to inspect – no access Fire Supply Line ADA — Approach/Sidewalk Date Inspe or `�� /. / _ _ Ext Other: - Final DO NOT REMOVE this inspection record f om the , site. PASS PART FAIL