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Permit CITY OF TIGARD MASTER PERMIT r COMMUNITY DEVELOPMENT Permit#: MST2014-00116 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014 Parcel: 2S 104BC06200 Jurisdiction: TIGARD Site address: 14230 SW LUKAR CT Subdivision: LUKAR RIDGE Lot: 4 Project: Lukar Ridge, Lot 3 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 1291 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1526 sf Garage: 574 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2817 sf Value: $340,104.33 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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: 5 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: 5 201-400 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2817 Owner: Contractor: JOE&KRISSY HIRES WILSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions) 14230 SW LUKAR CT 14845 SW MURRAY SCHOLLS DR STE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 110-324 BEAVERTON,OR 97007 PHONE: PHONE: 503-320-2100 FAX: Total Fees: $22,193.40 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. ••se ules are set forth in OAR 952-001-001 ugh 0•- 952-r r 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: or .�� 44 1 / , y Issued y: t� /1, / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection r d te. This permit card shall be kept in a conspicuous place on the job site until completion of the proje Approved plans are required on the job site at the time of each inspection. L Building Permit Application Residential FOR OFFICE l SE ONLY Received City of Tigard ig Permit No.:it - ,l/ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7 1 �T a� W(J Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1�f • Other Permit: 6/.04.ac/y-�'L' T I c;A R D Inspection Line: 503.639.4175 Date Ready/By: �//� S. brie: 63 See Page 2 for Internet: www.tigard-or.gov Notif"ie�d/Method: �� �. Supplemental Information id/S.7Z-77‘ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ew construction ❑Demolition Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. f ��i'It 1-and 2-family dwelling El Valuation::f(Commercial/industrial / � ID Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z._ Job site address: /y-,2 3 0 S W L A r Ct New dwelling area: o f/1 square feet City/State/ZIP: r/6-4-1-0 ore-- '7 2—.1-3 Garage/carport area: S' 7 v. square feet Suite/bldg./apt.no.: Project name: Covered porch area 2.37 square feet (.512,G. Cross street/directions to job site: AS 4X51 D tti Deck area: square feet IZ4( Other structure area: . ?..-21! square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: LU_1(.a.r 12.1 6:9— Lot no.: 3 Permit fees'are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. i Q.u..) 0CASe_ Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ki.i \L.S t,�.(C R 47tn..1+('t.a.`�1.tie, LLB Structural plan review fee(or deposit): Contact name: 5-1-12,3 e 1\_LL-S r. . p L �l FLS plan review fee(if applicable): Address:I CriL� s'-'-) (ft (A s.o st* l IO-3 its • City/State/ZIP: „ r-{(j 4 q'7[5'7 Total fees due upon application: Phone:(1. ) 3�p-3.t.0 O Fax: :(S-p,1) (,14_7101 Amount received: �7'j�• E-mail: S-J�e C...W t L Lt r tt:atn.c(-•t;u di t . C. D I� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation o CONTRACTOR rook.. mounted Photo Voltaic Solar Panel Syste.•. Business name: i, J r-e_ Co w L-ki p N LLL Submit t •, 2)sets of roof plan with conne .. details / Ti� w rte. Its_ and fire dep. •nt access,along with • 010 Oregon Address: et s- j{• a. .. Solar Installation .• ialty Code --cklist. City/State/ZIP: ge a_V.a �.�1ti- ciQ-- Zpd -r Permit Fee(inclu. . .� review $180.00 and ad 1.• str.: a fees): Phone:(c1:›5 ) . ..C) • *OD Fax:O3 ) 64,4.-'7 I 1q State sure arge(12%of permit -• : $21.60 CCB lie.: ( �33 ctZ 1( ((4i • i.... Total fee due upon appication: $201.60 Authorized signature: ` /_ , This permit application expires if a permit is not obtained �� l`�y within 180 days after it has been accepted as complete. ���/ / *Fee methodology set by Tri-County Building Industry Print name: é. .