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Permit
N..,-;1. ,y� CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT � r® Permit#: MST2015 00162 rid/A1513125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2015 Parcel: 26111 BA11800 Jurisdiction: Tigard Site address: 9510 SW MOUNTAIN VIEW LN Subdivision: 2003-048 PARTITION PLAT Lot: 2 Project: BINGHAM Project Description: 264 sq. ft. addition, covered porch, & interior remodel. 10/26/15: Reprinted change GC contractor.11/3/15, Reprinted change ELC& PLM contractors. 11/3/15 add (1)clothes washer, (1) BUILDING Floor Areas Required Setbacks Required Stories. 1 Bedrooms: 0 First: 264 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height. 30 Bathrooms: 0 Second 0 sf Garage: 0 sf Front 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total 264 sf Value: $33,640.20 Rear 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers' 1 Floor Drains. 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains 0 Tubs/Showers' 1 Garbage Disp. 1 Water Heaters: 0 Water Lines. 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain 100 Ice Maker: 1 Hose Bib: 0 Backwater Value 0 Other Fixtures. 0 Drywell-Trench Drain: 0 Other Fixture Units. MECHANICAL Fuel Types Air Conditioning: N Vent Fans 0 Clothes Dryers: 1 Heat Pump. N Hoods: 1 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 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 8 Mfd Home/Feeder/Svc: 0 401-600 amp: 1 401-600 amp 0 4 4400p 1/ 601-1000 amp. 0 601+amp-1000v. 0 {{,�� .. �Y/_I 1000+amp/volt: 0 ANDM it '�- , ELECTRICAL-RESTRICTED ENERGY e-41-4)t-4 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-3 264 Owner: Contractor: BINGHAM,WAYNE&DORIS MCCORD CONSTRUCTION LLC Required Items and Reports(Conditions) 9450 SW MOUNTAIN VIEW LN 324 SW WONDERVIEW DR 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 GRESHAM,OR 97080 PHONE: PHONE: 503-348-2366 FAX: Total Fees: $2,092.49 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 001 952-001-0010 t gh OAR 2-001-0 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 LiIssued By • Permittee Signature: \ f ��/L�� Call 503.639.4175 by 7:00 a.m.for the next available inspection d 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. IN,i, c :j' CITY OF TIGARD MASTER PERMIT ! 11 1 ' COMMUNITY DEVELOPMENT t°<:`' Permit#: MST2015-00162 f y itiM i , Date Issued: 09/22/2015 TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 ft A ill CC" Parcel: 25111 BA11800 Jurisdiction: Tigard Site address: 9510 SW MOUNTAIN VIEW LN Subdivision: 2003-048 PARTITION PLAT Lot: 2 Project. BINGHAM Project Description: 264 sq ft addition, covered porch, and interior remodel 10/26/15 Reprinted permit to change GC contractor to 11/3/15, Reprinted to change ELC& PLM contractors of record. 11/3/15 adding BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 0 First 264 sf Basement 0 sf Left 5 Parking Spaces 0 Height 30 Bathrooms 0 Second 0 sf Garage 0 sf Front 20 Smoke Dwelling Units 0 Third 0 sf Right 5 Detectors Yes Total 264 sf Value 533,640 20 Rear 15 PLUMBING Sinks 1 Water Closets 1 Washing Mach 1 Laundry Trays 0 Rain Drain 0 Urinals 0 Lavatories 0 Dishwashers 1 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer 0 Drains 0 Tubs/Skewers 1 Garbage Disp 1 Water Heaters 0 Water Lines 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 100 Ice Maker 1 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 1 Heat Pump N Hoods 1 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 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 1 401-600 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-3 264 Owner: Contractor: BINGHAM,WAYNE&DORIS MCCORD CONSTRUCTION LLC Required Items and Reports(Conditions) 9450 SW MOUNTAIN VIEW LN 324 SW WONDERVIEW DR 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 GRESHAM,OR 97080 PHONE PHONE 503-348-2366 FAX Total Fees: $1,997 63 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 ales 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 C..y of the rules 6.r-direct questions to OUNC by calling 503 2223321987 or 1 800 332 2344 Issued By: `�-1 - �- )•rmittee Signature: i%��/G� Call 501 arditby 7.00 a.m.for the next available inspection date. 7 