Loading...
Permit p CITY OF TIGARD j i MASTER PERMIT 11 COMMUNITY DEVELOPMENT ©� Permit#: MST2015-00088 T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2015 Parcel: 2S111 BB00200 Jurisdiction: Tigard Site address: 10100 SW MCDONALD ST Subdivision: TIGARDVILLE HEIGHTS Lot: 10 Project: Sharifi Project Description: Add new bathroom on second floor. 7/20/15, reprinted to add panel change and(2)additional branch circuits and plumbing repipe and some drain/waste/vent replacement. Investigative fee BUILDING - Floor Areas Required Setbacks Required Stories: 0 Bedrooms 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 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: 2 Other Fixture Units: Repipe&DWV MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 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/Fenders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 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&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: MEHDIZADEHKASKI,ZAHRA& OWNER Required Items and Reports(Conditions) SHARIFI,HADI HADI SHRAFI 12036 SW WLDWOOD ST 10100 SW MCDONALD TIGARD.OR 97224 TIGARD,OR 97224 PHONE: 503-598-4771 PHONE: 503-598-4771 FAX: Total Fees: $770.95 This •• - -d subject to the --ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will b' done in accordance ith appr• ed plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 ays. ATTENTION: Orego I- requi --s y• to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •52-001-0010 thrpuuggh OAR 95 601-00)0,1. Yo may obtain a copy of the rules or direct questions to OUNC by - , . .232.1987 or 1.800.332.2344. • Iss .. By: \- , g,'�" z--/-1 Permittee Sig : e: -e - Call 503.639.4175 by 7:00 a.m.for the next available inspection • This permit card shall be kept in a conspicuous place on the job site u - ompletion of the project. Approved plans are required on the job site at the time of each inspection. Debbie Adamski From: David Young Sent: Monday, July 20, 2015 7:26 AM To: #Building Permit Technicians Subject: 10100 SW McDonald The owner will be coming in to add to his plumbing and electrical permits.The electrical will need a el change and additional branch circuits with feeder for generator back up and the plumbing will need supply a DWV r additional bath and kitchen.This work was done without permits. If he obtains the permits you can add the administration fees and we will waive the investigative fee. If he chooses to remove the work we will add th • estigative fee to the permit. Let me know if you have any questions. , , A +u-tie) Thanks, WI , 6r)% r David 19'1 6?) Sent from my iPad _ LAA DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 � rt CITY OF TIGARD MASTER PERMIT • I COMMUNITY DEVELOPMENT Permit#: MST2015-00088 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2015 Parcel: 25111 BB00200 Jurisdiction: Tigard Site address: 10100 SW MCDONALD ST Subdivision: TIGARDVILLE HEIGHTS Lot: 10 Project: Sharifi Project Description: Add new bathroom on second floor. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 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: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 1 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: MEHDIZADEHKASKI,ZAHRA& OWNER Required Items and Reports(Conditions) SHARIFI,HADI HADI SHRAFI 12036 SW WILDWOOD ST 10100 SW MCDONALD TIGARD,OR 97224 TIGARD,OR 97224 PHONE: 503-598-4771 PHONE: 503-598-4771 FAX: Total Fees: $434.21 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, r if ork is suspended r more the 180 days. A • •' . :•on law requires you to follow the rules adopted by the Oregon Utility Notification Cen r. Those Aules are set forth in OAR 952-06 -0010 through OAR ••2-00 ,.690. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 7 r 1.800. 3(..22344. Issued By: k / /i, ' .ANNUL__ Permittee Signature: l Call 503.639.4175 by 7:00 a.m.for the next available inspec'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. Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. I iq{•Ch Print Name of Permit Applicant 4e4l/ - _ /2Y Ii5 Signature of Permit Applicant Date Permit#: , ` 9O i 5- 000 u i Address: MOO 11 iDOTte_Pc0 * �� �► «. Oi 979,3 / 'Issued " te:` eV/W/5- This Copy for Permit Offices Building Permit Application Residential City of Tigard DatReceived: 42 M r',f6ly do.;g Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 q p Plan Revie rip Phone: 503.718.2439 Fax: 503.598.19MAY 2 O 2015 Plan Re vie .'