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Permit . •• n CITY OF TIGARD .. _ ., . MASTER PERMIT ' COMMUNITY DEVELOPMENT / Permit #: MST2012 00283 • .T I G Ak 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/18/2012 Parcel: 25111 BA02300 Jurisdiction: Tigard Site address: 14320 SW 100TH AVE Subdivision: INGEBRAND HEIGHTS Lot: 29 Project: McCleod Project Description: 15 x 24' addition to master bedroom and bathroom 1/2/13 REPRINT Erosion Control 1/7/13 REPRINT Add 100 ft. of sanitary service to connect to existing house BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 372 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 372 sf Value: $40,000.00 Rear: 15 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 Rein Storm Sewer: 0 Drains: 0 Tubs /Showers: 1 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 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 4 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 -3 372 Owner: Contractor: MCCLEOD, SEAN & AMANDA SPRINGER CONSTRUCTION LLC Required Items and Reports (Conditions) 14320 SW 100TH AVE 14845 SW MURRAY SCHOLLS DR STE TIGARD, OR 97224 # 110 PMB 105 BEAVERTON, OR 97007 PHONE: 818 - 235 -4326 PHONE: 503 - 209 -7959 FAX: 503 -524 -4026 Total Fees: $2,049.76 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 the rules or direct questions to OUNC by calling 503.232.1987'or 1.800.332.2344. Issued By: 61 /4 -cc_C Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available Inspection ate. 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. t q CITY OF TIGARD 11111 MUM � MASTER PERMIT e COMMUNITY DEVELOPMENT Permit #: MST2012 -00283 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/18/2012 Parcel: 25111 BA02300 Jurisdiction: Tigard Site address: 14320 SW 100TH AVE Subdivision: INGEBRAND HEIGHTS Lot: 29 Project: McCleod Project Description: 15' x 24' addition to master bedroom and bathroom 1/2/13 REPRINT Erosion Control BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 372 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 372 sf Value: $40,000.00 Rear: 15 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 0 Tubs /Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 1 Clothes Dryers: 0 Heat Pump. N Hoods: 0 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 4 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 -3 372 Owner: Contractor: • MCCLEOD, SEAN & AMANDA SPRINGER CONSTRUCTION LLC Required Items and Reports (Conditions) 14320 SW 100TH AVE 14845 SW MURRAY SCHOLLS DR STE TIGARD, OR 97224 # 110 PMB 105 BEAVERTON, OR 97007 PHONE: 818 - 235 -4326 PHONE: 503 - 209 -7959 FAX: 503 - 524 -4026 Total Fees: $1,979.72 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 OA 9 2 -001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: d ot 4.--. Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection ate. te. 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. CITY OF TIGARD MASTER PERMIT 11111 I • COMMUNITY DEVELOPMENT Permit #: MST2012 00283 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 12/18/2012 Parcel: 25111 BA02300 Jurisdiction: Tigard Site address: 14320 SW 100TH AVE Subdivision: INGEBRAND HEIGHTS Lot: 29 Project: McCleod Project Description: 15 x 24' addition to master bedroom and bathroom BUILDING Floor Areas Required Setbacks R Stones 1 Bedrooms' 0 First 372 sf Basement 0 sf Left 5 Parking Spaces 0 Height 9 5 Bathrooms 0 Second 0 sf Garage 0 sf Front: 20 Smoke Dwelling Units 0 Third 0 sf Right. 