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. f %.t CITY OF TIGARD MASTER PERMIT r F' '.r COMMUNITY DEVELOPMENT t° e Permit#: MST2015-00162 I,--_%- �0ft Date Issued• 09/22/2015 TIGAIO 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 t r. e Parcel: 2S111BA11800 Jurisdiction: Tigard Site address: 9510 SW MOUNTAIN VIEW LN Subdivision- 2003-048 PARTITION PLAT Lot: 2 Project: BINGHAM Project Description: 264 sq ft addition, covered porch,and interior remodel 10/26/15 Reprinted permit to change GC contractor to 11/3/15, Reprinted to change ELC& PLM contractors of record BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 0 First 264 sf Basement 0 sf Left. 5 Parking Spaces 0 Height 30 Bathrooms 0 Second 0 sf Garage 0 sf Front 20 Smoke Dwelling Units 0 Third 0 sf Right 5 Detectors Yes Total 264 sf Value S33,640 20 Rear 15 PLUMBING Sinks 1 Water Closets 1 Washing Mach 0 Laundry Trays 0 Rain Drain 0 Urinals 0 Lavatories 0 Dishwashers 0 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer 0 Drains 0 Tubs/Showers 0 Garbage Disp 1 Water Heaters 0 Water Lines 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 100 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 1 Heat Pump N Hoods 1 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 0 0-200 amp 0 W/Svc or Fdr 0 Ea add.'500 sf 0 201-400 amp 0 201-400 amp 0 W/O Svc/Fdr 2 Mfd Home/Feeder/Svc 0 401-600 amp 1 401-600 amp 0 601-1000 amp 0 601+amp-1000v 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&S:ereo 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-3 264 Owner: Contractor: BINGHAM,WAYNE&DORIS MCCORD CONSTRUCTION LLC Required Items and Reports(Conditions) 9450 SW MOUNTAIN VIEW LN 324 SW WONDERVIEW DR 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 GRESHAM,OR 97080 PHONE PHONE 503-348-2366 FAX Total Fees: $1,882 26 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 acco•:• 4 . th 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 ATT. ■ ION Oregon -w requires you to follow the rules adopted by the Oregon Utilit Notifi •n Center Those rules are set forth in OAR 952-001 4010 through OAR 952-041-4.•0 Yo may obtain a copy of the rules or direct questions to O ■ by : ing •03 232 1987 or'1 800 332 2344 l Issue. By: _ = PermitteeSi• ature: t Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date. This permit card shall be kept in a conspicuous place on the job site un' completion of the project. Approved plans are required on the job site at the time o each inspection. 1 'I-03-'15; 14: 14 • From:Orient Electric To: 5035981960 ; 5036633187 # 2/ 2 X31 ♦ • 5-00//0A Electrical Permit A.pplicaa' i�� a�� [BUR OFFICE USE ONLY • City of Tigard % 2015 !!ICW I�erntit No. ���DIS o 13125 SW Hall Blvd.,Tigard,OR 97 j�Phone: 503.713 2439 Fax: 503,598,1960 Other Permit: Date/13 : TICARD Inspection Line: 503.639.4175 dr�` ��N 17ntc Rcady/oy, ® See Paget for Internet: wWw,tigard-or.gov t,,t " ®� Notified/Method: 11111111, Supplemcntallnforrn„tion ;•,: „ ,'KAN REVIEW ; \ ❑New construction Addition/alteration/replacement Please check all that'apply(submit 2 sets of plans w/hems checked below): ❑ Demolition ❑Service or feeder 400 amps or more 9 Building over three stones, ❑Other; where the available fault current -CA�'GOR []Marinas and boatyards. L ',i , ",,, '' ':;;'_•,. • TRUCTION;,;, ,;,{';' ;,'•''',':?•' exceeds 1 0.000 amps at 150 volts or ❑I,lonbng building., X,OF',CONS less to ground.or exceeds 14,000 9 Commercial-use agricultural 1-and 2-family dwelling []Conlmercial/industrial []Accessory building I amps forali other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: _ 0 Fire pump. 0 installation of 1$0 KVA or JOIE-'SIT '4RMATCt?N'A.ND'I OCA TION1 !; ©Emergency system. larger separately denvcd system, '"�': ,. 0 Addition of new motor load of ❑"A^ "E" I.y "1.1" no.: 7 Job site address: • 1001-IP or more occupancy. Ci. no.: r'"' / /r ❑Six or more re,,identml units ❑Recreational vehicle park., 1 L r v/t ❑Health-care facilities. ❑Supply voltage for more than `` ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: 4 Project name; /Service or feeder 600 map•.or more. Cross street/directions to job site: - s,i'',,t"; :';y:,,F >E'_SCFIEDC11f.E':,'tee.,'',,,e:Ir :? , ' ',I '�. nescr;maon Qty...I Rea. �J 'taint■E New residential single-or multi-family dwelling unit. - Includes attached garage. - At'division: Lot no.: 1,000 sq.ft.or Icss 168,54 4 Tax map/parcel no.: - Ea.add'1 500 sq,ft,or portion 33.92 1 Limited energy.residential ..:::,,'- , ;, ':DI4sSCRIPTION;OF;.;WOETi';' ^-, ,';'„ ,. -',1 (with above,0.) 