Permit CITY
U OF TIGARD M ASTER M
a COMMNITY DEVELOPMENT Permit#: MST2013-00PER242 IT
Date Issued: 01/21/2014
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718 2439 Parcel: 1S136AA07900
Jurisdiction: Tigard
Site address: 7050 SW LOCUST ST
Subdivision: VENTURA ESTATES Lot: 1
Project: Ventura Estates
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required_
Stories 2 Bedrooms 3 First 769 st Basement: 0 sf Lett 5 Parking Spaces 0
Height 23 Bathrooms 3 Second: 1094 sf Garage: 477 sf Front 20 Smoke
Dwelling Units. 1 Third 0 sf Right. 5 Detectors Yes
Total 1863 sf Value, $219.596 94 Rear 15
PLUMBING
Sinks 1 Water Closets 3 Washing Mach. 1 Laundry Trays 1 Rain Drain 1 Urinals 0
Lavatories 5 Dishwashers 1 Floor Drains: 0 Sewer Lines 100 SF Rain Storm Sewer 100
Drams 0
Tubs/Showers. 2 Garbage Disp: 1 Water Heaters. 1 Water Lines 100 Catch Basins 0
Bckflw Prevntr 0
Footing Drain 0 Ice Maker: 1 Hose Bib 2 Backwater Value 1
Other Fixtures. 0
Drywell-Trench Drain: 0
Other Fixture Units
MECHANICAL
Fuel Types Air Conditioning N Vent Fans 5 Clothes Dryers 1
Natural Gas Heat Pump N Hoods 1 Other Units 0
Furn<100K 1 Vents 0 Woodstoves 0 Gas Outlets 4
Furn>=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 add'I 500 sf 3 201-400 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 Secunty 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 SF 'B R-3
Owner: Contractor:
DANIEL MACNAUGHTON INC DANIEL MACNAUGHTON INC Required Items and Reports(Conditions)
3802 SW MARTINS LN 3802 SW MARTINS LN
PORTLAND.OR 97239 PORTLAND.OR 97239
PHONE 503-318-3470 PHONE- 503-318-3470
FAX. 503-477-4715
Total Fees: $19.228.65
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 AT ' 4 Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 *010 through••- 952-0*1-0090./You may obtain a�copy of the rules or direct questions to OUNC by calling 503 23/j 8800 332 2344
/t Issued = : I C. �- 1t Permittee Signature: 1NN U
_ Call 503.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until comple ion of the project.
Approved plans are required on the job site at the time of each inspection. -.
Building Permit ApplicatiolRECEIVED
Residential I OR OI I It 11 .I ()\1 \
Cl of Tigard NOV 2 6 2013 Date/Bea Permit No.. MST V3- �(t/2
13125 SW Hall Blvd.,Tigard,OR 9 Date/B : ./
8 Plan Review �iw
R Phone: 503.718.2439 Fax 503.5 OF TIGARD D�dB : �9 Other Permit: /3 ��
t�c 1,R l> Inspection Line: 503.639.4175
BUILDING DIVISION Notified/Method:: ��/�I/3 tuni Supplemental leforoatiM
Internet: www.tigard-or.gov
lit•li.r+- n4 J
TYPE OF WORK 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.
X 1-and 2-family dwelling ❑Commercial/industrial Valuation: S 2(1I
�`
Number of bedrooms:
❑Accessory building ❑Multi-family :;
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: 7406-40 5 U) ..? �+1,, i_fj,u.af New dwelling area: (gG-3 square feet
City/State/ZIP: 1'1,5(( t�t q 7 Z-Z� Garage/carport area: G('') square feet
A.
Suite/bldg./apt.no.:�� �� 1 Project name: Covered porch area: (iv, square feet 101A-
,./
Cross street/directions to job site: S (,L) 70 'C S /_c_ Deck area: square feet 767
Other structure area: 2-3 No square feet 23
1/ 1 1- REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: t/,e/k 1�'(A Ku £51--1=13 I Lot no.: I Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the newest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
'/�
DESCRIPTION OF WORK work indicated on this application.
Y l e_tw _s t to Q�{ t, L.c'...i l 1,2/- r ri+-,.%--C Valuation: S
l Existing building area: square feet
New building area: square feet
g PROPERTY OWNER I ❑ TENANT Number of stories:
Name: -V put t e.I (/��4( V. C/L._( mac_ Type of construction:
Address: 3 e()? S W UV%G�- r%,-5 LLl Occupancy groups:
City/State/ZIP: -Cow F d\Z g 7 4 Z 3 Existing:
Phone:( U3) 3(v - 3,-1 70 Fax:LO-1) 447 7 - q7I S New:
%APPLICANT A CONTACT PERSON BUILDING PERMIT FEES*
Business name: 0 �.1,t.e"— (Pkaserelettofeeschedrle)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZI P: fY � ,CY'
Phone:( ) I Fax::( ) )
Amount received: 1-0.
