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Permit q CITY OF TIGARD f 4 ' MASTER PERMIT ''1 3' COMMUNITY DEVELOPMENT /o / / — Perm it#: MST2015-00067 • TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015 Parcel: 2S102CA00102 Jurisdiction: Tigard Site address: 9765 SW FREWING ST Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35 Project: Doan Project Description: 529 sf addition and 414 sf deck to rear of home.8/12/15,changed plumber to Minyard Plumbing. 9/8/2015: REPRINT add water heater vent. 10/1/15: REPRINT add(1)additional branch circuit. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 540 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 540 sf Value: $75,000.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=10OK: 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: 3 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 8 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: ADD SF VB R-3 540 Owner: Contractor: DOAN,JEFFREY M&JULIA L PROGRESSIVE BUILDERS NW INC Required Items and Reports(Conditions) 9765 SW FREWING ST 8575 SW BARBUR BLVD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 PORTLAND,OR 97219 PHONE: PHONE: 503-246-1950 FAX: Total Fees: $2,951.16 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 a • ,ith 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. • NTION: Oregon 'w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-••1-0010 through OAR 952-0• :••0. •u may obtain a copy of the rules or direct questions to OUNC by . 32.1987 or 1.800.332.2344. I_sued By: _ 0_A _!_i_./.. ... • Permittee Signature: A e51-1( Call 503.639.4175 by 7:00 a.m.for the next available inspection d . This permit card shall be kept in a conspicuous place on the job site until co pletion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT rr Permit#: MST2015-00067 _ COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015 TIGARD Parcel: 2S 102CA00102 Jurisdiction: Tigard Site address: 9765 SW FREWING ST Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35 Project: Doan Project Description: 529 sf addition and 414 sf deck to rear of home. 8/12/15,changed plumber of record to Minyard Plumbing. 9/8/2015: REPRINT permit to add water heater vent. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 540 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 540 sf Value: $75,000.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0 Tubs/Showers: 1 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Typos Air Conditioning: N Vent Fans: 2 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'l 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: ADD SF VB R-3 540 Owner: Contractor: DOAN,JEFFREY M&JULIA L PROGRESSIVE BUILDERS NW INC Required Items and Reports(Conditions) 9765 SW FREWING ST 8575 SW BARBUR BLVD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 PORTLAND,OR 97219 PHONE: PHONE: 503-246-1950 FAX: Total Fees: $2,897.85 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 - 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. ..11987 or 1.800..32.2344. Issued By: Permittee Signature: �ybL Lr .6.4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: q 265 SG() / 1/'J6 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 k 1 Transmittal Letter , , , , I: I ■ 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: —11) DATE R) CEtV W 1'f' DEPT: BUILDING DIVISION SEP 8 2015 FROM: \ 1 - A 4 _ .'r t i CITY l)F IIGAI(f) ,� �� BUILDING DIVISION COMPANY: c c {ess l De__ �-�,t PHONE: O 3 �R� 3 1�-t � By: RE: G 1 �J`�' 6 �rPe_.,►h 6}' V tTu iO I� ` 0 on Cn 7 (Site A ress) / ernut Num er) �ih v (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. k Revisions::,s en , ,}�oGf ►n Cross section(s)and details. Wall bracing and/or lateral .aalysis. X Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOROFFICE USE ONLY Routed to Permit Technician: Date: q - - /� Initials: Fees Due: ❑ Yes /f1 No Fee Description: Amount Due: $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: Date: /// Initials: %/j pis ra /2 5T1/LE £ c7 . &,/ I:\Buil ding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 3111 s 1 V COMMUNITY DEVELOPMENT Permit#: MST2015-00067 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015 TIGARD Parcel: 2S102CA00102 Jurisdiction: Tigard Site address: 9765 SW FREWING ST Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35 Project: Doan Project Description: 529 sf addition and 414 sf deck to rear of home. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 540 sf Basement. 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 540 sf Value: $75,000.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0 Tubs/Showers: 1 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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: ADD SF VB R-3 540 Owner: Contractor: DOAN.JEFFREY M&JULIA L PROGRESSIVE BUILDERS NW INC Required Items and Reports(Conditions) 9765 SW FREWING ST 8575 SW BARBUR BLVD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 PORTLAND,OR 97219 PHONE: PHONE: 503-246-1950 FAX: Total Fees: $2,849.18 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 copy of the rules or direct questions to OUNC by calling 503 2.1987 or 1.800.332.2344. Issued By: — Permittee Signature: i1,d2� L/11-r [n Call 503.639.4175 by 7:00 a.m.for the next available inspecti te. 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 RECEIVED Received FOROFFI( F 1 i:oNIa City of Tigard Date/B : �/'F� No.: S� /S irt' 13125 SW Hall Blvd.,Tigard,OR 972 plan Review �yl Phone: 503.718.2439 Fax: 503.598.1'Y Y 6 2015 y r r 41 Permit: I'IC;AKD Inspection Line: 503.639.4175 CITY OF TICrr�RD °teeKeady/sy: ' •7 1/ 0 n 2Inf Internet: www.tl and-or. ov Notified/Method: Supplemental Information BUILDING DIVISION /LiA/b4- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit foes*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑Commercial/industrial Valuation: S75000.00 ID Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 1.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address:9765 SW Frewing Street New dwelling area: 540 square feet City/State/ZIP:Tigard Garage/carport area: square feet Suite/bldg./apt.no.: Project name: T.Pre-1J\ Covered porch area: 240 square feet Cross street/directions to job site:Highway 99 Deck area: 219 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Frewing Orchard Tract Lot no.:21 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S102CA00102 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. 23'x 23'-6"addition to back of house Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name:Jeff&Julia Doan Type of construction: Address:9765 SW Frewing Street Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:( ) Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Progressive Builders Northwest (lkaar.ejaroJascAndrle� Structural plan review fee(or deposit): Contact name:Linda Florio FLS plan review fee(if applicable): Address:8575 SW Barbur Blvd City/State/ZIP:Portland,Or 97219 Total fees due upon application: Phone:(503)246-1950 x 2 Fax::(503)244-5263 Amount received: /,5 E-mail:liodaf@pbnw.nct PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:Progressive Builders Northwest Submit two sets of roof plan with connecti s details and fire dep: t access,along with • i 0 Oregon Address:8575 SW Barbur Blvd Solar Installation ■ dairy C.' - = klist. City/State/ZIP:Portland,OR 97219 Permit Fee(incl plan review $180.00 . • .1. ini •I've fees): Phone:(503)246-1950 Fax:(503)244-5263 Sta .1 harge(12%of perm ee): $21.60 CCB lie.:157567 �J�QII Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained L'1 spa < � within 180 days after it has been accepted as complete. Print name:Linda Florio Date:5/1/15 *Fee methodology set by Tri-County Building Industry Service Board. L\Buildmg\Perrnits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLI" City of Tigard RECEIVED Received ® � ■ DateB 5 Permit#: �/I r -co o& 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598,18¢Q 6 2015 Date/B : Related Permit#: Inspection Line: 503.639.4175 wM�HH'I Ready Date/By: kris. 65 See Page 2 for g: Internet: www.tigard-or.gov -�` ARp Notified/Method: Supplemental Information ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. exceeds 10,000 amps at 1.50 volts or ❑Floating buildings. ❑ 1-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 ❑Emergency system. larger separately derived Job#: Job site address: n C ❑Addition of new motor load of system. -1 (3 FrP LL, Ih�J� 