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Permit CITY OF TIGARD � rgt MASTER PERMIT COMMUNITY DEVELOPMENT f�Lf/ Permit#: MST2017-00033 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2017 Parcel: 2S103CA00101 Jurisdiction: Tigard Site address: 13185 SW 115TH AVE Subdivision: None Lot: None Project: BCS Batiment LLC Project Description: 6/6/2017: REPRINTED to increase from 236 sf master suite addition and 156 sf entry addition, and reduced deck from 1140 sf to 765 sf. 4/26/17: REPRINTED permit to include(1)tankless BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 392 sf Basement: sf Left: 5 Parking Spaces: Height: 24 Bathrooms: 1 Second: 0 sf Garage: sf Front: 20 Smoke DwellingUnits: 1 Detectors: Yes Third: sf Right: 5 Total: 392 sf Value: $61,233.60 Rear: 12 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 0 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 2 Hose Bib: 1 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Water piping/DWV MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 7 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: 12 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 392 Owner: Contractor: BCS BATIMENT LLC BCS BATIMENT LLC Required Items and Reports(Conditions) SKYTERA LLC 19705 SW 65TH AVE 19705 SW 65TH AVE TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 541-337-8306 PHONE: 503-619-7070 FAX: Total Fees: $2,348.97 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 •'R• -011-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. \ / Issued By: ! , "� � � % !'� _ Permittee Signature: � �"�4� C, "7�p!`v/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application ,' 1S48 ,(-: Building Fixtures "' FOR OFFICE USE ONLY City of Tigard «e Eie41" PermitNo/ /� , 0L y3III13125 SW Hall Blvd.,Tigard,OR 9 Jw Phone: 503.718.2439 Fax: 503.598.1960 • -4, Other Permit No.: Inspection Line: 503.639.4175 1 I G A It D �� 8 Steady/By < Juns. Ei See Page 2 for www ti and-or. ov ted/Method: Supplemental Inf ormation e "-11114-.. ,hi ii ' � t"�� „ 4-4-',j'ifhgib ESE1�� " I�y� � � ��O I�! e% 0,4 ��w i1 ,-, x, �' 1W05Emm�-. d :.1;f--,--,,, _ _ ' e�rm., > . �'. ,- � �i� ary"m , ['New construction ❑De For special information use checklist _ Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑OY New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORYOF CONSTRUC TIQAI r V)iiiy, ". ,�.,ill SFR(1)bath 312.70 ®1-and 2-family dwelling I:]Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 SI", INFORMATION ALrocATIO i� , "" Site utilities: ,17-1,00J-JOB- ..,..,,,„,,,,,,o'- _,,,,„,,,,,,,,N,----l .-. aid�1 Job site address: 13185 SW 115`1i Ave Catch basin or area drain ]8.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: 115`h Addition Manufactured home utilities 50.03 Cross street/directions to job site:SW Fonner St Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: 110 Fixture or item: Tax map/parcel no.:2s-lw-03-sw-ne Backflow preventer 31.27 x - h DESCRIPTION ,-24,449,11;1%;,,. ,r " pill Clothes washer 25.02 Add icemaker and sink for lower level to permit MST2017-00033 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 "' ® PRO' RTY O i+R: i ❑ vkl,-; ,, 11,, Expansion tank 12.51 Name:BCS Development LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 19705 SW 65th Ave Garbage disposal 25.02 City/State/ZIP:Tualatin,OR 97062 Hose bib 25.02 Phone:(541)337-8306 Fax:( ) Ice maker 1 12.51 12.51 API",RANT- mt� 'V' , ; ' �0 CONTACT PERSSON: Interceptor/grease trap 25.02 14lid „ i ,. �..... Business name:BCS Batiment LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Caitlin Kjemperud Roof drain(commercial) 12.51 Address: 19705 SW 65th Ave Sink/basin/lavatory 1 25.02 25.02 City/State/ZIP:Tualatin,OR 97062 Solar units(potable water) 62.54 Phone:(541)337-8306 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: bcsbatiment@gmail.com Urinal 25.02 1.11 'i 7 - ,441,j,', ONTRA 1d '4`4 ;i"i,,lo . Water closet 25.02 Water heater 37.52 Business name:H&H Mechanical LLC Water piping/DWV 56.29 Address:5757 SE Willow LN Other: 25.02 City/State/ZIP:Milwaukie,OR 97267 Subtotal 3v,53 Phone:(503)975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 178122 Plumbing Lic.no.:PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) rsO Authorized signature: Caitlin Kjemperudfl, °,n,,•,mm74 -mm°°-'- TOTAL PERMIT FEE 6.02 Print name:Caitlin Kjemperud Date:12-6-17 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. signing as applicant for BCS Batiment LLC I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ,pq . CITY OF TIGARD ,. ' 1 MASTER PERMIT COMMUNITY DEVELOPMENT MEM Permit#: MST2017-00033 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2017 Parcel: 2S103CA00101 Jurisdiction: Tigard Site address: 13185 SW 115TH AVE Subdivision: None Lot: None Project: BCS Batiment LLC Project Description: 6/6/2017: REPRINTED to increase from 236 sf master suite addition and 156 sf entry addition, and reduced deck from 1140 sf to 765 sf. 4/26/17: REPRINTED permit to include(1)tankless BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 392 sf Basement: sf Left: 5 Parking Spaces: Height: 24 Bathrooms: 1 Second: 0 sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: 392 sf Value: $61,233.60 Rear: 12 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Water piping/DVW MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 7 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: 12 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 392 Owner: Contractor: BCS BATIMENT LLC BCS BATIMENT LLC Required Items and Reports(Conditions) SKYTERA LLC 19705 SW 65TH AVE 19705 SW 65TH AVE TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 541-337-8306 PHONE: 503-619-7070 FAX: Total Fees: $3,391.29 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 952-001-0010t •r•h a 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 or 1.80+ 32.'44. Issued �/// Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection d . I This permit card shall be kept in a conspicuous place on the job site until comp): ion of the project. Approved plans are required on the job site at the time of each inspection. • City of Tigard ■ ill COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential 1IGAKl3 Building Permit #: / 57j 7—Lxx) ' Site Address: t 731955 Si j s Av& Project Name: 1.5-41 Ave, A4(id-it,, Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A M L.tiw *Verify site address/suite#exists and active in permit>if—River Terrace Neighborhood: ArNo 0 Yes,See River Ten-ace Review Addendum Attached Si a Plan Elements: Three(3)copies of site plan %c :sting structures on site ite plan guest he on 8-1/2"x 11"or 11 x 17"paper ,_4 Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow )5IJtility locations(required for new,may apply for additions) )ittite address,project or subdivision name and lot number l'illALocation of wells/septic systems applicant information(name and phone number) sting trees to be retained with drip line,and tree ,ot dimensions and building setback dimensions rotection measures ��,,,��,, tia.Lot area,building coverage area,percentage of coverage and et tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) '14 treet names NProperty corner elevations(2 foot contour lines if more than foot differential) "gi Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: R"Yes,applicant was notified 0 No Received: 0 Yes eNo Public Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified _a No Applied For: ❑ Yes 0 No,stop intake ET Land Use Case#: L-L-A A 1(o-coo(p .s' Zoning: 1 14.S Required Setbacks: Front 2_0 Rear / Side 5 Street Side !. Garage 20 Landscape Requirement 1\1f4 % (4›-A1>T 20LID a it—1 Lot Coverage Maximum: NCAA. Building Height Maximum Height ' DI Actual Height c?Q/ ,� Visual Clearance 0 f Easements {.Sensitive Lands: 0 Yes A No Type IV Urban Forestry Plan 'NConditions"Met"prior to issuance of building permit Notes: Approved By Planning: .