Permit CITY OF TIGARD MASTER PERMIT
III °. COMMUNITY DEVELOPMENT Permit#: MST2013-00148
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2013
Parcel: 1 S 126DB03600
Jurisdiction: Tigard
Site address: 9421 SW 92ND AVE
Subdivision: MONTAGE Lot: 7
Project: Montage, Lot 7
Project Description: Building 2-New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 312 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 34 Bathrooms: 3 Second: 700 sf Garage: 280 sf Front: 4 Smoke
Dwelling Units: 1 Third: 700 sf Right: 5
Detectors: Yes
Total: 1712 sf Value: $200,015.78 Rear: 4
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain brain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
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 Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet:
NEW SFA VB R-3 1712
Owner: Contractor:
NW AREA INVESTMENTS LLC AAA PROPERTIES INC Required Items and Reports(Conditions)
11150 SW RIVERWOOD RD 16501 NE 65TH CIRCLE 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97219 VANCOUVER,WA 98682
PHONE: PHONE: 360-609-3465
FAX: 360-718-9701
Total Fees: $16,161.53
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 ma •• -•• . •• • .e -• -- •• :ct questions to OUNC by calling 503.2 . 987 or 1.800.332.2344.
Issued By -- ��� Permittee Signature: _----
Call t t
y 7:00 a.m.for the next available Inspection dat .
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` ' Building Permit Application /v/c/i3:,v;g z s 6 y SE o7 /5 PER Su/2Ss _ 46
Residential RECE ' 1E FOIL OFFICE: USE ONLY
City of Tigard Received Q ��i�, ermitN�
`J g JUN Date/B 17 /� Alf
° 13125 SW Hall Blvd.,Tigard,OR 97223 UN 2013 Plan Review �y
' 0. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (• 2C? /�j Other Per iae024943 _00436
T I G n R D Inspection Line: 503.639.4175 Date Ready: : n, / ^ 113' Supplemental See Pagel for
Internet: www.tigard-or.gov CITY OF TIGAR® Notified/Method: r 3 /3 op.. (T Supplemental Information
BUILDING DIUISIO ' .D 9t-
TYPE OF WORK REQUIRED DATA:1- 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.
12 I-and 2-family dwelling ❑Commercial/industrial Valuation: $ ��i r-5:76
❑Accessory building ❑Multi-family Number of bedrooms:
72
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 9 rA/ 9,2 '_ h!/LC New dwelling area: L 1'712 square feet
City/State/ZIP: Garage/carport area: ! square feet
Suite/bldg./apt.no4L 02 Project name: 64-rert5 Covered porch area: ® square feet 710
Cross street/directions to job site: Deck area: 1..1.0'7' square feet ?(..2.
Other structure area: 099,z square feet Y---
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 7 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
DESCRIPTION OF WORK work indicated on this application.
/`,r . ' d i111 Valuation: 7j�
f Existing building area ;*� , s• . e feet
New building area• A. square feet
'1 PROPERTY OWNER ❑ TENANT Number of stories:
i. li ��./ gi% It- Type of construction: .m'
Address: _ - ! ...0, / Occupancy groups: /f) ,,,i
City/State/ZIP: - ;01.1,71.. ,i�s......„,- ,r// 2.. Existing: •
Phone:(..!,,1`'• y ax: ^ Ui iIQ �'.
�1/ � New: �—
APPLICANT g CONTACT PERSON B LD G PERMIT FEES*
Business name: .� (Please refer to fee schedule)
Jla I i i J/% .� /`� Structural plan review fee(or deposit):
Contact name: % i
y� i� i� /f �'• FLS plan review fee(if applicable):
Address: /KW %� J
Total fees due upon application:
Fax: ( ) Amount received:
Phone: - O ._ /�`. f
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
EMMII / M / /I / �/ ,iice
ONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: / i 1 Solar Installation Specialty Code checklist.