100HPormore. ❑ A„ E„ l_Z„ l_3„ City/State/ZIP: 1 /� —7 ❑Six or more residential units. occupancy. ty �t C�(k.rtl r l)12 q lad ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: J I Project name: T ❑Hazardous locations. ❑Supply voltage for more than T)it) r ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 l Limited energy,residential 75.00 2 _1 (with above sq.ft.) ACA el l b t�(1 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 _ 1 Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: Oi3 (� £ W fc. l�i n S L 201 amps to 400 amps 133.56 2 11 i 401 amps to 600 amps 200.34 2 City/State/ZIP: 1 1 .r 1 t () R q 3 601 amps to 1,000 amps 301.04 2 Phone:( ) I 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 I 59.36 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 signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel v ` A.Fee for branch circuits with Business name: f Q `a t�S I./Q '"H w� „ S tO 6) above service or feeder fee, ice'/ each branch circuit 7.42 2 Contact name: 1 , r, CV 1. r B.Fee for branch circuits without Address: 1^"f 5r� Z�1_y'1 service or feeder fee,first 56.18 2 tJ FJ �V "t`i branch circuit City/State/ZIP: �n r}1 n a )Q 9 7&-i q Each add'I branch circuit ' 7.42 2 i I Miscellaneous(service or feeder not included) Phone:(5031 Cl 89 - ? 199 Fax::( ) Each manufactured or modular y_ dwelling,service and/or feeder 67.84 2 Email: 1 1 �� f"1 U h 1 . h P-T Reconnect only 67.84 2 Pump or irrigation circle 67.84 2• Business name: • vi. \ Sign or outline lighting 67.84 2 r era — . Signal circuit(s)or limited-energy Address: liPG.1'a{Yl p l t n ' C I o c 4-rt c . panel,alteration,or extension. ❑ See Page 2 2 p t/�j Each additional inspection over allowable in any of the above City/State/ZIP: 3?a 40,/,0-&--A ‘GVL, 57 -. 2O.3 Additional inspection(1 hr min) 66.25/hr Phone:(316 9'o Li ,. • D Lcr).. Fax:( )S9i✓Of;O/ 97p.s..5' Investigation(1 hr min) 66.25/hr . Email: Industrial plant(I hr min) 78.18/hr • Inspections for which no fee is 90.00/hr CCB Lic.:/93'77',j Electrical Lic.0 f/f Suprv.Lic.:4'f z0 s s.,ificall listed %]hr min Suprv.Electrician signature,required: Subtotal: Print name:---7pei 1 k N 645 4e k ri , Date: jf s 1 (j ❑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 b/J Print name: � Date: S f/i)5 days after it has been accepted as complete. C 44' •1 • Number of inspections allowed per permit. I:\Building\Permits\ELC_ ermitApp_ELR 111E.doc Rev 04/21/2014 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. I Each I Total I 3' 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: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >l00 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over25 7.42 3 El Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allow_able in any of the above: n Other: Each additional inspection is 66.25/hr l charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr s.- ificall listed 1/2 hr min COMMERCIAL WORK ONLY: ; ` Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): " Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems El Data Telecommunication Installation El Fire Alarm Installation n HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Perini ts\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 II Mechanical Permit A> G&@VED FOR OFFICE USE ONLY City of Tigard � Received Permit No. 13125 SW Hall Blvd.,Tigard,C M223 6 2015 Date/By: D Co /s�--4I�J i i>/r_/L.✓:-d C-t- � 6'l : l Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Permit:11G:1Rl) Inspection Line: 503.639.4( OF TIGARD DateReady/By: - Jurir: 0 see Page 2for Internet: www.tigard-or.BUILDINO DIVISION Notified/Method: Supplemental Information Mechanical permit fees'are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:$ ❑ 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 Heating/cooling: ` Air conditioning 46.75 f v Job site address: q 1 _ d-p 5_.T S 5 [ - 1 . Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP: t f_1 OR- q--)a a 3 Furnace 100,000+BTU(ducts/vents) 54.91 `v / 1` Heat pump 61.06 Suite/bldg./apt.no.: 4dfoject name: Duct work I 23.32 Cross street/directions to job site: Hydronic hot water system _ 23.32 G 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 ` n Flue vent for water heater or gas . l t fireplace 23.32 Log lighter(gas) 23.32 _ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 Environmental exhaust and ventilation: Name: i k.t,,L �r,Cl i\ Range hood/other kitchen equipment 33.39 Address: ` �� ,` n e. 5 Clothes dryer exhaust , 33.39 _ �l 1 City/State/ZIP: `` 9 7 Single-duct exhaust(bathrooms, 1 �`'t 9 7 �� toilet compartments,utility rooms) "2-- 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name: Col f t? S l 0 p (� ( .0 (0e 1 441 1.Ft-]t $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:( ) I Fax::( ) Fireplace Range E-mail: Barbecue Clothes dryer(gas) Business name: Other: re) ct?:a._s J� Tf it, \dart NIr�r 4-1,. 5"r Address: - j\ S (L{ 1„,t/ -131 J Subtotal City/State/ZIP: .T0 } 1�� `N) q —k9- t q Minimum permit fee($90.00) q(f.0�� l Plan review(25%of permit fee) �' Phone:(-5 013 .— (c --s ax:( ) State surcharge(12%of permit fee) , t )_g-Q CCB lic.: (45-1 S TOTAL PERMIT FEE / nO,C6p t This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 4-&4-01 • Fee methodology set by Tri County Building Industry Service Board Print name: . Date: • . 1:\Building\Permits\MEC_PermitApp_040113.doc 4404617r(I I■, OM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: $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 • Plumbing Permit ApplieRECEIVED Building Fixtures MAY 6 2015 -� �, City of Tigard j Ca 6- L�-�y� Permit No.:11via90l J Iii II • 13125 SW Hall Blvd.,Tigard,6 2)F TIGARD Plan Review Phone: 503.718.2439 Fa>�t}IS®Its DIVISION Date/By: Other Permit No.: Inspection Line: 503.639.4175 TIGARD Date Re ReadyBy: luris• ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ❑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 comection) SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler . p sq.ft.) Page 2 1: SITE INFORMATION AND LOCATI t'. - I Site utilities: Job site address: q 1 < `S t o -F1 p I n v L Catch basin or area drain 18.76 �l l T Drywell,leach line,or trench drain 18.76 City/State/ZIP: 0 id / n R. q 7 3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: --1 C)n n Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear 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 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER r ❑ TENANT. Expansion tank 12.51 Fixture/sewer cap 25.02 Name: T - �� G 4 3 a t ..... � c.n Floor drain/floor sink/hub 25.02 Address: CI 1(.0 l V('e I n b+ Garbage disposal 25.02 City/State/ZIP: ---c.t &cc f Q cf 7a ?3 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 IIXAPPLICANT . n, O CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1 Medical gas(value:S ) Page 2 �i r Q)cP4S.S tl)Q (mo o,(� 1) id Primer 12.51 Contact name: I 1 F� in tA l4(�t' p Roof drain(commercial) 12.51 Address: �--5.1,S- 5 13 r�( Lt.ll -Es 1i l Sink/basin/lavatory 3 25.02 City/State/ZIP: To(+ l 4 A a I n g_ Solar units(potable water) 62.54 Phone:(5 33 9 , 3 ' q 9 Fax::( ) Tub/shower/shower pan ( 12.51 E-mail: / Urinal 25.02 I 1 6 Water closet 25.02 CONT',.•CTOR Water heater 37.52 Business name: r LLl T 11 L M b Water piping/DWV 56.29 Address: /00 Bax , , i/ ` Other: 25.02 City/State/ZIP: /y12YLgZ,p-sr- .4 r1 97 36 Subtotal A7 L1 (IA_ Minimum permit fee: $72.50 Phone:c�� q 'l_ _ ' a 151) Fax:( ) r CCB Lic.: /40/)' / //s/�, Plumbing Lic.no.: '�'5/,/626 Plan review (25%of permit fee) / / State surcharge(12%of permit fee) /Cp.5 I Authorized signature: 7!0 TOTAL PERMIT FEE J` Print name: Date: This permit application expires if a permit is not obtained within 180 days de _ ^ after it has been accepted as complete. /� I` *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Pennits\PLMU-PennitApp.doe 10101109,+,�L `� �`� 440.4616T(]0/07JCOM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities 1, Qty. Fee(ea) Total Square Footage: Permit Fee: 'IL Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 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 each additional$100.00 or fraction thereof,to 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 is required for any of the following. Fixture Type for Replace/ Please check all that apply. iyWorkYttd®cmed: Capped :added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the •ualifications 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: -LavBar 