5 Detectors Yes Total 372 sf Value $40,000 00 Rear 15 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 Tubs /Showers 1 Garbage Disp 0 Water Heaters' 0 Water Lines 0 Drains 0 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 1 Clothes Dryers: 0 Heat Pump N Hoods: 0 Other Units: 0 Fum <100K 0 Vents' 0 Woodstoves 0 Gas Outlets 1 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'I 500 sf: 0 201 -400 amp 0 201 -400 amp 0 W/O Svc/Fdr 4 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 8 Stereo N HVAC N Security Alarm N Vaccuum System' N Garage Opener N All Other N Other Descnption: Ecompasing' N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 372 Owner: Contractor: MCCLEOD, SEAN & AMANDA SPRINGER CONSTRUCTION LLC Required Items and Reports (Conditions) 14320 SW 100TH AVE 14845 SW MURRAY SCHOLLS DR STE TIGARD, OR 97224 # 110 PMB 105 BEAVERTON, OR 97007 PHONE: 818 - 235 -4326 PHONE 503 - 209 -7959 FAX' 503- 524 -4026 Total Fees: $1,879.72 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 accordan 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. ENTION. Oreg I requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -0 -0010 rough OAR 2 -0 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 19 :00 332 2344 / Issue By: P ermittee Signature: /�il� ` Call 503.639.4175 by 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. Buildin Perm A licat EIVED Residential FOR OFFICE USE ON L1 City of Tigard r: I 1 9 2012 Received / Permit Na.: , d? 13125 SW Hall Blvd., Tigard, 97 Date `!I f l 9 19_ 14 aZV1 -- 011g3 :� g ad� Plan di Eg Phone: 503.718.2439 Fax: 503.59 tJUJI OFTIGARD Dat B Review �' Other Permit: t , \,`„ Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: Juris: 65 See Page 2 for Internet: www.tigard or.gov Notifjed/Method: # A7 " Tic:, Supplemental Information LC / TYPE OF WORK I REQUIRED DATA: 1 - AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rotnded 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. itrl- and 2- family dwelling ❑ Commercial/industrial Valuation: S f/ X7 . 1 / N ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: / f� JOB SITE INFORMATION AND LOCATION Total number of floors: / Job site address: /9 3 o 5-4, 5-4, fof /9 tic New dwelling area: 3 2 z square feet ,[ z City /State /ZIP: 64-4 4 / t 9721; Garage /carport area: –,,..2-- square feet Z Suite/bldg. /apt. no.: Project name: / v G z 6 ,j Covered porch area .41— square feet \ Cross street/directions to job site: Deck area: ,_.,0-- square feet st./ V/El+/ 7E/Z /2 /}CE 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. 0 Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all V equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. /S-- /x A y ' /94 4/72 e,,-- /1gSj eJZ Valuation: $ Qs Existing building area square feet EA o /4 4 4- 7 - be/e-D D New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: ,SE/9,w # .f / ;,/rtAw 44 Ale / Type of construction: Address: / f/ j S e., /ry / 9 t /e' Occupancy groups: City /State /ZIP: 771>vz A O Existing: Phone: (8if) 2.3 5 « 3 .Z-G Fax: ( ) New: APPLICANT Pir CONTACT PERSON BUILDING PERMIT FEES* Business name: J 'R /N 6 672 & f iw e 73,.. ..4-4 (Please refer to fee schedule) C Structural plan review fee (or deposit): s� Contact name: S re. v. j -/ 7 59 4/ U FLS plan review fee (if applicable): Address: /y f y5.- fw St/ftlLsd A. re// / /O //9inR /O, City /State /ZIP: 4 E/q 7:--- e . 9 ?el-7 /a•6' Total fees due upon application: Phone: (s33 a =,0 9_ 79 -9 Fax: : (5v3) �-s 9 _ 9175' Amount received: 404.. 51 ^ E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 'f l Commercial and residential prescriptive installation of 146^ CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: S, 4 /4 ex. ( r7;40 C 7 ,CL C.