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: (3L..L1L4 t l Submit two(2)sets of roof plan with connection details
and fire departm t access,along with the 2010 Oregon
Address: Solar installation •. laity Code checklist
Permit Fee(inclu,;- .lan review
City/State2lP: and adminis : '. $180.00
Phone:( ) 1 Fax:( ) State surch:, :- -i1' . + -permit fee): 521.60
CCB lie.: L1 5Z. 'U
Total fee due upon application: S201.60
Authorized signat)mre I //�_ This permit application expires if a permit is not obtained
�" '^- within ISO days after it has beta accepted as complete.
Plumbing Permit Applicatioi ECEIVED
Building Fixtures
City of Tigard NOV 2 6 2013 Received Permit No.:
74
13125 SW Hall Blvd.,Tigard, 97223 Date/By. // A& (Q "' J rdU,,56)
Q Phone: 503.718.2439 Fax: 503.598Q�y OF TIGARD Date/By.Review Other Permit No.:bk- j 5
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReeadyn3y: lulls 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. [ Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility correction)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32
❑Accessory building ❑Multi-family -
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.R) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: Catch basin or area drain 18.76
CitylState21P: Drywell,leach line,or trench drain 18.76
1 l Footing drain(no.linear IL: ) Page 2
Suite/bldg./apt.no.: I Project name; to 1 v 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 f.:_) Page 2
Subdivision: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
'/� / Clothes washer 25.02
�"-t� cv ta -"L*�t- ��� 'W-s '` Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
O. PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: �l^Kt,� Vv U. -1114.A. ��^ ` „� Floor drain/floor cap 25.02
Address: f a ,A^ _ II Floor drain/floor siricRtub 25.02
\ 00Z. S wt � tA-S f.-.tti. Garbage disposal 25.02
City/State/ZIP: 2o,� e)Z- 17 Z3? ` Hose bib 25.02
Phone:(ji.J?j) - 3 170 Fax:(503 ) 4-177- K 7/.S Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:S ) 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: riiit"L w_ k,4',,,,t:,,._.„,.. Water piping/DWV 56.29
Address: Other: 25.02
City/State/Z1P: Subtotal
Phone:( ) Fax:( )
Minimum permit fee: $72.50
CCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: VA,,, TOTAL PERMIT FEE
Print name: Date: This permit application expires if permit is not obtained within 180 days
after N has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I.1Building`Permits'Pt.MI!-PermitApp doc 10/01;09 440-46 16T(I0/02JCOM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Squaj a 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&Ram 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
(Inanely by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacttrsi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive film - as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3" Isometric or Riser Diagram
-4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food That meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service - *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
WaterCloset-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:1Building\Permits\PLMF PermitApp.doc 08/04/2011 2
Mechanical Permit Apnlicat Q FOR OFFICE USE ONLY
litii..1 VED Received
City of Tigard Date�By: Ii/ Permit 1Qo.: /SST. '/ —C�
III
13125 SW Hall Blvd.,Tigard,OR 97223
■ Phone: 503.718.2439 Fax: 503'598. Plan Review
'19�?V 2 6 2013 Date/By: Outer Permit: =Q 3 „_
TI G A R D Inspection Line: 500.639.4175 Dale Ready/By: kris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TtrPEItk(, DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of die 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 El Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 70cC) Z..-,9L K f' _S\- Furnace 100,000 BTU(duets/vents) _ k 46.75 _
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
f) ` Duct pump 23.32 Suite/bldg./apt.no.: Project name: U-!� "K°`�. 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
0L-Cu3 Si y k u,s,,..., l`.i Lv...L fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
[3 PPRIIIIOPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: -11A4^,,;a V v L btkL 14 �--- fir,,` Range hood/other kitchen
Address: �J 0 z SWG� Clothes dryer 33.39
,vim Clothes dryer exhau , 1 33.39
City/State/ZIP: 0 jy�I— 0 4� 17 Sal Single-duct exhaust(bathrooms,toilet compartments,utility rooms) 23.32
Phone:t7t>? ) 3 e g - 3 9 76 Fax:(t03 ) 1{7 7— LI 1 1 3 Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc. i
Address: Gas heat pump
WalUsuspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace ,
' Range
E-mail:
Barbecue
J
CONTRACTOR Clothes dryer(gas)
Business name: - d V t�� ..k � Other:
V-
MECHANICAL PERMIT FEES*
Address: f et Ce l 5-Li O((t Lr]s i21, Subtotal
City/State/ZIP: A4a1 p NT ,il 91 1 Minimum permit fee($90.00)
Phone:[ _ J i Fua/x~: l Plan review(25%of permit fee)
( ) State surcharge(12%ofpermit fee)
CCB lie.: 105'1)1 TOTAL PERMIT FEE
This permit application expires if•permit is not obtained within 180
1 'A/ ' ,{ ' /�� days after it has been accepted as complete.