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: I:\Building\Petmits\PLMF_PermitApp.doc 08/04/2011 2 • City of Tigard / COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential I 1( „\l:l) Building Permit #: H 5 f c9cf,/6-X(07 Site Address: —Cg_, SO "Mt.)' Project Name: AC3n Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ' Proposal: Q3 f X Q3 & " codolh61 .71D C'I C).? Iw ri'�o Verify site address/suite#exists and active in permit syste . fkiver Terrace Plan District: ❑ Yes No Sit,t Plan Elements: WiThree(3)copies of site plan xtsting structures on site e plan must 1?g on 8-1/2"x 11"or 11 x 17"paper [f[JFootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) 'nor elevations rth arrow 74 tility locations(required for new,may apply for additions) S' address,project or subdivision name and lot number !Iille.cation of wells/septic systems t iplicant information(name and phone number) tea Erosion control(including drainage-way protection,silt fence IP I t dimensions and building setback dimensions esign,location of catch basin,etc.) I!Lot area,building coverage area,percentage of coverage and ,u,( reet names impervious area(applicable if R-7,R-12,R-25&R-40) S reet tree size,type and location O9operty corner elevations(2 foot contour lines if more than Lxisting trees to be retained with drip line,and tree 1 protfoot differential) ection measures Clean Water crvices—Service Provider Letter(lot platted prior to 9/10/1995): / Required: V Yes,applicant was notified ❑ No Received: [/Yes 011' Oil Fublic Facilities Improvement(PFI)Permit: c51/q/'S 3 7, Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake II and Use Case#: L: onin . /-� g' (ll - ilas h Setbacks: Front a Rear /7 Side 5— Street Side NM-Garage 'III andscape Requirement: % ` 111 j of Coverage Maximum: VA Building Height: Maximum Height 3) Actual Height _ /. 1 1 Kisual Clearance Wasements nsitive Lands: e : ❑ Yes /No Type Urban Forestry Plan conditions "Met"prior to issuance of building permit Notes: Approved By Planning: _ T�� Date: = &-/,c-- Revisions (after Bui ing Submittal only) Reviewer Date Revision 1: Approved ❑ Not Approved a (Gw -- 5 -,I --lS Revision 2: ❑ Approved ❑ Not Approved pP PP Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_031015.docx 1 Building Permit Submittal Original Submittal Date: 5/49//C---- Site Plans: # 3 Building Plans: # -3 Building Permit#: Cl Enter building permit#above. Workflow Routing: Planning a-1~ngineering $-Permit Coordinator --- 'Building Workflow Sign-off: -Sign-off for Planning(include notes from planning review) Route Application Documents: []Engineering: (1) copy of permit application, (1) site plan, (1) building plan and oral plan review routing form. a Building: original permit application,site plans,building plans,engineer and beam calculations and trust dde�etails ifa pli ble,etc. Notes: £•y 1 2.- L- i� y1nZ±j n ,-1 b-yvka--0o-2.) By Permit Technician: i- 4, A _ ■ Date: 5/Cobb Engineering Review 2 ppe at building pad: /0 Z a--Conditions "Met"prior to issuance of building permit easements (encroachments) per engineering conditions of approval and plat O'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [n-ido Assess Water Quantity Fee in-lieu: ❑ Yes Et-No LIDA Facility on lot: ❑ Yes ErNo ❑ NOT Approved by Engineering: Date: Notes: PrArst 1.10-r mN S t • W v,o.,Zfi_, I S Sy r■c Gec..tri on.) ,9F 5-I3-1!S 1Jt.•• + NA,..., s 1.1......03 Sc ric- /.tar NEAR AU iri " Approved by Engineering: 14,24..r r7St{f2 Date: 5"— -LS' Revisions (after Building Submittal only) Reviewer Date Revision 1: ErApproved El Not Approved 4 'SA-tit- S-1;-/S-- Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: .9-4 - 15 Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: XOK to Issue Permit Approved by Permit Coordinator: eit et. .4_,_, Date: 5 - I 3 -/S. I:\Building\Forms\BldgPermitRvw_RES_031015.docx 05-11-'15 23:43 FROM-PBNW FAX 5032445263 T-129 P002/005 F-387 _._-- .-M 1 ; C' . Clean Water Services File Number MAY 1 1 2015 1 ... ,:: 137'7 C1eanWater Services Sensitive Area Pre-Screening Site Assessment 1.