=_ Date: //QS/9. Revisions(after B 'lding Submittal only) . er Date /Revision 1: Approved ❑ Not Approved %i '' -la�� f� 6 /30/ (2 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: t7,1-,j`j Site Plans: # 3 Building Plans: # _ Building Permit#: lr]''�` tteer building ppermit#above. Workflow Routing: [ 1a ning TV-Engineering ermit Coordinator ceding Workflow Sign-off: alin-off for Planning(include notes from planning review) Route Application Documents: gineering (1)copy of permit application,(1)site plan, (1)building plan and orig+pal plan review routing form. uilding original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: #0,04-7.4, 5 --- Date: ,14-17 Engineering Review ❑ Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements(encroachments)per engineering conditions of approval and plat , ❑ Water Quality/Quantity Facility. Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approved by Engineering. Date: , Notes: •Approved by Engineering: ___IL Date: /....z4.--t7 Revisions(after uilding Submittal only) Review to Revision 1: Approved 0 Not ApprovedL' —11 .-- 7 Revision 2: Approved 0 Not Approved Revision 3: 0 Approved 0 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 1 't: DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes N/A CO'OK to Issue Permit / Approved by Permit Coordinator: n Da 1:\Buildmg\Forms\BldgPermitRvw_RES 091216.docx 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 Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: tana°L • DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVE]) FROM: C� n11 ( •r\46 MAY 30 2017 COMPANY: 1351111Xleank CITY OFTIGARD PHONE: S4-1 - X37 (Z3- 511) BUILDING DII/ 1( 1• RE: \31 n ri6 -Tiyyd MST 2N7 - bbo (Site Address) (Permit Number) .Add it in I ci t---4c- 1 l Z) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 3 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: 1n put o f ?75 we, w \1 wii‘ditA an &inclosed sovt ci of \nac -me r\mi eniiN cc t Routed to Permit Technician: Date: Initials: Fees Due: • Yes ■ No Fee Descri.tion: Amount Due: Special Instructions: Re.rint Permit .er PE : ❑ Yes ❑No ❑ Done A..licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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. 1)4 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: tG1nn CL . DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVE!) FROM: kit 1 'n \ -FM peter V d MAY 3 0 2017 COMPANY: CIT'OF TIGARD PHONE: SIA-1 BUILDING DIV�S �P B : RE: \92k Sw 11c .•T ayd Ms-t 21-517 -- b(DO. (Site Address) (Permit Number) I 1 �1 -A [3 LYl \ cit- 11 O (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: _x � � ..�'.�, f: � - � ,-.}3. � ... •„ � -�'� �'�;, � 3 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�/f,ll7 f Engineer's calculations. Other(explain): 514 /� �— // iO - 3 7 S _ 74 S REMARKS: \r\ ptaU 0' :75 - c -e.. sur' CC ) we, W\1 . ► l tL • •tel '.1d i� V1. e , lit I: 0)&AkA Armco !� • o yes a m xld d e 5 - =- /�1 t % .4 A . •7-1. • I Routed to Permit Technician: Date: -,j — ) -7 Initials: , Fees Due: ill Yes Ei No Fee Description: ount Due: r Special Instructions: Reprint Permit(per PE): � Yes ❑No Done Applicant Notified:C4,rt,,tJ Date: w �//7 {n><tials:,`rv I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 Tr • os _ Transmittal Letter , , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: t OP() DATtektirED DEPT: BUILDING DIVISION FROM: I(�Y1r10�1 S-C1)=--t,Li JUN 2017 CITY OF TIGARD COMPANY: VC5 tl\l'�-e.' t U-� BUILDING DIVISION PHONE: 27�i U By: RE: 1`aS`N \\ h P\vZ . tOiNkia) OP - j-AS\7-0\1-00( 5-3 (Site Address) 01`1 1:L2) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. X 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: S v) 2 tt1-1 kk 1 rk.-V` c,1 o In c>, Sk.r . ;vcU Ukt c u l CI 0 r 5 G. vc 5 3 L , 5 ave r iN to cel- of rtia tivin9 S Routed to Permit Technician: Date: G-- Fees Due: Ly Yes • No Fee Descri stion: Amount )ue: ,,. IIMPIMEMIMPIMIMMII $ 0 $ $ $ Special Instructions: Re.rint Permit ser PE : EAt. � o Ij Done A. slicant Notified: 04/774 t/ Date: MA�7 � I:\BuildineForms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT ,' Permit#: MST2017 00033 I ' COMMUNITY DEVELOPMENTIII 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 j;. . Parcel: 2S103CA00101 Date Issued: 03/30/2017 T r G A 9 Jurisdiction: Tigard Site address: 13185 SW 115TH AVE Subdivision: None Lot: None Project: BCS Batiment LLC Project Description: 236 sq. ft. master suite addition. 4/26/17: REPRINTED permit to include(1)tankless water heater with gas piping. 5/1/17: REPRINTED permit to include(10)branch circuits, (1)water heater BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 236 sf Basement: sf Left: 5 Parking Spaces: Height: 24 Bathrooms: 1 Second: sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: 236 sf Value: $52,030.20 Rear: 12 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 7 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''500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 12 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 236 Owner: Contractor: BCS BATIMENT LLC BCS BATIMENT LLC Required Items and Reports(Conditions) SKYTERA LLC 19705 SW 65TH AVE 19705 SW 65TH AVE TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 541-337-8306 PHONE: 503-619-7070 FAX: Total Fees: $2,616.78 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 enter. Those rules are set ,(Orth in OAR 952-001-0010 through OAR 952-001-0090. ,u may nbtain a -= - -- les or direct questions to OUNC by calling 4j 1987 o. 1332.2344. Issued By: ,6‘ tt Permittee _..... 20 .•39.4176 by 7:00 a.m.for tie text available inspection •• e. 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. 1 Mechanical Permit Application 1012 01 11ci t's:ONLv Cl of Tigard Received Permit No.: �.} , `J g 1 .' ,t, Plan /^7J/ 2di,7"�V3) �;% i 1 tlocuSan Envelope l3:8B64EE23-F02B-4E0A-B6E1-38AB5F131ACA "`yf 1.Olt O11hi('1:I:SI:O\I.I ' City of Tigard '' ReceivedIIMBIEEMEMIET • 13125 SW Hall Blvd.,Tigard,OR 97223' '4 •, Plant Review • Phone: 503.718.2439 Fax: 503.598.196 r+ ',.'i 1 D. , • Related Permit#: Inspection Line: 503.639.4175 i\N, . •Salty Date/By: Awls: El See Page 2 for V I(.A R1 Internet: www.tigard-or.gov Nddfind/Method: Supplemental information TJ UT WORK (t@` s .�,' r .: PLAN REVIEW ❑New construction ,Addition/aiteration/re�le8eilacrif- .. 4' Please check all that apply(submit 2 sets of Ions w/items checked si PPY _ P ) r 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other; ,IN where the available fault current 0 Marinas and boatyards. CA'>t'E?ty#RV O1 CONSTR IC(1ON; exceeds 10,000 amps at 150 volts or ❑Floating buildings. ,1-and 2-family dwelling 0 Commercial/industrial 0 A,cess.- .uilding * less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or 3011 SrrE'mLFORMAT oN A 4D;LOCATION, , ,T,'". ." ❑Emergency system• larger separately derived Job#: Job site address: � 6 , f � ❑Addition of new motor load of system. 6;g1NiOOHP or more. ❑"A" "E","1-2""1-3" bizCl —+-y ['Six or more residential units. occupancy.ty/St2tC/ZIP: 1 l ' ( ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#' ❑Hazardous locations. 0 Supply voltage for more than Project name: f �� ' ' `' ❑Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: _ P - DtE„ ' ,r n : r, ('�( f. _( ac � Description I Qty. 1 eh I Total T �Jnei ' -( New residential single-or multi-family dwelling unit. Subdivision: vv/, , Lot#; 0 0 Includes attached garage. •Tax map/parcel# 1,000 sq.R.or less 168.54 4 (--(Y, »� Ea.add.'500 sq.ft.or portion 33.92 1 ' �h ra� ��!si s.r�i sig , .. .