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Permit (88) CITY OF TIGARD MASTER PERMIT 1� ' ' COMMUNITY DEVELOPMENT'Pi Permit#: MST2017-00141 Y13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017 T t"p'"� 9 Parcel: 2S103CA00106 Jurisdiction: Tigard Site address: 13475 SW 115TH AVE Subdivision: None Lot: None Project: Residential Repipe Project Description: Bathroom remodel for(2)bathrooms. NO STRUCTURAL WORK. Permit includes mechanical, electrical, and plumbing. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $0.00 Rear: PLUMBING Sinks: 1 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: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 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: 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: 4 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 Owner: Contractor: MORGENTHALER,CASS OWNER Required Items and Reports(Conditions) MORGENTHALER,JENNA CASS&JENNA MORGENTHALER 13475 SW 115TH AVE 13475 SW 115TH AVE TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-209-2630 FAX: Total Fees: $269.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 2.1987 or 1.800.332.23447 lea Issued By: !/^ `— ---�. Permittee Signature: ,I ✓ t-'1310.39.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicationr ctio .1 FOR OFFICE ESE ONLY City Tigard Received Date/By: --iii i 7 / - Permit No.: ,,,.1 S r 17 lk.>I t1I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review NI C Phone: 503.718.2439 Fax: 503.598.1960 0 1 Other Permit:/� i N? Vt '�� � Date/By: /"�'ll��7-exit�k TI G A R D Inspection Line: 503.639.4175 ��` 5:)i ady/By: Auris: ® See Page 2 for Internet: www.tigard-or.gov � '�'1e;' .1° =ed/ ethod: Thy Supplemental Information TYPE OF WORK CIO DIV 1 im.- COMMERCIAL FEE* SCHEDULE - USE CHECKLIST SU Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIALL EQUIPMENT/SYSTEMS FEES* clZ 1-and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: /3 1/ 7$" I i 5---t AI X (a Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: �%�� ej c Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or 'f',7 a,c/8. hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 . DESCRIPTIO WORK , Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 1 OPERTY OWNER , Other: 23.32 u .'. , . . 0TENANT';, ,-k'' =. , Environmental exhaust and ventilation: Name: AA4447 0#401 le VS Range hood/other kitchen / t equipment 33.39 Address: j 3 y 7 /l��"��1 4 ie Clothes dryer exhaust 33.39 f City/State/ZIP: 7.),-;,/,0�N y 97 Z Zi Single-duct exhaust(bathrooms, ( fl toilet compartments,utility rooms) 23.32 Phone:(S j) 20 2.6 1, Fax:( ) Attic/crawlspace fans 23.32 ' z �; Other: 23.32 ,;�°. �„�; APPLICANT � ,• � � � 4CONTACT PERSON Fuelm t Business name: G r'1-t p p 1 F tt $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue '� ,., r n-: C'tli2 . Clothes dryer(gas) Business name: ;t, / C� Other `,. w MECHANICAL PE'''''., ES*Ali' Address: Subtotal 40,( r City/State/ZIP: Minimum permit fee($90.00) cid_c2 Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) 1 ti.Se CCB lic.: TOTAL PERMIT FEE ;Gra, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Sl/ tore:AO/4 �r" * Fee methodology set by Tri-County Building Industry Service Board Print name:C-"4U 1 S' #7776-.- ,G,„,/ -,,,!--no 1,,,V Date: fiA, //i 7 I:\Building\Permits\MEC PermitApp_040113.doc / 440-4"617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE USE ONLY CityofTigard Received l g DateB l' r A r _ , q 13125 SW Hall Blvd.,Tigard,OR 97 V"� Plan Review Phone: 503.718.2439 Fax: 503.59 ]]]1IIh;;;;iiii Date/B : Related Permit#: f` or w ,' t , Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for .11 G A RD Internet: www.tigard-or.gov Notified/Method: /.cs-c, Supplemental Information 3 2417 TYPE OF WOR1KPK Pf BMW ❑New construction 'Addition/alteration/repl Please check all that apply(submit 2 sets of plans w/items checked) ' `� �� T ❑Service or feeder 400 amps or more 0 Building over three stories. El Demolition ❑Other: SI©N where the available fault current 0 Marinas and boatyards. CATEGORY OF C I,, ^ (®' Ln #T exceeds 10,000 amps at 150 volts or 0 Floating buildings. gi 1-and 2-family dwelling 0 Commercial/i dustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: /3 1/7 5'' ,$t,) /15-1"41 14 L tr 100HP or more. ❑"A","E","1-z","1-3", City/State/ZIP: / 0 Six or more residential units. occupancy. �j/2�l CJ, �j v97 Z 7i 3 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: / Project name: dc• 4 Re/48d'.t L., 0 Hazardous locations. 0 SSupplylyts nominal. more than El Service or feeder 600 amps or more. Cross street/directions to job site: 6,kg ry Hale FEE SCHEDULEy Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. g 1,000 sq.ft or less 168.54 4 Tax map/parcel#: 4 3 e 001b Ea.add'l 500 sq.ft.or portion 33.92 1 - - . DERTPTMON OF WORK Limited energy,residential (with above sq.ft) / 75.00 2 l q) b.'ay.