City/State/ZIP: ,,, /-�_j/ Permit Fee(includes planreview $180.00
���� and administrative fees): _
Phone: p,, ,__erilic/ r _, Fax: �/, / State surcharge(12%of permit fee): $21.60
CCB lic.r)////
(- � Total fee due upon application: $201.60
Authorized signature: )11P ' This permit application expires if a permit is not obtained
///�,.�� within 180 days after it has been accepted as complete.
Print name: 0' / � /f" Dff � *Sery Board set by Tri County Building Industry
1:\Building\Permits\BU'-RESPermitApp.doc 02/24 2011 440-4613T(11/02/COM/WEB)
M.,
Building Permit Application Checklist
One- and Two-Family Dwelling FoR oFFlci.: usl: t)IVI.1
City of Tigard Received
g Date/By: Permit No.:
q 13125 SW Hall Blvd.,Tigard,OR 97223
0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits.
T I L.A It D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS LUIS ARE REQUIRED FOR PLAN REVIEW lCS 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 El ❑ ❑
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, ❑ ❑ El
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 foundatiop,'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 licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El ❑ ❑
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 ❑ ❑ El
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(11/02/COM/WEB)
07ni
I , Plumbing Permit Applicatio C I t3 L
Building Fixtures JUN 1 9 2013 FOR 01] ICE USE ONLY
Received �.sT�,/3�0/ye'
City of Tigard Permit No.:
q 13125 SW Hall Blvd.,Tigard,OR 9rA WING T9GAR® Date/By:
C Phone: 503.718.2439 Fax: 503.51:eIX��17tlG DIUISI®N DateBy
:Plan Rev;ew Other Permit No.:
T I G A It D Inspection Line: 503.639.4175 Date Ready/By: fads: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
building SFR(3)bath 500.32
❑Accesso ry g ❑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: 9yAI Se ) ,.02- P--)--- Catch basin or area drain 18.76
City/State/ZIP: ` Drywell,leach line,or trench drain 18.76
dt Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: pa,���l�� Manufactured home utilities 50.03
Cross street/directions to job site: �✓ Manholes 18.76
Rain drain connector 18.76
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.: 7 Fixture or item: - -
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
;$PROPERTY OWNER I 0 TENANT Expansion tank 12.51
6 / rt7�i' �'/ i�0'•/ S L! � Fixture/sewer cap 25.02
Name: /
r Floor drain/floor sink/hub 25.02
Address: yt
y m ,s f/V� �jj / Garbage disposal 25.02
City/State/ IP: O r / 7 Hose bib 25.02
Phone:Ve., 717 ((( ax: t i� • +. ` -74- ;f9 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
_ Water heater 37.52
Business name: // `` /,,,,_� i Water tin WV 56.29_sir
Address: "8 ! 9/ 0'. "."C .? / )-- ether: 25.02
City/State/ZIP: ` //rj .,.; , i i 7 ,1 Subtotal
Phone:( ,1,, , i� ��. � ��M Minimum permit fee: $72.50
CCB Lic.: J Plumbing Lic.no.." Plan review (25%of permit fee)
/ ✓ ' State surcharge(12%of permit fee)
Authorized signature: /�j,/=�//`' TOTAL PERMIT FEE
Print name: 7 it/r-.2 ' Date. /lG This permit application i t e xhpas ir ebs e eif n a a peermpted it i s a s n coot mobpaeitned within 180 days
*Fee methodology set by Tri-County Building Industry Service Board.
I:\BuildingWermits\PLMU-PernutApp.doc 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
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
p and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which 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$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall ❑ .,New,exterior plumbing'site utilities for any complex structure
-Drive Thru
• • - as defined in OAR918-780-0040. r
Cuspidor/Water Aspirator .0 Medical gas andvacuum systems for health care facilities.
•
Dishwasher. -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic _ '❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain " 1 ,, .
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach/Eta*.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang \ ,
-Stall
Sink: -Lav/Bar non-food related 1
-Bradley V r 4
-Com/Serv/Util food related �,_ . •„t - )°• ,
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a a permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures: 1 + \
I:1Building\Permits\PLMF PermitApp.doc 08/04/2011 2
•
,ircim- /c4- RECEIVED
,-ceai ifs SEP 8 0 20'3 value:$
TYPE OF WORK RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
. ew constp Addition/alteration/replacement CITY OF TI GAR D - For&pedal Infornurlion use cheeklid
Demolition Other. WILDING DIUIS or DeSCtipiirm I Qty L Ba IL-lb!'