��v f Date /-/b'i/y Service Board I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 7 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: L ` Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: WWW tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No N/. ' I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 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. cal 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- ❑ El ❑ 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 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 applicable to the ero'ect under review. , Jl!RISDI('•I'IO\.Al. SI'l;('II"I('S 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"buildingplans 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:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Pluinbina Permit Application„j c,I 'r, f.., Building Fixtures FOR OFFICE USE ONLY Received r7 / - City of Tigard Date/By: f e91 I(/ �A'J Pennit No.:l`-�17/ lY -C,C)///02 - 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review III Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit NoAdjajattLetZ769 T I G A RD Inspection Line: 503.639.4175 Date Ready/By: lulls: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE e w construction ❑Demolition For special information use checklist Description Qty. Ea. 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 -and m 2-family dwelling ❑Comercial/industrial SFR(2)bath 437.78 SFR(3)bath / 500.32 S-DO. 37.r ❑Accessory building ❑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: /64,2_30 3 L f Ll t •1-r Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: T(6,-A-r.t 02 q 72-3-3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: /4..g(-Q v�(t.,h Manholes 18.76 Rain drain connector / 18.76 8.74 Sanitary sewer(no.linear ft.:/w ) Page 2 bl•S"f Storm sewer(no.linear ft.: I e'') Page 2 `.)••5 9 G�6-� "✓ R e Water service(no.linear ft.:(r✓ ) Page 2 P •S� Subdivision: -45.Q I Lot no.: 3 Fixture or item: Tax map/parcel no.: Backflow preventer f 31.27 31.).7 DESCRIPTION OF WORK Backwater valve 1 12.51 /1-•SI N 12A.) it 6441 cc�2 Clothes washer 25.02 �".UZ Dishwasher I 25.02 ..)-5-.02- Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap ( 25.02 ).5:02-• Floor drain/floor sink/hub 25.02 Address: Garbage disposal ( 25.02 City/State/ZIP: Hose bib 1.L 25.02 >5.01- Phone:( ) Fax:( ) Ice maker I 12.51 (a•.S( APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 St�1.l f Medical gas(value:$ ) Page 2 Business name: (,J I"L !`.e Co t.Lc c t.. �.L C� Primer 12.51 Contact name: /f-e.„(1-e --1,{,4V11 Roof drain(commercial) 12.51 Address/qf S(J A.,64,r r A- Std s tR /a-51_44, Sink/basin/lavatory (j 25.02 I 0.f Z City/State/ZIP: 3eveykr.p (+D t.- m 1 740'7 Solar units(potable water) 62.54 Phone:p5 ) 3..-o--c .L©O Fax::(S255 )(.j>4-71 (' Tub/shower/shower pan 2 12.51 }5.O2.- E-mail: 9.e i e L-4-1 C.(<LC CQ GOvt5frac 'i otti. Lot^-- Urinal 25.02 CONTRACTOR Water closet 3 25.02 7,S'.o6.p ( '. Water heater 1 37.52 37.$•7,.. Business name: 1)&0,1.1_0_4 (� \ W Ull6 l Water piping/DWV ( 56.29 s-(,-yA Address: ''1 0(\ S t 're Li u G(� gt` Other: 25.02 City/State/ZIP: s ♦ ) 2 el 70' /a-3-I. Subtotal Miegia Phone:(�) S�2j f� Fax:( ) i4r-7 j Minimum permit fee. $72.50 CCB Lic.: i °t 6 pi0 / /if Plumbing Lic.no.: P � Plan review (25%of permit fee) Af � State surcharge(12%of permit fee) Authorized signature: �`��, &3 t/y��o 7�'/� TOTAL PERMIT FEE Print name: j.i "'�`��. Date7'7• �l This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) I 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-I'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer- 1st 100' l 62.54 (.l•i"f 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 - . Water Service-1st 100' 62.54 &A.,rf Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 6,1S-4 $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: 100" 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 Baptistry/Font ID Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool CI Car Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. CI 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: -Lay/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 Water Closet-Toilet - plumbing permit can be issued. Urinal Other Fixtures: 1 I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Mechanical Permit Application FOR 01 F ICE l SE 0\1.1 Received /A��"- City of Tigard Date/By: 7 a, �� Permit No.: ' [51 ./�€1Q / 14 • 13125 SW Hall Blvd.,Tigard,OR 97223 y' [[[ � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: /.4.), .t 14--e O ,y T it.