- Submit two (2) sets of roof plan with connection details , and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. ■ City /State /ZIP: Permit Fee (includes plan review $180.00 1 ; and administrative fees): Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60 1 CCB lic.: 7 i /‘ e r /A? //. Total fee due upon appication: $201.60 ,1 Authorized signature: This permit application expires if a permit is not obtaine , 1 within 180 days after it has been accepted as complete. , ` Print name: fTe,/,se . 16 4. 41 1.., Date: //– /1. – /2_ Service ice Bo Bogy set by Tri County Building Industry ^ . Service Board ` I:1 Building \Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY II City of Tigard Received DateBy- Permit No. II 13 125 SW Hall Blvd., Tigard, OR 97223 ri Phone: 503 718.2439 Fax: 503 598.1960 Associated permits 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 v« No 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: . ❑ El ❑ 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. 1 1 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, ❑ ❑ ❑ fumacc, 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. slicable to the .ro'ect under review. 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 ". ❑ ❑ El 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. ❑ El ❑ 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, ❑ ❑ ❑ 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(I 1/02 /COM/WEB) Plumriin2 Permit Application RECEIVED Building Fixtures ��L miz 01.1. I,: i sl: ON 1.1 City of Tigard NOV 19 2012 Received Date/By: Permit l a , d p 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.19(OITY OF TIGARD Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction El 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 l- 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: Job site address: A/ $ , /ijZ s f' ,qv6 Catch basin or area drain 18.76 City /State /ZIP: j� ,rte Drywell, leach line, or trench drain 18.76 7/ 4 t v7t" Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: 41 /66,4 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 $&, j l /E � .TE1g ,9c_ Rain drain connector 18.76 V Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 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 ,v1 p� E Clothes washer 25.02 /5 / .1( s' V r /2' n 0 / 77ori- / / !/ T 2 Dishwasher 25.02 , ' E /Lo C, I �#1 T� Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: .5 # 15 ? " /OG h n Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: t/ 3,7_0 St,/ /0-2 A. v4- Garbage disposal 25.02 City /State /ZIP: T/ G 4 / az - Hose bib 25.02 Phone: ( pin ,?5... 1 /3.„C Fax: ( ) Ice maker 12.51 AAPPLICANT j,8' CONTACT PERSON Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Business name: 5 /✓G E72_ 0�-- S %/j!/G 77",- AL C__ Primer 12.51 Contact name: f Tr-i/ S77, (,,/ Roof drain (commercial) 12.51 Address: /yOVs 5 /f✓ / ohY SC/�OLCj /AA, ,w ire / /O /OS Sink/basin/lavatory 0 2 . 25.02 60 10k City /State /ZIP: its6-4,yC-h �,y,,_ ein 9707'-'7 Solar units (potable water) 62.54 Phone: (563) A. 5 3-9 Fax:: ( 3 ),zs- 9 8.1 -5.-- b /showe hhowerpan / 12.51 1 Z .S( E -mail: .s'7-& 5 C G mrt /L • C G`-- Urinal 25.02 CONTRACTOR Water closet / 25.02 2....02-- Water heater 37.52 Business name: �, m 6C /1 1,„.0 _ Water piping/DWV 56.29 Address: 5 ) a4,46 2D Other: 25.02 City /State /ZIP: )4_.) fit 602_,D -o ©2 7/ Pte( Subtotal S? ,61 Phone: (0 3) 3) ? 