75.00 +1_jiLkidtx,Ztatt - �. Limited energy.multi-family ` ar !./ / ,�.i rr. --� . - residential(with above sq.ft.) 75.00 ,Rencwghle`Encrgr-,,,,',...":''.= . ❑':See Paget,-' , - Services or feeders installation,alteration,and/or relocation � r/ ❑c1PROPERTY-,OWNER'' �'i.• W�D`,TEN !" 200:unps or less 100.70 V O Name: ANT'; 201 amps tq 400 amps I 2 P 133.5G - 401 amps to 600 amps 200,34 2 Addles: 601 amps to 1,000 amps 301.04 2 City/State/ZIP: Over 1,000;imps or volts ^ 552.26 2 _ Temporary services or feeders installation,alteration,and/or Phone: ( ) Fax:( ) relocation 200 amps or Icss 59.36 1 .`- Owner installation;This installation is being made on property that I own which is not - — intended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. 201 amps to 400 amps _ I.5.08 2 Owner signature: 401 amps to 599 amps — 168,54 2 --15Date: Branch circuits-new,alteration1,or cxtcn5i011,per panel - is °,',:';,EIAPPLICANT , '";1;;_,'; :'❑'-;.CONTACr,PERSON,;;',' A.Fee fur branch circuits with - o� above service or feeder fee, Business name: each branch circuit 7.42 2 . (2bntact(lame: B.Fee for branch circuits witnut ti= service or feeder fee,first '1 Address: - '- branch circuit 56.18 2 V) Each adcl'I branch Circuit 7.42 2 '^ City/State/ZIP: Miscellaneous(service Or feeder nut included) I J _ Each manufactured or modtdar Phone: ( ) Fax: : ( ) dwelt.service and/or feeder 67.84 2 E-mail: -- Reconnect Only _ 67.84 2 ',CONTRACTOR 2.',:"4 Pump or irrigation circle 67.84 2 Bus See ` Sign or outline lighting _ 67.84 2 —Business name: f • ^ Signal circuit(s)or limited-energy it/• ' .noel.alteration,or extension. Page 2 _ 2 Address; e "' � . Each additional inspection over allowable in any of the above yi City/State/ZIP: _ / r Additional inspection Cl hr min) 66.25/hr 4 Investigation(1 hr min) 66.25/hr Phone:( 503 )(4o3 .. ! Fax:(��j isa .3 lndustrtelptnnt(I hr min) 78.18/hr CCB Lic.: InspectiOnS for which no fee is Electrical Lie,: I. / 7 Suprv. 1. .. . 73/ ,specifically listed(' hr ntln) 90.00/hr Suprv. Electrician signature,required: KJ/ . 1 EL T�CAL PERMTT?FEEDS:'•- Subtotal: Print naiad: I e �.�.c4 .. . flnfo: 1 r .. s Plan..,,,�,,,(zcry,.F _- a.p t ,, CITY OF TIGARD MASTER PERMIT ' 2 ''' COMMUNITY DEVELOPMENT Permit MST2015 00162 7 T[G^^wR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,00010 Date Issued: 09/22/2015 Parcel: 2S 111 BA11800 Jurisdiction: Tigard Site address: 9510 SW MOUNTAIN VIEW LN Subdivision: 2003-048 PARTITION PLAT Lot: 2 Project: BINGHAM Project Description: 264 sq. ft. addition,covered porch, and interior remodel. 10/26/15: Reprinted permit to show change of contractor from Precision Home&Remodeling to McCord Construction. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 264 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 264 sf Value: $33,640.20 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 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: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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: 1 401-600 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-3 264 Owner: Contractor: BINGHAM,WAYNE&DORIS MCCORD CONSTRUCTION LLC Required Items and Reports(Conditions) 9450 SW MOUNTAIN VIEW LN 324 SW WONDERVIEW DR. 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 GRESHAM,OR 97080 PHONE: PHONE: 503-346-2366 FAX: Total Fees: $1,837.26 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 o• .y z - re rules or direct questions to OUNC by calling 503.23 967 or 1.800.332.2344. _ /G Issued By: T`�.. _ _ tee Signature: `w- ��.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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Request for Permit Action 1 ;, , ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division RECEIVED 13125 SW Hall Blvd.,Tigard,OR 97223 2015 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits r r.gov FROM: Owner ❑ Applicant ❑ Contractor g F(TIGA�iD Check(✓)oneit�lu DIVISION REFUND OR Name: INVOICE TO: (Business or Individual) LID Cri ( . `LA l L,�r Mailing Address: Le 5- S'Le) /U. f, 1 e 4;, LL-1_ City/State/Zip: 7-7'd ct v OR_ c ? 