Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit (35)
irpi CITY OF TIGARD MASTER PERMIT Permit#: MST2017-00126 ! COMMUNITY DEVELOPMENT I!!t ,, Date Issued: 06/21/2017 T[GAR r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB19100 riff7 011 �' Jurisdiction: Tigard Site address: 8031 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 8 Project: Corbin Estates, Lot 8 Project Description: New SF. 8/30/2017: REPRINT permit for revised plans that reduced the garage from 578 to 340 sf, and increased the dwelling from 3015 to 3262 sf. 10/17/17: REVISED to add(1)additional BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1301 sf Basement: 867 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1094 sf Garage: 340 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3262 sf Value: $392,280.74 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3262 Owner: Contractor: ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions) 12670 SW 68TH AVE,STE 400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 2 N1104.7 slab edge insulation PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,180.01 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 Notifica - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1187 or 1.80'. .2344. Issued By. -./�'"-. � Permittee Signature: Call 503.639.4176 by 7:00 a.m.for the next available inspection..• e. 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 Applicatio • ,µ-- littotivei Building Fixtures Tigard City of Tigd DEC1 4 2017 Received ,,i Permit No 1,11111 r-7.,5 Date/By: r� �"i J' /1 � � /2/7 / G 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review C Phone: 503.718.2439 Fax: 503.598.04( Li h ! R q ',., +1 1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 g- Li 1 p 0¢ ,s r..-; fl i e+rx C�4 i--)p,,Y Date Ready/By: Juris: ® See Page 2 for 1 I r'n 1Z f) Internet: www.tigard-or.gov t"" Notified/Method: Supplemental Information "" -..£ z 3 ,x a '' e �. i3_ � t- .t,;., r� a 'c a•: ,rices zr.:,��. ��.,.. � ��3� New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: pt r,, 7 '' New 1-2-family dwellings(includes 100 ft.for each utility connection) c> a, , *s 4`„ W";is "r 4 s 0:4, il-. yof ®; —SFR(1)bath 312.70 0 1-and 2-family dwelling ElCommercial rTn p SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 1 t s a i " � �r ''' Siteutilities: 18.76 i. t � " ' ( r „ ,c , Catch basin / or area drainJob site address: r�� � �A/GS/"',_)_/' Drywell,leach line,or trench nch drain 18.76 City/State/ZIP: ��jW .9,--71. .._3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18 76 :110(6/476d & O Rain drain connector + Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 � ` Water service(no.linear ft.: ) Page 2 Subdivision: c,0/243,",/ 13 T4--r e- S I Lot no.: rl Fixture or item: Tax map/parcel no.: Backflow preventer / 31.27 3i ;7 }� `- '-::::-::` ,5P'.,44:',.1 14 V R M k l) T4 7, �.® Backwater valve 12.51 ,�`„ , -: Ari, 5 ."` l f,4.4, Clothes washer25.02 /71-:6 6 7-6 CX/5'7"-i/,/6--- fc- 2 r--/ r-7- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 �' : ; z.! � Ex anion tank Name: Fixture/sewer cap i ? S7� iAAIJ1) �� Floor drain/floor sink/hub 25.02 Address: 2--- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ` 1 0' .,t - �;':41tt 12 Q L Interceptor/grease trap t Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal s Water closet 25.02 37.52 CON L'[OR Water heater Business name: R e ?x) </ '/ ! A� b r)" Water piping/DWV 56 29 Address: 1J� Ake— /cg N ST Other: 25.02 City/State/ZIP: %86 /- ) Q 7�� Subtotal ,3i ).."7 r� 6 Minimum permit fee: $72.50 Phone:(� Fax:( ) CCB Lic.: +$ri , „,..,, Etigelling Lic.no.: g4-10 Plan review (25%of permit fee) State surcharge(12%of permit fee) T -7 5 Authorized si ature: ( TOTAL PERMIT FEEL1 A. 1 Print name: Date: 0- / • This permit application expires if a permit is not obtained within 1St days / after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits' MU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 1. CITY OF TIGARD MASTER PERMIT 4 ! '., COMMUNITY