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Permit (112) ow= tea; CITY OF TIGARD ;DC7 , MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00336 T[G,y I D13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2017 Parcel: 2S 101 DCO2600 Site address: 7660 SW FIR ST Jurisdiction: Tigard Subdivision: ROLLING HILLS NO.2 Lot: 50 Project: WAINWRIGHT Project Description: Removal of wall and installation of a beam. Interior work only. 2/5/2018: REPRINT permit to change gas fireplace to wood fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Height: 0 Second: 0 sf Parking Spaces:Smoke 0 9 Bathrooms: 0 Garage: 0 sf Front: 0 Dwelling Units: 0 emoke Third: 0 sf Right 0 Detectors: Total: 0 sf Value: $10,000.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0 Y Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Catch Basins: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 1 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 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: N BUILDING INFO Class of Work: Type of Use: ALT Type of Constr: Occupancy Group: Square Feet: SF VB R"g 0 Owner: Contractor: WAINWRIGHT,JAMES OWNER Required Items and Reports(Conditions) 7660 SW FIR ST TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $581.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr g AR 952-0 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: -'7 Permittee Signature: E'/?,t1 ps-‘..,- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFI I( F (SF 0\l_1 City of Tigard 111111 I 4 13125 SW Hall Blvd.,Tigard,OR 97223 '`igIIIIIIIIIIIIIPermit No.: Phone: 503.7182439 Fax: 503.598.1960 of I'""% )• T t c;n R D Inspection Line: 503.639.4175 ^� Other Permit: Internet: Line.www.tigard-or.gov Date Ready/By: Juris: B See Page 2 for I AU I G �2 4 201/Notified/Method: Supplemental Information TYPE OF WORK C( OF I IUP►8t) COMMERCIAL FEE* SCHEDULE -USE CHECKLIST ❑New construction Addition/alteration/r �C-DIVISION Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ Eg 1-and 2-familyRESIDENTIAL EQUIPMENT/SYSTEMS FEES* dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other �s Description r �_-� Qty. Ea. Total JOB SITE INFORMATION AND LOCATIONS f leating/cooling: Job site address: e�� Air conditioning 46.75 rp 60 r S r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: rf gpro i 0 R q j- ER 5 1 i:�l�j Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: �1 Project name: Heat pump 61.06 7660 S W �I�' t�x i a i+ ,;r,a'' {{�,0,Duct work 23.32 `LrF K a mac- L 'l A"` :J Cross street/directions to job site: J-Iydronic hot water system 23.32 C r d'1 V ( t ! "•� e t Y r' '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 a 3.3a Subdivision: I Lot no.: Other: 23.32 .71 �� A L a�0 00 Other fuel appliances: Tax map/parcel no.: 2 SWater heater ��.23.32 : ru DESCRIPTION OF WORK ` x"' Gas fireplace/insert ,..----t-- 33.39 r Flue vent for water heater or gas c�i�� 110'� i� /`'//�..t /i)4./i)4.f}-C�� /7 2? r t;_/C'c"� � fireplace 23.32 , (/L r.--7`:'t"-9 r,r .41C74- . ,44/(5/74:- 4Log lighter(gas) 23.32 Wood/pellet stove / 33.39 Wood fireplace/insert 23.32 ` ' L Chimney/liner/flue/vent 23.32 PROPERTY OWNER Other: ( , ❑_TENANT 23.32 Name: �Q I ° Environmental exhaust and ventilation: r.CS W Q(IIW el e I�' Range hood/other kitchen Address: 1(p60 Si* 'Fir �{ equipment 33.39 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: it(yl./9i 10 - 91 Z),3 Single-duct exhaust(bathrooms, Phone:(501) 53q a(JC JC Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 , ..,APPLICANT. 0 CONTACT"P ltQ$ Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: J 4111e) Will t V('I 4 Q Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) I Fax::( F' lace ) t' ' 114.I5 14.15 E-mail: Vgici nip(''se 3Mb4(i. cop- Range Barbecue CONTRACTOR 4 Clothes dryer(gas) Business name: Other: Address: MECHANICAL PERMIT FEES* Subtotal 10•$6 City/State/ZIP: Minimum permit fee($90.00) 90.0 t? Plan review(25%of permit fee) aa,58 Phone:( ) I Fax:( ) State surcharge(12%of permit fee) 10.