2. Z Phone No.: 5'v 3 `f - 7 'I q' PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMO- E/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: M 9 7" 2 e ( S - Ur, 16 Site Address or Parcel#: c15-10 s '&• (c c s L L4. . Project Name: 13 c L,. i .et lacy,l [ 0 Subdivision Name: Lot #: EXPLANATION: G tt ej v �o e , t' 10 el--1 C2 2. . f Y o t-( 1 1rc -L S a L, 'b /V�CC�OVC' eUlc$' 61.4.r Signature: /i /i.a_ / _ Date: et 20 l 20 zs- Print Name: 6(4- Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date /), /`S By G3---), Route to Records: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092314.doc Per_a, C.6 2ni-v W‘er 0,e,(4:1 u — Ur rte;s�c Hvt .S Pe e\o-cw, j) � rt CITY OF TIGARD MASTER PERMIT ''�! I COMMUNITY DEVELOPMENT Permit#: MST2015-00162 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2015 Parcel: 25111 BA11800 Jurisdiction: Tigard Site address: 9510 SW MOUNTAIN VIEW LN Subdivision: 2003-048 PARTITION PLAT Lot: 2 Project: BINGHAM Project Description: 264 sq. ft. addition,covered porch,and interior remodel. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 264 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 264 sf Value: $33,640.20 Rear 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 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: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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 addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 Mfd Home/Feeder/Svc: 0 401-600 amp: 1 401-600 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-3 264 Owner: Contractor: BINGHAM,WAYNE&DORIS PRECISION HOMES&REMODELING Required Items and Reports(Conditions) 9450 SW MOUNTAIN VIEW LN 9655 SW SUNSHINE CT,#700 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 BEAVERTON,OR 97005 PHONE: PHONE: 503-350-3942 FAX: 503-350-3944 Total Fees: $1,792.26 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 i OAR 952-001-0010 through••R 9522-r�90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 87 or 1.800.332. 44. Issued By:, li�_�'I�/_ `.:— Permittee Signature: �'r-� i— =� Le-s( Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 1 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 Ftl►t tl1 FICE USE ON 1 1 City of Tigard �� Received p, Permit No.' C� Date/By: V/)61(5- /rJ /' 15 ' j7 isni 13125 SW Hall Blvd.,Tigard,OR ^ 1� Plan Revi I I Phone: 503.718.2439 Fax: 503. 8. 960 O 44 � 1 s-)(5- j Other Permit: 1 DateiBy: TI G A R n Inspection Line: 503.639.4175 S.Q • l,�Q Date Ready/By: G // 1ur� ® See Page 2 for Internet: www.tigard-or.gov J O�-c V•9' S\01\1 Notified/Method: !//�/ /� Te Supplemental Information rOA TYPE OF WQR REQUIRED DATA: 1-AND 2-FAMILY DWELLING ❑New construction [Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ISCAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the nrnfit for the CATEGORY OF CONSTRUCTION work indicated on this application.33, 61}2. .Q..,0 XI-and 2-family dwelling Valuation: $ 3�', `'Lc 12. •f, y g ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms ❑ Master builder ❑Other: Number of bathrooms. JOB SITE INFORMATION AND LOCATION Total number of floors: *V<< Job site address: 9510 9.W. / 4c ,&voi- .Ivy View Larne New dwelling area: square feet City/State/ZIP: ` ii AY'd t 0 Yp�o ri 972Z4- Garage/carport area: square feet Suite/bldg./apt.no.: J I Project name: 54n3IftA vbt Par 1iX gam. Covered porch area: 18 0 square feet Cross street/directions to job site: 14„v1, 51 yd. i'e Mc .}Q.Ovtoi t et to Deck area: square feet - 93 rd to MDUV1+0.1H View Cane - 1 wevi Wee Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 8'x 33` bu;tal;vi.i adAitidin. , wtIVIOY i>7 ev-'lor Valuation: $ rewevolel anal 16'74 18 coveved r'rat Existing building area: square feet New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: tom/,A W. S y\9 1.1,‘yy‘ Type of construction: Address: a 4-yo 5w AA 614A AI In Vie a) L a+Ne. Occupancy groups: City/State/ZIP: T OlVolt, Ov-e3oh 17Z24 Existing: Phone:(503) GµG. 78 ci 9 Fax:( 1 New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer so fee schedule) Business name: Structural plan review fee(or deposit): Contact name: 5 0.144 e 4.S o tocve, FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application:13Li, . ?.1 Phone:( ) Fax: Amount received: E-mail: w d b i H 91n aw. la .