DEVELOPMENT1 Permit#: MST2017 00126 T j 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24390, �/ Date Issued: 06/21/2017 � Parcel: 2S112C619100 Jurisdiction: Tigard Site address: 8031 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 8 Project: Corbin Estates, Lot 8 Project Description: New SF. 8/30/2017: REPRINT permit for revised plans that reduced the garage from 578 to 340 sf, and increased the dwelling from 3015 to 3262 sf. 10/17/17: REVISED to add(1)additional BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1301 sf Basement: 867 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1094 sf Garage: 340 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3262 sf Value: $392,280.74 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3262 Owner: Contractor: ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions) 12670 SW 68TH AVE,STE 400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 2 N1104.7 slab edge insulation PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,128.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan -, •r if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ente. Those rules are set forth in OAR 952-001-0010 through OAR -001-009 . You ,41 obtain a cop of the r les or direct questions to OUNC by calling 503.2c2.198 or 1.800. .2344. ro"— Issued By: Al Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection d. This permit card shall be kept in a conspicuous place on the job site until com.letion of the 'roject. Approved plans are required on the job site at the time of each inspection. f\iA s 2- --00 Mechanical Permit Application « FOR OF FIC F l SF ON 1.1 City of Tigard Received �y ( Permit No.: _/y� `J DatDate/By: / -Mb. v C OA 1,1 i'l 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review _ Phone: 503.718.2439 Fax: 503.598.19 0n DateBy. Other Permit: T I G A R D Inspection Line: 503.639.4175 OCT 1 2017 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov ^99 DI [[�� Notified/Method: Supplemental Information CiIT�i O .i 6G.ARD TYPE OF R'0 11-D1f�lU DIVISION COMMERCIAL FEE* SCHEDULE -USE CHECKLIST v041,114 Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement .. i t_, „ `. A .erforned.Indicate the value(rounded to the nearest dollar)of all 0):37 ;t 1g, ec anical materials,equipment,labor,overhead,and profit. ❑Demolition 0 Other: / Value:$ CATFaG©L±Y QF CONS 1�1 ®', RESIDEN`t7&L EQ lIPMEIrTd`t S'Y P►S FEES*" " 2-11-rand 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: � Air conditioning I- 46.75 Job site address: O2 ----?-A04,1,644. vl�- Furnace 100,000 BTU(ducts/vents) t 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 t'/ t7�Z Heat pump 61.06 Suite/bidg.lapt.no.: Project name: Duct work 23.32 Cross street/directions to job site: 1 Si Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 —Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 ( Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DE CR PTION ,o Gas, 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 []"TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen 1 °j)i.,__i equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: ` ` Single-duct exhaust(bathrooms, 1. toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 APPLICANT Q"CONTACT,PER E3N . Other: 23.32 , , ee� ` Fuel piping: Business name: *�C (i. -(v g-�9) '� $14.15 for first four;$4.03 for each additional Contact name: �,,yr-- `_ t ` :- _ ^ _ `•l` ^- AN� h� Furnace,etc. Address: �^� ��` �' '�4vv yl�` Gas heat/sus pump nde 1,-?/-(00 •� tWall/suspended/unit heater City/State/ZIP: -it G-1 Q1 •wv® q7)�7 _Water heater Phone:( ) ' ` 7 �� Fax::( ) Fireplace Range E-mail: � E at ( 7/\ Barbecue .. .:171-\--4t " Clothes dryer(gas) Business name: " ,,G V1 Other: II�t�"'. MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: I:\Building\PermitsUMEC_PermitApp_040113.doc 440-4617T(1 1/02/COM/WEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00126 -F1 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017 ', Parcel: 2S112CB19100 Site address: 8031 SW BARNUM ST ' Jurisdiction: Tigard Subdivision; CORBIN ESTATES Lot: 8 Project: Corbin Estates, Lot 8 Project Description: New SF. 8/30/2017: REPRINT permit for revised plans that reduced the garage from 578 to 340 sf, and increased the dwelling from 3015 to 3262 sf. BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 4 Required First: 1301 sf Basement: 867 sf Left 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1094 sf Garage: 340 sf Front 20 Dwelling Units: 1Smoke Third: 0 sf Right 5 Detectors: Yes Total: 3262 sf Value: $392,280.74 Rear 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 LaundryTrays: 0 y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3SF Rain Storm Sewer: 100 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'l 500 sf: 6 201-400 amp: 0 201-400 amp: 0 P W/O Svc/Fdr: 0 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 3262 Owner: Contractor: ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions) 12670 SW 68TH AVE,STE 400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 2 N1104.7 slab edge insulation PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $31,942.91 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 •.r suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati. •n •952-001-0010 through OAR 952-001-0090. You may obt _-• .f the rules or direct questions to OUNC bycalling5r ose ules are set forth in OAR :00. :2.2344. Issued B '�// i y: - Permittee Signature: �`^ if.II 503.639.4175 by 7:00 a.m.for the next available inspection d. e This permit card shall be kept in a conspicuous place on the job site until compl,'.n of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY-SITE ADDRESS: 8'03/ shi 6/972Aig ft 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 Ili 11 1 Transmittal Letter r c n lr n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or... ED -Tarn TO: DATE ' kl` a /;:; DEPT: BUILDING DIVISION II ,r U AUG222017 FROM: ("7 l , , A , ,ft 1 OCA Ci _ . CITY� TlGARD COMPANY: BUILDING DIVISION PHONE: go r` > 1—' By:e-/ _ /•tom d �_=—� _ a. ! go/7- (2042-6!, __ ite .;:1 ess ermit Number) (/7 - Eqt \ \ (Project �e or su�dikion name and lot n ber ATTA HED ARE THE FOLLOWING ITEM • 47 '-'5 Copies: Description: opies: Description: Additional set(s) of plansx Revisions: �_Sj J' ./ ; .I 4/./I\ Cross section(s) and detai ( � / Wall bracing and/or lateral analysis. Floor/roof framing. k Basement and retaining walls. Beam calculations. ir Engineer's calculations. Other(explain): REMARKS: Jv ' -tL � , 1� SS ( � f FOR OFFICE USE ONLY Routed to Permit Tec 'cian: Date: Q - a 9 ) -2 Initials: Fees Due: 17Ves ❑ No Fee Description: Amount Due 2 I+ P)<., r .v v $ ) o inow, AA�G / 7th L $ 75': /r /7-64't /°jam/"-&--vw $ V/,fy Special AP.670 Ser,eC $ '.O / SO 4- C-E7- &_ /. 3/-fes .3a 3, P/ Instru ions: fri.c-7-720 e..., ---7- ,6S Rep- nt Permit(per PE): IA Yes 1 ❑ No *3 Done ,plicant Notified:J-j/7 Date: ,:e/56//7 Initials:als: ,11,77, /9-6.4 ._ 7771z. AN-61-e- 4 3 ?, �S I:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARD MASTER PERMIT ..11114-,-- *I ': , '> COMMUNITY DEVELOPMENT Permit#: MST2017-00126 T IGAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017 Parcel: 2S112CB19100 Jurisdiction: Tigard Site address: 8031 SW BARNUM ST Subdivision: CORBIN ESTATES Lot: 8 Project: Corbin Estates, Lot 8 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1054 sf Basement: 867 sf Left: 5 Parking Spaces: 0 Height 30 Bathrooms: 4 Second: 1094 sf Garage: 578 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3015 sf Value: $375,078.