Heating/coolna
CATEGORY OF CONSTRUCTION
_ -
Air conditioning 46.75
2-Bunily dwelli Commercial/industrial Accessory building Furnace 100.000 BTU(ducts/vents) , 46.75
M amily Master builder Other: Furnace 100.000+BTU(duct rvmts) 54.91
JOB SITE INFORMATION AND LOCATION 61.06
Job site address: 9 4 ( s w 9T K1 'ye_ Dud work 23.32
Hvdronic hot water system 2332
City/State/ZIP: T1 o.,rd OR Residential boiler(radiator or
Suite/bldg./ept.no.: [Project name: Lo f� 7 Unit heaters(fuel-type,not electric), 23.32
Cross street/directions to job site: /410,V71-&E 02 in-wall,in-duct,suspended,etc. _ 46.75 -
Flue/vent for any of above 23,32
Other: 23.32
LkYlbs(f41 mc7-7o/3-0Q, 8 Other fuel aPPliaaees:
Water heater 2332
Gag fireplace/insert 33.39
Subdivision: [Lot no.: Flue vent fbr water heater or gas
-
Tax map/parcel no.: fireplace 23.32
Log lighter(gas) 23.32•DESCRIPTION OF WORK _ Wosrd/nelletsieve 33.39
I-IVAC Wood fireplace/insert 23.32
Chimney/liner/fluedvent 23.32
Other: 23.32
Environmental exhaust and ventilation: _
• Range hood/other kitchen equipment 33.39
PROPERTY OWNER TENANT Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Name: toilet compartments,utility rooms) 23.32
Address: Auidcrawlspace fans 23.32
City/State/VI': Other: 23.32
FuelInPiu$t
Phone:( ' ) Fax:( ) $14.15 for first four;$4,03 fir each additional_
APPLICANT CONTACT PERSON Famaco,dc.
Business name: Gas heat Dump
Wall/suspendedhmit heater
Contact name: Water heater
Address: Fireplace 1
City/Statc/ZIP: e
Barbecue
Phone:( ) [Fax::( ) Clothes dryer(gas)
E-mail: Other. ..... - - .
CONTRACTOR MECHANICAL PERMIT FEES".
Subtotal
Business name:q�
JlrimAlf� r c dAtLA!. Coo"-i4 coo(lq (v C_ Minimum permit fee($90.00)
Address: t 6S 03 W Se f"— St- Plan review(25%opermit fee)
City/State/ZIP: co V vex W C` cf 7. (S g Z State surcharge(12%of permit fee)
TOTAL PERM TT FEE
Phone:(SOS) 914 90'S$ ! ex:( ) This permit application mires ifs permit is sot obtained within J
days after it has been accepted as complete.
CCB lie.: ? S' yr • Fee methodology set by'Di-County Bwlding laskostry Service Board
Authorized signature - .
'Print name: tn,;:S tub c.,Av.o l./ [Date: 14;' /- 1
COMMERCIAL FEE* SCHEDULE-115E CHECKLIST
Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials eguipmentilabor,overhead,and profit
2
1BuildinglPermitsNfECJermitApp 040f13.doc
1;
Electrical Permit Application{ r��°c, 0r�- FOR OFFICI. [SE OiNLY
City of Tigard 11 t guy: Munk Na,/jSrd/3 -4//`fi 2
13125 SW 1 loll L31vd„1 igard,OR 97223 . Plm Reran
lig - Phone: 503.718.24311 Fax: 503.598.1960 11,I I! 19 r01,3
tkuelnv:
Other I'cuu1L
-r 1,- ,F I: hoped=Line: 503.639.4175 P toil Rends/Fly. twos: 65 Sea Page 2 for
Internet www.tigatd-er.Eov 4`]'f/. ,j. I iGi A , Stonftod?de4rid Suppleasmtol Information
TYPE-OF W I, Vu MI�rrsq,il(il'' Pl AN U .VI fw'
❑New COnEruclion ❑Additicm/alterationlreplacemcnt Fleam check WI Inn apply(xhmut aorta of pima whims nhediedbeim.):
08emica or foot=400 amp 91 mono CI&Obeg ova-throe slmiat.