4 V - g 2 5'4„ Fax: ( ) Minimum permit fee: $72.50 - � 2 € Q rja Plan review (25% of permit fee) CCB Lic.: / 4/gy ? /.l5 Plumbing Lic. no.: 3 ° l Pb - �/ State surcharge (12% of permit fee) Authorized signature: �( TOTAL PERMIT FEE Print name: 57-7, f' �/ Date: // _ f g_,2� 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. I: \ Building \Permits\PLMU- PermitApp.doe 10/01/09 440- 4616T(10 /02/COM/WEB) 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 - 1 100' 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 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 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 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: 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 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 Baptistry/Font ❑ Any new commercial building with water service 2" and 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 Thru 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 -0040. 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 riser 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. Drains Comments 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 Water Closet - Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF - PermitApp.doc 08/04/2011 2 Mechanical Permit Application FOR OFFICE (SI: ONLY City of Tigard RECEIVED Received P i N Permit No.: b • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re : ,�� la,, �o� $3 .1111 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ARV/ 9 Z012 Date/By: Other Permit: T I G A R D Ins Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard - or.gov Notified/Method: - /7/_ Supplemental Information CITY OF TIGARD f r 1�/ TYPE OF DING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: 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: Air conditioning Job site address: / Si... /D7r/4!/E (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: -7 Em A , Fumace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 ft., V/6 T� 9/ n c 6 R d o t hot water (radiator 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 r Gas fireplace/insert 33.39 /r X .2 /9 A/J / 770•• Flue vent for water heater or gas /t AA /yti -/ Ili / i fyr%GTE (f /ER7 i, •�/? 104. 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: fLri9N t /74.A�.Q/� /yI C ,e60/� Environmental exhaust and ventilation: Address: 7y .5.‘„, //0 Avg Range hood/other kitchen equipment 33.39 City /State /ZIP: ig v�� 7-74.-- - Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (pi ) ..235-- y 3 A..e Fax: ( ) . toilet compartments, utility rooms) 9 l 23.32 j:3'4 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: XL G Other: 23.32 f (?i t' /r 6� t�,._ S ?// Fuel piping: ita Contact name: . 5 - "- - 6 - ,g - .c,9 t;/ $14.15 for first four; $4.03 for each additional Address: Furnace, etc. /s�ys.Sv MlioP!/Ay st 30 / ?E / /0 % /ri g / r Gas heat pump City /State /ZIP: 0 667? 4/171 js._.- 42/ Wall /suspended/unit heater Phone: ( a 3 ) " 9_ 7 1 5-5 Fax: : (' ) XS'r -/ yyS Water heater , f.4-. ( 5 Fireplace E -mail: Range CONTRACTOR Barbecue Business name: ( Lee - r f v,� -,B/ _ G Clothes dryer (gas) Other: Address: /+e 7f1./ /hi �0�'t iG eozvo... e/N att/dt. /f /{,y MECHANICAL PERMIT FEES* City/State/ZIP: Sub total y . � m� �.OA -�E dam. � � e G o 3 7 • -7 Phone: (5 ) Ar2 --- /2W Fax: (577 ) a7 9Y9 Minimum permit fee ($90.00) .52 1 3 // Plan review (25% of permit fee) CCB lic.: m .... x2_0 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name. Date: //-/f-/ 2' * Fee methodology set by Tri- County Building Industry Service Board 1:\Building\Permits\MEC- PermitApp.doc 09/09/10 440 -4617T (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 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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Buildmg\Permits\MEC- PermitApp