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Permit Support Document (27) 0. Y :r�[. t #, CITY OF TIGARD EZIMM-.. MASTER PERMIT tri 2 '' COMMUNITY DEVELOPMENT Permit#: MST2017-00418 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017 T t 9 Parcel: 1 S 133RD 14000 Jurisdiction: Tigard Site address: 12723 SW SORREL DOCK CT Subdivision: SUMMER LAKE Lot: 21 Project: Help/Sorrel Project Description: Interior remodel for kitchen. Removing(2)bearing walls, adding new beams,support columns, footings. 11/7/2017: REPRINT to add(4)exhaust fans(bathroom and laundry), (1) range hood. 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: $58,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: 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 Owner: Contractor: BELLEVEAU,JUNE HELP GROUP INC Required Items and Reports(Conditions) 12723 SW SORREL DOCK CT 10006 SW CANYON RD TIGARD,OR 97223 PORTLAND,OR 97225 PHONE: PHONE: 503-244-8232 FAX: 503-246-2167 Total Fees: $1,543.12 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 6- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Mechanical Permit Application FOiz<IFI Act: usi a\L\ ' Received City of Tigard ` en'''''/1-4.5-77,0/7 13125 S W Hall Blvd.,Tigard,OR 97.I:" F ,� t f ateJBy ���L[/� ! 1 e' �//� ' a Phone: 503.718.2439 Fax: 503.59 i ; " rb" Date/By: �7 Other Permit: 1 1c t,l� Inspection Line: 503.639.4175 `A' 9 �v ±� 1 N i Date Ready/By: Auris: 65 See Page 2 for Internet: www.tigard-or.gov t O`' Notified/Method: Supplemental Information '6(`" N V .: iii* OF coo. , r 1,, °li e1 • • COIVIMERgA;L FZ$ i SCHEDU LE USE C�: ' • • - 11` - <, �_. .t4' - Mechanical permit fees'are based on the value of the work ❑New construction Q�Addition/altera performed.Indicate the value(rounded to the nearest dollar)of all •r1, ); 1:1 Demolition 0 Other: �., mechanical materials,equipment,labor,overhead,and profit. ' C. ' ".' OF 'ati ittir _ Value $ • 12ESIDE1*tALIgQD11'ME1VTl5YSTE*REES'. .: .. Erl-and 2-family dwelling 0 Commercial/industrial , .,uilding For special information use checklist ❑Multi-family ❑Master builder 0...drier: Description I Qty. I Ea. I Total Heatin cooling: ' ; ,►os srcE:»oft>+�iATxan AND Loenrl�oly � Air conditioning 46.75 Job site address: '2 1 1,,,' i SW SoM _. t C GT Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: f,,,"1r�D ova .1,1-7,1/- 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 hydronic) 23.32 /1) 1 i5 77�/—, /, 1 7 ,1_ Unit heaters( esus pee,not electric), // C `6--72.-// in-wall,in-duct,suspended,etc. 46.75 • r Flue/vent for any of above 23.32 Subdivision: 1 Int no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION•OF WORK :" Gas fireplace/insert 3339 , n t Flue vent for water heater or gas ' "� Cj� - \' 1 l�Ict4 S 6° e--FAA / t" fireplace 23.32 Log lighter(gas) 33.32(I) i �,?� qG!.�i-r TVr — SoM t 'i Wood/pellet stove 33.39 ./'(I ) -t1 .1.1el4 'ADM, \./--1.1-r —9 N e-rvA Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 1ENAIVT Environmental exhaust and ventilation: Name:f)v 1 Vi v Range hood/other kitchen p� equipment i 33.39 Address: L�i'ip72 Sw 6J'D - j _. 6.1.- Clothes dryer exhaust 33.39 City/State/ZIP: - Piz42 'b V- tr122/1 Single-dud exhaust(bathrooms, toilet compartments,utility rooms) 23.32 • Phone:(lj ) c. 0 Fax:( ) Attic/crawlspace fans 23.32 �,/ Other: ' 23.32 ' -;: APPI.ICAM' . .' © CUNTi4C'f]i'ERSON Fuel piping: Business name: y}� , /tel(24;‘)177614.15 $14.15 for first four;$4.03 for each additional Contact name: fa .v. 1,4 1 Gu t_,D,' —pO 12,<:. Furnace,etc. Address: to DO tF 6AN `1 t)1. 