-\R I, Inspection Line: 503.639.4175 Date Ready/By: Juris Internet: www.ti ard or. ov y y' Supplemental See Page 2 for g g Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ew 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 ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: /1-/•(:), I , / 0. Air conditioning / 46.75 _%k w / 30 Sk ) C.(�K k' �t - Furnace 100,000 BTU(ducts/vents) / _ 46.75 _ 't Z City/State/ZIP: ( 6 e- ..'r t1 0 2 17 7-.)- Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 _ Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: fgc R.i t..S re t..- 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: t. ,(r (24, b &.e Lot no.: 3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater / 23.32 A3.3-1- DESCRIPTION OF WORK Gas fireplace/insert / . 33.39 33.)h '• Flue vent for water heater or gas 1J 0,,,,..., K.ou-s__e fireplace 23.32 Log lighter(gas) _ 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen R� equipment / 33.39 3eI Address: Clothes dryer exhaust / 33.39 33•3ti City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 PPLICANT ❑ CONTACT PERSON Other: I 1 23.32 l� Z Lsl�l r-e Co S 1 r•LLL€ ( ate Li_- Fuel piping: Business name: L 514.15 for first four;54.03 for each additional Contact name: S^t-¢l-1„e A-L(-s v p Furnace,etc. / Address:1 4 f'LS' St,J IM..cc.rtr.A.15' ,p(, s 3i-'.i-. Gas heat pump Wall/suspended/unit heater City/Stated/ZIIP: ? 0,_,LS ...•r- ti PP- al-71,6 t `"7 ti Water heater Phone:( "� ) Jol-C, --�Le, v Fax: :( $3 ) lve,'T -1( ( Range lace / E-mail: s'�4Q-�. 0 , L6Lt. t•QGDI''1S*-LL�Q.` . Co Barbecue / U•°3 CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal 3s6 City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: / 3 3 c1-2.__- / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ��� �� �� days after it has been accepted as complete. • Authorized signature' / • Fee methodology set by Tri-County Building Industry Service Board Print name: 11rt/.e A-14' i1 Date: 7r/k1'/ I:\Building\Permits\MEC_PermitApp_040113.doc p 440-4617r(11/02/COM/WEB) I 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. $1 0,000.01 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:\Building\Permits\INEC_PermitApp_040I I3.doc 2 Eleetrical'Permit Applicati FOR OFFICE USE ON I 1 City of Tigard ) " y / . Received ex/ DateB 7 /S2 lig 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review -/ Phone: 503.718.2439 Fax: 503.598.19ti(1 Date/B : Related Permit#: �Y' Inspection Line: 503.639.4175 Ready Date/By: runs: ® See Page 2 for I I t' R D Internet: www.tigard-or.gov ;; Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 12 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. and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 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 / �,,(� ❑Addition of new motor load of system. Job#: Job site address:N 13 0 So.) Gt!,C( tt.Y• (if : 100HP or more. ❑"A","E","t-z","l-s", T y 6r- r a �� f 7 y).- ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 74%42 ti 6/0 IN _ FEE SCHEDULE Description I Qty. 1 Each 1 Total 1 " New residential single-or multi-family dwelling unit. Subdivision: L(,((GQt.r j21'eti-e Lot#: 3 Includes attached garage. 