❑IlCmolitian 0 Other:
whcnl La,amiable iamb cldalt 0 4:tnaa amt boatyards.
CATEGORY-OF CONSTRIXT(QN mewl 1.0.0 80 amps et 150 wlu et 0 fkudng buildings.
tam to vaunt cr weal 14,070 0 Cc®o Mal-une sgu.ukw ai
❑1•and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps tor an colla.Mnelladear. Imildtnij.
❑Multi-family ❑Master huildc r ❑()then: O Vito pump. 0loalanmi:m of 15G KVA co
JOB SITE INFORMATION AND LOCATION LI lima..ws :rslenn. Iorjo r tepatakly dun 4 imam.
0 Addition ofate•mom load of CI"A".Ir...i-2.•7_3••,
Job no.: !oh site ttddresr: �y'S�.�.i Sn l �� t toast co atom anomie,
OSiu warm lelldetl sal unto.
❑ttsxrwirzR1%clunk tyska
City/State/ZIP: 01�1Uut11lv'mo tits.titan. 0 S,IG01y wan t.%fro cone than
O Elaaadu.m Joaa icoi. la reach al.
Suitc:bldg./apt no.: I P r o j e c t n a m e: 1. ,2 0 So en:or fu•dn KO noos :omi
FEE SCHEDULE.
Cross street/dire tions to job site: �
t rrnenptwn 1 ua•. I see. I Ural 1
New residential ' or mm
smela 4HsmrltJ dwelling null.
Includes attached garage.
Subdivision: ft.Lo:no.: —7 1 009 aq. co-lea d t 168.54 I 4
- —I !
Ea addl.500 so.O.or Florian 4— 33.92 i 1
Tax map/parcel no.: I.ttaitnienesgy,residential
r)i aarnoN ow WORK. (%ithabovesq.@.j- 1 75 AA , 7
— Limited energy,multi-fasuly
75.00 { Z
rerideraial(with abave no It)
--" -"-` - Renewable Energy 0 See Page 2
Sersieea or feeders honallationtalteration,and/or relocation
PROPERTY OWNE4t ❑'TENANT 203 or ten 100.70 " 2
Name: /,wnvcJJJJJJ����``l t r 201 mr>F•r to tfA aatpe 133.56 ' 2
4401;2.1-- 401 rmmCS m 6fA amp s 204.34 ' 2
Address:_ / 9 ` `f/ 601 amts to LOCO amps 301.04 2
l': hh / Over 1,c00 morn or volts 552.26 i 2
City/Staler/AP:rl
4/w `i' . - / --- ■_< 7 Temporary& ica or feeders inataUa too,alteration,and/or
Phone:i V% •�7 -3277 tax: g relaeadon
,�j�� 20)amps exless' 59.36 1
Owner installation:This insiailuthm is tieing made p that 1 five wfiichis not
201 surge m 4C9 amps 1 125.08 2
intended for salt,lease.root or cxu6erregc,act-lording lu ORS 447,449,670,and 701. 401 amps to 599 amps I 168.54 _ 2
Owner Signature: (late: Branch circuits-new,alteration,or e:teaaaon, et panel
0 APPLICANT L ❑ CONY•Ac'C en:ItSQN A.Fa:fm ketch eiteuits with
above service or feeder fee.