doc 09/09/10 2 RECEI V E D NOV 2 g 2012 11/27/2012 22:31 503524403 SPRINGER CONST LLC PAGE 81/01 r r !, Electrical Permit Appiica l ■ t •. . ,, I !YIP r Ir rte. C l .t: 4.1‘1..) ' • City of Tigard ,,11 M 1 � o; w/P o d sr 3' 13123 SW Hall Blvd - - - ' 'Y•• Nan 1 9 2012 Pled Rsviow ` a Phone: 303.718.243' Fay Dgt•r 503.598.1960 er Mr light ..., r . r !esoteric)* tine: 503.6 '. • OF T I 7 �t/ Malified/Makcd G Dot. Rsadr BY lrlc 0 s« Pane 2 Ar Internet www.ti$cd- Or.gOv Supkocsatlot.rm•see • •It ba oti4 O �v i �� p s t t����� - I: -.: • .. • . . .r ' - thliL •O �wol> r , �• ,.: ••• . {•o' • •::;�:S;.G ^� `. • .::. '. ~7r z ' 4:1 ,.. : {f ra 1 • ❑ New construction Addition/aitetstion/replacematt rim. chuck re. . n .t apply (swamis I aim nei .ou rrt �a.� iciow), 0 Sm ace or feeder 400 amps as more O Balding over mete atoms ! ❑ Demolition ❑ Other: ware tb• available feel' caanst a Maim and bozyerds. • ; y C* �GOR)F..{»�CA1VS`[(tUC 01 t... ;. 7 ;•; rxceedt lO ihO mpssi 150 volts or (] Plaaio5b+ilding,- J • ,' v • 1us to g a esteeds 14,000 ❑ Catneler al -we agncutaral JE- trod 2- family dwelling ❑ ComumerciaVindustsial ❑ Accessory building .nw, 6x all othe„nwt,ew,. buildings. ❑ Multi- tinily ❑ Master builder 0 Other: (3 rue mom O taarlaaon of 75 KVA or . J OI, 51iCE h . . . ..... . . �1ND L f ❑ Emergrsoy ','w' . 4rgr, sepe[Nety doeived syu.,. . - QCA t ".• ^ ' 1• T•` 0 Addition of now motor load of 0 W. "S `I 2"' "1.3" Job no.: ' Job site address: ey3,2p Si, /ear -f/' too1� or l'am'e. •'• ow 0 Svc or tool. rootto4ttd muter 17 Renaational vehicle parka City/State/ZIP: -1 of •A - c • 0 N.00,-can adieu ❑ snppty voltage for more the 0 Haurdooa location. 600 volts comical Suite/bldg./apt no.: - 1 Project name: O Sonic• or feeder KA0 agape or morn • Cross street/directions to job site: osw enie• >�E S I CH ou I e•. " �L • . New residential single- or multI-(amily dwelling snit. ,5'6./ (164/ ' - 4 ,4 -4L 6 Includes attached prop_ SubdiviSiOR• I Lot no.: 1,000 sq. A. or leis 160.54 4 u edd'I 500 ft. or park* 33.92 I Tax nsap/parnat Ue.: _ Limited antra, tcfLtentW 7510 2 . `... DtSCR¢'rtON OF WORf[, 1 :''• = ; a (whi 3 t 9ve s9, rt) ■ L im ited ,morn•, magi- fa 2 75.00 f 2 ...i - G �1 ∎ 7, /,. A • - L.. ..L.--- residential (with above x{. ft.) iiii / 5 SToc{/ /t� ^' p 0 Services or feeders iwtsll•tion asdlor relocation ,, /J� 4 pD,,� 200 amps or less 100.70 ` 2 ' , Z lit nitane OWN .' .. , : ii,r L . 2 02 amps to 400 snips 13156 { 2 401 amps to 600 amps 200.34 2 Name: f67l v f,47n►,A+ -4,4 /rfG .4-Ej11 601 amps so 1,000 amps 30114 2 Address: ey3"'o 54, jrr A✓e Over 1,000 intro or volts 552.26 j 1 Temporary City/State/ZIP: 6,,p.44 �/1 e • relocation see vkea w feeders Mnapa[ieR alter•tloa, anNor Phone: (Pi ) -1.7,r— 'f J 2 I Fax: ( ) 200 amps or lass 59.30 I 1 Owner ioatsgatiotn: This into l•:ion is being made on property that I own which is not 201 amps to 400 amw l 123.01 2 intended for sale. Lease. rent or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 5991A1p' 1611.54 2 Branch circuit, -Jew, alterafoa, or mtemtoa, pawl Owner signature: Date: A. Pee for Omen cllaira with I . • j. above service err fe fEve e A YRaCAM .. " Q• CQlef�afCF.P>FR,SOI'l' , rail b - 7.42 J I Business name. .400 /,^„ / E � /� fs+,e/� `•-, ,4 L G B Fee for bancb r fee, **hove v��- nervwe o• feeder fee, Hsrt / 30.13 2 Contact mane: srC v e J -4 , - * es trrmch circuit .." Urn add'1 bn•eb circuit 2 7.42 2 Address: Mludlancous (service or feeder not included) . City/State/ZIP Each manufactured or modular 2 dwell g, ser.ice aadfor feadar Phone. ( ) Fax:: ( ) Reconnect only 67.14 2 E - mail: Pump ur litigation circle 67.34 • 2 Signor online lighting 6714 2 • . l• . Z., . XQR • , • Signal circuit(s) or limited-energy S • Business name: Off/ 2 2. Y ,z Ti!1e- -.,.. ' . Lo additional ao 2 , ; 2 Loeb •efdit isareetfosi Over sUowable is nor of the above Address: f d �.