Authorized signature, - W�.�-- 1-w • Fee methodology set by Tri-County Building Industry Service Board
Print name: I Date:
t 1BuildingTermilAMEC_PamitApp_040113.dac 440-4617r(I trovtOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1 BuildinglPermits\MEC_PermitApp_040113.doc 2
white Lightning Electric 15037724008 p.1
Electrical Permit Application FOR OFFILE USE ONLY
City of Tigard ;`. . . _ . ' n `ii•• /1 2'4 11 :17 Par u: >%c `/5‘4";25 -
y i3135S03.71 Hall Bled.T9;�t: PfauRtv,c»
? ' Phone: 503.715 2.739 303.598-196G� Damps Usher Porn r.ectten Line. 503.6i2 _ . • y - ...•.- Date Rcady,D': taIi to See Page:fan
71G��::L? ties mete wirodi^_ard-or.bos- `oui:ellrKkod Snpplemesallnformatioa
TYPE OF WORICi3 `- �rj' i i6.1:ii11 PLAN REVIEW
e ale cluck all that app!)(subaui.stn of plus adilans c`oxked below-):
❑New construction ❑Atidlt:on/a1t�r.Ititiltlteli!sclmrnl;�• 1...'t 1:�`
ice ur feeder•IC9 amps at time ❑parlJme aver duce sterics.
❑Ike olitton ❑Other: �,��� allure etc avaihbk fault Arent ❑Manua rand buoryards
CATEGORY OF COttSTRUCI'IOY R J exceed;10,000 amps at I58 vo,ls Cl ❑floating Lodding-s.
lest lo geoun■L or exceeds 1.1,000 ❑Ca anereial•sse apiadkaa.
❑ I-and 2-t'a:nily dwelling 0 CoatrnerciaL/industrial ❑Accessory building I AIA 311113 for alt odrer u,ttatl.aions. tuilJens.
❑1rlclli-faintly ❑NIasierb:Iildcr ❑Other. `I % 1 2 1 OFtreportp. (]IlntYlaecnofl'OI:VAor
JOB SITE INFORMATION AND LOCATION
N�v ❑ +t:getter*ISM IrPer separately den of»srer�
�, rvll� ww of:sew motor 1m4 of ❑"A'-"F'•,-t:" `I-3',
�ytfw '. (�artnore. cccur.urry.
Job no.: I lab si:e address ' S' ' ...%_ uF V •� �
_ i 1)� ' ;WC usiccniial ails ID Iteer=ltorol vehicle parks.
Cil�'!Slalel"LIP: I /77 ,'t11L 1 iimit,•earebcit,ties. ❑Supply voltage for mom than
t��t'�` 'i 4 / •� BL 1 I lantSwS teeatiaws. 600 wits naoisal.
Suik/b!dgJapt.no.: Project muse: .;.' 1 - -1,--1..t :` , ❑Service or feeder 6e0 amps cr Inure• FEE SCIIEnt t.E
Cross streeHdir etions to job site: newrivi.i. I Q,. 1 Fre, 1 Tow I -
New residential single•nr multi-family Dwelling unit.
Includes numbed garage.
Subdivision: {Lot no.: 1,0!:0 sq tt.Cr lad 7 163.54 4
la.add'l 500 sq.k or portion f 33.92
Tax maplpiercel re.: ,
Limited energy.raidential
{ DESCRIPTION OF WORK hwith above so.0.8 ( 75 00 -
`� t.uniz i etch:+•.multi-family 75.60 -
r., .:21'rL tcsidcntial(with above sq It)
l t✓ -���`" _ 1 Rcnes able Encrtty ❑See Paso 2
Services or feeders installation.alteration.and/or relocation
I) PROPERTY OWNER I ❑ TENANT ?GO ar:Irs Cr less I i, 100 70 I 1 2
1 2C:amps to 400 amps I 133.56 I 12
`atom. _��t-l I, �J,_ L�. C.�`��j=r �. 46'1 amps to 600amps 200.34 i -
Address: i • 601 amps to 1.600 lisps 1 30:.04 . 2
Over 1.000 amps or volts 552.26 1 2
city/Stator/JP: _ _ 'Temporary services or feeders instnilstlun,alteration.and/or
ti ' relocation
Phone:1,40i-s. ) J ,; :� -- •L1 7�) j Iras:( ) i :CO
amps or less 1 5916 I I 1
Owner installation:This installation is being made on property that 1 own hielt is not 20I amps to IOO amps j 125 08 , '
Intended tar sale.lease.rent.oreschatlae.according to ORS 4.7.449.670.and 71)I. J41 amps to SS9amps 1111 168 54 ' 2
Owner si ma;are: Date: Branch circuits-new.alteration.or extension. panel
❑ APPLICANT [ 13 CONTACT PERSON ' A Foe for branch eimin doh
above service or(miler tee. 7 j:1
Business norm: each branch circuit
-
D Fee fa,branch eta-uits w„throe;
Contact name: service or feeder fee.first 1 56.18 i 2 j
branch circuit
Address: Each add')!ranch circuit 7.42 I 2 1
City/State/11P:1S1a(J/.IP: 6Gscdlancous(service or feeder nut included)
ty Each manufactured or modular
1 67.8.1
Phone:( ) , hsc::( dtteIling,service andior feeder
Keconr.ect only i 67 84 1 2
E-mail: 1
Pump or irrigation circle • 67.84 2
CON-t-RACTOR Sign or eurlae Ii1It lg 67 84 I 2
13usincss ram:: Sigral cirwu(s)orlmitedrrergy - See
Wit; ' panes.al;era;iort.ar extension I 1 Paget 1 2
Address: r/S u .0 tip A-;/ :, Each additional inspection erer allimahie is any of time above
7 ? ✓,, Aedlnonol uupeCion(I hr mm) I 66 251 hr I
City!5tate/ZIP: ---p p
-J L A-4:71 / _ q 7,2-6'k, Investigation(1 it min) ( 66_5/hr ''
Phone:(5-j-3 l 7 .3 (o Fax:5--lip,) 7`7 Z - �n India-trial plant(I hr mutt I 78 181 nr
•
ins s.tuuns for which no fee is 90 001 Iv 1
CCl3 Lie.: /5 i 6,7 Electrical Lie.:3'r. /7_e_,Suprv.Lic.: 5`y75 S- specilcatly idtud(F hr min) 1
E LECTRICAI. PERMIT FEES
Suprv.Elceiricias Mare,required: �� 1014 S,tyotak:
Print name: IG ,p 1�se.”r 4 Date: G '7-/3 Plan review(25 of permit fee):
( °, Statesurchanx(12%of permit fee)
Authorized signature:. '/i .' 'f 1:f :I. TOTAL PERMIT FEE:
rryy I his permit applicoaoa*vim if a permit rr 1101 damaged iamb..Ise
Print name:: f - I Dote: days after it has here accepted as template.
• N:umber of ins-Actions albu e J per l:moan
I'0r.rd.eg'Pnm,n1lC PeseatApp_ELR_Elldoe Res 6'.:Irrit1 ato--16151i 1 ix:wonbh'Idl
lig ■
" Building Division
Development Code Provision Review
`'A k D Residential Projects
Building Permit No.: H ' TaO 13 —00 a�a
Project/Subdivision Name: \J F,iTuen- E5n47TS , Lot #:
Site Address: 70 5`1) AA..) LOCu-5-t-
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No A.
Plans Routed:
Original Plan Submittal Date: 11/4/ 3 Routed By(--- h
1st Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd 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 (V) items are approved. Items not approved and those listed in the notes must be
revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review(contact AT'S 4\1\ilc Z. at(503) 718-1-y21 or itr e k @tigard-
or.gov)
Land Use Case No..5UB 1946- 000 1 4
Zoning V14-5 CPP0)
❑ Setbacks: 1 1 1
Front 20 Rear tJ Side Street Side 1 G ar?ge
EliMaximum Building Height. 39 Actual Building Height 2 2
00lisual Clearance
SKE asements
a Sensitive Lands Type: 110ne.
❑ Street Trees
eff Protected Trees
k-c—I-1-1"..v".Notes: A ' 8 IP 1 ' _. I . + ' .tom 0 A /MA °L IS av)RA . �Sl�7
.YIWv�Y , J*1.1 i ►.1.LI' ' . 4 • O«. 1tCJ • ' us...? lts W,
Original Plan: Approved ❑ Not Approved IR( Date: 1112413
Revision 1: Approved Not Approved ❑ Date: I 2- - 5--(3 _
Revision 2: Approved 0 Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I:\CURPLN\Masters\Development Code Provision Revues\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov)
❑ Actual Slope: %
Notes: 6>+co,tJ o? S-cutiee, 14. STS
Original Plan: Approved ❑ Not Approved pr Date: /Z -2-
Revision 1: Approved pc Not Approved ❑ Date: /2 -C/ -/ 3
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:
3
�V/4/
Page 2 of 2
I\CURPIN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
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
7050 SW LOCUST ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
July 8, 2014 at 11:47:07 AM
MST2013-00242
Jeff Grove
Violation Summary:
Inspector Contractor