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3015 Owner: Contractor: ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions) 12670 SW 68TH AVE,STE 400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $31,170.46 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. AT : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification nter. Those r - are set forth in OAR 952- -0010 through••.R 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 '8,1.; 8 1.:z 1 '2.234 . Isued By: • 14. l--- Permittee Signature: � 1r -.4'-.4'\ \ Call 503.639.4175 by 7:00 a.m.for the next available inspection d. This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application � S d Residential `S FOR OFFICE LSE ONLY \$ ! � � Received /� Permit No.: II, --7,7,6017°' r (;,, 11121 City of Tigard q^I Date/By: / lI i e 13125 SW Hall Blvd.,Tigard,OR 223 �Q� ,� �® Plan Review Li u (iAft Other Permit �"] ��� Phone: 503.718.2439 Fax: 503.598.1960 &c:00 � \ `, \ Date/By: l V Joris: t 11 See age 2 for` Inspection Line: 503.639.4175 �0� DateoReady/By:/Meth7 ,c,7 TIGARD p Notified Method: /� Supplemental Information Internet: www.tigard-or.gov ���- 4414 -H G 1. VIZ TYPE OF WOJim. REQUIRED DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. New construction El Demolition Indicate the value(rounded to the nearest dollar)of all ❑ ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit forte-- work ortework indicated on this application. CATEGORY OF CONSTRUCTION 27 cm; �� and 2-family dwelling 0 Commercial/industrial — Valuation: $ `J `` Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: ElMaster builder ❑Other: n n r� JOB SITE INFORMATION AND LOCATION - Total number of floors: 7 f77 86°3' /r 1 f /M A,,�/1 E T . New dwelling area: 't'square feet Job site address: ; W �1�-�` 1 ( h City/State/ZIP: -�1�... 2,y2j Garage/carport area: 511 square feet V p �o/) Z Covered porch area: 3�= square feet t�bl,, Suite/bldg./apt.no.: Project name: (�^�N Cj'� _ -"al T�tI/� Cross street/directions to job site: gj ,ST 0 13/ i e.t3 411 Deck area: I square feet CC// CAW/44e I . ,b,5 square feet �,Q n ` REQUIRED DATA:COMMERCIAL-USE CHECKLIST �? Subdivision: �--•C.��� l 4' es- I Lot no.: 13 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. C-` i- Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: 1 �/ w - }�C0 b_S•t , } '7 f) 4F LY0CJ Occupancy groups: City/State/ZIP: )( 1(. )4p 7,14,2_1.. q 7-7} Existing: Phone:( _ ._ (0'3_1— Fax:(�3, 6,7,4__ 62-39 New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* �/ (Please refer to fee schedule) Business name: . n 5 `� �.f Structural plan review fee(or deposit): Contact name: g � FLS plan review fee(if applicable): Address: (' 7++ 41 '� Total fees due upon application: City/State/ZIP: L q72- -3 Amount received: Phone:( 3„165- Fax::( � 5ei$ IDS\ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail ? Azx v C Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. ,p Submit two(2)sets of roof plan with connection details Business name: C�� 0 U '1` . �� • and fire department access,along with the 2010 Oregon Address: j b5 � Solar Installation Specialty Code checklist. 1��� � Permit Fee(includes plan review $180.00 City/State/ZIP: ��� ( ����'�j and administrative fees): Phone:(422,,,-;774!)-0 ., UC.Z4. Fax:( S, 5-% "cf®g ( State surcharge(12%of permit fee): _ $21.60 CCB lie.: '302 ?mac Total fee due upon application: $201.60 Authorized signature: /. This permit application expires if a permit is not obtained `�. 9 + b within 180 days after it has been accepted as complete. � � *Fee methodology set by Tri-County Building Industry Print name:r- \ r I Il \rit IP Date: Service Board. Mechanical Permit Application FOR OFFICE USE ONLY Cityof Tigard Received g \\I Date/By: Permit No.: �►ri •wi `ct c`.z,ac. - v 13125 SW Hall Blvd.,Tigard,OR 97223 , ` Plan Review Phone: 503.718.2439 Fax: 503.598.1960 . Date/By: Other Permit: T I G A RD Inspection Line: 503.639.4175 A Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 'a ini\l Notified/Method: Supplemental Information TYPE OF WORK�`���-c\G �4 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ������ Mechanical permit fees*are based on the value of the work ,New construction 0 Addition/alteratio performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: '� mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATjON AND LOCATION Heating/cooling: 0 3 1 i��j'' tA,M Air conditioning 46.75 Job site address: !�/.trtJ bF r1` Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP: ' 1 Gp ®Q„ C472:2--3 Furnace 100,000+BTU(ducts/vents) 54.91 ��'Y Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work I. 23.32 Cross street/directions to job site: eg k Hydronic hot water system 23.32 ` Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 /� Flue/vent for any of above 23.32 Subdivision: � � SSFeii Lot no.: Other: 23.32 V Other fuel appliances: Tax map/parcel no.: Water heater 23.32 is DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas ‘......6 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER 0 TENANT Other' 23.32 Environmental exhaust and ventilation: Name: „mil-- geyrti `� Range hood/other kitchen i�1 equipment t 33.39 _ Address: t W u4 2- 0-2464__ Clothes dryer exhaust --k-- 33.39 City/State/ZIP: �'( oe-. l?�'3 Single-duct exhaust(bathrooms, l toilet compartments,utility rooms) 23.32 Phone:s-b3v (*3( . V1 Fax:( 1924- 62-39 Attic/crawlspace fans 23.32 qtf—APPLICANT 0 CONTACT PERSON Other; 23.32 Fuel piping: ��.�( Business name: 1 '^ (�^1 Q, .3? -' $14.15 for first four;$4.03 for each additional Contact name: J IAA S .A t't 2 Furnace,etc. , Address: k 2-(g 0 l lV!..g l o Gas heat pump Wall/suspended/unit heater City/State/ZIP: T k cste p () - q?Z2,-z7 Water heater Phone:( 563 . IN) . 0(0 , Fax: (42)13 VV cab f Fireplace Range 1 E-mail: :Q) �t1� ) e, �L. t o'\ Barbecue t vim' CONTRACTOR Clothes dryer(gas) Business name: ee)fk(� Other: 4.� � � �•'^^ MECHANICAL PERMIT FEES* Address: 5 64 F t')IN L/ PTO Subtotal City/State/ZIP: V Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(s-6. ., k 3Q -0 tag) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 2,,®3 Sq iTOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatu * Fee methodology set by Tri-County Building Industry Service Board Print name: M ate: I:\Building\Permits\MEC PermitApp 040113.doc 440-46171(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 6 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\Pennits\MEC_PermitApp_0401 I3.doc 2 a Electrical Permit Application roi oii i i. I sl:()NIA 1. City of Tigard ` Received - ry Date/B : 4 '-- / Permit#: / ✓�1 1 III5) 13125 SW Hall Blvd.,Tigard,OR 41l Plan Review Phone: 503.718.2439 Fax: 503.59 .160 la 7.. Date/B : Related Permit#: Inspection Line: 503.639.4175 KP c'0, Ready Date/By: Juris: la See Page 2 for T I G A R D Internet: www.tigard-or.gov �C Ak `t�t �e® otified/Method: Supplemental Information TYPE OF WOIIO Nr O�V PLAN REVIEW '.New construction ❑Addition/alterat� �ement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ElBuilding over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural amp❑ 0 Accessory building ti-Multi family ❑Master builder ❑Other: Fire form all other installations. buildings. ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION�A1f�ND LOCATION/� a ,1 w./► 0 Emergency system. larger separately derived Job#: Job site address: �IC 13 `�.\ 72A4.01411'— W!/j�Y�V4► 's ❑'4ddition of new motor load of system. CV/ / _vlJ` I t���t r� 1 100HP or more. ❑«A„ «E„ «I 2»«l_3» f- El Six or more residential units. occupancy. City/State/ZIP: + I 'D 69---*. >7,-, El Recreational vehicle parks. El facilities. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: S' 41- I '5kkrYl FEE SCHEDULE Description I Qty. I Each I.. Total I * Y ' ,p � , New residential single-or multi-family dwelling unit. , Subdivision: C,®c31 N �\Y t..I -7 Lot#: Includes attached garage. a 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential N e-1"-) � (with above sq.ft.) t 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 54 Services or feeders installation,alteration,and/or relocation Name: g.v '•' (�'� . 200 amps or less 100.70 2 Address: t2,6 DI 0 ��j �} `-12_NI, 4+2.�.t 201 amps to 400 amps 133.56 2 � �`�' n 1�+�+ 401 amps to 600 amps 200.34 2 City/State/ZIP: \l f� Q?)