$ CCB lie.: TOTAL PERMIT FEE 613.3 f 7rir^/ This permit application expires if a permit is not obtained within 180 Authorized signature: V ✓ days after it has been accepted as complete. F > � * Fee methodology set by Tri-County Building Industry Service Board Print name: 1 `�'-' s' 1a1�-Ww12llio/ •r•- I Date: C/2 it/r9-- I:Building\Permits\MEC_Petmitapp_040113.doc 44046:7r(11/02/COM/WEEB) CITY OF TIGARD MASTER PERMIT r 4a: COMMUNITY DEVELOPMENT Permit#: MST2017-00336 T f C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2017 Parcel: 2S 101 DCO2600 Jurisdiction: Tigard Site address: 7660 SW FIR ST Subdivision: ROLLING HILLS NO.2 Lot: 50 Project: WAINWRIGHT Project Description: Removal of wall and installation of a beam. Interior work only. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $10,000.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Drains: 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: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 0 201-400 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: WAINWRIGHT,JAMES OWNER Required Items and Reports(Conditions) 7660 SW FIR ST TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $581.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. obtain- copy of rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 6-1-/- - Pe ittee Signature: all 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. B 1i ilin2 Permit Application Residential City k,v, •of Tigard CI a " � Received 1 aj Permit No.: -7 /� g wy �� Date/By: 0 / t 1 7 473-- ,i�✓)'oi /'033. N • gard,OR 97:52 "' i Plan Review iit le 'hone: 51 : ' •' Fax: 503.598.v%i Q1 t Date/By: b 3 mer Permit: T I G n R n Inspection Line: 503.639.4175 `\ t , Date Ready/By: Q/� Jam: ® See Page 2 for Internet: www.tigard-or.gov �,v otified/Method: Y7 /0./7 7 �, Supplemental Information `. d ..,'�jN4�\, -rte%s TYPE OF WOR(!!),1``vn`t� QUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑1ToltTdIition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-family dwelling 0 Commercial/industrialaluation: $ `e J O©0 12Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE;INFORMATION AND LOCATION Total number of floors: Job site address: -'76�j0 sr: i(tz ST RE ei- New dwelling area: square feet City/State/ZIP: -rk GARb i OR 111,23 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: alAi y.-i.//`fkJ- Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ,L ,C DESCRIPTION OF WORK work indicated on this application. R EMt©Uff( t?! L014G c- Valuation: $ Existing building area: square feet New building area: square feet 134 PROPERTY OWNER 0 TENANT Number of stories: Name: J A MtS VIAL N W RI Gift Type of construction: Address: 16bo s W .rIR. s-(Reel' Occupancy groups: City/State/ZIP: TI&k m OR 611223 Existing: Phone:(Sol ) S 3 9'_ 7.'55 Fax:( ) New: X APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: . 4frit)/ Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): , Address: City/State/ZIP: Total fees due upon application I 4,4 7 t 7 Amount received: Phone:( ) Fax::( ) ! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: t�1/e1 1.1{1 .i 4 e t]/1'1--11 1..�c'm (/" Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details 4?d 413F'1 and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: / Total fee due upon application: $201.60 Authorized signature: 29," G /6 / 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 Print name: TAA4(� S 1,„0/41/1/2A7/2/6_/).-/- ,„0 J//f f2/6_% r Date: 0y-//2,- Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist c p One- and Two-Family Dwelling 1O R OFFICE I SE 0\1 1 City of Tigard i Receved Date/By:vePermit No.: lig13125 SW Hall Blvd.,Tigard,OR 97223 Associated: ermits: = Phone: 503.718.2439 Fax: 503.598.1960 p 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Tt G A R n Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIENN ves No y/‘ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. I ■ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. 0 0 4 Fire district approval required. Name of district: . 