µJurisdiction: Tigard 2. Property Information(example 1S234A801400) 3. Owner Information MAY 19 2015 Tax lot ID(s): 26102CA00102 Name: Jeff&Julia Doan Company:9795 3W Frewing Street tin'O f IC.AR Addrdress;ss; LOIN 9765 SW Frewing Street City,State,Zi Tigard,OR 97223 LOIN ,DI ISI I N QE Slte Address: tY p� City,State,Zip: Tigard,OR 97223 Phone/Fax: Nearest Cross Street Highway 99 E-Mail: _ • 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Linda Florio ❑ Lot Line Adjustment ❑ Minor Land Partition Company:Progressive Builders Northwest • ❑ Residential Condominium Q Commercial Condominium Address: 0575 SW Barbur Blvd ❑ Residential Subdivision ❑ Commercial Subdivision City, State,Zip: Portland,OR 97219 ID Single Lot Commercial ❑ Multi Lot Commercial Other Phone/Fax: 503 246-1950/503 244,5263 E-Mail: lindafepbnw,net 6. Will the project Involve any off-site work? ❑Yes m No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project - This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEQ 1200-C Permit or other permits as issued by the Department el Environmental Quality,Department of Stale Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. . • By signing this form,the Owner or Owner`s authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained In this document,and to the let of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name 'nda Florio Print/Type Title ProjoCt Designer Signature .� • ,.. r_.-._ • Date 05-01-15 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SA ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. O Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive . Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered.This document will serve as your Service Provider fetter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. i Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially a sensitive area(s)found near the site.This Sensitive Area Pre-Screening Sae Assessment does NOT eliminate the need to evaluate and protect additional water quality senshive areas if they are subsequently discovered,This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section • 3.02.1. All required permits and approvals must be obtained and completed under applicable local,slate and federal law. • ❑ This Service Provider Letter is not valid unless .'CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. . Reviewed by - ✓ ° °sue Date , /dA//5 Once complete,email to:SPLReviewfcteanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 - Ruviw 42x2015 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 9765 SW FREWING ST, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in PASS MST2015-00067 Herb Stabenow 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 9765 SW FREWING ST, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in PASS August 20, 2015 at 1:02:59 PM MST2015-00067 Herb Stabenow 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 9765 SW FREWING ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00067 David Young Provide approved plumbing, electrical and mechanical ﬁnal inspections prior to building ﬁnal. Inspections can be scheduled when work is complete. Note: master shower not complete at this time. Smoke detector covers to be removed. Provide approved deck framing inspection. No record of Crawl drain inspection. Provide smoke detectors inside and outside adjacent to existing bedrooms. Not a complete inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9765 SW FREWING ST, TIGARD, OR, 97223 March 15, 2017 at 10:23:44 AM Record Type: Record ID: Residential - Master Permit MST2015-00067 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9765 SW FREWING ST, TIGARD, OR, 97223 March 15, 2017 at 10:40:32 AM Record Type: Record ID: Residential - Master Permit MST2015-00067 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Cut open vapor barrier at foundation vents in crawl. Add diagonal bracing to deck joist per approved plans and engineering. Finish updating smoke detectors inside and outside adjacent to each bedroom and carbon monoxide detectors on each floor with gas appliance. Finish master shower tile work. Provide approved plumbing final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9765 SW FREWING ST, TIGARD, OR, 97223 March 15, 2017 at 10:25:05 AM Record Type: Record ID: Residential - Master Permit MST2015-00067 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor