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Permit p CITY OF TIGARD j I MASTER PERMIT Ilki a . COMMUNITY DEVELOPMENT �i� r!J►r Permit#: MST2014-00171 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 "�� Date Issued: 10/27/2014 Parcel: 1S135DB13300 Jurisdiction: Tigard Site address: 9254 SW NORTH DAKOTA ST Subdivision: 2007-005 PARTITION PLAT Lot: 2 Project: Kraiter Project Description: Construct 528 square foot accessory structure. 12/16/14, reprinted to add gas line for future kilns. BUILDING Floor Areas Required SQSbacks Required Stories: 1 Bedrooms: 0 First: 528 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 528 sf Value: $22,492.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 2 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits_ 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 4 Ea addl 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 Other N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 528 Owner: Contractor: SMITH,LAUREN L BLACK DIAMOND HOMES INC Required Items and Reports(Conditions) KRAITER,KYLE S 15685 SW 116TH AVE SUITE 290 1 Ersn Cntrl 503-639-4175 9254 SW NORTH DAKOTA ST TIGARD,OR 97224 TIGARD,OR 97223 PHONE: 503-707-6988 PHONE: 503-201-6304 FAX: 503-579-3990 Total Fees: $1,258.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day TENTION: n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR -001-0010 through OAR -00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503 :87 or 1.800. 32.2344. 0. ► f 1 A Issued By: Permittee Signature: ♦Iir:�t7--.,_;_:i\ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / V f/,red This permit card shall be kept in a conspicuous place on the job site until completion.f 1 .roject. Approved plans are required on the job site at the time of each inspecti. . Mechanical Permit Applic FOR OFFICE USE ONLY City of Tigard �� Date/By: i 4 y Permit No.: .y,,,/, PIP 13125 SW Hall Blvd.,Tigard,OR 97223 / w�4 J� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By:e ive Other PCe1' TI G A R I) Inspection Line: 503.639.4175 DEC 16 2014 Date Ready/By: ruric Ei See Page s e 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OFTIGARD TYPICIIMPC DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST DIVISION Mechanical permit fees*are based on the value of the work tNew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* M For1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building special information use checklist. Multi-family 0 Master builder 0 Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating cooling: ��di 51., T V b \k- � Air conditioning 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Ti LAM (i [ ) ., . 3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: �/ y/( L� Heat pump 61.06 t 'T1Duct 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 ADDvent for water heater or gas /D / �L,� �, ;61,5 fireplace 23.32 �� "'www `J� Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: 1 icAm-T'� Range hood/other kitchen �l LLCM equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) 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. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace _ Range E-mail: Barbecue CONTRACTOR Clothes d er(gas) /' / //►► �� Other: �� /'�/ Business name:ROI /h ,,` IV\/_' 4/('� MECHANICAL PERMIT FEES* Address: iO� 12-6 '/ Subtotal City/State/ZIP: `c i4 It( 01(1_ 9 -701 —5 Minimum permit fee($90.00) a �/� '�j7 "pt / 3 Plan review(25%of permit fee) Phone:(5a )2/(3 W . t Z4 t Fax:(b3 ) ..(p 6,- 3 (12%�`' `t' State surcharge(l2/0 of permit fee) CCB lie.: [Lf O 56 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 I , days after it has been accepted as complete. Authorized signature: Al(!'f 1si 1!'P.. * Fee methodology set by Tri-County Building Industry Service Board Print name: ci-eff_ / �D j i t I Date: R.,)16:11 kt I:\Building\Permits\MEC_PermitApp_4001I3.doc •"v1 ` 440-46171(11/02/COM/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:\Building\Permits\MEC_PermitApp 040113.doc 2 il CITn Y OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2014-00171 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2014 Parcel: 1 81350813300 Jurisdiction: Tigard Site address: 9254 SW NORTH DAKOTA ST Subdivision: 2007-005 PARTITION PLAT Lot: 2 Project: Kraiter Project Description: Construct 528 square foot accessory structure BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First 528 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 528 sf Value: $22,492.