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Permit CITY OF TIGARD MASTER PERMIT r! , :II 2. COMMUNITY DEVELOPMENT • , Permit#: MST2013-00237 �� ' Date Issued: 11/25/2013 aier TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Parcel: 251036604800 Jurisdiction: Tigard Site address: 12345 SW KATHERINE ST Subdivision: BROOKWAY Lot: 48 Project: Ryzner Project Description: Laundry room framing of unfinished basement 1/16/14, reprinted to add vent fan and clothes dryer exhaust. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First 0 sf Basement: 0 st Left D Parking Spaces 0 Height 0 Bathrooms 0 Second: 0 st Garage' 0 sf Front 0 Smoke Dwelling Units: 0 Third 0 st Right 0 Detectors Total 0 sf Value: 53,500.00 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 SrvclFeeders Branch Circuits_ 1000 sf or less: 0 0-200 amp 0 0-200 amp 0 W/Svc or Fdr 0 Ea addi 500 sf 0 201-400 amp 0 201-400 amp 0 W/0 Svc/Fdr 0 Mfd Home/Feeder/Svc 0 401-600 amp 0 401-600 amp 0 601-1000 amp 0 601-tamp-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: 0 Owner: Contractor: RYZNER,FRANCIS V TRUSTEE S&S RUSSELL CONSTRUCTION LLC Required Items and Reports{Conditions) 12345 SW KATHERINE 15633 SE LARK AVE TIGARD.OR 97223 MILWAUKIE,OR 97267 PHONE PHONE 971-275-4727 FAX Total Fees: $339.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTEN _Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 0 through OAR 952- 01-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1 B00 332 2344 (� Issued �iL Perm ittee Signature:,r�� �/ �i'l'td.,2 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Ti and Received `J Date/By: ;. Permit No a Al* • 7 • 13125 SW Hell Blvd.,Tigazd,OR 97223 Plan Review II Phone: 503.718.2439 Fax: SOCi_548.19 Other Permit: Date/By: T I G A R D Inspection Line: 503.639.4175 06, Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov 6 2 1 Notified/Method: Supplemental Information TYPE OF WORK ' . -^it e,ku COMMERCIAL FEE' SCHEDULE — USE CHECKLIST Mechanical permit fees°are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. . Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family El Master builder ❑Other: Description I Qty. I Ea. ] Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1;23 Li r S c3 //....etl 17)ev,IAA- S7; _Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJatpt.no.: Project name: g y 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 . 3339 Flue vent for water heater or gas /La d1rv[ 6Q 7 rireN 'fr..&N a/WI G[rflT�v 5 fireplace 23.32 J Log lighter(gas) 23.32 GtritU" CAt►A.4*0- 7C Yi""t �= S7 d.C]I'4—c 37 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Cci -k1.1 4 Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 1 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) I 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other:,r 23.32 Business name: Y� d 1!'uL_J_��/ Fuel piping: �`� 1 514.15 for first four;S4.03 for each additional Contact name: Je,,0 ,5 1 Furnace,etc. + Gas heat pump 13---C Address: � �3'2 J $6 (a/ k Wall/suspended/unit heater City/State/ZIP: hi.I Q r 5 7 26 I Water heater , Phone:(n( ) 275 _LI o) Fax::( ) Fireplace • �.,�� Range E-mail: Stein /) 5}gl., sc`L,f,13 tAL paJ . Cokik Barbecue . CONTRACTOR Clothes dryer(gas) _ f� �— / Other: Business name: 5� .S {�(A..5 ham! sf• MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) 9.G•4'° Plan review(25%of permit fee) --f Phone:( ) Fax:( ) State surcharge(12%of permit fee) 40 �C-) CCB lic.: / S-s—C ■ TOTAL PERMIT FEE /06.90 This permit application expires if a permit is not obtained within 1$0 i►/ days after it has been accepted as complete. Authorized signature: i -1� ;r 1 0 • Fee methodology set by Tri-County Building Industry Service Board Print name: Seo it-c Date: I 1Buitding'P ennits\MIEC_PermitApp_040113.doe 440-4617T(11/021COM W Ell) CITY OF TIGARD MASTER PERMIT II It COMMUNITY DEVELOPMENT Permit#: MST2013 00237 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2013 Parcel: 2S103BB04800 Jurisdiction: Tigard Site address: 12345 SW KATHERINE ST Subdivision: BROOKWAY Lot: 48 Project: Ryzner Project Description: Laundry room framing of unfinished basement. 