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Permit F EVIS E.: ,_' MASTER PERMIT a CITY OF TIGARD � /zY�� i I I II : COMMUNITY DEVELOPMENT Permit #: MST2013 -00090 T (G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013 Parcel: 1S125CD05700 Jurisdiction: Tigard Site address: 9990 SW LANDAU PL Subdivision: 1990 -051 PARTITION PLAT Lot: 1 Project: Gallanosa Project Description: Remove existing sunroom structure and replace with stick built. 6/24/2013: REPRINTED to add (1) duct work and (1) e xhaust vent to make habital space. BUILDING Floor Areas Required Setbacks Required Stories. 1 Bedrooms. 0 First: 160 sf Basement 0 sf Left 0 Parking Spaces. 0 Height 11 Bathrooms. 0 Second 0 sf Garage 0 sf Front' 0 Smoke Dwelling Units 1 Third* 0 sf Right: 0 Detectors. Yes Total. 160 sf Value $17,132 80 Rear 0 PLUMBING Sinks 0 Water Closets' 0 Washing Mach 0 Laundry Trays 0 Rain Drain: 0 Urinals 0 Lavatories: 0 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer 0 Tubs /Showers 0 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* 0 Clothes Dryers: 0 Heat Pump N Hoods 0 Other Units. 1 Furn <100K. 0 Vents 1 Woodstoves 0 Gas Outlets 0 Fum > =100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less 0 0 -200 amp* 0 0 -200 amp 0 W/ Svc or Fdr 0 Ea add'I 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 Descnption Ecompasing N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R - 3 160 - Owner: Contractor: GALLANOSA, FRANCISCO G JR & SHARCALLMARK CONSTRUCTION INC Required Items and Reports (Conditions) 9990 SW LANDAU PL 10543 SW 80TH AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE 503 - 245 -5297 PHONE 503- 317 -8501 FAX. Total Fees: $1,053.48 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' 0 • = : - aw requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 throu• • 1q. - r 01 0 D :0 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: Prr Permittee Signature: —41i I.ki?l1 ,' c r " / / % P 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. Mechanical Permit A licat' D lOR OFFICE USE ONL.v . City of Tigard Received ,21, /3 i .' y Permit Nod/f/57-0307 . ) Ill 13125 SW Hall Blvd , Tigard, OR 97223 ' ,I C Phone' 503.718 2439 Fax 503.598.196J UN N 2 4 2013 Plan Review Date/By Other Permit TI G i� R D Ins Line: 503 639 4175 Date Ready/By IN El See Page 2 for Internet: www tigard- or.gov CITY OFTIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK 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 I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 4 Air conditioning 46 75 Job site address: C qq D S uj l c r ko c >\ , Fumace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: j i ; a 0 9 `7 a - Furnace 100,000+ BTU (ducts /vents) 54.91 4 Heat pump 61 06 Suite/bldg. /apt. no.: U ` ( Project name: G Q I i a h 0 50... Duct work ( 23 32 Cross street/directions to job site: 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 Flue /vent for any of above 23 32 Subdivision: Lot no.: Other. 23 32 Other fuel appliances: Tax map /parcel no.: Water heater 23 32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 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 Chimney /liner /flue /vent 23 32 ❑ PROPERTY OWNER ❑ TENANT Other 23 32 / Environmental exhaust and ventilation: Name: �r�� I I �� Range hood/other kitchen equipment 33.39 Address: qq Ci n 3 Lo L 0./YN�t l e. �1 Clothes dryer exhaust 33 39 City /State /ZIP: T' O 2 cif-7,9-3.5 J Single -duct exhaust (bathrooms, [octet compartments, utility rooms) I 23 32 Phone: (Sp3) 'J - J C' a �>� Fax: ( ) Attic /crawlspace fans 23.32 ❑ " APPLICANT . ❑ CONTACT PERSON Other 23 32 Business name: Fuel piping: $14.15 for first four; S4.03 for each additional Contact name: Furnace, etc Address: Gas heat pump Wall /suspended/unit heater City /State /ZIP: Water heater Phone: ( ) Fax: : ( ) Fireplace Range E -mail: Barbecue CONTRACTOR Clothes dryer (gas) ' p Other. Business name: �4. � . • to l� 1�� QV �(A ( 60 !lilt MECHANICAL PERMIT FEES" Address: v� Subtotal City /State /ZIP: Minimum permit fee ($90.00) 94 , Plan review (25% of permit fee) Phone: ( ) Fax: ( ) State surcharge (12% of permit fee) n lQ . CCB lic.: TOTAL PERMIT FEE /n0 ,' This permit application