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 2 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 4 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 Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 528 Owner: Contractor: SMITH,LAUREN L BLACK DIAMOND HOMES INC Required Items and Reports(Conditions) KRAITER,KYLE S 15685 SW 116TH AVE SUITE 290 1 Ersn Cntrl 503-639-4175 9254 SW NORTH DAKOTA ST TIGARD,OR 97224 .� � TIGARD,OR 97223 PHONE: 503-707-6988 PHONE: 503-201-6304 FAX: 503-579-3990 Total Fees: $1,258.37 This permit.is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a f t les or direct questions to OUNC by calling 503.232.198 or 1.800. 32.23,. Issued By: .1-••• __ Permittee ture: •1.63,4175 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. L Building Perm_it A pplication .-Residential ReSldential l , ,k „I l , l I H (("I 1 City of Tigard Received Permit No.: Date/By: 140 7 7 H6 sT// 6Q/7„, 13125 SW Hall Blvd.,Tigard,OR 972 a Plan Revi .0 I�` I Phone: 503.718.2439 Fax: 503.598.1:. T 7 2014 I Other Permit: Datem 1 l t. k n Inspection Line: 503.639.4175 Date Ready i y: Juris Id See Page 2 for Internet: www.tigard-or.gov ggCITY OFTIGARD Notified/Method: r.Ij Supplemental Information TYPE d11!'4 JAIN"IIV+SION '.,SQov e, up Li yid, REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction Cl 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 indicat don this acmlication Q El I-and 2-family dwelling ❑Commercial/industrial Valuation: 2.'z I_T l L _ ®Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9254 SW North Dakota St. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: Covered porch area: square feet Cross street/directions to job site:SW 92 Ave. Deck area: square feet Other structure area: 528 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. Construdtion of 528 square foot detached workshop. Valuation: $ Existing building area: square feet New building area square feet 0 PROPERTY OWNER I ❑ TENANT Number of stories: Name:Kyle Kraiter Type of construction: Address:Same Occupancy groups: City/State/ZIP: Existing: Phone:(6e S) '7O 7— (a' SV Fax:( ) New: ❑ APPLICANT 0 CONTACT PERSON RUHDING PERMIT FEES* Business name: ( Ma SofeewheMJee Structural plan review fee(or deposit): Contact name: Kyle Kraiter FLS plan review fee(if applicable): Address:Same City/State/ZIP: Total fees due upon application: Phone: t!p 9 '? I Fax::( ) Amount received: d27 5'� (1,D3) 707 — E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of COMMON* , roof-top mounted PhotoVoltaic Solar Panel System. Business name: ,p 44„,,,,,,,,, Submit two(2)sets of roof plan with connection detail 4J/� `/v '"S and tire 1 •artment access,along with the 2010 • •gon Address: / .6(r5-/ilk//161 -d__ d-y Y, a?c Solar Insra • in Specialty Code chec . City/State/ZIP: _4 i a, cI 7 xxy Permit Fee des .1.• iew $180.00 Jy7 and a...• • •ve fees): Phone:(5-41 ) 5-��_1)3 6_ Fax:( ) _ State sur • ge(12%of permit - • $21.60 CCB lic:: /0 S y 'J otal fee due upon application: $201.60 Authorized signature t/l �� This permit application expires if a permit is not obta••ed within 180 days after it has been accepted as complete. - �/�AP e%7 /�� *Fee methodology set by Tri-County Building Industry Print name: /l �J ry Date: v !� / Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,, r • 'Electrical Permit Applicatia ECEIVEI T) e City of Tigard Date/Byy:: /66/i/ '' Permit No.1y/.�G/L/.