�In C . Ct∎W1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* JCommercial and residential prescriptive installation of CONTRACTOR -y f,0 roof-top mounted PhotoVoltaic Solar Panel System. Business name: /0�€e j�j0i✓h/`1 Q 5 x2,":_./..,---76,6 €-z. - 6- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 96 s5 S6J SC{'J'tf/j{/� e% 7� Solar Installation Specialty Code checklist. City/State/ZIP: a ,2Tdn/ 02 97 pas- Permit Fee(includes plan review $180.00 and administrative fees): Phone:L53 3S0 _ 39,Y,/.._ Fax:(6.031 3_co — 39 YY State surcharge(12%of permit fee): $21.60 CCB lic.:/7 f ?7 ' Ce� j j��j 04 �.hu/kit) , eitani Total fee due upon application: $201.60 Authorized 7 �� f�� `�' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (l) „ ce t . . 6 Date: *Fee methodology set by Tri-County Building Industry ^"`V� a VIA- Service Board. I:\Building,Permits\BUP-RESPermitApp.doc 02 24 2011 440-46131(11/02/COM/WEB) Building Permit Application Checklist } One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit N 71 Date/By: 13125 SW Hall Blvd.,Tigazd.OR 97223 Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 IIGAkt) 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. - ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist 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 he shown to be applicable to the .ro'ect under review. .II RISDI( I IONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 177. ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑ _ 26 "Reversed"buildingplans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) 1. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Gw� ' Received : l'crmh 7;:M,574i00/S - t(02. l I. " 13125 SW Hall Blvd.,Tigard,OR 97223 E G Plan Review Phone: 503.718.2439 Fax: 503.598.19( G Date/By: Related Permit tt. Inspection Line: 503.639.4175 O 2QV3 Ready Date/By: kris: 65 See Page 2 for TIGARD Internet: www.tigard-or.gov C�p Notified/Method: Supplemental Information J • TYPE OF WORK -0,/ Q% '-1 AR‘pN PLAN REVIEW ❑New construction Addition/alteration/rb ' 0 Please check all that apply(submit j sets of plans w/items checked): ❑Demolition ❑Other: B ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings. I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 121,000 0 Commercial-use agricultural Multi-family El Master builder ❑Other: amps for all other installations. ❑ buildings. ❑Fire pump. Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ' t i ❑Addition of new motor load of system. Job#: I Job site address:4511) SW Nit IlIL°W Lw.. I00HP or more. ❑"A "F."."I-2"."l-Y'. City/State/ZIP: "rig 0.Y d I Q J re90 H a-7 Z 24 ❑Six or more residential units. occupancy. ❑❑Health-care facilities. Recreational vehicle parks. Suite/bldg./apt.#: Project name: fSi 11 tiaN'h rJ eX ❑Hazardous locations. ❑Supply voltage for more than 1� �1� 11 ` ❑Service or feeder 600 amps or more. volts nominal. Cross street/directions to job site: N A I 1 V lu o(. 'r-e r t C Pc%0.1 d FEE SCHEDULE TO 1 3 %J 1 o Alf V; 'u.> L IA. I-44 Y{7 w ec — New re Description I Qty. I Each Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.11.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 (with above sq.ft.) 8'X 33 1 btAl ld i+A9 acid,,tiaK •.end v+nivtor Limited energy,multi-family residential(with above ft.) 75.00 I��CYIDY �/�(Aap e Renewable Energy ❑ See Page 2 P PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or_relocation Name: WAY Ne W. B iv%3 IAA 1� 200 amps or less 100.70 '? Address: q S 0 SAO. `u+. ,/I e w IN. 201 amps to 400 amps 133.56 2 ,v` i V 401 amps to 600 amps 200.34 2 City/State/ZIP: Ti i A v.4 Orel.,K 9 7 Z 24 601 amps to 1,000 amps 301.04 2 Phone:(boy ) 6 ti. ` - 7 8 ICC Fax:( ) Over 1,000 amps or volts 552.26 2 w d b i.1 Temporary services or feeders installation,alteration,and/or Email: N Vr► e J IA K C . C.0yy1 relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease, nt,or exchange,accor g to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: rite %/, 1.