` -fe �..�ii �. ' *P'� ! " nV�. i,., Limited energy,residential 75.00 2 ni I 4 f. `✓-, ( 1/45'( 4 ((�� (with above sq.RJ A ( — �,,Y �y f ,- Limited energy,multi-family 75.00 2 IJlll�vri � �}"Y/ `�►! residential(with above sq.ft.) l-I Renewable Energy ❑ 3ee Page 2 ' ` Pi10'1 "I`lr, `,::::,•:,4',• " Ao" Services or feeders installation,alteration,and/or relocation Name: r(-J` CIY r ., 200 amps or less 100.70 2 Address:i C' `�✓J "CCCCJ/J/"�"" r � „ 201 amps to 400 amps 133.56 2 SW ��llln///ciVI /-F'\/�� 401 amps to 600 amps 200.34 2 City/State/ZIP. i�F JN. � 601 amps to 1.000 amps. 320001..04 2 Phone:(3-1-1)' 7-401 Fax:( ) Over 1,000 amps or volts 552.26 2 ^ hn`� �l Temporary services or feeders installation,alteration,and/or Email: -' i i tit,! tr relocation Owner installation:This installation is being4nade on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 7 xq �. Ap�ibt��1� xi, Branch circuits—new,alteration,or extension,der panel „„,„ s.. _ ) �� *.LI �,h�,w��: A ,t .�) aOtvrl T�+k ! ? j� t ,;R '°a.. A.Fee for branch circuits with _Business name: (ry y� �- . ›Aft �p 1`u„e above service or feeder fee, 7.42 2 "YY i� each branch circuit Contact name:( - t f ' ..?..i.e, ,, a B.Fee for branch circuits without v�` service or feeder fee,first 56.18 2 Address: C' i �� _ � branch circuit }, City/State/ZIP: a I 1/1 *7 2.-, Each add'l branch circuit l0 ,(/� 7.42 '7 2 it 1" .�.,r ZI t Miscellaneous(service odfe r not included) Phone: ) l`,. --ea • , Fax::( ) Each manufactured or modular 1 dwelling,service and/or feeder 67.84 2 Email: h//i,19V1 • t1 1 'r• (.., Reconnect only 67.84 2 Y�4�/ -w wise t� ;,'",,;'•. : '..„ . K, . '' ' s tt.t o u r M Pump or irrigation circle 67.84 2 Business name: Tesla Electric Company Sign or outline lighting 67.84 2 2850 Cedar Hi l s BLVD #250 Signal circuit(s)orlimited-energy 0 See page2 2 ' Address: panel,alteration,or extension. City/State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above . Additional inspection(1 hr min) 66.251 hr Phone:( ) 503-705-2285 Fax:( ) Investigation(]hr min) 90.00/hr Email: test apdx@gmai 1 .com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 189699 Electripalloig,48 ,9g: Suprv.Lie,: 46975 specifically listed(%hrmin) 1t1 ,,i J'1/ EtteIta At,Aflt'E1ilgrr:>~g S Suprv.Electrician signature,requirei:W1W61141 Okir '(1 Subtotal: 7-J, Print name: Wi 11 i am w whi rOsr—Eesa7Da688c3481... Date: 3/30/2017 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 0.4//' Authorized signature: .,'y, ' , TOTAL PERMIT FEE: tt This permit application expires if a permit is not obtained within ISO Print name: VT' , Date: t/ 1 days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\PermiUtELC_PermitApp ELR ERE.doc\Re 06/17/2014 4404615T(II/0/COM/WEB Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: /y)s7,. 17 q, e'� 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review O�/ ZJ I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE s ❑New construction ❑Demolition , , ' J�:� For special information use checklist jtl 1Description Qty. Ea. I Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 /- / SFR(3)bath 500.32 ❑Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: -i<65 j j ' t\c 1Y\ Catch basin or area drain 18.76 Drywell,--\---\ \, A i 972_2_ leach line,or trench drain 18.76 City/State/ZIP: Y Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: `\E Y) _f=Ato6,t,AS Cl 1 Manufactured home utilities 50.03 Cross street/directions to job site: E.:3\ N-7----ENCVAC Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:IOD) 1 Page 2 C„t,5-1j Storm sewer(no.linear ft.: ) Page 2 0 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: I l Fixture or item: Tax map/parcel no.: 2- - 1y\/-- 03 ,� c^y,n g _/v„ Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer ] ;5-.02,25.0 ;5-.02,/ Dishwasher i` 25.02 ;s7,0;,., Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER a 0 TENANT Expansion tank 12.51 Name: U,ek, \ �� Fixture/sewer cap 25.02 �! Floor drain/floor sink/hub 25.02 Address: V)110 ) { � )-5":6;_ Garbage disposal 1 25.02 �� City/State/ZIP: .1 lig or V tV L- Hose bib I 25.02 01-5,,:,r Phone:ma 1 ) 3 Fax:( ) Ice maker I 12.51 0...5 { APPLICANT z . 0 CONTACT PERSON ': _; Interceptor/grease trap 25.02 Business name: US 00j--Malt 1 A i� Medical gas(value:$ ) Page 2 n ' (�� Primer 12.51 Contact name: �� Roof drain(commercial) 12.51 Address: kg-70c) S 1 V �/ Sink/basin/lavatory 5- 25.02 8 AS,/0 City/State/ZIP:- al /NZ Solar units(potable water) 62.54 Phone:/),.?). --7- 2) 7- � Fax::( ) Tn /� Tub/shower/shower pan131 12.51 )s'.e , E-mail: �� "\(r1ix^�L • l.i V . Urinal 25.02 t , Water closet 25.02 SO,v q , ' ; ;,� It CONFRA#CTO Water heater 37.52 Business name: 4.1. M- *1 ?l 1. C& ' jL/ Waterpiping/DWV 1 56.29 „A Address: �'- 7 5 7 -S \Ai 1 C/N/NC � 1 Other: I 25.02 ' City/State/ZIP: 1\ lioa,F-,l(l -(, / re cl 7 7(.0-7 Subtotal 'I3% S' Phone: 53' ( 7c -C�7 e)-7 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) ---7 J CCB Lic.: I /F) i Plumbing Lic.no.: 4 ��, State surcharge(12%of permit fee) 5/.•7 IAuthorized signatu 'aa : //' ' TOTAL PERMIT FEE xJ 7 ---777 This permit application expires if a permit is not obtained within 180dais Print name: t Dates- f / after it has been accepted as complete. / *Fee methodology set by Tri-County Building Industry Service Board. t^�z sCSS CP p� -�" � c L\But mg\Permits\ -PermitApp.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-151 100' 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 Valuation: Permit Fee: $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 Other Inspections or Fees Qty. Fee(ea) Tota 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. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial CI Any multipurpose fire sprinkler system. Domestic 0 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 0 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: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 r CITY OF TIGARD II f` MASTER PERMIT COMMUNITY DEVELOPMENT IFI&7Permit#: MST2017-00033 Date Issued: 03/30/2017 T E GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA00101 Jurisdiction: Tigard Site address: 13185 SW 115TH AVE Subdivision: None Lot: None Project: BCS Batiment LLC Project Description: 236 sq. ft. master suite addition. 4/26/17: REPRINTED permit to include(1)tankless water heater with gas piping. ~ BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 236 sf Basement: sf Left 5 Parking Spaces: Height: 24 Bathrooms: 1 Second: sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: 236 sf Value: $30,000.00 Rear: 12 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 1 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 236 Owner: Contractor: BCS BATIMENT LLC BCS BATIMENT LLC Required Items and Reports(Conditions) SKYTERA LLC 19705 SW 65TH AVE 19705 SW 65TH AVE TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 541-337-8306 PHONE: 503-619-7070 FAX: Total Fees: $1,717.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 rough OA' ! 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 03.232.1987 or 1.800.332.22344. /n/ I Issued By1 j� _ . ,'///,.....4_,A , Permittee Signatur _40-1,7/�YL�Y Call 503.639.4175 by 7:00 a.m.for the next available inspectio date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE usr:()NIA ill m City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ■ Phone: 503.718.2439 Fax: 503.598.19 Y ,' Plan Review ' ,DatePlan Re: Other Permit: 7'i U A R D Inspection Line: 503.639.4175 CE Date Ready/By: Jurist ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ATYPE OF WORK ) 2��5�6 COMMERCIAL FEE* SCHEDULE-- USE CHECKLIST ❑New construction Addition/altera,o a( +�.CA� Mechanical permit fees*are based on the value of the work �' ° performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: 11�L 11'4 DIVISION mechanical materials,equipment,labor,overhead,and profit. CATEGORY OP" CO STRUCTION Value:$ .