- 601 amps to 1,000 amps 301.04 2 Phone:9)31—/034T. Z Fax:( 42;3 to Z\( i.Q 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 APP LICANT El CONTACT PERSON Branch circuits-new,alteration,or extension,Per panel A.Fee for branch circuits with Business name: A t`Gjk� �� above service or feeder fee, w each branch circuit 7.42 2 Contact name: <7� Qi�j B.Fee for branch circuits without J \ •� service or feeder fee,first Address: l 2010 .)1•S (0 8114 W Ila branch circuit 56.18 2 City/State/ZIP: i1/ ) a.. R 7w-3 Each add'l branch circuit 7.42 2 15 Miscellaneous(service or feeder not included) Phone:(45-11 gat —c63.71.,,, Fax: : ': 913 X4(451 Each manufactured or modular 67.84 2 J G . dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: g EN D Ks e/ , _a,/�.G Sign or outline lighting 67.84 2 �C/��q�^ Signal circuit(s)or limited-energy Address: _p.d , 'ad g l r panel,alteration,or extension. 0 See Page 2 2 c 1L,r 1/3/j rt.„ �i Each additional inspection over allowable in any of the above City/State/ZIP: J ti � Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( (07....,, 57j 19 Investigation(1 hr min) 90.00/hr Email: �,,m Rep A-OL, (� Industrial plant(1 hr min) 78.18/hr ��. (vv/w/'`"y Inspections for which no fee is CCB Lic.: j 0010)y Electrical Lic.: 2i_33 0 6.yprv.Lic510/2)5 specifically listed('A hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: kfic.. es U> I Date: El Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: /WADate: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. tact, I Total I Fee for all residential systems combined: $75.00 Renewable Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK,ONLY: Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Eiectrucall Permit Application—City of Tigard Page 2—Supplemental Information 'limited ,Energy Permit peso Renewablie Energy gy permit Fees: IBES IP ENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 U Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: 7glar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 iHge Door Opener* >100 kva(fee in accordance 2 with OAR 918-309-0040) 552.26 Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* , Each additional kva over 25 7.42 3 Fl Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 $ Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC . n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical Nurse Calls n Outdoor Landscape Lighting* 1 1 Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 Plum Permit A �jcatioll, Building Fixtures FOR OFFICE USE ONLY Received . .' City of Tigard �°`�� �..�' . Permit No.: . ..��J,� � q 13125 SW Hall Blvd.,Tigard,OR 972°r.• e lfe�+ Date/By: j TAI(7' s1 , : g. Phone: 503.718.2439 Fax: 503.598. 1� Plan Review Other Permit No.: 9 Date/By: Inspection Line: 503.639.4175 H See Page 2 for TI GARD n? ate Ready/By: Juris: Internet: www.tigard-or.gov P offied/Method: Supplemental Information TYPE OF WORK ckiN Q y 1.... � FEE* SCHEDULE New construction 0 DsQ� For special information use checklist Description I Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 0 500.32 0 Master builder 0 Other: Each additional bath/kitchen ( 25.02 Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ca O�, . ,1 et y, j- Catch basin or area drain 18.76 vv �"'^ Drywell,leach line,or trench drain 18.76 City/State/ZIP: iy ►, 7- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manhdles 18.76 1 .7- t '3 14-4614,VA. Rain drain connector 18.76 ( Sanitary sewer(no.linear ft.:_) li Page 2 Storm sewer(no.linear ft.:_) 1. Page 2 Subdivision: / ��� i Water service(no.linear ft.: ) I Page 2 .� �� Lot no.: a Fixture or item: It, Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve # 12.51 Clothes washer I. 25.02 Dishwasher k 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: lilt I ' Fixture/sewer cap 25.02 al Floor drain/floor sink/hub 25.02 Address: � d ��g� - I� �� a Garbage disposal B 25.02 City/State/ZIPnCI-1n -14442 () A 2-7 Hose bib 25.02 - [ Phone: ' 14,2t Fax:( -T/ 4. .1__®� Ice maker 0 12.51 0 APPLICANT 0 CONTACT PERSONTTInterceptor/grease trap 25.02 Business name: 1J1) ciMedical gas(value:$ ) Page 2 srin� Primer 12.51 Contact name i iM A,1/4.1�' Roof drain(commercial) 12.51 Address: 2.4.7c2 5/...