Buslress name. eats blanch circuit 7.42 2
n Fee rm bunch deem p Wilma
Contact name: s.nrke or do c.Ern 56.18 2
brand,clown
Address: Each add'l branch euetiit '7.42 2
lfinerllaneoua(aarrke or feeder aria Included)
I:tty7 State+'l..I P:
Ea.*.Manufactured ar modular
Phone:( ) Fax:: dwelling,tc:viac.arar Roar -
E-mail: -- -"' -- - — Recornect only 57.84 2
Pump or irrigation code 57,84 2
C011�Iltittat1R Sign or cullinelietlting 67.84 2
IIusinesti nranc .:_e 1)5_57 `� j-` � a tiigrllal rite 11it(s]1v limircdracrtry Sw
•ah:retioti or extmsian. Pope 2 _ 2
Adds ass: 7` � �/ jz/��� Each additiunal mapcetiom over alloavabte to any of the above
City/State/ZIP: -��%//�// � Additional invention(i In twin)ht min) 56.751 by
• ��%�`Q 8 lrneuigalimi(i hr min) 661V In
Phem j,/7- 7,I Fax:( ) i B`tnduseriat.plau(I hr min) 75.1arM
bepertiao fur whit iio fee is c q,n0/hr
CCB Lit.• IectricatLie..G • I Suprv.I.ic..447:7&17. �seciroo Iistrd(;Shrmin) ,. -
/ menthICALL PER.MIT.FEESP
Suprv.Electrician signature,royuired:
le'
£ . _ Sabana"
Friel nacre: / ! •i? I Date: Plat review(259bofpermit fee):
- State stroll a(12%of permit tee):
Authorized signature:e / /�firAir'zil— — TO TAL PERMIT FEE: -I
Print mime: y//�J, / t)ate: 7 Th6 permit appLcutim empires ifs permit it sat obtained within 180
t/ 1%/I, `f j �: / dais after it line been autepted a rnuplele
• Nuiubta twain cctimes:dee d pct permit.
1.•daalldbl6•19emirvELC Pamnhrp_I4,a,6andoe aa+0921./2011 4401nl?'1(1I l'lnnNVls',ii1
III
2 ° Building Division
Development Code Provision Review
T I G A R D
0 Residential Projects
Building Permit No.: Atf 020/3 'CO/V,
Project/Subdivision Name: /WNT9(r'E a Lo 6=- c , Lot #: 7
Site Address: `?Va2/ Sic) 7,2 `= ,iii/g--
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No ❑
Plans Routed:
Original Plan Submittal Date: G//9//.3 Routed By:
1St Revision Submittal Date: (O/e 7//3 Site Plan Only Routed By:
2nd Revision Submittal Date: WAS /El' Site Plan Only Routed By: ifail-
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 (1) 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 ap, ov-d.
,�� /
Planning Review(contact 4 /`.'' u_ at(503) 718- 2.-43`f or ray @tigard-
or.gov) / ray
Land Use Case No. 57(6 °`-(-03
Zoning /YI Ulf-
Setbacks: • ` , ,• •( d
Front 'I Rear / Side S Street Side 6 Garage
Er Maximum Building Height: Actual Building Height
-Er Visual Clearance
Er Easements
ela-Sensitive Lands Type: N 14"
2treet Trees
Q Protected Trees /v/4, /�/ 4/.g0
Notes: g/f,/L�/1 .4,- //•�r/ 74-7,/,( 71 -e ,/,44 o /a////L
/ i!. /�. �._ �.:, � _ _ ,/. - .. :/ /Ef//45e-r_
ei / w /I - /2 -lZ 70 k-AI L D S . „'
Original Plan: Approved ❑ Not Approved ' Date: ;Z6 `/3
Revision 1: Approved .% ' Not Approved Date: - D- p).(/�
Revision 2: Approved i4 Not Approved ❑ Date: --2.6,-/ Y
(Review Continues on Page 2)
Page 1 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov)
•
❑ Actual ope: K •
Notes:Actual ■ / 4E4►J t t,A,Qti
a4/S
Original Plan: Approved ❑ Not Approved, Date:
Revision 1: Approved Not•Approved ❑ Date: "/v
Revision 2: Approved,0' Not Approved ❑ Date: -? Xif
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 9.3,7/3
Date Routed to Buildin :
/ v
?//
•
•
•
•
•
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
I
– C, – _ _^ S 02°06'51" W .,� y`,
5'-II ' 5'-0" SIDEWALK • = "J lri n ' /gyp�/
oaoac• TT
_ 182. 8 l' 1 0.4v; '' _°l 1
r�' DECIDUOUS SCREEN TREE: - r iIAVI „mow. y/Y/lv!9{,�pyy p ,,, s
J EL. - VI 22� 1.00°'-'� �, ,'t'�: \ � �I 14� C � f�i Y
SITE PLAN c a -KATSURA TREE I 3000' n�0' Y
� 28 31„
BUILDING �6 I:•: 2 r "
SCALE: 1"=30' JUN 2 7 t 1649 C
I DECIDUOUS ORNAMENTAL TREE:(STREET TREES) LOT •3'• • 1 :•:• 4 •�,,.- 'Y, w '1 1'1'' ` I
' LOT •9 LOT 032 LO 3 Y
MONTAGE ROWHOMES I _ - Al..-i_:: Q wl .,� ITV �±-v u►- i .