�e, RESIDENTIAL EQUIPMENT/SYSTEMS FEES* §1-and 2-familydwellinga ❑Commercial/industrial 0 A hr1.' For special Information use checklist. 0 Multi-family 0 Master builder 0 0 It ` Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATI`a Heating/cooling: Air conditioning 46.75 site address: 1' i( SSr^( t \ -{v\ Furnce 100, 00 BTU(ducts/vents) 46.75 City/State/ZIP: I \ ��(�J ( ,_ 0j Z', Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: \.\ t sx- Heat pump 21.32 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ^,� p Residential boiler(radiator or Y v ` 'e.y+ hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 (`d) admit 6)laikicsi i, T- p,p, lb Flue/vent for any of above 23.32 Subdivision: Other: 23.32 T `�� OJ 7 Lot no.: 12) Other fuel appliances: 1" Tax map/parcel no.: 26 -1,w * 'y- c, ,YV Ne..- Water heater ) 23.32 'VL 3i. DESCRIPTION OF WORK Gas fireplace/insert 33.39 ��t` ,�,,y' Flue vent for water heater or gas e�✓1 f t6G 1, ( ).63. �t ,(. ..9:5... .,..5\.e (` `2I - fireplace 23.32 C ~�~� \ ( , Log lighter(gas) 23.32 �y� Y J ....i."... J� � Wood/pellet stove 33.39 t�\� 1 '( l-(' 2Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Vit PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation:Name: ECS1, ),f,e .Qrw-n) Range hood/other kitchen 1CnC5 , r equipment 33.39 Address: \ r (� /� j 'v `�e Clothes dryer exhaust 33.39 City/State/ZIP:�t -CICk 1 1� / CNN_ {V)� Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: I) Fax:• ( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: / ? ,/V,j , Fuel piping: /J1 I J v' v $14.15 for first four;$4.03 for each additional Contact name: rt ]'n2\ropeinAd1 vl Furnace,etc. Address: 10 De C"�/\I . /p• Gas heat pump I `� r .�A.,/e, Wall/suspended/unit heater City/State/ZIP: I D j/ , Water heater ( 1L , , Phone: ��I)��^^`((//y�y 1122'611�` Fax::( L �) ��/� Fireplace E-mail: Vl�art �1 V2A '1-2, littAl ' /4/1/1 V ' Range Barbecue CO CTOR Clothes dryer(gas) Business name: "�er°reef{') aLS Other: �!—� v' 1 wt (/� MECHANICAL PERMIT FEES* Address: p®, r t3 06 Subtotal City/State/ZIP:W1 s uhf cJ'7" (7 S Minimum permit fee($90.00) / ✓ Plan review(25%of permit fee) Phone:5.e) 407 9542_ Fax:( ) State surcharge(12%of permit fee) CCB lic.: i ,s 03 I �/ TOTAL PERMIT FEE V This permit application expires if a permit is not obtained within 180 �/ ��-,. . days after it has been accepted as complete. Authorized signal e: ►'o'/ ' r * Fee methodology set by Tri-County Building Industry Service Board / y^7 Print name: C /41��t• ' r Date:� i / I:\Build' \permits C P itApp 040113. je, '`4 �t 440-4617T(i i 02/COM/WEB) Plumbing Permit Application Building Fixtures City of Tigard itECEIliEt Received 3 13125 SW Hall Blvd.,Tigard,OR 9 Date/By: Permit No.: SP 7...,,,,-,3 1 • Phone: 503,718.2439 Fax: 503.598.1960 Plan Review 6Date/By: Other Permit No.:Inspection Line: 503.639.4175 inn 2°17 Date Ready/By: Juris: See Pent 2 fnrliC AIti> Internet: www.tigard-or.gov Notified/Method: Supplemental Info rmation TYPE OF WOR ��$ OITIGA D FEE* SCHEDULE ❑New construction f 11A1`G DIVISION For s ecial in ormation use checklist - Description Qty, I Ea, 1 Total -$4Addition/alteration/replaeement I ter: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 /ti 1-and 2-family dwelling 0 Commercia SFR(2)bath 437.78 ttt ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION ANDLOCATION Site utilities: Job site address: 111„�Js v "5 1_cr,‘ c...4e, Catch basin or area drain 18.76 City/State/ZIP: "j-`e1/4/c� , . 7 Z-z Drywell,leach line,or trench drain 18.76 �.J i Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: \\T • r• k\ '\ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 5i\i 1 O ^-- 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.: Ili) Fixture or item: Tax map/parcel no.: 9. - l -e,,,,-\(\i .-fit✓ Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02Tti. DCZ 1p!C ( LDS �ia hAN�4' I' Dishwasher 25.02n�ictjeiiryV /t- MS+ 207 O0V Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER Q TENANT Expansion tank 12.51 Name: OOS pg/t/AWY1-0121--.pFixture/sewer cap 25.02 Address: 117 �La Floor drain/floor sink/hub 25.02 p� r�� h y� Garbage disposal 25.02 � 1/I(,( City/State/ZIP: 1 i. Ul Hose bib 25.02 Phone:(S�-1) 3'37--. 2:, Fax:( ) Ice maker `� 12.51 A. APPLICANT CONTACT PERSON Interceptor/grease trap 25.02 Business name: C,I,S j31 L4....e..., Medical gas(value:$ ) Page 2 Primer 12.51Contact name: I ' %,.Jt-y\peqlnej Roof drain(commercial) 12.51Address: 1GJ7 QVn1 • Ale Sink/basin/lavatory 25.02 City/State/ZIP, n !� 0.-7O2.02- Solar units(potable water) 62.54 Phone: ) rj^"" " L j(O Fax::( ) Tub/shower/shower pan 12.51 E-mail: �.y Urinal l.'W7��r/f til �-%C /1 -/!.. ti/ Y ' 25.02 CONTRA It Water closet 25.02 Business name:1-1 f nihat Water heater I 37.52 `37 . 4 j' `°, `��1 Water piping/DWV 56.29 Address: S 1A/I ' I n Other: 25.02 City/State/ZIP: M( 1 wclu e, L rJ1.7'2/2 7 Subtotal Phone' ) 975- 7E3 7 Fax:( ) !-kll Minimum permit fee: $72.50 CCB Lie.: i 7E, j 2_2_ Plumbing Lic.no.:p�4(T Plan review (25%of permit fee) State surcharge(12%of permit fee)_ Authorized signatu, it � �._�fit TOTAL PERMIT FEE Print name: �'t Date: This permit application expires if a permit is not obtained within 180 days do [ 4 2S 171 y / after it has been accepted as complete. eJ "7 '"`0 �� LL( "Fee methodology set by Tri-County Building Industry Service Board. :\Building\Pe ' LMU-PermitApp.doc 1011/099/ 440-4616T(10/02/COM/WEEBB)„ Branden Taggart From: Caitlin Kjemperud <bcsbatiment@gmail.com> Sent: Tuesday, April 25, 2017 4:37 PM To: Branden Taggart Subject: RE: Building Permit: MST2017-00033 - SUBS Attachments: Hot Water Heater Plumbing Permit 4-25-17.pdf; Mechanical Revised 4-25-17.pdf Hi Branden, No problem.That makes sense. Please see attached Mechanical and Plumbing permits showing the new gas line and hot water heater. Thank you for the email and voicemail explaining the process. I hope this covers it and please let me know if you need any additional information. Appreciate the help! Thank you, Caitlin BCS BATIMENT LLC Caitlin Sinkey-Kjemperud Project Manager • 541-337-8306 specializing in project development From: Branden Taggart [mailto:brandent@tigard-or.gov] Sent:Tuesday,April 25, 2017 2:50 PM To: 'Caitlin Kjemperud' <bcsbatiment@gmail.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Building Permit: MST2017-00033-SUBS Hi Caitlin, Thank you for providing the forms. However, since you are adding the tankless water heater now, we will need you to state this on the application and resend a new copy with the correct totals. Also, I noticed that gas piping was not included on the permit for a new tankless water heater. We will need to add gas piping on the mechanical application as well. Furthermore,we did not collect water heater fees on the plumbing application for the potable water connection. A water heater will also need to be added to the plumbing portion of this permit fees. So,we would appreciate it if you can also send over a plumbing permit application stating that you want to add to this work. To sum it up, we will need the following: (1) Mechanical permit application to add (1) water heater and gas piping for(1) water heater. (1) Plumbing permit application to add (1)water heater. 