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Permit (10) CITY OF TIGARD MASTER PERMIT I�: COMMUNITY DEVELOPMENT Permit#: MST2014 00128 T i GA R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2016 Parcel: 2511 OBC07300 Jurisdiction: Tigard Site address: 12320 SW ASPEN RIDGE DR Subdivision: THORNWOOD Lot: 44 Project: Libby Project Description: Finish storage rooms and wood shop • BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 0 sf Basement: 590 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 590 sf Value: $2,500.00 Rear: 12 PLUMBING Sinks: 0 Water Closets: 0 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: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 590 Owner: Contractor: LIBBY FAMILY REV LIV TRUST OWNER Required Items and Reports(Conditions) BY ROBERT I/MENA ALIBBY TRS 1 Owner dry walled basement 12320 SW ASPEN RIDGE DR rooms TIGARD,OR 97224 PHONE: PHONE: FAX: Total Fees: $1,090.94 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes--= : -I 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 isisuance, or if w. k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatibn Center. These rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:.•. -- 44. Issued By: .•�,6�- Permittee Signature: ��� 9.4175 by 7:00 a.m.for the nex available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the pro • Approved plans are required on the job site at the time of each inspection. !r" Building Permit Applicatio Residential RECEIVED Received ,/ City of Tigard n ( 1 n Date/By:ive 0 ' `f C -C) Penni[No.:uST Qj/ 14 - 13125 SW Hall Blvd.,Tigard,OR 97223U U f t Plan Review ,vim Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 61 i jig, Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: • /� loris: See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: /�/�J //� Supplemental Information ity TYPE OF WORK //( REt UIRED ATA:1-AND 2-FAMILY DWELLING E Nevk construction 0 Demolition Permit fees*are based on the value of the work performed. indicate the value(rounded to the nearest dollar)of all 'Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Hut CATEGORY 2-family d��ellinValuation: 7 $ 2 S a° g 0 Commercial/industrial P❑ Accessory building ❑Multi-family _Number of bedrooms: Q. ❑ Master builder 1=1 Other: Number of bathrooms: W JOB SiTE INFORMATION AND LOCATION• Total number of floors: .lob site address:1'L320 T(J 10CS eti jf,� "ll�.l u ,Q New dwelling area: 90 r1 square feet [ City/State/il l:'-(.-i 6.,..-6415.,6.,..-6415.,2.4)rt R• Co 2._-1-'I Garage/carport area: square feet Suitcihldg./apt.no.: . Project name: Covered porch area: square feet Cross street/directions to job site: 13 uL t_. IA.}- QJ, Deck area: 3 4.9 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Stihdicision: 114o,r-n u,p coo Lot no.: Permit fees*are based on the value of the work performed. indicate the value(rounded to the nearest dollar)of all lax map/parcel no.: equipment,materials,labor,overhead,and the profit for the 1 DESCRIPTION OF WORK work indicated on this application.1 L S"fi(►yGtia' ��.5• juLcF/citckk' J ("11..71-- Valuation: $ �'t V e1st�k E tht[1+ eL B Q r Existing building area: square feet New building area: square feet PROPERTY OWNER 5r—TENANT Number of stories: Name: \ Ir AE yL i 64 (� Type of construction: 1:"dress: tZ3'Co,nPIW1 1kc 8 A ee, . �e D Occupancy groups: Cit /State/ZIP: Q R R. X/;7 'ZZ _-- ��`� ISjM��� 1V Existing: ('hone:(503)501- 3E4S Fax:( ) New: ` ...APPLICANT •fir CONTACT PERSON BUILDING PERMIT FEES* — (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): ontact name: Z cb L. 16 FLS plan review fee(if applicable): !Address: 023'2 + , . . A A , , lV R Total fees due upon application: City/StateitlP:.. ((Dp,_2D c q ^� 2,Z" 'hone:693)cct Z '3 t 4-f. Amount received: — Fax: :( ) I mail: �o es • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* vhe-NG, e 4 at oo .e.om Commercial and residential prescriptive installation of CONTRACTOR -reD roof-top mounted PhotoVoltaic Solar Panel System. Business name: 0Alik/ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 ((Al lie. Total fee due upon application: $201.60 luthorircd signature: -'"� ) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ttt Date: "7 AL1 *Fee methodology set by Tri-County Building Industry LLi Service Board. I:`-Building Prmits\Btd'-RESPermitApp.doc 02 e /24/201 I 440-4613T(11/02/COM/WEB) L_ ' f Electrical Permit tApplicatio EIVFD FOR OFI I( I. ( SF ()NI.) City of Tigard REC Received © i Permit#: M rO4/ 111 41 13125 SW Hall Blvd.,Tigard,OR 97223 PlanaReview t s ' Phone: 503.718.2439 Fax: 503.598.196(0 G 4 2014 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for I I i, \k 1) F f '�pA pp(r�� Notified/Method: Supplemental Information Internet: www.tigard-or.gov CITY O TYPE OF IRRDINSnnfigIl ffi' PLAN REVIEW ❑New construction 'Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 04-and 2-familydwellingCommercial industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job 4: Job site address: 1 ❑Addition of new motor load of system. Z32Q St As P eo Qt ct5t Ori u e 100HP or more. ❑"A" "E" "1-2» "1-3" City/State/ZIP: �- e.01:1-4 ❑Six or more residential units. occupancy. 1(A- 0 Recreational vehicle parks. t O0Health-care facilities. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: `IU`i il'Y‘� FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: 't'— iAcj)e)Q 0 Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 1 tt l (with above sq.ft.) Re `1/1 fes.' C�,L CSG-i(-t c-c,l QN e_ S �--1��1n�1 nC�'}'[� Limited energy,multi-family r t J residential(with above sq.ft.) 75.00 2 �i�tS ����L �l��S Renewable Energy 0 See Page 2 OWNER ` TENANT Services or feeders installation,alteration,and/or relocation Name: t_PROPERTY B Q i f\ma L t pj 13 y 200 amps or less 1 100.70 2 Address: 1"Z"-2_0 4(A) s en�t o„ e, D 201 amps to 400 amps 133.56 2 '� 401 amps to 600 amps 200.34 2 City/State/ZIP: p..9_01 1 0 IQq 1 2,Z-.{ 601 amps to 1,000 amps 301.04 2 Phone:(5'Q ) S o2- 3S4s Fax:( ) + Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: bo LOU - •, A eyvx es _ra0 0 ,e C w\ relocation Owner installation:T"is insta :tion is being'lade on property that I own which is not 200 amps or less 59.36 1 intended for sale,leas;,rent,or cT:tie,according to ORS 447,449,670,and 01. 201 amps to 400 amps 125.08 2 Owner signature: - Date:'7)' 70/kf- 401 amps to 599 amps 168.54 2 *'LAPP vriz 'CONTACT PERSO Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, ©� L t ` 13each branch circuit 7.42 2 Contact name: [vvv1 B.Fee for branch circuits without service or feeder fee,first l 56.18 2 Address: iv;2.0,..3 w ipts eve 2,� , e 0 n v e branch circuit n y Each add'I branch circuit 7.42 2 City/State/ZIP: � ��� �2` �� `ZZy I 1 I Miscellaneous(service or feeder not included) Phone:(52)SO2. -.-2 CJ-tLl Fax: :( ) Each manufactured or modular 67.84 2 � dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 6 exi.&_:ei- Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lic.: Suprv.Lie.: specifically listed(%z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: -4 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: ( 1 Off L`t 6 Date: '124))24,l` days after it has been accepted as complete. CCCJJJ * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.dRev /21/I014 440-4615T(11/OS/COM/WEB 1 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 El 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 Syst +ns l >100 kva—no additional charge 0.0 3 INA p�t n5 o '"1 t t?yo L d�'1�� 1 Each additional inspection over allowable in any of the above: '� �Other: G t Each additional inspection is 66.25/hr 1 ,�J�4- mac)'I o E')Cls 4-t n c� C LeC ins charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.docx Rev 04/21/2014 I ..- City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: M`j i Cj/4—65 ( a Site Address: 12320 SW -1\s x- Ruse_ Dr . Project Name: L1 bbv Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: -f l Y1 c S l, oY Qe rooms 4cM W occ\ STOP, new decda rear +o rnctPat n� de om um,i -F1oor Verify site address/suite #exists anactive in permit system. Silt Plan Elements: i7 ree(3)copies of site plan Mjxisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper IYJFootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) or elevations orth arrow Utility locations(required for new,may apply for additions) ISZI.te address,project or subdivision name and lot number mon of wells/septic systems MiAfplicant information(name and phone number) 1(including drainage-way protection,silt fence of dimensions and building setback dimensions asign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and Street names ypervious area(applicable if R-7,R-12,R-25&R-40) ❑Srreet tree size,type and location 313roperty corner elevations (2 foot contour lines if more than --. to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Spvice Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes LJ No Received: ❑ Yes ❑ No Vt- e Case #: Zoning: R-7 'ttbacks: Front 1 E( Rear 12 Side 5 Street Side — Garage 2I andscape Requirement: Za of Coverage Maximum: % 1 uilding Height: Maximum Height 35 Actual Height eisual Clearance asements LvJ Sensitive Lands: Yes ❑ NoType S`Q 2�J�/p `E --U1Ldn Forestry Plan ❑ Cull iiions Met Notes: a ,lu {-ry1exl+ (VAR/003-0003LO approved I cled exi-e,ncif-n 3tdi r# 2 rea s bac.k Approved By Planning: Id 1 _•J OA. J Date: $ 5 04 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_042914.docx 4 Building Permit Submittal p/5-// Original Submittal Date: 0 Site Plans: # 3 Building Plans: # 3 Building Permit#: l F,nter building permit#above. Workflow Routing: Planning engineering ; Permit Coordinator wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: -gineering: (1) copy of permit application, (1) site plan, (1) building plan and origin plan review routing form. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: C1,1(Date: Engineering Review ❑ Actual Slope: ❑ Conditions Met Notes: /,o t S Approved by Engineering: _ Date: g / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: >7OK to Issue Permit Approved by Permit Coordinator: Date: r G /7 I:\Building\Forms\BldgPerm itRvw_RES_042914.docx A 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. or 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. _t E i2t . c � •k — L •rint Name o Permit Applicant ell OF It kl) iCk I(n Si•• �.ture �"ermitApplicant Date Permit#: ST�O/4 — 69 O/0247 4 x3020 S40 , ,49e / 21LS6� 62 s Address: .,\M.,,„r•fr.; i,. Issued by: 5. Date: 61V/ , iii-1 This Copy for Permit Offices 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 IN ` Transmittal Letter 13125 SW Hall Bltid. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE ' CEIVED: DEPT: BUILDING DIVISION i�/Cn ECl 11 Gam` FROM: Z(75-6 LJo JUN 15 2016 COMPANY: y CITY OF TIGARD BUILDING DIVISION PHONE: * - n RE: i 3a0 SW dv 7/1m Flo /G" 00 racy (Site Address) �' (Permit Number) b roj clnam r subdivision name and lot n - .er) ATTACHED ARE THE FOLLO I `G ITA; Additional set(s)o`pl. .. Revisions: Cross section(s) . d detai Wall bracing and/or lateral analysis. Floor/roof fr. ' ing. Basement and retaining walls. Beam calcu .tions. ngineer's calculations. Other(ex e' .'n): REMARKS: v- - 1 17S cJ' . Routed to Permit Tec 'cian: Date: I'^ I C Initials: Fees Due: ❑ Yes 0 No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: 4.2,4 [, Date: &A/4 !Q?; Initials: :---) I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012