expires if a permit is not obtained within 180 p� �p days after it has been accepted as complete. Authorized signature: r Z �i2 4 1L�r/.., * Fee methodology set by Tn- County Building Industry Service Board Print name:S{1 tyl , G\ \ (Qy\o S dL Date: 6 4 , ,/9013 I \ Budding \Permits\MEC_PermiiApp_040113 doc 440 -46I7T (I I /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 f i' $2.54 for each additional $100.00 or fraction thereof, to and including `y $5000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 1 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. A. Note: All new commercial buildings require 2 sets of plans. • ,Y 1 - 1 AI • 1v % Y r ! :f 'M1 •t 7, i, rti' 'I } 7 1 , 1 1.\ Building\ Permits UvIEC_PermitApp_040113.doc 2 1111. _ n CITY OF TIGARD MASTER PERMIT t: CO MMUNITY DEVELOPMENT Pe rmit #: MST2013 00090 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013 Parcel: 1 S125CD05700 Jurisdiction: Tigard Site address: 9990 SW LANDAU PL Subdivision: 1990 -051 PARTITION PLAT Lot: 1 Project: Gallanosa Project Description: Remove existing sunroom structure and replace with stick built. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 160 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 11 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 160 sf Value: $17,132.80 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker. 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 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: ALT SF VB R -3 160 Owner: Contractor: GALLANOSA, FRANCISCO G JR & SHARCALLMARK CONSTRUCTION INC Required Items and Reports (Conditions) 9990 SW LANDAU PL 10543 SW 80TH AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503- 245 -5297 PHONE: 503 - 317 -8501 FAX: Total Fees: $952.68 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 m cordance wwith 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. TTENTION: Oregon law =' ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1 -0010 through OAR 9�a2 -0 -009+. o may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ued By: 11 .- -4-4_ ` V.i ,` / /a:� Permittee Signature: ' Call 503.639.4175 by 7:00 a.m. for the next available Inspect' 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. Bwildina Permit Application Residential FOR OFFICti USE ONLY • Received �/STo�� _ G o City of Tigard E D Date/B : ,�� 3 � Permit No.: ago G U PI • 13125 SW Hall Blvd., Tigard, 972 Plan Revie' � l� Phone: 503.718.2439 Fax: 503.598.1 Date/B : ����% [ t „ it Other Permit: Inspection Line: 503.639.4175 Date Ready E El See Page 2 for p.. A�� 1 1 201 y : c Juris: I' I C A li D Internet: www.tigard- or.gov Noti 1 k 1 3 Supplemental Information CITY OF TIGARD fied/Mgthod: `^`w • TYPE DIMMING DIVISION 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 El 1- and 2- family dwelling ❑ Commercial/industrial Valuation: HO %�'�, '� $ - od ( �� 4 �' El Accessory building El Multi-family Number ofbedrooms: El Master builder ID Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9 q C O S (A., 4 tidc, / e New dwelling area: I W t square feet City/State /ZIP: —7 C7, C7 '7 Z Z- Garage /carport area: 1 square feet Suite/bldg. /apt. no.: Project name: 6. / p s A Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: are feet . . "C REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ,Q DESCRIPTION OF WORK work indicated on this application. eisid ve_ _.G/C 15 4t ^• / t;; ,4, / I[ b /+►t /4'V V Valuation: $ /► ,�' . A lei �� t oo Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: / Name: F 4, � /.14 4Na /!ti/c/G5 Type of construction: / Address: 9gg0 , t 4 � 4 Li h Occupancy groups: City/State/ZIP: g d ! ( ere, 1 7 1. Z. Existing: Phone: (56 `7jl Z 5 5 el 7 Fax: ( ) New: /❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: 7 off/ /56 , e o E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and r sidential prescriptive installation of C4//4', CONTRACTOR roof -top mounted ' otoVoltaic Solar Panel System. Business name: tG !