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 b ilr protection,etc. 10 3 omplete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 \ ' ing codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size eet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements .,,,>. and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 . four or more appliances. �4 •ineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 chitect licensed in Ore•on and shall be shown to be al•licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ■ ■ ■ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE (SE O1l_\ Received City of Tigard s -/By: PetmitNo.: /las _ III »' 13125 SW Hall Blvd.,Tigard,OR 97223 -..» a s r / ` ` �� ® Other Permit: ' Phone: 503.718.2439 Fax: 503.598.1960 �"' ,���,�� �� d , T l G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov A U c 2 4 "al f Notified/Method: Supplemental Information TYPE OF WORK `11i O 0 l � COMMERCIAL FEE* SCHEDULE -USE CHECKLIST 1� Mechanical permit fees*are based on the value of the work ❑New constructionAddition/alteration/iperformed.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* (g 1-and 2-family dwelling ❑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: /64)0 S %) -fir Stre Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1 f C(rO t d R a7 ZzS Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: vU Project name: Heat pump 61.06 _ (0(p0 Stu �I(Z Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 p Residential boiler(radiator or chi fly clYl V hydronic) 23.32 �J Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above Subdivision: Lot no.: Other: 23.32 ---75 Other fuel appliances: Tax map/parcel no.: 2 S 1'6 1 D L 13 94 ee _Water heater 23.32 DESCRIPTION OF<WORN< Gas fireplace/insert I 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 _ :,a PROPERTY OWNER 0 TENANT —Ot• her: 23.32 Environmental exhaust and ventilation: Name: 3Qp,es 1N aii' v r(c (rii' Range hood/other kitchen q equipment I 33.39 33.31 Address: 1(060 SUV 'fir Clothes dryer exhaust 33.39 City/State/ZIP: 1 cu01 10 i- 9111,3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503) S 39 ^ at GS Fax:( ) Attic/crawlspace fans 23.32 yl,APPLICANT El CONTACT 1pERSQA$" Other: 23.32 Business name: Fuel piping: _ $14.15 for first four;$4.03 for each additional Contact name: 14W3 Wcli AvvcrAvrt Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace I 14.15] 1t4.IS c (� r Range E-mail: vva(ntr(1-c�e ct MGt{I. COW'- Barbecue J— J" CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal 10..Set City/State/ZIP: Minimum permit fee($90.00) 90.0 0 Phone:( ) Fax:( ) Plan review(25%of permit fee) a a•50 State surcharge(12%of permit fee) 10•go CCB lic.: TOTAL PERMIT FEE 0,3.3 n 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: 1 s' wpf_/A/w411;. f f Date: 12%/ �9 � -- I:\Building\Permits\MEC_PermitApp_040113.doc 1 440-46/17T(11/0/2/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 Plumbing Permit Application z .Building Fixtures FOR OFFICE USE ONE I' City of Tigard � � Date/ReceiBy:: Permit No.:/''J 2-04.),7_0r li, 13125 SW Hall Blvd.,Tigard,OR 972�23� y = g Plan Review Phone: 503.718.2439 Fax: 503.598.1960 w Other Permit No.: AUG fa � � ���1!` Date/By: T I G A R D Inspection Line: 503.639.4175 l Date Read/B Juris: ® See Page 2 for g`v Ready/By: Internet: www.tigard-or.gov rr Notified/Method: Supplemental Information TYPE OF WO V`-I y o�'uluoiNn nivisafiv 1cii\ 1 FEE* SCHEDULE ❑New construction For special information use checklist. Descri.tion Q . Ea. Total Fi 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 p 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATIONSite utilities: Job site address: 1 6G 0 SW F I R T ST 12 E5Catch basin or area drain 18.76 ty T 6a�0 1 Q 11 2�3 Drywell,leach line,or trench drain 18.76 City/State/ZIP: p Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: 7 I( D SW 1 I IZ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Gherfy dive, I off 1144 ave/ T1Ciart l OK. 