-4, 4-+rte► ! ir.v^l rt'!Yl0,4-4 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 . ✓GM Renewable Energy 0 See Page 2 PROP RI WNER 0 TENANTEServices or feeders installation,alteration,and/or relocation Name: eR,„ f ;.70/1/f4(4je,/ 200 amps or less 100.70 2 Address: if 3 y 7g' C 1 l r4 4 4 jVe, 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: r; Y/ C 9 7 2,7,...3 601 amps to 1,000 amps 301.04 2 Phone:(503) zoi Z 436 Fax:( ) Over 1,000 amps or volts 552.26 2 // Temporary services or feeders installation,alteration,and/or Email: ti/OS—S011/0.-4,.4 AA/401,141.0 /0 41 414,5-4. A/ 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,lea rent,or exchange,accor'' g to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: 10Pli /0i.Tzrl � Date: 20/17 401 amps to 599 amps 168.54 2 ! Branch circuits—new,alteration,or extension,per panel i' APPLICANT 0 CONTACT PERS A.Fee for branch circuits with Business name: FW& k� above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit I 56.18 3-6 r Ii: 2 City/State/ZIP: Each add'l branch circuit 3 7.42 .2.2,24, Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 - CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 6., k,!1JE7 Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(V2 hr min) ELECTRICAL PERMIT-FEES Suprv.Electrician signature,required: Subtotal: 'F.. h Print name: Date: 0 Plan Review Required(25%of permit fee): � State surcharge(12%of permit fee): '' . L{ Authorized signature: ,//1% ,fes TOTAL PERMIT FEE: Si 7 d _ This permit application expires if a permit is not obtained warn 180 �. Print name: c s'c7 .fi t.� sv/✓//74/..,..;-/ Date: I�/3'�7 days after it has been accepted as complete. l / * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures ! FOR OFFICE USE ONEN Cita'Of Tigard CYAN ILA Received'f it permit No.: -lig U 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 11//3/7 /' /11,J* i 7"� % { Phone: 503.718.2439 Fax: 503.598.1960 �S�� Plan Review o U Date/By: Other Permit No. l w A i L1�� TI G A R D Inspection Line: 503.639.4175 NItiriReady/By: Juris: See PageL� 2 for l•(/ Internet: www.tigard-or.gov rIy('h ified/Method: 'tp Supplemental Information TYPE OF WORK ",� ,AIV(y S! FEE* SCHEDULE El New construction ❑Dens/[i ,y 1j l v* For special information use checklist Description Qty. 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 ID"1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATIONAND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: /p 7 .4-i 7 s s ti,,,d S-!f -44 4 v rte? Drywell,leach line,or trench drain 18.76 City/State/ZIP: ;1,i,..-Of„ -' 7 ,, Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /' ` ����, Rain drain connector 18.76 !�' Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 w k , i; Backwater valve 12.51 DESCRIPTION OF WORK "r- 'lrre Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '''',,,,,,t.,1-E1 P OPERTY OWNER '%,,,,,,,: r;M TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: '4;6S' eiiiVi4e /-0/ ,% Floor drain floor sink/hub 25.02 Address: r 3 117 J f:-,,„f /, `11 J j'„, ., Garbage disposal 25.02 City/State/ZIP: 7-j ,, ..,40/ e to "7 Z 2,--7 Hose bib 25.02 Phone:(.5e2) 2 471¶-� G 6576 Fax:( ) Ice maker 12.51 *APPLICANT 11' - 0 CO PERSON „,. Interceptor/grease trap 25.02 Business name: 0,,1.,",Y Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof dram(commercial) 12.51 Address: Sink/basin/lavatory is 25.02 ,0, City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 �.5 j E-mail: Urinal 25.02 Water closet 25.02 ' ti ;.. CO -` .,.../,A 7 y Water heater 37.52 Business name: i V yY/ Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 3-�. cs 3 Minimum permit fee: $72.50 34/. el 7 Phone:( ) Fax:( ) CCB Lie.: Plumbing L.c.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) 0 "7e, Authorized signature: /r "./117:45.0.,?../- ,gg1 TOTAL PERMIT FEE r i, 'j,r' Print name: �/� 4 , Date: fp," This permit application expires if a permit is not obtained within 180 drays /?: /`/L�r 1 i7 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(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty• Fee(ea) Total Square Footage: Permit Fee: Footing drain-1St 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the fust$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 servicer and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4 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 beaid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13475 SW 115TH AVE, TIGARD, OR, 97223 November 20, 2017 at 12:32:43 PM Record Type: Record ID: Residential - Master Permit MST2017-00141 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13475 SW 115TH AVE, TIGARD, OR, 97223 November 20, 2017 at 12:33:59 PM Record Type: Record ID: Residential - Master Permit MST2017-00141 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: 13475 SW 115TH AVE, TIGARD, OR, 97223 November 20, 2017 at 12:35:03 PM Record Type: Record ID: Residential - Master Permit MST2017-00141 Inspection Type: Inspector: 399 Plumbing 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: 13475 SW 115TH AVE, TIGARD, OR, 97223 November 21 , 2017 at 7:53:07 AM Record Type: Record ID: Residential - Master Permit MST2017-00141 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor