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Permit q CITY OF TIGARD MASTER PERMIT II II I: COMMUNITY DEVELOPMENT Permit #: MST2013 00134 Date Issued: 06/25/2013 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 parcel: 2S1036B12800 Jurisdiction: Tigard Site address: 12275 SW ANN CT Subdivision: LAKE TERRACE NO.2 Lot: 21 Project: Sitara Project Description: Interior remodel to master bedroom and living room area BUILDING Floor Areas Required Setbacks Required Stories 0 Bedrooms 0 First 0 sf Basement 0 sf Left 0 Parking Spaces. 0 Height 0 Bathrooms 0 Second 0 sf Garage 0 sf Front: 0 Smoke Dwelling Units 1 Third. 0 sf Right: 0 Detectors. Yes Total 0 sf Value' $18,000 00 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 0 Furn <100K 0 Vents 0 Woodstoves' 0 Gas Outlets. 0 Furn > =100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srve/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 2 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 Secunty Alarm: N Vaccuum System N Garage Opener: N All Other N Other Description Ecompasing' N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R -3 0 Owner: Contractor: SITARA, SUNITA LIVING TURST STRIDE CONSTRUCTION Required Items and Reports (Conditions) 12275 SW ANN CT 9222 SE WOODSTOCK BLVD TIGARD, OR 97223 PORTLAND, OR 97266 PHONE 405- 842 -3992 PHONE' 503 - 771 -9606 FAX 503 - 771 -1871 Total Fees: $792.07 This i is issued su• to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will b one in accordance with a.. oved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 ays ATTENTION: Oregon law - : • - - •u to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 .rough OAR 952 -0 090 • u -y obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 113 2344 /' i / Issued By: ' Permittee Signature: \ \\ Call 603.639.4175 by 7:00 a.m. for the next available Inspec on 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. Juilding Permit Application , Residential FOR OFFICE USE ONLY ' City of Tigard �� �� S F,. D ater �d ® � 19 Pernut No 'STc?o43 -0013 F• 13125 SW Hall Blvd., Tigard, OR 97. t Plan R Other Permit _ : Phone. 503.718.2439 Fax. 503.598.1960 e� 2013 Dad j wl:4r %� T I G A R D Inspection Line: 503.639.4175 JUN 6 Date Re 'S Ejl/ Jung ® See Page 2 for Internet: www tigard or.gov Nonfi • ethod Supplemental Information GlrY y TYPE OF W QING ®IVISION REQUIRED DATA: I- 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 J E Additio alteratio lacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. K1- and 2- family dwelling ❑ CommerciaUindusttial Valuation: $ I / 000, Gp ❑ Accessory building El Multi-family Number of bedrooms: _? El Master builder ❑ Other: Number of bathrooms: a JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: I as ?5 g63. A h to e4. New dwelling area: 49., square feet City/State /ZIP: TcC•3‘)/A.. � OR R 7 as 3 Garage/carport area: 4 / /j - , square feet Suite/bldg. /apt. no.: Project name: $ j 4 &lr m. M�� ELI Q M Covered porch area: N /7- square feet Cross street/directions to job site: Deck area: /11/4- r square feet Other structure area: NO3, . 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.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the �f DESCRIPTION OF WORK work indicated on this application. , l� we f f ' Il t.sit Q (oQ1i fo make 1`16R 13R 4.Ad'r- *do( Valuation: $ G'O S et 4 O'C"(Aid e . Existing building area: square feet New building area: square feet At PROPERTY OWNER ❑ TENANT Number of stories: Name: S ( ,,,, A .,-6. S,:i• Type of construction: Address: (3 W. $'4Tln . , - - - Occupancy groups: City /State / /ZIP:O k) apyh,pt., ak OJT ' &rA.o w & 1 ^ 311 t Existing: Phone: (q05) r -3q Q a / Fax: ( ) N /4. New: . ) APPLICANT J CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Stride Corporation, Aaron Lothrop Structural plan review fee (or deposit): Contact name: 9222 SE Woodstock Blvd. FLS plan