- ,v E N4 Y 9 9 f, 13 ¢ 2 Yf Addit;ond inspection (1 h mini 66.23/ hr lnvesdamle n (1 hr min) 66.25/ hr City/State/ZIP: y y n, e, vve/t- /. . Sv y 6,1r bdwaial plane (l b/ min) 76.18/br Phtee: ( • S70 - P/0/ F ez: ( 7(d ) 6 9y- 8'9 39 scions For which no tee is 9o.00✓br • :: C,•. c Electric+! L ic. , ?wa4ratlh Band ( Iv min) CCB Lic.: .i../D , 7 37yq G I Sup rv. Lk.: 26013 LLls'ctiucm. r6a3f1T.Fut::...;c :1: : /� e � f Subtotal: Suprv. Electrician signature, required: LFA if l2t - -- _ Plan review (25'X of permit tea) Print name: T ) L , rv � I I Date: i ( /r5 /v t rL State surcharge (12SL orpe mutt tae) Authorized Signature: I r /p'/ TOTAL PERMIT FEE % Ilia panels apiiud.e aspire if a pars* is vetabnkad Melds ISO " / I dryer afar e it has by •etepw0 tempera. tempk Prim name: ✓ ^� flats: // �� 1 a t 2.- • Phwber of inrpectiom atlomod pee permit. I� V►,iu..�mmisod2,C.pe 4q# Mine ne egy 7'r 1( I'd 6E6B 469 -09E egg Rizzt.a9 Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No.: 040 - 3 Site Address: /c -L3a-0 /rD Project Name & Lot No.: M L �. L ' CWS Service Provider Letter Required: Yes✓ No ❑ Received: Yes ❑ No CiC 'V , //2..(p/L, 7 /SS 4n/e-C Routed Plans: J / Original Plan Submittal Date: 1 ( � t r • 1st Revision Submittal Date: ❑ Site Plan Only 2 Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact at 503 - 718 - f 3/ or @tigard- or.gov) Land Use Case No. Zoning �- 3 ❑ Setbacks: _ Front IA) Rear ( Side Street Side 2 --' ) Garage Z C fl Maximum Building Height: 3 Actual Building Height .e 3 J ❑ Visual Clearance r ❑ Easements ` ❑ Sensitive Lands Type: l ❑ Street Trees ❑ Protected Trees / d A %X „,„4 g A� WL5 n Notes:L Original Plan: Approved .l- Not Approved ❑ Date: / ” L( /Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ,8' Actual Slope: / S Notes: M11 4 L-r ',445-7 fi N a n Orkite,6 7a 5044.1E/L. • Original Plan: Approved, Not Approved ❑ Date: / C, / 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 Goa No ❑ Date Routed to Building: Page 2 of 2 TABLE N11011(1) ' _ • PRESCRIPTIVE ENVELOPE REQUIREMENTS a . Building Component • Standard Base Case Log Homes Only Required Performance Equiv. Value Required Performance Equiv. Value Wail insulation -above grade U -0.060 R -21` 4 , Wall insulation -below grade F -0.565 R -15 F -0.565 R -15 Flat ceilings U -0.031 R -38 ., U -0.025 A R -49 Vaulted ceilings' ' U -0.042 R -58' U -0.027 R -38A Underfloor U -0.028 R -30 0-0.028 R -30 . Slab edge perimeter F -0.520 R15 F -0.520 R -15 Heated slab interior' n/a R - :0 n/a R - Windows' -Y• U -0.35 U -035 U -0.35 U -0:A Window area limitadon • n/a n/s n/a n/a Skylights' U -0.60 U -0.60 U -0.60 U -0.60 Exterior doors' U -0.20 U -0.20 U -0.54 U -0.54 Exterior door w/>2.5 ft glazing" U -0.40 1.1-0.40 U -0.40 U -0.40 - Forced air duct insulation • n/a R -8 , n/a R -8 For SI: 1 inch = 25.4 mm, I square foot = 0.093m I degree = 0.0175 rad. L 3 � L 1 1 SS ° r -.,' - V,ari I2� ' = tee, p l 41 , d T�. s ... LE 1 . , ��� I in: . 1 ,..„.., • t i I l E V -/ - C4) AlDc)11 Ic?r--4 ... x .., • i ` .. ..rl f '' -.'� • ,,..11, . ,. 't Oil n - . I - - - - - - - W�-1.. I� c" I '�'�/�'�I#: r ; ; I : j l , { 0 e_,z I ST 'Q ° ':::ii t. ts1 - 1 1, -- r ter!;"' I i� I r N ._ f I \/ I i I > + N r 1 Pte, evtrr-I-t.�:. I , { f.:� �-, �_ J t i - -- 1 14 1 111 i ' !�� ::.lilt•fMPY ...... ,-- , I 'li .: . j� II t yr{�`t , O • p I 1 } ��; I r) hl r i ( H - r . C fa g N d 1 , I I I 1.r,,. z --! `` ^ -- -- — — —[ C �— — — — — • _ j____... 1= 1 ' �� ENT' - -Y . + -c-f- 1 ,,e,, r HA. r_rr . • I. gib I • -�--� ,i• aV< /. -�.Ir EL-J. /7 ©' -r NV ay /6 `� 1 . S, \ A/, V 1 E-.... 1Y , I . 1:- ' %, C.: - -E - -- • Yv I��• hK� Et) ,,, _ S I . 7 E c_ ,z_\. 1-- E::: : - F L__ ,A, 1----1 1 / 1 co, n ___ i . _ , if ' 1—,47 5 r. , CITY OF TIGARD MASTER PERMIT 11111 I • COMMUNITY DEVELOPMENT Permit #: MST2012 00283 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 12/18/2012 Parcel: 25111 BA02300 Jurisdiction: Tigard Site address: 14320 SW 100TH AVE Subdivision: INGEBRAND HEIGHTS Lot: 29 Project: McCleod Project Description: 15 x 24' addition to master bedroom and bathroom BUILDING Floor Areas Required Setbacks R Stones 1 Bedrooms' 0 First 372 sf Basement 0 sf Left 5 Parking Spaces 0 Height 9 5 Bathrooms 0 Second 0 sf Garage 0 sf Front: 20 Smoke Dwelling Units 0 Third 0 sf Right. 5 Detectors Yes Total 372 sf Value $40,000 00 Rear 15 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 Tubs /Showers 1 Garbage Disp 0 Water Heaters' 0 Water Lines 0 Drains 0 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 1 Clothes Dryers: 0 Heat Pump N Hoods: 0 Other Units: 0 Fum <100K 0 Vents' 0 Woodstoves 0 Gas Outlets 1 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'I 500 sf: 0 201 -400 amp 0 201 -400 amp 0 W/O Svc/Fdr 4 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 8 Stereo N HVAC N Security Alarm N Vaccuum System' N Garage Opener N All Other N Other Descnption: Ecompasing' N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R -3 372 Owner: Contractor: MCCLEOD, SEAN & AMANDA SPRINGER CONSTRUCTION LLC Required Items and Reports (Conditions) 14320 SW 100TH AVE 14845 SW MURRAY SCHOLLS DR STE TIGARD, OR 97224 # 110 PMB 105 BEAVERTON, OR 97007 PHONE: 818 - 235 -4326 PHONE 503 - 209 -7959 FAX' 503- 524 -4026 Total Fees: $1,879.72 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 accordan 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. ENTION. Oreg I requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -0 -0010 rough OAR 2 -0 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 19 :00 332 2344 / Issue By: P ermittee Signature: /�il� ` Call 503.639.4175 by 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. Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14320 SW 100TH AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 03/26/2013 00:00 MST2012-00283 PASS Violation Summary: Inspector Contractor //`. A/, 4,4? ALOHA SANITARY SERVICE INVOICE NO. 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 17 3 4 . 503 - 644 -2797 • 503 - 648 -6254 • 503 - 846 -1951 (FAX) www.alohasanitary.com • • Email: info @alohasanitary.com r i . NAME: ( .�2� �i t.cl'— m X)O f.,- af c 2 r ADDRESS: / AZ C�iv 4-11-- - . CITY: C !140:14 / ZIP: HOME: /.OV 77x( WORK: CELL: JOB SITE: / P.O. #: rn5 :2(70._ 0 3 PAID BY CHARGE ❑ CHE' '.!► CASH ❑ CREDIT CARD ❑ DATE ,? K - IZ DRIVER � ( ? j 7lsa«!i *oaf AMOUNT e' PUMP SEPTIC TANK r ❑ INSPECTION FEE i ❑ SERVICE CALL O. LABOR, LOCATING, DIGGING, BACKFILL — — THIS IS NOT A SEPTIC SYSTEM IN PECT /ON REPORT - - I TOTAL $ �0-6 — ..t // TYPE OF TANK: STEEL ❑ 0 RETE ❑ PSTIC U. HOMEMADE ❑ HORIZONTAL • VERTI AL ❑ "KECTANGLE ❑ ❑ OTHER SIZE OF TANK: 350 ❑ 500 ❑ 75 ❑ /1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑ LID LOCATION: INLET ❑ OUTLET MIDDLE ❑ ENTIRE TOP ❑ TANK CONDITION: GOOD ❑ FAIR P 1' POOR ❑ FITTINGS: BAFFLES ❑ C CRETE CAST IRON ❑ PLASTIC ❑ GROUND COVER OVER TANK / COMMENTS / 1 . — Customer Signature DATE /Z -2 "26JL