/ N G Submit two (2) se of roof plan with connection details and fire department . cess, along with the 2010 Oreg. • Address: /05d1, a/ V A Solar Installation S.ecr. Code checklist igi City/State /ZIP: � y ,0/ / 4 77 ZZ Permit Fee (include •I. $180.00 7 an d al ••:∎TINT Phone: (5d') 3 , 6 g / Fax: ( ) State su • arge (12% of permit" $21.60 CCB lie.: / 4-""e.) Total fee due upon app `$201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: * Fee methodology set by Tri -County Building Industry Print name: '�� �� Service Board I: \Building\Petmits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(l 1/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard Received v 1 3125 SW Hall Blvd., 97223 Permit No.: , Tigard,OR Date/By: C : 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 Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ 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 rlicable to the rro'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 1 1" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 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. l:\ Building \Permits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(I l /02 /COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard �? f '1 EIVED Date /B : �_ g Permit No.: „fa , . q 13125 SW Hall Blvd., Tigard, OR �7Q�Z' C Plan Review Phone: 503.718.2439 Fax: 503. 1960 Date/By: Other Permit: I' I G A R D Inspection Line: 503.639 /I Date Ready/By: Juris: El See Page 2 for Internet: www.tigard- or.gov F v 1 n ^' Notified/Method: Supplemental Information TYPE O mofti9FTIGARD PLAN REVIEW ❑ New construction ❑ Additiongt V il+ i N Please check all that apply (submit 2 sets of plans w /items checked below): D ❑ 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 ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. • larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "1 - ", Job no.: Job site address: IOOHP or more. occupancy. ���d � /� vA i t _ ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: I lc, l c7-7 2 ❑ Health -care facilities. ❑ Supply voltage for more than (/ ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: a? Lam/ tiDSfr ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: 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. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family residential (with above sq. ft.) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation, alteration, and/or relocation ❑ PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: ' F ../.--__,__,, ,v 452.411o/0 6 // 44/6 5 A 401 amps to 600 amps 200.34 2 Address: t , � C o 5 4.0 j�/s /a v Pt/ 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State /ZIP: 4,d, eolr g7 it- , Temporary services or feeders installation, alteration, and/or Phone: (s( ) 1, 5' cvl -7 Fax: ( ) relocation ( 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: each branch circuit B. Fee for branch circuits without Contact name: service or feeder fee, first I branch circuit 56.18 2 Address: Each add'l branch circuit 'Z 7.42 2 City/State /ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 Phone: ( ) Fax: : ( ) dwelling, service and/or feeder Reconnect only 67.84 2 E - mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Signal circuits or limited-energy Business name: � Yilt��,�if g O *�i��`"'�J _. — panel, alteration, or extension. Page 2 2 Address: rO z/ j am, 4 G Each additional inspection over allowable in any of the above City/State/ZIP: �� f/� /�? , 67 7 Z 3 Additional inspection (1 hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr Phone: `' ) ` 6 L Q 0 tx: ( ) Industrial plant (1 hr min) 78.18 / hr Inspections for which no fee is 90.00 / hr CCB Lic.: 6_5 Electrical Lic.: A 6-0,2 , Lic.: 3 /�J r aj` specifically listed (%z hr min) i' l 4 ELECTRICAL PERMIT FEES Suprv. Electrician gna ure, required: Print name: L g G. Z) - l� D ate: , j -/ " /) Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signa ,.....7 / ... „„„ — --- --- /t...-" TOTAL PERMIT FEE: 1 A This permit application expires if a permit is not obtained within 180 Print name: /1 Dates \./ days after it has been accepted as complete. • Number of inspections allowed per permit. i:\ Building\Permits\ELC_Per ' _040913.doc 440- 4615T(II /05 /COM/WEB Electrical Permit Application — City of Tigard - - Page 2 — Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: I WORK ONLY:. . " ; -, a;> °, ° 1 FEE SCHEDULE Fee for all residential systems combined y $75.00 Description Qtv. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva (fee in accordance with OAR 918- 309 -0040) 552.26 2 El Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva— no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/ hr 1 charged at an hourly (1 hr min) Inspections for which no fee is 90.00 / hr specifically listed (%z hr min) , COMMERCIAL WORK ONLY: 1 ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review, if required (25% of permit fee): State surcharge (12% of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 days after it has been accepted'as complete. ❑ Audio and Stereo Systems " Number of inspections allowed per permit. ❑ Boiler Controls • ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling • El Other Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations . I:' Building\ PermitsELC _PermitApp_040913.doc Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No.: VI S ► ( 3 00 c t0 Project /Subdivision Name: r Fl- t.,i.A- 1 , Lot #: Site Address: c o`b4 CWS Service Provider Letter: Required: Yes ❑ No Received: Yes ❑ No Plans Routed: Original Plan Submittal Date: t- f/ft (I 5 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2 Revision Submittal Date: ❑ Site Plan Only Routed By: 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 o ly if approved. 'Pk Planning Review (contact at (503) 718 - ' '7 w or "" @tigard- or.gov) Land Use Case No. Zoning y� -- Setbacks: ,.Front 7-212_ Rear r Side 5 Street Side rs Garage ZO Maximum Building Height: Actual Building Height ❑ Visual Clearance ❑ Easements Ei Lands Type: ❑ Street Trees ❑ Protected Trees A t4 /r Notes: A (`9.74I 4T / /i/5 5 ineef JL�l axif(,, 0k_ Original Plan: Approved V Not Approved ❑ Date: 3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: nn 1-cl. 5/� 3 N4 ` � v " (Review Continues on Page 2) n 04,04 `� 1&2-00-z0 Pagelof I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 /2-er.051 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) ❑ Actual Slope: % Notes: Original Plan: Approved ❑ Not Approved ❑ Date: 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 ❑ No ❑ Date Routed to Building: Page2of2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 FOR OFFICE USE ONLY — SITE ADDRESS: This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT il Transmittal Letter T If (.n R D 1 - ■ • - .. I1 Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATIE ' . . ED: DEPT: • _ . ' G DIVISION 4 EIVED �PR182013 (FROM: k P f A( ( CITY OF TIGARD COMPANY: 1( ��at� 0,69/t/-1- BUILDING DIVISION , 50 3 3 ( � ` c ( B RE: ?P) M 7 - av( 5 -oD4 90 (Site Address) (Permit Number) rode ame or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: 11. , ..rs!mio� , , IF ( 6- I ti _ ._ 1 .. FOR OFyIC USE ONLY Routed to Permit Technici Date: `' g 1 (� InitialsTOW Fees Due: 111 Yes [ io Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 FOR OFFICE USE ONLY - SITE ADDRESS: 9'9 9e - Q , / This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G n R I) _ , Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DAT 9 : t 11 Iv !T DEPT: :. ;1NG DIVISION L, L,' ED JUN - 3 2013 FROM: ( e.A BUI TY I OFT IVISIO LD NG DIVISION ea / ( � � CO ti S �- PHONE: d (Z 7 B RE: �Q$O — �,..� L. 1-{r / j -U OC� �d (Site Address) n (Permit Number) L.A, 0. XJ[ (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: _ Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): ---- ----- 7 .0 REMARKS: - .. , 'c-. a Ste', e-•-•. , - Pa-� -P S ��� FOR 9FFICE USE ONLY Routed to Permit T'9ian: P ate: (p 2111? Initials: � , Fees Due: ❑ Y - 0 01 M o ee Description: Amount Due: $ $ $ Special f ro- -- 1 Instructions: Reprint Permit (per PE): 111 Yes o ❑ Done Applicant Notified: Date: (0 3 Initial 1:\ Building\Forms \TransmittalLetter- Revisions doc 05/25/2012 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 9990 SW LANDAU PL, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 06/24/2013 00:00 MST2013-00090 FAIL Shear walls and anchors Mechanical inspection with possible addition of heat if habitable space Exterior sheathing All inspections above to be called in before framing can be passed Violation Summary: Inspector Contractor