review fee (if applicable): Address: Portland, Or. 97266 T City /State /ZIP: P #503 -771- 9606/F #503 -771 87 ci01° i Total fees due upon application: Amount received: Phone: ( ) CCB #60395 /" �''� J� $� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: eta, t7 S-trL c. ? c c Commercial and residential prescriptive installation f CONTRACTOR roof -t0 : ounted PhotoVoltaic Solar Panel S . Business name: Submit tw sets of roof plan with c ction details Stride Corporation, Aaron Lothrop and fire dep. - t access, alon the 2010 Oregon Address: 9222 SE Woodstock Blvd. Solar Installation • al ode checklist. y Portland, Or. 97266 Permit Fee a • • de • an review City/State/ZIP: , a administrativ- - es): Phone: ( ) P #503- 771- 9606/F #503 -771 -1871 . e surcharge (12% of permit fee): CCB lic.: B #60395 4/7 // Total fee due upon application: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �� "` A /om (Jjft Date: G ////7f * Fee methodology set by TIT-County Building Industry Service Board. I.\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 46I3T( I I /02 /COM/WEB) 4 • i . Mechanical Permit Applic ' .N FOR OFFICE USE ONE) / City of Tigard 3J UN 1 2 2. 013 Date to / /3 Permit No19 fi 3-66/3f • 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review ' 1111 li • Phone: 503.718 2439 Fax: 503 598 1960 Date/By Other Permit T I G A R D Inspection Line' 503.639 CITY OFTIGAR® Date Ready/By Juris El See Page 2 for Internet' www.ti or. BUILDING D \I SAO Notified/Method Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE ,- USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction $Additio alteratiort placement 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 U Accessory building For spec/a Information use checkiIsi ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 1 ?� 7S �� • „� (ducts/vents) Air conditioning 46.75 Job site address: J Furnace 100,000 BTU ducts/vents ) 46.75 City/State/ZIP: `� cajrd K Q7 a a3 Furnace 100,000+ BTU (ducts/vents) 54.91 � M Heat pump 61.06 Suite/bldg. /apt. no.: A.. Project name: s't l upe. / t Q g, E at �,In Duct work a 23.32 y9 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' 4 d d rep is •f'01 / 23.32 a 7 3a 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 ��, t et 7 �f �q CoDm it) G�11\1�Cte QR t fireplace 23.32 J as le lighter (gas) 23 32 c ( 05 Cf i t C - e ate p; e..e Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner /flue /vent 23.32 p- PROPERTY OWNER I ❑ TENANT Other 23.32 Environmental exhaust and ventilation: Name: simAl 4..Q• g; Range hood/other kitchen 13 / W 5 1) s t' Clothes dryer 33.39 Address: � � Clothes dryer exhaust 33 39 City /State /ZIP: ©I'`'1 a h awe 4 a / oKde- A D A 73 (r I/ Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 23 32 Phone: (Y05) $f 2 - 3 9 9 a Fax: ( ) Ai/A. Attic /crawlspace fans 23 32 KAPPLICANT ,$1 CONTACT PERSON Other 23.32 Fuel piping: Business name: Stride Corporation, Aaron Lothrop $14.15 for first four; $4.03 for each additional Contact name: 9222 SE Woodstock Blvd. Furnace, etc. Address: Portland, Or. 97266 Gas heat pump heater City /state /z[P: P #503 - 771- 9606/F #503 - 771 -1871 Water heater CCB #60395 Fireplace Phone: ( ) Range E -mail: aa v . sfritoke0. Q .4„, Barbecue CONTRACTOR Clothes dryer (gas) Business name: Other '� S clip MECHANICAL PERMIT FEES* Address: (e, 50 9 A)E' Goan I S; Subtotal q 9 �0 City /State /ZIP: P .