-4d l7/ 13125 SW Hall BIvd.,Tigard,OR 97223""pp +y Plan Review II Phone: 503 718.2439 Fax: 503.598.196n,T 1 2014 Date/By: Other Permit • 'f 1 c.ART. Inspection Line: 501639.4175 Date Ready,/13y: hula Id Sea Page 2 for Internet: www.tigard-or.gov Supplemental Information CIr Vi TIGARD fre TYPE Oy? l �N C, DIVISION ISION PLAN REVIEW . ®New construction ❑Addition/alteration/replacement Phase chock all that apply(submit 2 sets of pleas w/it,sus checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other: wtt.xe the available Mutt cu rent ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION everts 10,000 amps at 150 volts or 0 Floating buildings. less to grand,or exceeds 14,000 0 Commercial-me agricultural ❑ 1-and 2-family dwelling ❑Commercial/industrial ®Accessory building amps for all(Shur installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or 0 Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of Job no.: Job site address:9254 SW North Dakota St. lOOtiPormore. Occupancy. 0 Six or more residential nails. 0 Recreational vehicle peaks. City/StatelZlP:Tigard,OR 97223 0 Health-ciao facilities. ❑Supply voltage for more than ' 0 Hazardous locations. 600 vnits nominal. Suite/bldg./apt.no.: Project name: 0 Service or teeter 600 amps or more. • FEE SCHEDULE Cross street/directions to job site:SW 92 Ave. ocriptlon Qy. F,,. Total [w_ New residential single-or multi-family dwelling unit. Lceludes attached garage. Subdivision: Lot no.: 1,000 sq.Q or less }43 168.54 4 Ea.add'(500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.+X1 2 Limited energy,multi-family 75.00 2 Construdtiion of 528 square foot detached workshop. residential(with above ..ft. Renewable Energy _ 0 See Page 2 Services or feeders installation,alteration,and/or relocation El PROPERTY OWNER o TENANT 200 amps or less ) 100.70 )0017() 2 • 201 amps to 400 amps 133.56 2 Name:Kyle Kraiter 401 amps to 600 amps 200.34 2 Address:Same 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation T 200 amps or less 59.36 1 Owner installation:This installation is being made on property that 1 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 e,' APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with , u above service or feeder fee, to Business name: extch branch circuit J 7.42 `J 1 r3L. 2 . -- B.Fee for branch circuits without —W 5 Contact name:Kyle Kraiter service or feeder fee,first 56,18 2 branch circuit Address:Same -Miscellaneous h add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each marmfactured or modular dwelling,service and/or feeder 67.84 2 • Phone:( ) Fax::( ) _- Reconnect only 67.84 2 E-mail: �� Pump p or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: i---. ' "j�l 1 t e —(e.C. ,t C. 1 l,,}� Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 7 LJ •?j j -j■.Q, it o'{ _.p i Each additional inspection over allowable in any of the above City/State/ZIP: ) l r� f� t��' Additional inspection(1 hr min) 6625/hr t l Y� t L'l 1 investigation(l hr min) 66.251 hr Phone:(�'- 6-72 - 131 I Fax:( ) industrial plant(1 hr min) 111111=22 ■ Inspections for which no tee is �/ j CCB L,ie.: �"7 Electrical Lie.: `1- : Suprv.Lie.: i�y Sij7-, ificall listed Si hr ruin hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: fAIL Subtotal: Print name: r)e i t- .\L ki 6.-t o Date: I 0/•Z=; (/tit, Plan review(25%of permit fee): - / t State surcharge(12%of permit the): J•"•1 t L I Authorized signature: Ott//f"V TOTAL PERMIT FEE: I `"}1, -";- Print name: r•-� This permit application expires if a permit is not obtained within 1110 4 J ? c C'1. b Date:1 u L-7j ` days after it has been accepted as romplere. I ` C b t • Number of inspections allowed per permit. t''Wu;13ing/PetwitshELC PermitApp_E{R_RRP_dnc Rev 05/21/2013 440-0615r(SL JSICOMFWHB • Mechanical Permit Application I OI(01II I( l I •l ()N I 1 City of Tigard RECEIVED DBy ate ` it y 6 J Permit No.: M 7) ,/1/ )`7/ • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review E Phone: 503.718.2439 Fax: 503.598.1960 1,11 Date/By: Other Permit: l 1 t, \I:I) Inspection Line: 503.639.4175 OCT 7 2014 Date Ready/By: kris 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE O$a�(Q)RKT*TG r►tn1iC1ON COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ��,1N -fi 1`ISi 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:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ®Accessory building For special information ase checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AM) LOCATION Heatiag/eooli.g: Air conditioning 46.75 Job site address:9254 SW North Dakota St. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 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:SW 92 Ave. 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 Other: 23.32 Subdivision: Lot no.: - 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 Construdtion of 528 square foot detached workshop. 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 I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Kyle Kraiter Range hood/other kitchen . equipment 33.39 Address:Same Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility moms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 3 23.32 ® APPLICANT ❑ CONTACT PERSON Other: _ 23.32 Fuel piping: Business name: $14.15 for first four,$4.03 for each additional Contact name:Kyle Kraiter Furnace,etc. A Gas heat pump Address:Same Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue Qp CONTRACTOR Clothes dryer(gas)p reoi71 �R.�j Other:917t/1' et O/"&age Business name: MECHANICAL PERMIT FEES* Address: Pa eA' 424S-' Subtotal City/State/ZIP: 6.,� L,D 170 13 Minimum permit fee($90.00) y f 1� Plan review(25%of permit fee) Phone:(50) ) t G _ I Fax:( ) State surcharge(12%of permit fee) CCB lic.: NV 0 b /AL-1 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:Ky/e X',- r-ter I Date: 072.-7AL I:Building\Pvmits C_PamitApp_o4ol 13.doc 440-46177(1 IA)2 OM/WE•B) ' Plumbing Permit App,,i L .Site Utilities EIVEP I (112 (I 1 I( 1 1 ,1 (,\1 , City of Tigard � Received Permit No.: 711 13125 SW Hall Blvd.,Tigard,OR r423 7 2014 Date/By. Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: „� ;1\O Inspection Line: 503.639.417tITY OF TIGARD Date Ready/By: rtais - a See Page 2 for Internet: www.tigard-or.gov Notified/Method: So.plemesal Information TYPE : a 141:1!."‘ _ 1 ' i ' FEE° SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory building SFR(3)bath 500.32 ® g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9254 SW North Dakota St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 _, . Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site:SW 92 Ave. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: S Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 528 square foot detached workshop. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Kyle Kraiter Fvcture/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address:Same Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) I Fax:( ) 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:Kyle Kraiter Roof drain(commercial) 12.51 Address:Same Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Oha"` 6,ey.,ch4,/ y[,i„y ., Water piping/DWV 56.29 Address: l S�t►S �l/�/ //(p' •�,4p!,i'�e ;IV Other: 25.02 City/State/ZIP: 7;14,-,€ 1�L� Subtotal - •�/ Minimum permit fee: $72.50 Phone:( Su3) S 4■ /33/Y Fax:( ) CCB Lic.: jul sii p( Plumbing Lic.no.: Plan review (25%of permit fee) x�� State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:K✓/g Arco, r- Date: l�j�S` This permit application expires if a permit is not obtained within 180 days J after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1 Building\Pemtits\PLMU-PemiitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(es) 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 3,601 to 7,200 $23320-1st 100' 62.54 .20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $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(e•) 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -4" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser di agram is required for new buildings-Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fyjxtures: Macintosh HD:Users:Kyle:Desktop:Plumbing Permit.doc 2 _— •— .— -- EX/ST • �el 57 AJ,erII -0A ka7-fi po po. . ., 96.50• ► • • • . 7---.7.,......*•2 -�` s y / N // .of 2014 • 201 i 1o �D FfI pARD i l '7i•S r. C. PATIt . GNI/ pN 200 ► .• . :. 199 r/ /I� f�► / I-1 er w frAerijr 5( > , PR/ CD Q 198 I ANIL , PL. Z M „ fl ci M o . 197 F— EXISTING I nul rJNE RERTY /COVERED I l 1 ga • AO ....--...„........ ._.... ........ ... k'y/e Kr4'ker • + ��E --- • - ,...: 195 i TO Slit wi RUNE. 1"0 PVC/ c /(CONNECT TO CLPe WA1ER)- 1 erI _r, / b I F� —k-- �j :'FlR / ABS (CONNECT�6 N ( r- CITY l�i 194 of Pr��ecr��'n CITY OF TIGARD Approved by Planning ! �. �i�° � i --- Date: _jp_1:4114________ ---` — .---- _ 1011R.V.--..---twipp... .. . ; Initial _ ' 10"FIR • 193 �. a; • �/ to -ter t .. 1 , ,..• ` ik' [t4 .,Wit.: :i::y � : •5.0 SiOEWAIK • . • + . ••'. 1% �.: • • • 8"COTTi • •+ 10:C01 . • • • • • 8.0' PLANTER 1' • • • • . . • • r • • • ♦ r . • •` . • . . • . • • • • • • • ♦ • ♦ a • • • • • • • • • • City of Tigard 11 COMMUNITY DEVELOPMENT DEPARTMENT s • r l n k o Building Permit Review — Residential Building Permit #: 1`1‘sr,9-d 14 00 /71 Site Address: Kratikeir Project Name: 92514 SW 1\1014i bakcria. SI-, Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review_ .gyp �± 1 Proposal: cons ru L 52 s TAT workshop VVerify site address/suite #exists and active in permit system. Sit Plan Elements: ree (3)copies of site plan Vyeristing structures on site 'pto plan must k [on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) I.or elevations a orth arrow r4 Utility locations(required for new,may apply for additions) DES address,project or subdivision name and lot number l cation of wells/septic systems plicant information(name and phone number) [ 'Erosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions pd ign,location of catch basin,etc.) --11et-area,building coverage area,percentage of coverage and VStreet names ypervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location OEProperty corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Le r: (lot platted prior to 9/10/1995): Required: ❑ Yes-Applicant Notified LJ No Received: ❑ Yes ❑ No $Land Use Case#: �oning: R-14 .5 etbacks: Front 201 Rear ` 5 Side 5.i Street Side — Garage 20/ -e-Landscape Requirement: $�ot Coverage Maximum: °/a 1 1 X uilding Height:(AcceS$o(j) Maximum Height 1 5 Actual Height l5 E Visual Clearance 1 Ig/Easements - 4Z PUE" Rif Sensitive Lands: ❑ Yes Ni/No Type -E tjrban Forestry Plan -P-Conditions Met Notes: Approved By Planning: tVA VOW- Date: 0/1/11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:1Bui lding\Forms\Bl dgPermitRvw_RES_042914.docx . Building Permit Submittal Original Submittal Date: /O/9//`f Site Plans: # ?j' Building Plans: # 3 Building Permit#: 'Enter building permit#above. Workflow Routing: Tanning [ngineering 0--Fermit Coordinator ,Building Workflow Sign-off: t�Sign-off for Planning(include notes from planning review) Route Application Documents: iI Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o_Onal plan review routing form. ding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: „,./c Date: /SX Engineering Review o ' Actual Slope: ❑ Conditions Met Notes: Approved by Engineering: Date:AO/ 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 ❑ 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: K to Issue Permit _ Approved by roved b Permit Coordinator: If Date: I o/�/ I:1 Building\Forms\BldgPermitRvw_RES 092914.docx 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS March 4, 2015 at 11:23:12 AM MST2014-00171 David Young 3 ceiling/roof vents and exhaust fan. 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00171 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS March 4, 2015 at 9:42:36 AM MST2014-00171 David Young Rain drains approved per inspection dated 11/24/14. This is the only plumbing on this permit. 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O March 4, 2015 at 11:24:56 AM MST2014-00171 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00171 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS March 4, 2015 at 9:42:36 AM MST2014-00171 David Young Rain drains approved per inspection dated 11/24/14. This is the only plumbing on this permit. 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS March 4, 2015 at 11:23:12 AM MST2014-00171 David Young 3 ceiling/roof vents and exhaust fan. 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 9254 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O March 4, 2015 at 11:24:56 AM MST2014-00171 David Young Violation Summary: Inspector Contractor