1,000 sq.ft.or less I t I 168.54 I/"r'S 1' 4 Tax map/parcel#: Ea.add'1 500 sq.ft.or portion 33.92 DESCRIPTION OF WORK Limited energy,residential ,V Q J �8�� (with above sq.ft.) / 75.00 7Spo 2 I Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less / 100.70 fix,70 2 Address: 201 amps to 400 amps ( 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less / 59.36 S4..4 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signaturre:// Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or ex_tension,per panel -- A.Fee for branch circuits with Business name: ( t.) 'L 6 LK z..e CoA t. oaf„ u_._C..— above service or feeder fee, •� 7.42 2 5'�'p-\tom A , ( Fee branch branch circuit �v Y Contact name: /'t�vJV e B.Fee for branch circuits without • Address: S service or feeder fee,first 1 1��-�C SC�w�S y� . 5 !(�j Z t branch circuit 56.18 2 City/State/ZIP: Qa LUiO O' 4 7 7 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(5—P3 ) 3a.0--.)-(O CJ F,ax: :(V3 ) (p)-4-7((q Each manufactured or modular 67.84 2 Email: l�{.Q.0� .. .L N,1 cr,ee-al..s i- I-< -f 0K- •GO k^- dwelling,service and/or feeder Reconnect only 67.84 2 •CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Cp14-1■■■ L'k j O",S .1/1pG le....- Sign or outline lighting 67.84 2 Address:`7 [5— r V f"}'t.O,.i,. A.o( , A,)a panel l alteration,or extens on. ❑ See Page 2 2 City/State/ZIP: S ��t.V. OD__ '7 3o f' Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(S'v3 ) .9 -iq 1 q Fax:( ) Investigation(1 hr min) , 66.25/hr l Industrial plant(I hr min) 78.18/hr 21c1-...ic.:ail:t",069c1_12Vc�e_E'1.� •L . GO - ,./n Inspections for which no fee is 90.00/hr (05-9y(4 Electrical Li .:4l.�a.((.ge— Suprv.Lic.: 3�%%S specifically listed(V2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,require Subtotal: 70g• )-3— ■Print name:M€t./l`I/` f—t�.Q l)i te:7/6"` ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signatur • TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print namee vp Date: tl(- days after it has been accepted as complete. ' Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 440-4615T(11/05/COM/WEB i Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5,01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over25 7.42 3 ❑ 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%2 hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 • 11111 City of Tigard • ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G Building Permit Review — Residential ARD Building Permit #: M e-sc ok)/4- 0.011 , Site Address: 1142_7jJ le,a2_ &E• Project Name: 1u V-602 RO Lot #: 3 (New dwelling=subdivis name;Addition or Alteration=last name of owner) Planning Review Proposal: New S R 0 Verify site address/suite #exists and active in permit system. Site Plan Elements: fhree (3)copies of site plan „2"Existing structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper .Footprint of new structure(including decks)with finished '9 awn to scale(standard architect or engineer scale) floor elevations XJNorth arrow tility locations(required for new,may apply for additions) .l Site address,project or subdivision name and lot number OLocation of wells/septic systems .eApplicant information(name and phone number) ,Erosion control(including drainage-way protection, silt fence ,12tfot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and treet names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location ❑Property corner elevations(2 foot contour lines if more thanxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes ,21" No Received: ❑ Yes ❑ No _12" Land Use Case#: aAe)20i9j-ccoo( ,2 Zoning: R--1 Setbacks: Front 15 Rear i5 Side 5 Street Side N1 A Garage 23 'Landscape Requirement: 20 Lot Coverage Maximum: so i X1 Building Height: Maximum Height S Actual Height t 2c,p Visual Clearance _ Easements Sensitive Lands: ❑ Yes ,'No Type .2 Urban Forestry Plan Conditions Met Notes: Approved By Planning: AVM Date: 1241ft-1 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\BldgPerm itRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: 74/ / Site Plans: # 3 Building Plans: # 3 Building Permit#: 12'Enter building permit#above. 11 Workflow Routing: }-Planning —b Engineering Qrmit Coordinator .lduilding Workflow Sign-off: ,,Sign-off for Planning(include notes from planning review) Route Application Documents: D'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and op.ginal plan review routing form. ( Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: • ,,, Date: 74/ /'11 Engineering Review Actual Slope: ba ❑ Conditions Met Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewe Date Revision 1: AI Approved ❑ Not Approved `Y-31 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met- Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 2g1201(to Issue Permit Approved by Permit Coordinator: //�G / Date: 3// / 1:\Building\Forms\B IdgPermitRvw_RES_042914.docx raw ; • a ...„-,e■ c,,,,,Ilt 1741611 ,/MN i __�� • S 897257E _��. oC e a ` ' "T 47r8Qb e s e Y"" "19 •#40104.: S _ MIR - I/ DRIVEWAY. • a • =8.64' � /�t a ' - I b I leo •=18.50' lut U ..: C°N1P I�J opt:— j'E COV /Z k? � ENTR ° • I• • p6i kill- / �� • `^ 1_ I LF'LV 5. I 3o-- i 3 I GARAGE - . i 14230 SW LUKAR CT. ! LOT 3r OR 97223 I AREA: 7.258 1 I'I ipipliith 1 . j=��iltr sr.��,R.,I, 1 i • 1 w1 COVD W 1 �I� 1 PORCH S $lon 1 II z 1 1 i I I CITY OF TIGARD 1 = ,// Approved by Planning 1 /// 30`+ Date: 712-111q. I - -- - / /" �� P.U.E. 1 / 'Mir, Initials: /' ti / , h / —L;;;, ..... 122ALILAS. ..-Z—. - .d." 11p7--- 301 /% �S w / l / / N S I T E P LAN LOT COVERAGE LOT AREA=1258 SQ.FT. BUILDING FOOTPRINT: 1865 SO.FT. SCALE = 1"=20' W E COVERED PORCH/ENTRY:251 SOFT. S TOTAL COVERAGE:2116/1258=2q.196 PLAN NAME: 2817 GL E Draftincl Corp L WILSHIRE CONSTRUCTION LLC ccb#19342 PLOT: 1/18/14 503-320-2100 REV: 1/15/14 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O March 16, 2015 at 11:25:19 AM MST2014-00116 David Young Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked Duct seal test report received. Contractor finishing garage handrail returns to post at top and bottom. C of O left on site with owner. 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS March 12, 2015 at 11:26:57 AM MST2014-00116 David Young 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2014-00116 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final PASS March 11, 2015 at 1:46:48 PM MST2014-00116 David Young Corrections from previous plumbing final complete. 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final FAIL MST2014-00116 George Heimos 1. Uncover/expose storm/sanitary outside cleanouts. 719.0 2. Cleanout plug needs approved thread sealant at: right front. 316.1.1 3. Earthquake straps for water heater install with 2-ea. straps 1 ½” penetration, with #12 wood screws or concrete fasteners and washers each strap, each side, top and bottom. 507.1/(Plbg Code Interp 08/12/05) 4. Dishwasher hose to be securely anchored to underside of cabinet top. Do not loop hose, should be one continuous drain. 807.4 5. Expose back water valve at right front of building. 719.0 6. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 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 14230 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PART MST2014-00116 Herb Stabenow Lv incomplete Violation Summary: Inspector Contractor FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT = • is Transmittal Letter r I G A R 1) _ W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DAT tCEIVE D• t DEPT: BUILDING DIVISION � � FROM: TY '(6(�iiU Ey COMPANY: � L L61 r G 0, �� PHONE: ro 3 - 3./6, �-, p O B . RE: ( Address) ) II , 0 3 (Project .: e or subdivisi n name: d ,t nLim ATTACHED A'. THE FOLLOWING ITE i Copies: I Desc 'ption: I opies: Description: A• i itional s-t(s)of plans. Revisions: C •ss section and details. Wall bracing and/or lateral analysis. F oor/roof fram g. Basement and retaining walls. earn calculation . Engineer's calculations. •ther(explain): I REMA I , Q. a-c--.44._,,,;i FOR OF IC USE ONLY Routed to Permit T, ician ate: fOriv 04- Initial4117"• Fees Due: ❑ Y : IVRo 'ee Description: Amount Sue: _ $ Special Instructions: Re•rint Permit •er PE : ❑ Yes ' MEd'P• ❑ Done Applicant Notified: Date: V O_n M WW1 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 L 1