„,s, (0 0110 6Sink/basin/lavatory 25.02 City/State/ZIP: !eei 7 23 Solar units(potable water) 62.54 Phone:(2igi '7 tao ®go 24, Fax::(9q s-78 s et g` Tub/shower/shower pan 3 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR {� Water heater 37.52 Business name: Q�E , ,0 i me, d' p i c,,., V Water piping/DW 56.29 Address: fl '1 J-1 le eOPNI Other: 25.02 City/State/ZIP: c 6 i 417 � Subtotal Phone:( ) Fax:( )[ `G Minimum permit fee: $72.50 CCB Lic.: Ckca �{� Plumbing Lic.no.: P ��� Planreview (25%of permit fee) �•jj'' &we... State surcharge(12%of petmit fee) Authorized signatur . t �/p TOTAL PERMIT FEE Print name: ®6 ��~jb!^' 0' Afr,f, ® J( Date: 1 Q• i This permit application expires if a permit is not obtained within 180 days (�'"�++ @ l�@ pro t " ' t after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. T.\gn;ldina\Pnr.n:io\Pi AP i-PP...,,d.,.,a,,,. 1 nim MO Ann AS 1 KT/1 nine,r.l en,,rni City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT I T 1 G A RD Building Permit Review — Residential Building Permit #: 4A157-",;20 17-- ciottp Site Address: 'U 5 j,J 13 a Project Name: (u,hlyt E? leg Lot #: S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NQr,; de:I-uct S (a ,'Verify site address/suite# exists and active in permit system. 'River Terrace Neighborhood: No 1"No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,Three(3)copies of site plan )2<xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper J ootprint of new structure(including decks)with finished ('Drawn to scale(standard architect or engineer scale) floor elevations North arrow ,1 'utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number .Location of wells/septic systems Applicant information(name and phone number) ,Existing trees to be retained with drip line,and tree , Lt dimensions and building setback dimensions protection measures �,.Of-ot area,building coverage area,percentage of coverage and 419 treet tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) treet names 1property corner elevations(2 foot contour lines if more than 4 foot differential) .'Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ArNo Received: E Yes E No Public Facilities Improvement(PFI) Permit: Required: , Yes,applicant was notified ❑ No Applied For: , yes ❑ No,stop intake a-LandUseCase#: (,L( g- 01q - 000C) `i UN--Zoning: !" Required Setbacks: Front 9D Rear (5 Side S Street Side i 5 Garage , ; --Landscape Requirement: 2---Lot Coverage Maximum: Building Height: Maximum Height 3 l7 Actual Height a7 rlI Visual Clearance kr Easements Sensitive Lands: ❑ Yes Ki No Type O21 Urban Forestry Plan =I Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: -- Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: y77 // Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit--#above. IC�- ,�� Workflow Routing: 11 ning "Engineering ermit Coordinatorwilding Workflow Sign-off: L�2'S�ig.n.�-o'ff for Planning(include notes from planning review) Route Application Documents: 4�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and _o.....,6gifial plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,�_ Date: Y/��� 7 __ r Engineering Review Slope at building pad: /5/S 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: 0 Yes No LIDA Facility on lot: 0 Yes No O NOT Approved by Engineering: Date: Notes: Approved by Engineering: 04_17____ Date: 414-‘--(7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions "Met"prior to issuance of building permit O Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: R1-7,,evision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: QIC es El N/A Tigard Trans SDC: i Yes 0 N/A Parks SDC: Yes 0 N/A OK to Issue Permit •Permit Coordinator: 6 Date/ /.. ---- Approved by e t Coo d ator: I:\Building\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 111 = Transmittal Letter r,(,,n iz n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE REVENED DEPT: BUILDING DIVISION AUG 2017 FROM: S(/"/l ��2 ' 3UIT•ING € V S ON COMPANY: �f PHONE: _563 - 1 -oce - RE• (Sit rens ( (P-14\—g."