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.: as 1.1)1 DC 0a4,4er Backflow preventer 31.27 --'''''''''':7--s- 1, SC ON OF ,*0,,,,i,,,,,,, ,: `• i Backwater valve 12.51 ��- - � ' -� '_' Clothes washer 25.02 ACiCirr1DY) f>F SIY1� , OtIS ush-eri gat ba 5f, (IIS[)O.CI Dishwasher 25.02 . 9.02 Drinking fountain 25.02 Ejectors/sump 25.02 ;; PROIIERTY OWNER {] TENANT.,�. Expansion tank 12.51 a Name: JAM 8S w Qtl N W VI G N f Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1 6(00 CV fig sr, Garbage disposal 1 25.02 25.Bo. City/State/ZIP: ti GA(Zi) OR q7 2;2 Hose bib 25.02 Phone:( 503) 531 - 2155 Fax:( ) Ice maker 12.51 . Interceptor/grease trap 25.02 a APPLICANT � .�� ❑"CONTACT I',jERSO1V�; Business name: Medical gas(value:$ ) Page 2 tPrimer ■ 12.51 Contact name: 1 fA►Y1.0 S W a((n WI t,9 WI Roof drain(commercial) 12.51 Address: 1(0(p 0 CVO '�tii Si. V Sink/basin/lavatory 1 25.02 25, D a. City/State/ZIP: 11 a fok 1 OR G7 aa3 Solar units(potable water) 62.54 Phone:( SO3) 5301.7)4 55 Fax::( ) Tub/shower/shower pan 12.51 E-mail: VirtinVfl j(li'i Mad•(A4\ Urinal 25.02 Water closet 25.02 CONTRACTO Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Ii.O( Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) is .17 CCB Lic.: Plumbing Lic.no.: J State surcharge(12%of permit fee) q .d 1 Authorized signature: LFA i[/" et, / TOTAL PERMIT FEE $I 02.g f. Print name: ,-Am 6-5 1,.J,-pv i nl J /6/f-f Date: ��� t-/,i'7._ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 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-l'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 Qt'• 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 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 Reviews r Plumbinginstallations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Gapped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font 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 Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" >' iso. 1 c oar s tag 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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 RECEIVED Property Owner Statement Regarding Construction Responsibiliti AUG 2 2017 Oregon Law requires residential construction permit applicants who are not iicealdliVitN4101VISION Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Applicant 2 (1j -1/1" C .2 /7-- Signature of Permit Applicant Date Permit#: Jj /7--(x 334 Address: -740o ,tet S4v` � J� � , l, d2 17)i3 Issued by: Date: ei/S";7 f= � This Copy for Permit Offices FOR OFFICE USE ONLY-SITE ADDRESS: 76 6 d Jj) <1 I 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 Now • Transmittal Letter T; .,A Ft n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /0 /7 1/ , DATE ' D c 3' ' .117F, DEPT: BUILDING DIVISION ,,‘...,4 ` H 132018 FROM: I / .,24tS W4////oi7 iCr/1 r (Anal,i'iGAR COMPANY: BUILDING DIVISION PHONE: .C"3 .. 5'3 9 2. l S 5 By::,) ' RE: ?c a, 0 cGa FIR s T /` _S7-a2G'/7-f10.:-33, (Site Address) (Permit Number) htnname ,yvGr/r 137'- ',%/ 4,i) 4i►° and lot numb- � 1 ATTACHED ARE THE FOLLOWING I E :+ `) Copies: Description: 1 opies: Description: Additional set(s) of plan .r 3'- \\1 Revisions: Cross section(s) and deta s Wall bracing and/or lateral analysis. Floor/roof framing. r)% Basement and retaining walls. Beam calculations. A Engineer's calculations. ir Other(explain): (i , 4%)/Ale,y o REMARKS: C/9-12/f7 Ott C M EMM Fe,/ A-Di)I T7G11(/I-t /;?2/1-C/c rr- F ? IfFttaii2 $u r '°i i FOR OFFICE USE ONLY Routed to Permit Te, ician: Date: Z._ Za - ) t Initials: Fees Due: ❑Ye g No Fee Description: Amount 11 Due: $ s $ $ Specia $ Ins ctions: Reprint Permit(per PE): ❑ Yes p(No ❑ Done _ Applicant Notified: y,/. -S' Date?.`20/ft Initials: 44e- 1.\13uildingWorms\TransmittalLetter-Revisions.doc "-1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7660 SW FIR ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00336 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7660 SW FIR ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00336 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Smoke and carbon alarms installed. Violation Summary: Inspector Contractor