TIGARD. OREGON NORTH m �' '' -y I IILDIVG I yG��" / .h� ,-���i
O DECIDUOUS/EVERGREEN ORNAMENTAL SHRUBS: \ •-'0'I B ., •�- f '•A`.
-OREGON GRAPE dl CSC
-FLOWERING CURRANT .:,•I - �THE CIVIL ENGINEERING HAS BEEN COMPLETED -SERVICEEIERRY EL. _ , --I ,,,�'0 ,. ''
AND APPROVED ON THIS PROJECT AND THE -SNOUSERRr I ��''
UTILITIES AND PAVEMENT ARE IN PLACE GULF GREEN RAPHIOLEPSts 30 0' `� '� 1 -- _■-I al CONNECT SID ;I 1
BusHCINauEFOIL ` 1f• 1� TO EXISTING
THERE ARE (4)BUILDING TYPES AND (4) I' pe oRNAMENTAL GRASSES M OPEN AREAS WITHOUT IlI � Ii ' r!l , V I DEVELOPMENT
MASTER PLANS FOR REVIEW BY THE CITY , + I : Ilk 1 ( r k I i�E s ``'i
1. TREE90R 9HRllBS I��'��/� ��, R II
�1��`I�:' fl � ' a41 1j'� I:, ' ..�'S �--- "�� ;•
'//////. ��1.91 it,0' 1.00' - n.00'' .-. L - •%c= z 7/3 -4
PERENNIAL:
•
-DAY ILY PROVIDE (I)4" ABS STORM EL. _ ' ':;`•-
L SEWER TO STREET MAIN (EAGI� °� 29.50' / r0
/ . UNIT) col:_tr. .06' 11.00' _fa�. %�o' CL. _ ,L
PROVIDE (1)4" PVC SANITARY .; )• .:, .� 1 4.14'x� 3000' 1
SEWER TO STREET MAIN (EA.GH to r if t, �' ;I�I�1:;
O / PROVIDE (I)I" PVC WATER LINE EL. _ -- 1 �i" ���'l;l i'I ,I ,;_•_ 1�:_�
TO METER AT CURB 30.0 —,�� _rte•- "' 1E ;
0
(EACH UNIT) __ �O vO.�. _�� O
4,_61" • , -: : '% -', S.W. 92nd A E�
LOT 4 4 0 , /o . . 0
CONNECT I I 1I ;SIDELKTO CEDAREROOK FARM II �0'e:'HALL LV . �� ,� I n/
/ FIRE TRUCK BUILDING 'S n a ry O j
ACCESS ONLY • •' '78 ' (��
I:' LOT l L•• ne, LOT \I�-:•:-• Jr AIM.= UL 0
• EL..00'0 �`!_,�� I` k----��P'J .� : ?o v – – – S 02°0ro'S 1" lU – 0 u p pi e Q are.v agri6 h ��- m '�= _ ___iTI
- ' Z I / °
y' - !/ 14 Z`e)e S.UJ. 92nd AVENUE w.. :,• f-•- • —
EL. _ � — — _ _ ` �O ;�/• �: : • • - ' • STONE �•-v 0 }-
30z0' "' EROSION CONTROL FENCE L. 9 _ E� - - _; I i = : :•: :(j PROJECT
/ (WHERE REQUIRED) 30.00' ::9, ADA 4 _., SIGN Z
r . , RAMP '„1 k •
•5'-0" SIDEWALK .�!i .'. . .'. !��_ 61.94 I,A. !. - -_ - - - - -�: -�r ,�O/ .] �l 5'- ;�; - - - - - - - • fiii,,' BENGI-4 UNDER/�� /–- �- s] i .� ei @�81S:c! ,`.1 5 fd"SIDEWALK �I, �. j O:/ I �° PtJg.' -`--' a S�TOTOZOIMireverel� A gel '�9 '.'.i'.'. C9 L.
`f' /LOT I \I I e'0 � \I— `—; =.�� / _
IA t
/ #6 \ IIii ,� I° CT-Jo: : I ." DoT:=:oI \I i o - - o e I
/ �.r. —=� - IJ `= —I� `O. 12 x18 ' � ," B - la' 0"I_ �� LOT I 4 y 0� HE H
�0' 1 LOT �- `� •�s+i ryse-4 0� /' I I - � '1111114 Q
L l
1 I rl n �;dg.rll` O . . . F ` 5 � � � ±,!iW�� CWS TRACT
1 '- I' I� /I OT ° LOT -. c2)
`I 9 i ` r Vi a' `o xll •t-: -i .-- *11 ;:O I` 'i - I` LOT d�. .Q 1 BOUNDRI
� Ilk .. � `,�„ 1�;,���° __ ' . . . . . t 3 ,•:•-•-••:-• Ol' II � '? "23 I�O�� 0 �'���' ALL SIDEWALK. .al 4 I 1 �� ull� _I 80.49' `J ? °
w LOT ,� .�"' � i 4 -- 1 �i'i �. `_I •`-'. v INON STEET SICIE)
OE-
�N I #� ��n -I- ��. 'LOT'..-, NI 1,.
�- • �p�� _ ,7,� 1 �� - �I•���/ ��r1 ��`� � BE 4'-0" WI E
ji= I
,;, O- .LOT: Off' :F -IGAU
C 0 – � rsami 4,... . , O x10 Q 1 . xl(o .O = ''� O '1� Qi�>
a ;� I LOT , Q `a*#sesee11 p : : J \J . . . . .O: ,„z Q r� OT .•
a O: ''•► . .t. '•'• . � U !x3 �- LOT; •LOT::O '4tL"� rte*1 CC` _..,: � a� ° - X15 0 _ T
.O Jim
0
At ^' (pu rl 4� ii.7. 41:2______.. -_______Tile, - r OT �` m O:LOT L � 1 �I OI` >TRACT C� x2 LV `I ry u',”-_ .� '�O. x8 I;11.. x14 :O / �� i �
nAn 1 �gf76Zm1� Zii -� 0 �, LOT 0• B PAN pv
0 .Il " A'.'.' �, DATE: /ll/13
N � _ Air LOT
al I � -. Ago• OT:60 : „. O ���I Win. �l S a PLA sHEETNO:
OT'•'•' l✓TURE W
_ „„ i 2835' 0.'..31111 _ �0 4 z- " : x13 :Ol �UILDI q �I ILDI x.9/1 d'_ a• �' _ .,' CHIPS
5'-0" HIGH DECORA 'VE 4, ., •`. _ - x3 ry _ I O
.p cv Q
VINYL FENCE TO RUN v =. '•' �' >���� 11�r --,?T8`-':'-'-`.'::c__r� . °:':': O
1 v n 1 .
ALONG TRACT "A" 1'-6" BUILDING L. = BUILDI x2 L. _ 'S8.8�' — v
FROM PROPERTY LINE xl 31� 3100) EL. _ J CONNECT 51Dv ALKS T•� CF 15
TI-4E PERMIT APPLICATION IS FOR BUILDING *2 ONLY 31.00' EXISTING DEVELOPMENT
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9421 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2013-00148
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9421 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
FAIL
MST2013-00148
Herb Stabenow
N0 disposal outlet???
Violation Summary:
Inspector Contractor