(1-1, � ^CO ` 2—C�ermitlumber) (Projec na a or su vision name and lot number) 4 3 ' ATTACHED ARE THE FOLLOWING ITEM Copies: Description: i Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and detail. Cf Wall bracing and/or lateral analysis. Floor/roof framing. t Basement and retaining walls. Beam calculations. Engineer's calculations. 3 Other(explain): 7, 4.&yv` .f REMARKS: st 1 he (o✓) `te a 5.44-z -O LA-) w kl./ R- V601 I ► vls -S) ki l FOR OFFICE USE ONLY Routed to Permit T: hnician: Date: -1 - J7 Initials: .. ..__ Fees Due: 1:1 Y No Fee Description: Amount D ❑ p •�S )4r v $ Specia Ins tions: print Permit(per PE): ❑Yes No ❑ Done PP •pplicant Notified: 61/1 Date: //3//7 Initials; 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 i c;,,,,D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: i'-G4--;;1 DATE RECEIVED: DEPT: BUILDING DIVISION 111ECtilitip JUL 'I 201 FROM: ( � * rA-01:=1 1 hJG,-- C El dF�'1G�'�D COMPANY: (dU �' •N� •,‘ 1L 1NG w. OWISI- cjit, PHONE: C '2 l By.- �� ^('�o RE: 05/ 5� T ,Jul)/ ,. Srermit pi? t0 I 2.(0Num(Site Address M Sr. 5ro�ect name or su division name and lot number) 14-t:"./..- / Las-/—5( 3 ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: , "•ies: Description: Additional set(s) of plans. Revisions: Cross section(s) and detais. Wall bracing and/or lateral analysis. Floor/roof framing. , Basement and retaining walls. Beam calculations. 1' y Engineer's calculations. Other(explain): REMARKS: Hei)004 ) U( N egv q r FOR OFFICE USE ONLY Route Permit T, hnician: Date: 7- ) I — `7 Initials: TI Fees Due: Y, ❑No Fee Description: Amount Date: J /4 r (3b ' real .e" $ cc) — $ $ $ Speci, In ' ctions: Reprint Permit(per PE): ❑ Yes ►:1 No Nig on -i).); Applicant Notified: Date: 7 !07 ,;,,_ itials ',.. I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: ,?-03 ( s/.,..) !/i w 2 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 N 1 4 Transmittal s ttal Letter r,t,n rt n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: _�- ( V DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: I tit —›- 1 F 2‘ c 0C1112017 CITY OF TIGARD COMPANY: W (kof\lb-------- BUILDING DIVI $IOP PHONE: mi. ,-7 6 e Y(.0 By: -1e RE: -; i'T� ;iir . ,; .n � (s ess) (P it er)7-d it2() V &iII'Ve -Se 4et' ro�ect name or sub ivision name d o ) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: /©c tycj 5/ 3 Li FOR OFFICE USE ONLY Routed to Permit Technician: Date: )p -- ) J _ j-) Initials: -3-' Fees Due: El Yes ❑No Fee Description: Amount Due: A P) IL" rte,/:C $ y'S $ $ $ Special Instructions: Reprint Permit(per P ): ❑Yes ) 0 No ❑ Done Applicant Notified: Date: /()//)-J7Initials: `1a I:\Building\Forms\TransmittalLetter-Revisions o61316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8031 SW BARNUM ST, TIGARD, OR, 97224 March 14, 2018 at 4:04:01 PM Record Type: Record ID: Residential - Master Permit MST2017-00126 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Expose exterior storm and sewer cleanouts for inspection. Hard cap un used rain drain stand pipe at entry column. Backflow devise test report to be collected at building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8031 SW BARNUM ST, TIGARD, OR, 97224 March 14, 2018 at 3:59:46 PM Record Type: Record ID: Residential - Master Permit MST2017-00126 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Mechanical corrections from failed mechanical rough inspection on 10/10/17 complete. Mechanical final inspection approved. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8031 SW BARNUM ST, TIGARD, OR, 97224 March 14, 2018 at 4:00:22 PM Record Type: Record ID: Residential - Master Permit MST2017-00126 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: 8031 SW BARNUM ST, TIGARD, OR, 97224 March 23, 2018 at 10:34:11 AM Record Type: Record ID: Residential - Master Permit MST2017-00126 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8031 SW BARNUM ST, TIGARD, OR, 97224 March 23, 2018 at 10:21 :50 AM Record Type: Record ID: Residential - Master Permit MST2017-00126 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete from previous inspection. Plumbing final ok. Violation Summary: Inspector Contractor