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Permit CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2014-00009 T r G A R I1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2014 Parcel: 2S114BC04800 Jurisdiction: Tigard Site address: 10417 SW BONANZA WAY Subdivision: RIVERVIEW ESTATES NO.2 Lot: 85 Project: AHLBRECHT Project Description: 122 sq. ft.family room addition. BUILDING Floor Areas Requ i red Setbacks Required Stories: 0 Bedrooms: 0 First: 122 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors Yes Total: 122 sf Value: $14,810.42 Rear 15 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 Fum<100K: 0 Vents: 0 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: 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 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-3 122 Owner: Contractor: AHLBRECHT,ANTONY G&CHRISTINE PETERS BROTHERS INC Required Items and Reports(Conditions) 16685 SW 108TH AVE 2535 12TH AVE TIGARD,OR 97224 FOREST GROVE,OR 97116 PHONE: PHONE: 971-219-5624 FAX: Total Fees: $698.50 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 issuanc- or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio a er. hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain= -•• • - • or direct questions to OUNC by calling 5'..23 •87 o .800.332.2344/ Issued By: - - Permittee Signature: (-Can . : •. 175 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. Building Permit Application Residential �1�j� I (►It ()I I I( I I .,I. O\I.1 City of Tigard (�� y Da eked 2 .}. Permit No.: u 1 • _ 00 :� " 13125 SW Hall Blvd.,Tigard, '�Z33 Plan Review �! Phone: 503.718.2439 Fax: 5 598.1960 t1 L(14 Date/By: eti44 A„10- Other Permit: l l c;A it l� Inspection Line: 503.639.4175 w\ .7 1• Date Ready/By: kris El See Page 2 for Internet: www.tigard-or.gov p. ^ N fied/Method: pie / -7-y& Supplemental Information ‘v��� /0.4 TYPE OF C �� REQUIRED DATA:1-AND 2-FAMILY DWELLING El New construction t14(1‘' o ition Permit fees*are based on the value of the work performed. `��'" Indicate the value(rotnded 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. Valuation: $ ad uc�J X1-and 2-family dwelling El Commercial/industrial 1 El Accessory building CI Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:/Q c//7 fez) ea;y,¢,UZ,1 4.0A V New dwelling area: square feet,'Z Z City/State/ZIP:�2,AIz.0 , ,i?, 9 7 02 Garage/carport area: square fe Suite/bldg./apt.no.: Project name:,l//ee:T c .c/7 Covered porch area square feeter6 Cross street/directions to job site: Deck area: square feet Other structure area: square feet 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(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. /Q�ie7l'Tj4,1"/ T O F,fJ"'.2 V /Z el 0,4.7 Valuation: $ Existing building area square feet New building area: square feet 'PROPERTY OWNER I ❑ TENANT Number of stories: Name:7'0.,.//C., Aj/za/?,L e 4/7- Type of construction: Address:/O 7//7 ..5-6.4) i36,y,,,i02,9 l[).4 / Occupancy groups: City/State/ZIP: T1-�j A,. a.? y 2 2 Z P Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee sckedale Business name: Structural plan review fee(or deposit) Contact name: FLS plan review fee(if applicable): Address: p� City/State/ZIP: Total fees due upon application: Is 33 C) .8g Phone:( ) per: :( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: /�TC�f ,8je f ,—c- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 0J-3_3-- 7z t4 4 AeiE Solar Installation Specialty Code checklist. _ Permit Fee(includes planreview City/State/ZIP:/ f e4- 7- ,.7,0?U,- Di2 97//G and administrative fees): $180.00 Phone:( /) Zi9 - J z Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 9 6 �3 hi// Total fee due upon appication: $201.60 Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name E ��1 Date/- z j -/' *Fee methodology set by Tri County Building Industry Service Board. I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit N 711 i NI 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: • Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T 1 G A R U 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW es No N/A I 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 canying 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 0 ❑ ❑ 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. .Il RISI)I('i'IONAL 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"buildingplans 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) Electrical Permit Application � FOR OFFICE USE O NL1 City of Tigard 6 Received �Date/By: / //4/ 977- Permit No.: 1,1 _" s 744,..,/y-Clio U If 13125 SW Hall Blvd.,Tigard,OR Plan Review Phone: 503.718.2439 Fax: 503. 98.1960 3'�Q�� Date/ Other Permit: `` q Y TlGARD Inspection Line: 503.639. 