� AM� 8 1 Minimum permit fee ($90 00) 4 90 t t+ Plan review (25% of permit fee` Phone: ( 5 - 0 )3)'I ) - I Q g- Fax: ( 163 ) ! �f 50 _ A ,2 24. State surcharge (12% of permit fet . , _ _ _ _� CCB lic.: / 2 a 19 7 , A / 3 TOTAL PERMIT FE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: / ` • Fee meth o dology set by Tn- County Building Industry Service Board Print name: faboJ ' t t f " ns , Date: I \ Building \Permits\MEC_PermitApp_0401 t3 doc 440 -4617T (I I /02 /COM/WEB) Electrical Permit Appli I 1 -1 EcovED ` rolzol Fier us! olvLY t ;f ` City of Tigard Received 0 /A /3 0 I Permit Ho: - X eley;i1 q 13125 SW Hall Blvd ,1 igard, OR 97223) UN 12 2013 Plan Review I Other Permit C • Phone: 503 718 2439 Fax: 503.598 1960 Date/By. 4 175 e ady/By lulu 63 S Page 2 far TI CA RD: Internet, www.tigard-or.gov Line: 503.639 .tigard- or.gov CITY OFTIGARD t4otifDalie d Supplemental Information TYPE OF 5 D II�IC DIVISION PLAN REVIEW ' Please check all that apply (submit sets of plans w /items checked below): I ❑ New construction Addlli0 alteration eplaeement ❑ Service or feed= 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 A T 1- and 2- family dwelling ❑ Commerciallindustrial ❑• Accessory building amps for another inslaltatlons. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", IOOl� or more. occupancy. Job no.: Job site address: / l 1.75 s . r'V • A n A C f ❑ Six or more residential units ['Recreational vehicle perks City /Slate /ZIP: l (q etr d ' 7 ps 3 ❑ I lealtli.care facilities ❑ Supply voltage for more thin r V CI Hazardous locations 600 volts nominal. Suitc/bldg. /apt. no.: ,4 / A.. P t' roject name: Si 7 '4'& //13g f P gi P /t �' ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: oucnpran I Qty. 1 F. 1 Toial 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 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 /111Q ,( / / v .'J r1 f tx} 'A v n..L. / 1 /j f J 2 1B+J ter residential (with above sq. ft.) J Renewable EnerW ❑ See Page 2 elps $t et p'it c e . Services or feeders installation, alteration, and/or relocation s �� PROPERTY OWNER 0 TENANT 200 amps or less 100.70 2 201 amps to 400 amps 1 33.56 2 Name: 5-,,,..,,,.,+,,, s .0.„ 401 amps to 600 amps 200.34 2 Address: (( ( /l ►10 & , 5( 7b 5i-" 601 amps to 1,000 amps 301.04 2 },� �} Over 1,000 amps or volts 552.26 2 . J City/State/ZIP: OW) t hart.. C(k' (Jk 1 eat 0 �., ct ,-2 5 U Temporary services or feeders installation, alteration, and /or e relocation Phone: (�p5) 8I- 3 ? 6 a Fax: ( ) 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 I 168.51 2 Owner signature: Date: Branch circuits — new, alteration, or extension, pier panel ii APPLICANT p CONTACT PERSON A. Fee for branch circuits with above service or feeder Fee, • 7.42 2 Business name: each branch circuit Stride Corporation, Aaron Lothrop B. Fee for branch circuits without Contact name: 9222 SE Woodstock Blvd. service or feeder fee. first s. 56 branch circuit Address: Portland, Or. 97266 Each add'l branch circuit ( I 7.42 I I 2 P #503 -771- 9606/F #503 -771 -1871 Miscellaneous (service or feeder not included) City /State /ZIP: CCB #60395 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) I tax:: ( ) Reconnect only 67.84 I 2 E -mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: w� Signal circuit(s) or limited- energy �C%(U QNt cd ��P C .-1-pc..., I � ��.. panel, alteration, or extension Page 2 2 Address: 219 \ (..), 5c-g, a � . Each additional inspection over allowable in any of the above Additional inspection (I hr mill) 66 25/ Iir City /Stale /ZIP: v\ ; ,k_ j ,( VI F C'a Investigation (1 lir min) 66.25/ hr Phone: (WO) '2St i u cac e L ( 1 F ox. ( ,3005) 2S� 2 (g�1 Industrial plant (I hr lain) 78 18/ hr — �� c Inspections fur which no f ee i s 90.00 / hr CCB Lie.: 11 'J OS 7 Electrical Lic.: 3 -g72 uprv. Lic. : ,. ` x.3 4 a� specifically listed (/t lir min) — « � ELECTRICAL PERMIT FEES Suprv. Flectricinn signature,required c.r- - A ',1- .1"'G',/ Subtotal U' Print name: ` (� 1 ,. n ` � k I U f ` �� t��/, `. Dale: i i -3 Plan nevi g ( 12% of permit fc fa — State surchar � 12 "/" of Authorized signature: TOTAL PERMIT FEE - i This permit application expires If a permit is not obtained within 190 Print mine: Date: days after it has been accepted us complete. ` . Number or inspections allowed per permit. I \auildin4lPwmms \EI. _PcrnmArp 040 J 4.10.1615T(1 V05 /C0t.VWWLI1