„..(irat, Date: 401 amps to 599 amps 168.54 2 � ,APPLi ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 each branch circuit Contact name: 5.4.(44,e, a S 6,6 0 U for branch circuits without Address: `service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Bach add'I branch circuit (. 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 • Email: Reconnect only 67.84 _ CONTRACTOR IgTJ" Pump or irrigation circle 67.84 _ Business name: U K//liE/ .— Sign or outline lighting 67.84 _ Signal circuit(s)or limited-energy ❑ Page 2 Address: g - panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lie.: Suprv. Lie.: specifically listed(Y.•hr min) ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal: Print name: Elite: ❑Plan Review Required(25%of permit fee): � 4.i.-- 5tate surcharge(12%of permit fee): Authorized signature: , ,, .. e TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 180 Print name: W K e 0. Es ivt l A FJlTtc: days after it has been accepted as complete. • Number of inspections allowed per permit. I:Building Permits EL('_PermitApp_ELR ERE-doc Rev 06 11 21,15 440-4613T(I 105 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 Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 1 00.70 5.01to15kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 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* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva 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: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(!'_hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1I: (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* ❑ Medical n Nurse Calls • _ Outdoor Landscape Lighting* I Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:Building/Permits,ELC_PermitApp_ELR_ERE.doc Rev 06./17/2015 Mechanical Permit Application FOR OFFICI I SE ONLY City hof Tigard Received Permit No. 111 Date/By: r r ' J i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.11teC �� Date/By: Other Permit: 1 1 G A R I Inspection Line: 503.639.4175 1 ` O 15 Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov � p 1 20 Notified/Method: Supplemental Information tC 1 - 1.f."1 Mechanical permit fees*are based on the value of the work ❑New construction Addition/altertki tie l'actement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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: 9510 S W A/t View L In. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 713 Q A.Y O Ye9 a q 722.4 i Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: ( Project name: $j NQ LI A 4 (Al l eX Duct work ' 23.32 Cross street/directions to job site: 4.1 1,I 131v4- "to N'(C pet4 a-LA Hydronic hot water system 23.32 tS W Q 3 ''0( 1 M+. Y I K, - w e 5+ Residential boiler(radiator or p p View) .Jt1r K 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 rDESCRIPTION OF WORK Gas fireplace/insert I 33.39 // Flue vent for water heater or gas b'x 3 3' b1.L11 a 11^9 A dl at t+l b%l a KA (M I VIO Y fireplace 23.32 IK"f'eV'i t) r YGtitnO t� e. 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 -f J � }� Environmental exhaust and ventilation: Name: ,W A l N e . Si v I14 vt" Range hood/other kitchen ,J � ) equipment 33.39 Address: (,(J.50 S W D ttt., ft I lti V 1 Q L A�Cr Clothes dryer exhaust 1 33.39 City/State/ZIP: fj q q1,.1 Ore, 0 H <17 Z 2 9- Single-duct exhaust(bathrooms, J toilet compartments utility rooms) 23.32 Phone:(JQj) 614.z- 7 S 41 9 Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name: $14.15 for first four;54.03 for each additional Contact name: 5a Wt e Q t A Lo v - Furnace,etc. Gas heat pump Address: . Wall/suspended/unit heater , City/State/ZIP: Water heater Phone:( ) I Fax::( ) Fireplace i Range E-mail: w d 6 i ti k a 141 (IP •lA ri 0 . c C'I4& Barbecue Clothes dryer(gas) Business name: fi�i_ iA767L Other: Address: �'V Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: 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: X levAe 1 /4.449% = Fee methodology set by Tri-County Building Industry Service Board Print name: (c.) k A Date: I:\Building\Pennits\MEC �ermitApp_040113.doe 440-4617r(11/02/COM/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 Application Building Fixtures GO FOR OFFICE USE ONLI City of Tigard ��`� V Received Permit No.: ■ 13125 SW Hall Blvd.,Tigard,OR Plan Review: (Y��jra S-pp l(4,#4... Plan Re I • Phone: 503.718.2439 Fax: 503.5 . `.I DateBy: Other Permit No.: Inspection Line: 503.639.4175 T I G A R D S Q . Q��0 Date Ready/By: brie: ® See Page 2 for Internet: www.tigard-or.gov „ otifed/Method: Supplemental Ioformatioo TYPE OF WORM ID construction ❑ Demolition For special information use checklist Description Qty. I Ea. I Total XAddition/alterAion/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 R1-and 2-family dwelling 12 m Comercial/industrial SFR(2)bath 437.78 SFR(3)bath _ El Accessory building ['Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( ,sq.ft.) I Page 2 ' JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 9610 S UI -{-%� View L ,vt e Catch basin or area drain 18.76 City/State/ZIP: Ti Qy� Drywell,leach line,or trench drain 18.76 1 , OYC�oh q Footing drain(no.linear ft.:49) . Page 2 Suite/bldg./apt.no.: I Project name: ESiv% kik L.A. Manufactured home utilities 50.03 Cross street/directions to job site: Ho,` 't"o M 4 oO VI a`d Manholes 18.76 to q 3'd 1 o /`l ( . VI eW L h. te•l M vx W G43-1 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 `.7 e ' DESCRIPTION OF WORK Backwater valve 12.51 f Clothes washer 25.02 Sl x 3S' btAi «Ivts o ( t'f 1ot,t a tA4- 1 Mb O( Dishwasher ' • 25.02 iiAi Cy(A V` Ye I'n b 4 e' Drinking fountain 25.02 Ejectors/sump 25.02 �,� PROPERTY"OWNER I ❑ TENANT Expansion tank 12.51 . Warlike. W. oltn kvv% Fixture/sewer cap 25.02 Name: J t� Address: 41450 S W M 0 ttr)4.0.1 h Floor ge disposal sink/hub 25.02 •1 (� LQ x1 a Garbage disposal 25.02 City/State/ZIP: TI J 00 Y 41 Q'r`. 01,& ' 7 Z Z.4' Hose bib 25.02 Phone:(50) 64 4 - 7g ci ct Fax:( ) Ice maker 12.51 41t1 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: $4N1C„. 0.4 °(oov e - 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 12.51 E-mail: Urinal 25.02 CONTRACTOR f " Water closet 25.02 Water heater 37.52 Business name: JA/ Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbin Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature i 1,74i.e 7( TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pemuts\PLMU-PennitApp.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(ea) Total Square Footage: Permit Fee: Footing drain-1st 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 Storm&Rain Drain-1st 100' 62.54 V8,uRtIQII Perl�tit Fe $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 t er nspec o 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 Quantiy by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistryifo"t 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 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain _ Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filer 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\Permits\PLMF_PermitApp.doc 08/04/2011 2 Property Owner Statement RECEIVED Regarding Construction Responsibilities SEP 2 2 2015 Oregon Law requires residential construction permit applicants who are not licensed w� Construction Contractors Board to sign the following statement before a building perm tom'�F'TIGARD issued. (ORS 701.325 (2)) BUILDING DIVISION This statement is required for residential building, electrical, mechanical, and plumbing per mits. 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 a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I w ill 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 horn eowner statement is true and accurate. W e e 4�• t c1 r,ex,.wL_ Print Name'of Permit Applicant V .7-u2_ 6 , Signatur of Permit Applicant �/ Date Permit#: 'LSTe920/S-- /(ate Address: 9570 c& /7f!lNT ft/N aid; �i .'t Y/Ed LAI 7761972.6 Issued by" Date: 13,4 /45. This Copy for Permit Offices City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R U Building Permit Review — Residential Building Permit #: riST l -( 0 i )._ Site Address: ci S i O Svi +• o L. 1-ri;„, u Y.v ) L ct {La- Project Name: (h //rl Lot #: (New/welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: OvllcliY ) f okciJh�n c v1d eAd i--; h0 " a 03verYcL rej)b %Verify site address/suite#exists and active in permit system. -pRiver Terrace Neighborhood: ❑ Yes -B-No