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: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $3,500.00 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 0 Tubs/Showers: 0 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: 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 SrvciFeeders 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: 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&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin N Other: N Other Description: Ecom p 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: 0 Owner: Contractor: RYZNER,FRANCIS V TRUSTEE S&S RUSSELL CONSTRUCTION LLC Required Items and Reports(Conditions) 12345 SW KATHERINE 15633 SE LARK AVE TIGARD,OR 97223 MILWAUKIE,OR 97267 I PHONE: PHONE: 971-275-4727 FAX: Total Fees: $239.13 This perm' ' ' ued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be d• e in accorda ,- 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 d- . ATTENTION: Or-!o - requires you to follow the rules adopted by the Oregon Utility Notification •=nter. Those rules are set forth in O;R • 2-001-0010 through OA;'f.52-0A:1;1-4:•'. You may obtain a copy of the rules or direct questions to OUNC by calling 503 23' 987 or 1.800 332.23• . / /. ,r, 4 A , I Issued By: - Permittee Signature: __/� I l� Call 503.639.4176 by 7:00 a.m,for the next available inspec.o- ■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. 1 Building Permit Application ��1 � Residential �IC V FOR OFFICE USE ONLY . City of Tigard 2013 Date/Be: / j j Permit No.: . it)/ _. , IN - a ° 13125 SW Hall Blvd.,Tigard,OR 97214M 1 2 Plan Review 1M C Phone: 503.718.2439 Fax: 503.598.1960 Date/B : i ,'MEM. Other Permit: 1'I G A R D Inspection Line: 503.639.4175 TVG ARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 1TV 0- os Notified/Method: /iPeb 3 ,- �-6 Supplemental Information UMLD1�lG°iV1S1 ,*1,-.11./v) -foe Stuve-ciAJ TYPE O WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all tg_Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 01' Valuation: $ 5-Do ;and 2-family dwelling ❑Commercial/industrial ❑Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND,LOCATION Total number of floors: Job site address: / I�5 kf, �1.w2� New dwelling area: square feet City/State/ZIP: ' ) P,"' i() r2 g7aa J7 Garage/carport area: square feet Suite/bldg./apt.no.: ` -Project name: Q../ ,r Covered porch area square feet Cross street/directions to job site: n Deck area: square feet SO1g) S'r L Other structure area: 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 DESCRIPTION OF WORK work indicated on this application. Q4)` f (� cad_ Valuation: $ I` CxJ Existing building area square feet i I New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: .. Name: Type of construction: tJ AxAddress: Occupancy groups: City/State/ZIP: Existing: Ni Phone:( ) Fax:( ) New: APPLICANT 14 CONTACT PERSON BUILDING PERMIT FEES* � r (Please refer.to fee schedule) "'S Business name: S°� S SS J C�,11 S:b'(uC -t C�1/� p Structural plan review fee(or deposit): `tom Contact name:. O� 'ij5 5 C� _ _ — — — ;Y /, _ FLS plan review fee(if applicable): V Address: /5(U�-3 �S t---,- ,( / Total fees due upon application: City/State/ZIP:M � l 4R g�Q2(e.7 Phone:(9'7/) 0275_ 7 a 7 Fax: :( L) Amount received: E-mail:5)'a,r-Y CO_ K USSP//ae-nsA UG�/ on . ( /�/f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business nam \�ci- 1�Y1 c r�f.[�Uf 7�7� Submit two(2)sets of roof plan with connection details »> C _ Let(-16- 'n . and fire department access,along with the 2010 Oregon Address: 15 2 3,3 5 0 /�{�U-'e, Solar Installation Specialty Code checklist. i City/State/ZIP: mat, ) OR q7,-,)( 7 P Permit Fee(includes plan review $180.00 1 and administrative fees): Phone:(617/ ) a)5—1.-t-7 a 7 Fax:( ) State surcharge(12%of permit fee): $21.60 1 CCB lic.: 17s 9 (.t2 1 l(e l/ Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained alit within 180 days after it has been accepted as complete. am � z) Date: /l/ *Fee methodology set after it has been Building Industry Print n e: US 5�°G� / /OZ//� Service Board 1:\BuildingWermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY IN City of Tigard Received Date/By: Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 0 Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical ❑ Plumbing ❑ Mechanical I r . K t� 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov ❑ Other: • THE FOLLOWING ITEMS ARE REQUIREI).FOR PLAN REVIEW Yes No •/A , I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 1 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ l 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 ❑ El t 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 I 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 schcmatic 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 applicable 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". ❑ ❑ ❑ 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 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 12345 SW KATHERINE ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-03-14 00:00:00 MST2013-00237 PASS Violation Summary: Inspector Contractor 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. I:1Building\Pcnnits\MEC_PennilApp 0401I3.doc 2