1 I will add the$45.00 fee for changing contractors after we receive both the revised mechanical and plumbing permit applications. I know this is a lot more complicated with the addition of the tankless water heater. Please give me a call if you have questions. Thanks, Branden Taggart 11 q City of Tigard r to `:,• Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503}715-2449 bra ndent@tigard-or.gov From: Caitlin Kjemperud [mailto:bcsbatiment@gmail.com] Sent:Tuesday,April 25, 2017 11:00 AM To: Branden Taggart<brandent@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermitsPtigard-or.gov> Subject: RE: Building Permit: MST2017-00033 -SUBS Hi Branden, Please see attached. I signed the new mechanical permit application as the applicant. Please let me know if Evergreen needs to sign it. The work is staying the same except we have added a tank less water heater dedicated for the addition. Please let me know if you have any questions. Thank you for your help. Thank you, Caitlin BCS BATIMENT LLC Caitlin Sinkey-Kjemperud Project Manager . 541-337-8306 specializing in project development From: Branden Taggart [mailto:brandent@tigard-or.gov] Sent:Tuesday,April 25, 2017 8:59 AM To: 'Caitlin Kjemperud' <bcsbatiment@gmail.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Building Permit: MST2017-00033 -SUBS Hi Caitlin, 2 I can add Evergreen gas to this permit. However, we will need you to complete a Request for Permit Action form as well as a new mechanical permit application with Evergreen gas' information. Also,there will be a $45.00 fee for changing contractors. This fee can be paid online once we make the change. I have included the link to the Request for Permit Action form below: http://www.tigard-or.gov/help me to/forms.php#revize document center rz279 If you have any questions, please let me know. Thanks, Branden Taggart w City of Tigard ■ n. Permit Technician Community Development TIC ARO 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.gov From: Caitlin Kjemperud [mailto:bcsbatiment@gmail.com] Sent: Monday,April 24, 2017 12:07 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: Re: Building Permit: MST2017-00033 -SUBS Hi Branden, We switched mechanical subs, here is their information: Evergreen Gas CCB: 158031 Please let us know if you need any additional information. Thank you, Caitlin Sent from my iPhone On Mar 30, 2017, at 11:28 AM, Branden Taggart<brandent@tigard-or.gov>wrote: Thanks, Caitlin. I just issued the permit for Shannon to pick up. <image001.jpg> From: Caitlin Kjemperud [mailto:bcsbatiment@gmail.com] Sent:Thursday, March 30, 2017 11:03 AM To: Branden Taggart<brandent( tigard-or.gov> 3 Cc: 'Bruce Sinkey' <bsinkev@gmail.com>; 'Shannon Sinkey' <shannon.bcsbatiment@gmail.com> Subject: RE: Building Permit: MST2017-00033 -SUBS Hi Branden, Please see attached electrical permit with supervisor electrician signature. Thank you, Caitlin BCS BATIMENT LLC Caitlin Sinkey-Kjemperud Project Manager • 541-337-8306 specializing in project development From: Branden Taggart [mailto:brandent@a>tigard-or.gov] Sent: Wednesday, March 29, 2017 3:21 PM To: 'Caitlin Kjemperud' <bcsbatiment@gmail.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Building Permit: MST2017-00033 -SUBS Thanks, Caitlin. I will add the contractors to your permit shortly. You are welcome to send someone in to pick up the permit. <image001.jpg> From: Caitlin Kjemperud [mailto:bcsbatiment@gmail.com] Sent:Wednesday, March 29, 2017 3:18 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: Building Permit: MST2017-00033 -SUBS Hi Branden, We have selected our Mechanical, Electrical and Plumbing subcontractors for permit MST2017-00033 13185 SW 115th Ave. Mechanical: Phillis Construction Co DBA: Pyramid Heating and Cooling CCB 59382 Electrical: Tesla Electric Co. CCB 189699 Electrical license C599 Supervisor 4697S 4 Plumbing: H&H Mechanical, LLC CCB 178122 Plumbing License PB414 Please let me know if you need any additional information for the permit. How soon would we be able to pick up the permit? Thank you, Caitlin BCS BATIMENT LLC Caitlin Sinkey-Kjemperud Project Manager ^ 541-337'8306 specializing in project development 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 Ru|es ^CityGonera| RecordsRetentionSchedu|e." <BraodeoTa&gart2.vu�� .- CITY OF TIGARD MASTER PERMIT I 31: '' COMMUNITY DEVELOPMENT Permit#: MST2017-00033 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2017 F .p° Parcel: 2S103CA00101 Jurisdiction: Tigard Site address: 13185 SW 115TH AVE Subdivision: None Lot: None Project: BCS Batiment LLC Project Description: 236 sq.ft. master suite addition. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 236 sf Basement: sf Left: 5 Parking Spaces: Height: 24 Bathrooms: 1 Second: sf Garage: sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors. Yes Total: 236 sf Value: $30,000.00 Rear: 12 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 2 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 236 Owner: Contractor: BCS BATIMENT LLC BCS BATIMENT LLC Required Items and Reports(Conditions) SKYTERA LLC 19705 SW 65TH AVE 19705 SW 65TH AVE TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 541-337-8306 PHONE: 503-619-7070 FAX: Total Fees: $1,611.02 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 AR 952-001-0090. You tarn a copy he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: .:.V C 9.4175 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. Building Permit Application Residential " FOR OFFICE USE ONLY 'yf Received City of Tigard Date/By: / 23 . Permit No.: 1J7 )/7� 13125 SW Hall Blvd.,Ti azd,O J ,,.a ,t y / Phone: 503.718.2439 Fax 503 9 60 s t Date/Bynew Other Permit: g' 'T I G A R D Inspection Line: 503.639.4175 �� y ft Date Ready/By / Juns: H See age 2 for Internet www.tigard-or.gov + x r s\O '''` Notified/Method: , l>/17 j� Supplemental Information ��; � (4.,ret,,t,� Cote-t(,.-.�+1� TYPE'OF Wv`� 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 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ .--CZ7d3-1-C) t '14 1-and 2-family dwelling 0 Commercial/industrial �J ❑Accessory building ❑Multi-family Number of bedrooms: v ,I 0 3 0 ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 19)\ ) sy\I \kG .7-\--4-e, , New dwelling area: 2.3‘,.„,/ square feet City/State/ZIP: i c - 9 / or g-7 Zj 2- Garage/carport area: square feet Suite/bldg./apt.no.: _J Project name: i 51.Y‘ 7 c;,d,'rh Or Covered porch Other structure area: _ square feet Cross street/directions to job site: Deck area: ,,T{l square feet c 51/\I 1-�1"\'�er -- �j"�� a: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 9 V to NA i_-- Lot no.: /0/ Permit fees*are based on the value of the work performed. Tax map/parcel no.: 25 -1\(\i--0 �j w- . Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CN ,7 , }-D�ESSCRIPTION OFF�WORK work indicated on this application. -J 1 1 iz,l i 1 c1dd'VI )U✓ I L{ 2-:�7�/ - " "�C Valuation: $ \ 11 n� Oil i •Fe ��yv��Li V l , a . Existing building area: square feet kAtl xr3 ` ��Z V New building area: square feet $PROPERTY OWNER 0 TENANT Number of stories: Name: e(-1C-2- De v.1 C,pm-en"± Li--C' Type of construction: Address: / GJ70,5- S1(4 (03-11/Vei. Occupancy groups: City/State/ZIP: T a i etto Lz (375702_ Existing: h,..` Phone: ) 93610 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: 33% rep(64 ' 0' (.-L (Please refer telex schedule)��_ ,_`� -iStructural plan review fee(or deposit): Contact name: jll K cos FLS plan review fee(if applicable): Address: f�/ 7pli 6,Q__ `� x Total fees due upon application: City/State/ZIP: 1 1'� (�f� V�� - -- 3 l� � Amount received: Phone: ); 7- )2)1511f2. 1/� Fax::( ) E-mail: Ci. L7y"'i e l /r M!z,(r„ Ltiyi, 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* / Commercial and residential prescriptive installation of CON CTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: r Submit two(2)sets of roof plan with connection details `%� COY- / / and fire department access,along with the 2010 Oregon Address: /97£5 _ "j ( •we,, Solar Installation Specially Code checklist. City/State/ZIP: Trial/' i' 97617 2 Permit Fee(includes plan review $180.00 and administrative fees): Phone:) i 1 )r` -- 4_ } / Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lis.: i9 i it!lj el ' Total fee due upon application: $201.60 Authorized signatur;: k I ft i'-` - `"-' This permit application expires if a permit is not obtained ,.