Site Plan Elements: lfhree(3)copies of site plan xisting structures on site Site plan must kg on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished 1 yawn to scale(standard architect or engineer scale) floor elevations orth arrow --B tiliry locations(required for new,may apply for additions) Site address,project or subdivision name and lot number -Big afion of wells/septic systems dr.pplicant information(name and phone number) ❑t:rosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) —tat area,building coverage area,percentage of coverage andtreet names impervious area(applicable if R-7,R-12,R-25&R-40) met tree size,type and location (I roperty corner elevations(2 foot contour lines if more than D£....sting trees to be retained with drip line,and tree 4 foot differential) protection measures --a-Crean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ..public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ---t-id Use Case#: Zoning: R 4 .s ze.Setbacks: Front 2.fo Rear I S Side S Street Side I C Garage 1/0 0 -a-Landscape Requirement: Coverage Maximum: Building Height: Maximum Height ,? 0 Actual Height Yve/I(le - Tisual Clearance $ sements 'Q ensitive Lands: ❑ Yes ❑ No Type -fr-Urban Forestry Plan --B Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /vi 0 h? A f (o Date: Cr/ i b/1 S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision.2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw_RES_0709I 5.docx r- Building Permit Submittal Original Submittal Date: 0/0 Site Plans: # 3 Building Plans: L Building Permit#: nter building permit above. ,� Workflow Routing: E`I lan g L�rngineering L -17gmit Coordinator C ifding Workflow Sign-off: L Sign-off for Planning(include notes from planning review) Route Application Documents: L�E'!✓gtneering: (1) copy of permit application, (1) site plan, (1)building plan and original 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: ,------' Date: LP/�//J` Engineering Review �'Sl a at building pad: /cZ . 4 ditions"Met"prior to issuance of building permit Ea ents (encroachments)per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: I Approved by Engineering: di. � Date: 9 rl f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved t Revision 2: ❑ Approved ❑ 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: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A e. 70K to Issue Permit Approved by Permit Coordinator: ,Z/Vij‘ez,-1.- Date: IY//q../..---1-- 1:\Building\Forms\BldgPermitRvw_RES_0709 1 5.docx 1 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 711 ■ r Transmittal Letter r 1(,,\1:1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: - / C' - DATE RIEITIVjj P DEPT: BUILDING DIVISION L SEP 15 2015 FROM: CITY OF'TIGARD BUILDING DIVWSIOT COMPANY: q (: -. 2 PHONE: i --0 *-- �cgo'n q RE: 99 0 c61.....) 1`1 e-u a..`.:,._ d2-41/4). H ST 7c3f)/S-co f Co.- "(Sittee Address) (Permit Number) t►il (Project name subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: i ._an +Q�,,,� �.p (�' 0 ` _ ( \-6 --- l r -1-Lt A&_1 CA-A-to. ..,, - +n44 Itt 1049v -e FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 9510 SW MOUNTAIN VIEW LN, TIGARD, OR, 97224 Residential - Master Permit 120 Electrical rough-in FAIL MST2015-00162 Herb Stabenow Permit to be added for all circuits extended altered or new Dining room requires20 A outlets. Loose wire tone terminated in a box 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 9510 SW MOUNTAIN VIEW LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL MST2015-00162 David Young Not ready for mechanical, see rough in inspection results. 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 9510 SW MOUNTAIN VIEW LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL MST2015-00162 David Young Light not installed outside double doors in rear of house. Lights not installed in master bath. New dining area and living room plugs not gfci or arc fault protected per oesc 210.12A 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 9510 SW MOUNTAIN VIEW LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL MST2015-00162 David Young Protect flex gas line entering fireplace where in contact with metal edge of cabinet. M1309 Violation Summary: Inspector Contractor