/ �� Other Permit: It I, Inspection Line: 503.639.4175 Date Ready/By: p ,, / Julia: Si See Pagel for Internet: www.tigard-or.gov CITY OF"tJ`9f`A t) Notified/Me od: (Q Supplemental Information l l 1 glOtiis REQUIRED D 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees* are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ATEG _ work indicated on this application. ."`v�CATEGORY OF CONSTRUCTION ❑ I-and 2-family dwelling El Commercial/industrial Valuation: $0?t OCJ ❑Accessory building 11 Multi-family Number of bedrooms: ❑Master builder 12 Other: Number of bathrooms: EIMMILOB SITE INFORMATION AND LOCATIOI Total number of floors: Job site address: /t (d z) 5.0) rt1'1 p u id New dwelling area: square feet City/State/ZIP: -re. �i� _I zo� 4 7 2 2 a Garage/carport area: square feet Suite/bldg./apt.no.: �r Project name: 5174/',-Q r Covered porch area square feet Cross street/directions to job site: t Deck area: square feet Other structure area: square feet Subdivision: LLot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Odd ail A-1-11 et- sonve,n 0,1 5e-‘,P.Id Aqa y Existing building area square feet New building area: square feet '4 PROPERTY OWNE • ❑ TEN••n Number of stories: Name: (4 s, 5/l4(l g a• Type of construction: Address: /94i) 74„ !)L� ,01701 Lc)0,6( 5i- , Occupancy groups: City/State/ZIP: •r5 4.eci 0,2 4727/4 Existing: Phone:(7 ) ti Fax:( ) New: `Business name: t.'rn. e. 43, 5,.ylite Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: '67. 61 g r 2 Amount received: 0 Phone:(5 J) 43L-, ti//7- I Fax: ( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Ill Commercial and residential prescriptive installation of roof-top •• nted PhotoVoltaic Solar Panel System. Business name: �,� �� Submit two -ts of roof plan with connec-• •etails and fire departmen . •ss,along • • . - 010 Oregon Address: Solar Installation Specia I. . e c ecklist. City/State/ZIP: Pe ••' - includes pl. -view $180.00 and administrative fee- • Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �' (,4 r4-(2,. Date: 5/277/ *$ervme methodology set by Tri County Building Industry I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(ll/ /COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Received City of Tigard Permit No 11,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 Associat e d 'ts'a Phone: 503.718.2439 Fax: 503.598.1960 IIGARU 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity CI CI CI 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,tvofing,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 a,slicable to the 'ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans 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:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) I % Electrical Permit Application FOR OFFICE LSE ONLY City of Tigard Received `J ■ i 1 Date /By: Permit No. 13125 SW Hall Blvd.,Tigard,OR 9722,, t - Plan Review - -— a Phone: 503.718.2439 Fax: 503.598.1' Date/By: Other Permit: 1 1 c I,I Inspection Line: 503.639.4175 1 gl Date Ready/Br. runs ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information \ V, r� � ' � ` t t � '�'�' 'le a «r ''r 5 .xu«. ; « �"�.r� � 7 � � x ..t<.%1 �. r. - �a� c- �Y� �°� ^fie � x. ❑New construction ®Addition/alteratiot s acethent„s.',.':'''. `, Please check all that apply(submit a sets of plans w/items checked below): a ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other s q a n,t where the available fault current ❑Marinas and boatyards. { S" , .+g *' exceeds 10,000 amps at 150 volts or ❑Floating buildings- n.,,.._<. .sas.' ab.k,:_� ,. -, z:r`-, .` � :tr -fij.-oac'��-a�'�...,." 4 ° less to gr° d un ,or exceeds 14,000 building ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory g amps for all other installations. buildings. ❑ Multi-family fl Master builder 0 Other: ❑Fire pump. ❑Installation of150KVAor JOB SITE INFORMATION AND LOCATION t� -'" '' ❑Emergency system- larger separately derived system. . . . iti ` ❑Addition of new motor load of ❑"A""E" "I-2»,°►-3" Job no.: Job site address: 10100 SW McDonald St. I OOFIP or more. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard/OR/97224 ❑Health-care facilities- ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. Cross street/directions to job site: Description Qty Total • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Tax map/parcel no Ea.add'I 500 sq.ft.or portion 33.92 1 . : _._. -,a Limited energy,residential 1 _ ., i ' . y F ex l s R 75.00 2 kti._.Y , : -:�„ �� � Q. �. _ -5- , .�®i�-i:_ ��a� a. <t . r� '` (with .) Limited energy,multi-family 75.00 2 Relocating electric outlet and light switch and fixture residential(with above sq ft.) Renewable Energy , CI See Paget Services or feeders installation,alteration,and/or relocation t"�` ` i.i;4-:ac -,,- .: M r tilt ` .x'.._"`. ?` ;,. 'A :: .'i �.°, ;v. rf 200 amps or less _ _ 100.70 2 • 201 amps to 400 amps 133.56 2 Name:Hadi Sharifi 401 amps to 600 amps 200.34 2 Address: 12036 SW Wildwood St. 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:Tigard/OR/97224 Temporary services or feeders installation,alteration,and/or Phone:(503)598-4771 Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is bein ade on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,re' a r e. . e, •r rding to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: .1 ,4 i Date: / _ Branch circuits-new,alteration,or extension,per panel 0 APPLICANT ❑ CONTACT PERSON " A.Fee for branch circuits with — above service or feeder fee, 7.42 2 Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first I 56.18 2 branch circuit Address: Each add'I branch circuit 7.42 _ 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone: dwelling,service and/or feeder Phone:( ) Fax. ( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 l r Z.. 7 ,3 , �7 t:: .' �, Sign or outline lighting 67.84 2 Business name: Q�1� €/L_ Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 9000/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: s.- ificall listed(%z hr min) Suprv.Electrician signature,required: Subtotal: Print name: Date' Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. 1',Building\Permits\ELC PermitApp_ELR_ER.E.doe Rev 05/21/2013 440.4615T(II/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 Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 H Audio and Stereo Systems* - 15.01 to 25 kva 200.34 2 ElAlarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 H Heating, Ventilation and Air Conditioning oAR91s-309-ooao) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: HOther: Each additional inspection is charged at an hourly(I hr min) 66.25/hr I Inspections for which no fee is 90.00/hr specifically listed(V hr mm) COMMERCIAL WORK ONLY zucc iICAL PERMIT, 1 Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: — This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. H Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* H Medical H Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 Mechanical Permit Application FOR OFFICE I SE ONLV City of Tigard ECEIVEI DRec Y: iffiri 0_ Permit No.: a dr , 5---40 !IN ' • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Pert nit: Inspection Line: 503.639.4175 Date Ready/By: kris- ® See Page 2 for Internet: www.tigard-or.gov MAY 2 8 2015 Notified/Method: Supplemental Information /��1. Mechanical permit fees'are based on the value of the work ❑New construction ❑Addition/alteratioti(f a performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ❑ 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 Job site address: iD/op.a 5j MG�n n 4�Q/ (ducts/vents)/�� � Furnace 100,000 BTU ducts/vents - 46.75 City/State/ZIP: i(ffer _/ t.2 Q'Y2 2 Li / Furnace 100,000+BTU(ducts/vents) 54.91 �! �[ � Heat pump 61.06 Suite/bldg./apt.no.: I Project name: //IGilt Duct work 23.32 Cross street/diredions 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I ESCRIPTION OF WORK Gas fireplace/insert 33.39 _- Flue vent for water heater or gas ��� _ A_ -%�,i 4'„y' .,_ t4-z. fireplace 23.32 o / 4 _ Log lighter(gas) 23.32 ��' Wood/pellet stove 33.39 IWood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 Environmental exhaust and ventilation: Name: i(it 1 ' /41(l I„r `/2 t , Range hood/other kitchen �'1 /V1 equipment 33.39 Address: /2/3/ . .4j t '141 7 d 5 t Clothes dryer exhaust _ 33.39 City/State/ZIP: 6 c,- , I o/2- R 7 7 7 L Single-duct exhaust(bathrooms, 1 toilet compartments,utility rooms) 1 23.32 Phone:( % - — of I Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Or Business name: Fuel piping: g�'.— $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: Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires ifs 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: //'(d( 544 r i tr _ Date: Ti 2 f /J r:\Building lPermita .C_PermitApp_040113.doc 440-46171'(1 /02/ ) 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. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 ' Plumbing Permit Application Building Fixtures RECEIVE') FOR OFFICE USE ONLI City of Tigard ��g �s .: Mill r 13125 SW Hall Blvd.,Tigard,OR 9722,31 A Q Date/By:Received Phone: 503.718.2439 Fax: 503.598. Y 2 S 2015 Plan Review Date/By: i`l�I/ l y: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 61 See Page 2 for Internet: www.tigard-or.gov l 'A�Li Notified/Method: Supplemental Information ❑New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteraion/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 i E INFORMATIO Site utilities: Job site address: 1,9100 Ah I -t Catch basin or area drain 18.76 A r'L, C��a Drywell,leach line,or trench drain 18.76 City/State/ZIP: 71 L dr d (24 Z s2 I Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 566041' I 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 It.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 c DESCRIPTION OF WORK Backwater valve 12.51 1.l_"._.._ / i i % ia. .�'_ _.� Clothes washer 25.02 �- Dishwasher 25.02 �9� Drinking fountain 25.02 ' � Ejectors/sump 25.02 '0 PROPERTY OWNER TENANT Expansion tank 12.51 Name: i(ad i MIK/' ,' Fixture/sewer cap 25.02 /� Floor drain/floor sink/hub 25.02 Address: /2/:)....7,6 4i iii IV,,/dl)ocd ,f Garbage disposal 25.02 City/State/ZIP: 7. 1U1,� 42 al7a24-( Hose bib 25.02 Phone:(5 )5-9f---�/ !,j / Fax:( ) Ice maker 12.51 I r Interceptor/grease tra - 25.02 ❑ APPLICANT ❑ CONTACT PERSON trap Medical gas(value:$ ) Page 2 Business name: - `"' L Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory / 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 1 12.51 E-mail: Urinal 25.02 CONTRACTOR ., 1 Water closet 25.02 Water heater 37.52 Business name: G1 / , �.n - / Water pipingfDW V 56.29 CC Address: !Y W II v Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 1.40/c 4 j' Date: 5/.7 /(, This permit application expires if a permit is not obtained within 180 days // t 6 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:)Building\Permirs\PLMU-PernutApp.doc 10/01/09 440-4616T(10/02ICOM/WEB) 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-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 _ 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Yabitgatilk,erinit Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum tee$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*. 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. ,Performed: 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 engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3', • Isometric or riser diagram 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: -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 aid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL September 25, 2015 at 10:28:33 AM MST2015-00088 David Young Owner changing microwave to self vent and removing flex dryer vent from microwave and chimney. 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL MST2015-00088 David Young Gfci in lower level bath not working. Provide box extension and face plate for microwave outlet. 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS MST2015-00088 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00088 David Young Provide approved electrical final. Provide approved mechanical final. 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2015-00088 David Young Correction 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00088 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2015-00088 David Young Correction 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00088 David Young Provide approved electrical final. 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 10100 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL MST2015-00088 David Young Gfci not tripping in bath. Violation Summary: Inspector Contractor