- ,,- within 180 days after it has been accepted as complete. Print name:11r'l I � y' ( Date: *Fee methodology set by Tri-County Building Industry Service Board. ti/ I:\Building\Permits\BUP-RESPe itApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Mechanical Permit Application FOR OFFICE uSE ONLY Received �' City of Tigard Or' ar,.V. VA •?. Date/By PermitNo.: ,' _ , - 13125 SW Hall Blvd.,Tigard,OR 97224---111,„„-'- � �. Plan Review Phone: 503.718.2439 Fax: 503.598.1 .»" "` Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 ��tt L's (,., Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov \ i1 44 y Notified/Method: Supplemental Information 134 TYPE OF WORD` `GDy��1O4 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1W... Mechanical permit fees*are based on the value of the work 0 New construction OAddition/alterati replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ;41-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: •(� d Air conditioning 46.75 Job site address: I f Q 6 9� 1 l' 1 .761Vei Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: IIga� L' -2. g 7'i� Furnace 100,000+BTU(ducts/vents) 54.91 • Heat pump 61.06 Suite/bldg./apt.no.: Project name: I I Gid ,+\a� Duct work j 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or i"y - -vsn )( ( hydronic) 23.32 , c-., Unit heaters(fuel-type,not electric), .. in-wall,in-duct,suspended,etc. 46.75 (ti Flue/vent for any of above 23.32 Subdivision: ti . Lot no.: :OA 1+ Other: 23.32 F Other fuel appliances: Tax map/parcel no.: (ZC7—1_N 0' --501—N'. Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 t Flue vent for water heater orgas `y ^� c. ( ,(? c-74- fireplace 23.32 1 ��r�� i� ln��C �� (' Log lighter(gas) 23.32 ChS 1 1 YV ("�liJ' �,n Wood/pellet stove 33.39 Yi �� Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 J„ PROPERTY'OWNER 0 TENET Environmental exhaust and ventilation: F,Name: /� U V ` ' 1 C- Range hood/other kitchen �� equipment 33.39 Address: Aje Clothes dryer exhaust 33.39 i City/State/ZIP: (14thI n t C) 7 61,2— Single-duct exhaust(bathrooms,toilet compartments,utility rooms) N 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 P APPLICANT ❑ CONTACT PERSON Other: 23.32 - �� Business name: ` ') Fuel piping: J l l $14.15 for first four;$4.03 for each additional Contact name:aCtaitiO ). ! ' l\4 Furnace,etc. (� Address: 7 ° • Gas heat pump Wall/suspended/unit heater City/State/ZIP: V C + v4 !/� , C `- Water heater ter Phone..4 ) 257— gioFax :( ) Fireplace Range - -E E-mail:' N\L ,T/ : Y ( C, \ Vecue CONTRACTOR Clothes dryer(gas) v, O i lei.G r 7f1e tOther: Business name: y /15, it S 615/ /64'41'144 'l�'stD"`f MECHANICAL PERMIT FEES* Address: t l�a 9 A/. 1 r Subtotal ` / ,f Minimum permit fee($90.00) City/State/ZIP: /�C,t,Ji-1w�I l x c 7 4 t Plan review(25%of permit fee) Phone:( ) `7 _41-5---j).., Fax:( ) State surcharge(12%of permit fee) CCB lie.: 5ei TOTAL PERMIT FEE iJalp4....i, This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. :0:: si atura * Fee methodology set by Tri-County Building Industry Service Board 1 yin pri ,r p/ i te: 1•,r) i7 i\Buildin\Permits\MEC_PermitAPP_040113.doc` 440-4617T�11/02/COM/WEB ) Docu _i n Envelo a ID:8B4E23-F0I.-I A-66E1-38AB5F131ACA .._� . _.___� .�a.a.__�»....__ *. FOR OFFICI:tis1:O.Nl.l' City of Tigard Received DateB Permit 8: • 13125 SW Hall Blvd.,Tigard,OR 97223 k, ; ',° !. Plan Review s Phone: 503.718.2439 Fax: 503.598.196T. c L D, ./g : Related Permit ti: Inspection Line: 503.639.4175 ;'> ely Date/By: Sums: Hl See Page 2 for TICARD Internet: www.tigard-or.gov �' Notified/Method: Supplemental Information TYPE OF WORK t p:x ' '. PLAN REVIEW 0 New construction Addition/alteration/repladerpent 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. ID Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. g1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family ❑Master builder 0 Other: 0 amps for all other installations. Inbustallation pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: (� �S f\ e ❑Addition of new motor load of system. 100HP or more. ❑ City/State/ZIP: �� ❑Six or more residential units. occupancy. i ' 0 Recreational vehicleparks. ❑Health-care facilities.j 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name: I� ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE ..„Hi�' 'y—. Description I Qty. I Each I Total ll\i X11 e4'� New residential single-or multi-family dwelling unit. Subdivision: ' Lot#: t /V Includes attached garage. > 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: -1- Ufs- -� Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential ( yam_ 7 ' . �+ / y (with above sq.ft.) 75.00 2 I ti r• ' � 2 &(� `{ 1 boi Y 31 1 or Limited energy,multi-family Q�. � �� / ��t 1`'t ( residential(with above sq.ft.) 75.00 2 PROPERTY OR (J f Renewable Energy ❑ See Page 2 0 TENANT Services or feeders installation,alteration,and/or relocation Name: J -n� _ ��Q ��jjj 9 1 200 amps or less 100.70 2 Address:1 61-7 ;iv 1 /\. 201 amps to 400 amps 133.56 2 ,,,,:sl y j 401 amps to 600 amps 200.34 2 City/State/ZIP: a /� J 6i)2.• 0`-7i, 601 amps to 1,000 amps 301.04 2 Phone:(F14-1)' 7.- l // Fax:( ) Over 1,000 amps or volts 552.26 2 „,� '\ Temporary services or feeders installation,alteration,and/or Email: nLrJ-7 7 relocation Owner installation:This installation is bein ade on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT 0 CONTACT PERSON Branch circuits-cci new,alteration,or extension,per panel 't/�• A.aboverervichrfeedswet, Business name: fl/ ,, above service or feeder fee, 7.42 2 ji� each branch circuit Contact name: 61 r .. .e_ ,' B.Fee for branch circuits without Les-1r\ branch circuit service or feeder fee,first Address: �� C'' 56.18 2 ` City/State/ZIP: "' nct � 1�` `/°l r )71:1412-• Each add't branch circuit 7.42 2 1 `r 7� t Miscellaneous(service or feeder not included) Phone: ) ;212-5 ,-!' Fax::( ) Eachmanufactured or modular ,d fd 67.84 2 �?� � dwelling,service and/or feeder Email: 0Z w ( Reconnect only 67.84 2 CONT OR Pump or irrigation circle 67.84 2 Business name: '--T- Tesla Electric Company Sign or outline lighting 67.84 2 Address: 2850 Cedar Hi.] s BLVD #250 Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) 503-705-2285 Fax:( ) Investigation(1 hr min) 90.00/hr Email: tesl apdx@gmai 1 .com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 189699 Electripallulce,isGAPA,: Suprv.Lic.: 4697s specifically listed(Vs hr min) /��'I� I'l/�, ELECTRICAL PERMIT FEES Suprv.Electrician signature,require J:W1lA.iGUA1 WU.IVY'ii Subtotal: Print name: Wi 11 i am W Whi r r\i—E65aA7DB665c34s1... Date: 3/30/2017 0 Plan Review Required(25%of permit fee): �a State surcharge(12%of permit fee): Authorized signature: a '' jo TOTAL PERMIT FEE: rr-7-,„----: This permit application expires if a permit is not obtained within 180 Print name:� /N i'//Lt`1( r Date: (i )7 days after it has been accepted as complete. {' i v * Number of inspections allowed per permit. I:tBuilding\PermitslELC_PermitApp_ELR_ERE.doc\s,06/17/201 440-4615TO 1/0/COM/WEB Plumbing Permit Application Building Fixtures , FOR OFFICE USE ONLY City of TigardReceived Date/By: Permit No.: r ' , U 13125 SW Hall Blvd.,Tigard,(c)&223' I ? 1 Plan 1 Phone: 503.718.2439 Fax: 503.598. 9Date/By: _ Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for IIGARI) 1k , 1 Y Y B Internet: www.tigard-or.gov f 'kT It"----jt��'tr1{ Notified/Method. Supplemental Information w� ®' FEE* SCHEDULE • TYPE OF WAN�❑New construction molition For special information use checklist Description QIY. I Ea. Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Y"A 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I iJ i"Ar f Catch basin or area drain 18.76 mor-7-2,2, Drywell,leach line,or trench drain 18.76 a.� City/State/ZIP: / Footing drain(no.linear ft.: ) Page 2 `4i.' Suite/bldg./apt.no.: ''' Project name: 1 1r--511‘ Manufactured home utilities 50.03 Cross streett//directiionns/ tt�o�jjobb site: Manholes 18.76 C.re.��/ V 1'b 1 2 1it � Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 r- Water service(no.linear ft.: ) Page 2 n Subdivision: I f(\V � Lot no.: i i D Fixture or item: Tax map/parcel no.: •-�Y V- 1 J V V---NI'� Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ��/1 /e17,p", , i' .<C11417--5(7 Zl_-e4- --Jr-44"a-J tinn1'f, , Clothes washer 25.02 1 { iV i; ll7(V �S 1. f Dishwasher 25.02 �mDrinking fountain 25.02 77.; Ejectors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: v �O u� Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1( �0� //�� j Garbage disposal 25.02 City/State/ZIP:-11/1` (� het' `v n �� J 7� r Hose bib 25.02 Phone:� , ) � / Fax:( ) Ice maker 12.51 _ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 si Business name: f r/)' 4 q9Y CIG Medical gas(value:$ ) Page 2 x ��ttt///��V° Primer 12.51 Contact name: -�-� /lamdely- iv/ (/6'eRoof drain(commercial) --{'� 12.51 Address:i �7OE < 'YC , Sink/basin/lavatory t, )) 25.02 City/State/ZIPTTUSt l s 9761672-- Solar units(potable water) 62.54 Phone:1 ) '7-f l rFax::(,, ) Tub/shower/shower pan 12.51 E-mail: tOGS j j' !'i I((1 t:t: L° 1( G', t r irief \ Urinal 25.02 J Yt.1,j� t Water closet , 25.02 CONTRAC R' Water heater 37.52 Business name: H �� /c r Vf /1 Water piping/DWV 56.29 Address: " "7 S ' i3 IA).//(; ^� Other: 25.02 �{' r/�: '4,44 it I� l et / 1 ,2 Subtotal City/State/ZIP: �- / VV"°° v'`-cr✓ Phone:(jc 3) C(75._fl 7i`7 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: / 737 Plumbing Lic.no.: '`��y Plan review (25%of permit fee) ' _ _ 1 State surcharge(12%of permit fee) Authorized signat .• ��/�'.1�W!'-- TOTAL PERMIT FEE Print name: C4/. W1'-- �� Date: i/z5/ 1 This permit application expires if a permit is not obtained within 180 days "t / after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) City of Tigard qIli COMMUNITY DEVELOPMENT DEPARTMENT I l c A a o Building Permit Review — Residential Building Permit #: 71-2s7-a,,,17•—c) X),33 Site Address: `j 14 5 kf\j \`cj-fy\ AN-' Project Name: 1l Th Ave. MdM Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Sf a. ,im,fly *Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Si$e Plan Elements: Three(3)copies of site plan xisting structures on site )Z(Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished ADrawn to scale(standard architect or engineer scale) floor elevations Torth arrow Utility locations(required for new,may apply for additions) ,ite address,project or subdivision name and lot number Nf ,ocation of wells/septic systems lipplicant information(name and phone number) existing trees to be retained with drip line,and tree of dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) A treet names Nj Property corner elevations (2 foot contour lines if more than � foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: (Yes,applicant was notified ❑ No Received: ❑ Yes cNo Public Facilities Improvement (PFI) Permit Required: ❑ Yes,applicant was notified a No Applied For: ❑ Yes ❑ No,stop intake El Land Use Case#: L 201(0—(c1(0 5' Zoning: 12 1..4.;- Required Setbacks: Front 2.0 Rear /Q Side 5" Street Side 0/Garage 20 Landscape Requirement: f\//A % (-4>A1>T30 to 00 i'-7 elE Lot Coverage Maximum: N/A- % X, Building Height: Maximum Height r (1 Actual Height Visual Clearance 01A- • Easements Sensitive Lands: ❑ Yes No Type NR-Urban Forestry Plan 1\J f Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: -=� ; Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw REs 091216.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: anningEngineering ermit Coordinator iii ding Workflow Sign-off: U-431-in-off for Planning(include notes from planning review) Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. E'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /4--/7 Engineering Review ❑ Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water 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 ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: & J Date: f-_,j4--/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes jErN/A Tigard Trans SDC: ❑ Yes /WN/A Parks SDC: ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 091216.docx Branden Taggart From: Erik Peterson <erik.nwarchitectural@gmail.com> Sent: Wednesday,January 25, 2017 10:41 AM To: Caitlin Kjemperud; Branden Taggart Subject: Re: FW: 13185 SW 115th Ave.Addition: MST2017-00033 Hi Branden, Appreciate the heads up, since this is basically a remodel, we are not adding much but merely replacing the existing fixtures, etc. In the "new" master suite, we are replacing an existing shower with a separate spa tub and standalone shower and replacing one sink with two. So, with regard to the plumbing fixtures, we are adding one tub and one lay. Regarding the mechanical, per our subcontractor, the existing system can more than handle the 236 sq.ft. addition, so we don't need to add anything new to the AC unit other than one duct and a new exhaust fan for the water closet. And regarding the electrical system, we will have to add (2) branch circuits to the existing panel to cover the 'addition'. Please call any time if you see any issues: 503-476-5486. Thanks again, Erik On Wed, Jan 25, 2017 at 9:52 AM, Caitlin Kjemperud <bcsbatiment@gmail.com> wrote: See below BCS BATIMENT LLC Caitlin Sinkey-Kjemperud Project Manager • 541-337-8306 specializing in project development From: Branden Taggart [mailto:brandent(a,tigard-or.gov] Sent: Wednesday, January 25, 2017 8:57 AM To: 'bcsbatiment@gmail.com' <bcsbatiment@gmail.com> Cc: #Building Permit Technicians <TigardBuildingPermits(aitigard-or.gov> Subject: 13185 SW 115th Ave. Addition: MST2017-00033 Hello Caitlin, 1 We received your permit submittal for the addition located at 13185 SW 115th Avenue. However, the applications you provided did not have the number of appliances, circuits, or plumbing fixtures listed under the fee schedule section of each application. We will need this information to calculate the fees for plan review. You are welcome to email the completed applications to me. Once we receive the applications, we will begin plan review. If you have any questions, please let me know. Thanks, Standen Taggart City of Tigard a Permit Technician Community Development T WARD 13125 SW Hall 81Vd Tigard, OR 97223 (503)7184449 brandent tigardMor.gov 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." 2 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 1oi 111 11 Transmittal Letter 1 c,n R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ` DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED Y--)\ -e--ft._) MAY 1 b2017 FROM: 11V � • �� CITY OF 1'IOARD COMPANY: ,\k/ 1/4-\r C ,,k,, U ► �3UILDING DMSION �j PHONE: t3 C D 0� ( By:, RE: ' - NJW CQ 7 A<W w :2 ti Gle03 c- • ite . •:re (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: D ription: 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: . Q tr(r1 '`e l -,t-e \_--c---, FOR OFFICE USE ONLY Routed to Permit Technician: Date: 4-- ) C- ) -'l Initials: 4.) Fees Due: pg Yes ❑No Fee Description: Amount Due: ;� >�r- pi r e...G.A../ $ 1-K- - $ $ Special Instructions: Reprint Permit(per PE): ❑Yes No Done Applicant Notified: Date: .<-/i c'' 1> ( nitials: 11 pp `�- I:\Building\Forms\TransmittalLetter-Revisions_061316.doc 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 Transmittal Letter to 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-o .gov TO: DATE REC 1VED: DEPT: IBUILDING DIVISION ECEIVED E® FROM: VIZ k JUL 1 9 2017 ^� .'<ismer w • �► ,,►fir t° , COMPAN . fiit�r� �- (iLti[ , • PHONE: * ' � — • k By: RE: • ( Gj 0).( (SCS C " ite a cress (Permit Numb (Project name or subdivision name.,d lot n a er) ATTACHED ARE THE FOLLOW I G. 'MS: Copies: Description: Copies: Description: Additional set(s) of pl.atRevisions: cf-eloG4ofdt Cross section(s) and de!?1 . Wall bracing and/or lateral analysis. Floor/roof fr. ' g. Basement and retaining walls. Beam calcul ions. Engineer's calculations. Other(exp ain : REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: 7 -Zo .- )`7 Initials: �) Fees DueJYes ❑ No Fee Description: Amount Due: 1 1-� $- nom---- �9 / e - his !' ,,7 /gel' $ Sys r7 ,J2 a C3 7h-7 $ e4,vnle $ Special Instructions: Reprint Permit(per PE): ❑ Yes Pa No ❑ Done Applicant Notified: Date: 7/aZ yl - Initials: SfioHe )/72, rc/�� I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 II Request for Permit Action T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223,,•,503-718-2439,,•www.tigard-or.gov i4.,„1,;(jVS V TO: CITY OF TIGARD Building Division i.{ 4 2_017 13125 SW Hall Blvd.,Tigard, OR 97223 1/4„..j Cy , .t Phone: 503-718-2439 Fax: 503-5984961 Tiga11ermits@tigard-or.gov FROM: n Owner ❑ Applicant n Contractor ❑ City Staff Check(✓)one REFUND OR Name: BCS BATIMENT LLC INVOICE TO: (Business or Individual) Mailing Address: 19705 SW 65TH AVE City/State/Zip: TUALATIN OR 97062 Phone No.: 541 -337-830 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ CANCEL/VOID PERMIT APPLICATION. I I REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). E INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). n REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: MST 2017-00033 Site Address or Parcel#: 13185 115TH Project Name: 115TH Subdivision Name: Lot#: EXPLANATION: ELECTRICAL CONTRACTER COULD NOT MEET OUR SCHED E Signature: Si kAi• 10-3-17 Date:Print Name: ,' MPERUD IP 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 By 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 DocuSign Envelope ID:A4843611-D3DC-400D-A32B-6D3A8DD04F29 Electrical Permit Application , k* FOR OFFICE USE ONLY Received City of Tigard •�a i.9-,, DateB : 0 in IN a pi.. 13125 SW Hall Blvd.,Tigard,OR 97223 l d7 Plan Review Phone: 503.718.2439 Fax: 503.598.1901 . t. :I Date/B Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Janis: H See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information h11"4' ilk j,' ;I„ Y1' Pr ` .......� JA 1lrIg l IrR❑New1-5k construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). ❑Service or feeder 400 amps or more ❑Building over three stories. E Demolition ❑Other: where the available fault current ❑Marinas and boatyards. :it °Illi'I 7 AT * R ! r I T TRI)„ ION' �° - !'9,r '” -- exceeds 10,000 amps at 150 volts or 0 Floatingbuildings. �ri g ® 1-and 2-family dwelling ❑Commercial/industri•. vii ', 'SQ Itit.ing less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. it� 0 Fire pump.CI Multi family ❑Master builder L 'li ❑Emergency system. El Installation of 150 KVA or - ' _ 1�n. lk 'JOSSIT NF*W A ''ON A '.IryO'''''''::1-16--: "'AA- lt larger separately derived ❑Addition of new motor load of system. Job#: I Job site address:13185 SW 115TH AVE 100HP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP:TIGARD OR 97223 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: 115TH ADDITION ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site:SW FONNER ST 11th .1i CIIJE pig , Nll t. oR - i - mss DescriptionI Qty. 1 Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:WDML I Lot#: 110 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S-1W-03-SW-NE �„ „ Ea.add'l 500 sq.ft.or portion 33.92 1 Ilk �I� .... �` .,l�i"^, �, ,pES ,IPI�'q, l"1' �UR t1llii�i ��C�(i inti I_ t�H„ . A'''''"' - Limited energy,residential 75.00 2 SMALL ADDITION OF 236 SQ FT AND REMODEL OF EXISTING HOUSE (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Yt.- - „ ,_y Renewable Energy 0 See Page 2 ��0`P32�IPE Y O ER �� " jam"` ,:,!❑F' NAN'-F "i _ Services or feeders installation,alteration,and/or relocation Name:BCS DEVELOPMENT LLC 200 amps or less 100.70 2 Address: 19705 SW 65TH AVE 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:TUALATIN OR 97062 601 amps to 1,000 amps 301.04 2 Phone:(541)337-8306 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 5o 9 ;�ii �9 ii m �t Branch circuits-new,alteration,or extension, er anel Alt A.Fee for branch circuits with Business name:BCS BATIMENT LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:CAITLIN KJEMPERUD B.Fee for branch circuits without Address: 19705 SW 65TH AVE service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:TUALATIN,OR 97062 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(541)337-8306 Fax: :( ) Each manufactured or modular 67.84 2 Email:BCSBATIMENT@GMAIL COM dwelling,service and or feeder : � Reconnectonl Y 67.84 2 P� . m . ' aCO RA "OR ma :- �� Pump or irrigation circle 67.84 2 Business name:ERIC OLSON ELECTRIC INC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 10013 HAZEL DELL AVE.PMB 432 panel,alteration,or extension. City/State/ZIP:VANCOUVER,WA 98685 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(360)609-4901 Fax:( ) Investigation(1 hr min) 90.00/hr Email:ERICOLSONELECTRIC@GMAIL.COM Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 179408 Electrical Ljc_ouoig y: Suprv.Lic.: 4910S specifically listed(%2 hr mm f 8 v.a. tCT'II, P ` t1 „raw, _.I t� n 6 L Suprv.Electrician signature,required: EVIG SObt. Subtotal: Print name: E r1 C 01 son —4DD6C522D14D473.I.Date: 10/4/2017 ❑Plan Review Required(25%of permit fee): —DocuSIgned by: State surcharge(12%of permit fee): Authorized signature: Caigil,A, ..itAirt,VIAI TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: CAITLN-KJE4WIIMehlasoAS APPLICANT Date: 10-3-17 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t l/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 6, 2017 at 9:31 :43 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 6, 2017 at 9:44:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing, electrical and backflow devise final inspections. Provide approved final erosion control inspection. Note: non conforming step from lower level door to exterior stairs existing. Non conforming Egress windows existing. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 6, 2017 at 9:20:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Kitchen and master bath outlets gfci breaker in panel not resetting. All else appears ok per permitted branch circuits. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 6, 2017 at 9:35:50 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Add lower level sink and ice maker to permit. Rough in done, no sink installed at this time. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 15, 2017 at 10:51 :09 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 15, 2017 at 10:55:01 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13185 SW 115TH AVE, TIGARD, OR, 97223 December 12, 2018 at 7:34:18 AM Record Type: Record ID: Residential - Master Permit MST2017-00033 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: This inspection to correct previous inspection dated 12/15/17 passed with C of O. Final inspection approved, no C of 0 issued. C of O's are not re issued for existing house re-models as the existing structure would have been issued a C of 0 prior to occupancy. Violation Summary: Inspector Contractor