75 ,\N\V ' DateReadyBy: luris: VI See Page 2for Internet: www.tigard-or.gov ��r�� Notified/Method: �(9 Supplemental Information TYPE OF WOB cS.U �`1�15 0 PLAN REVIEW p�F Please check all that apply(submit 2 sets of plans w/items checked below): ❑New construction ,�Addition/alterat�ift(�c ent ❑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 ,g1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","l-2","I-3", Job no.: Job site address:/Q y� _s-e,../ i&>t',iia'z q Six or or more. occupancy. �^'�7 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: 7,�"`�„Z� Die f?7 z Z!” ❑Health-care locations. ❑Supply volts voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ,9h/e J,'z c,'1'7 ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total L_= 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'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited ener ' gy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family Aa TAU. ?"---e) A/9 1 e V ,zDO� residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation OPROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: d/V y , / 3/21C,4'T 401 amps to 600 amps 200.34 2 Address:f�,,pi4: AP,J /406 4)6: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 1 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 l 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 1 ❑ 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 l 56.18 2 branch circuit Address: Each add'l branch circuit j 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 Business name:�G jzj,r'� � �Fe �e Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 5/61 le JJI,v C.LA P 5-M p W Abu- ?`D Each additional inspection over allowable in any of the above City/State/ZIP: p 6,--4,014), Additional inspection(1 hr min) 66.25/hr I�� ,.s, 3� / 7/�c Investigation(1 hr min) 66.25/hr Phone: p3) /..fiQ _ zy/ Fax.(11111 Mb/` Industrial plant(1 hr min) 78.18/hr / �. tYO Inspections for which no fee is 90.00/hr CCB Lie.:690 g qla ,Electrical Lic.:a4-as6C, Suprv.Lic.: t 55$6 specifically listed(%,hr min) Ot� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:1:7-.0-7 "V �A/� Date:/-03/(� Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. 1 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 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 ❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 El 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(V2 hr min) COMMERCIAL WORK ONLY: 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 ❑ Audio and Stereo Systems days after it has been accepted as complete. Number of inspections allowed per permit. ❑ Boiler Controls El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 Building Permit Number: /V57--ply- obdv y lig I Building Permit Review Residential Projects FIGIRD Site Address: /0y/ 7 .Sc.J RoNcw 2a y ❑Verify site address is valid. Project Name & Lot #: 4AL6kEcI/T Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995) Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Site Plan Elements: ❑Site plan must be on 8-1/2"x 11"or 11"x 17"paper ❑Three(3)copies of site plan ❑Drawn to scale(standard architect or engineer scale) ❑North arrow ❑Map and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished name,lot number,and zoning floor elevations ❑Applicant information(name and phone number) ❑Lot and building setback dimensions ❑Property corner elevations(2 foot contour lines if more than ❑Lot area,building coverage area,percentage of coverage and 4 foot differential) impervious area. ❑Utility locations ❑Location of wells/septic systems. ❑Existing structures on site ❑Surface drainage ❑Street names ❑Street tree size,type and location ❑Erosion control(including drainage-way protection,silt fence ❑Existing trees to be retained with drip line,and tree design,location of catch basin,etc.) protection measures Planning Review ❑ Land Use Case Number: D N n ❑ Zoning: ".i ]/ ❑ Setbacks: • Front /5 Rear /' Side , Street Side /'/ Garage ❑ Landscape Requirement: ❑ Lot Coverage Maximum: % ,( // ❑ ding Height: Maximum Height 3v Actual Height//./isual Clearance iments itive Lands: ❑ Yes Type an Forestry Plan onditions S atisfied Approved by: Date: Notes: Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ I:\Building\Forms\BIdgPermitRvw_RES_123013.docx I _ Building Permit Submittal Original Plan Submittal: Date: /4,23/,./ By: ,a).- .&./ Site Plans: # Building Plans: # 3 Create Case Record#: Enter case#above for Building Permit I∎ mber. Workflow Routing: R i, g [engineering [ Permtt Coordinator ding Workflow Sign-off: Sign-off for Planning staff,including notes from planning review(page 1) Route Application Documents: C ngineering: (1) copy of permit application, (1) site plan, (1) building plan and (2figMal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: &Afede,./ Date: //33/0y a141-e4 Ilan/i1 Notes: Engineering Review—reviewed by: L� .. Actual Slope: /;; ❑ Conditions Satisfied Notes: Approved by: Date: / .28. i Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Permit Coordinator Review nditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to App•n � Okay to Issue Permit- jiir Date: l i l:\Building\Forms\BldgPermitRvw_RES_123013.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10417 SW BONANZA WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2014-00009 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10417 SW BONANZA WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00009 George Heimos Violation Summary: Inspector Contractor