1 ��• Gas heat pump ..'1 Iv Wall/suspended/unit heater City/State/ZIP: p 17 12.1 L.peNn--) alz, on-2..-2_ ,., Water heater Phone:(ib g2.. /2. Fax::( ) Fireplace Range E-mail: + vi� Q �.C/' X C. Y�/ p 1 Barbecue CON'TRA.CTOR Clothes dryer(gas) Business name: C e i Other "✓v '� ME04Al4*AGPE)(t11 1T S• .: Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) I Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 1 Qjq",1 fi_ , TOTAL PERMIT FEE This permit application expires if a permit is not obtained in 1 0 days after it has been accepted as complete. , Authorized signature: ill • Fee methodology set by Tri-County Building Industry Service Board Print name: 1 r ate: 10/02/u 1 f /i:(1, '7 \ 1:\BuildingPermUitsEC_PermitApp_040113.dot V 440-46171'(11/02/COM/1W-13) IIIIICITY OF TIGARD MASTER PERMIT Ie COMMUNITY DEVELOPMENT Permit#: MST2017 00418 T t GAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017 Parcel: 1S133AD14000 Jurisdiction: Tigard Site address: 12723 SW SORREL DOCK CT Subdivision: SUMMER LAKE Lot: 21 Project: Help/Sorrel Project Description: Interior remodel for kitchen. Removing(2)bearing walls and adding new beams, support columns and footings. 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: $58,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add9 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: 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 Owner: Contractor: BELLEVEAU,JUNE HELP GROUP INC Required Items and Reports(Conditions) 12723 SW SORREL DOCK CT 10006 SW CANYON RD TIGARD,OR 97223 PORTLAND,OR 97225 PHONE: PHONE: 503-244-8232 FAX: 503-246-2167 Total Fees: $1,401.25 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• 2-001-v.:0. You / obtain a cop of the ru or direct questions to OUNC by calling 503.232.19873. or 1.800.332.2344. Issued By: /! /,/ jK Permittee Signature: 1, b'!����� 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. Building Permit Application Residential 1:012 OFI.I( I ISG 0\I.1 Received City of Tigard Permit No.: I .., WED Date/By: (u 1-0 17 /ns 1 —LL)Yl Ihii . 13125 SW Hall Blvd.,Tigard,OR 9,'� Plan Review •� c. �7 Other Permit: 1 Phone: 503.718.2439 Fax: 503.59 I* Date/By: 1O"�, 17 ��.;���'G�l� T t G A K D Inspection Line: 503.639.4175 Date Ready/By: Jwis: See Page 2 for Internet: www.tigard-or.gov to 7017 C�17 Notified/Method:/t1 3../, 7 I Supplemental Information OCT 2 lB c7t Sp:1e L4,47 at p4t1 / .:� OF TIGARD D( TYPE OF REQUIRED ATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. 0 New construction � • q 71 {' I:� Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 5 1-and 2-family dwelling ❑Commercial/industrial c:: :t/ 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: . ✓ JOB SITE INFORMATION AND LOCATION Total number of floors: / /)/' Job site address: &New dwelling area: i `square feet City/State/ZIP: 77 Q ya 7 '7 '2') Garage/carport area: L/l.10 1 square feet Suite/bldg./apt.no.: 11 Project name: j Q' 4' Covered porch area: CU square feet Cross street/directions to job site: Deck area: • 0 O 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 DESCRIPTION OF WORK � work indicated on this application. `_ V)C-Jk ( Zi Q 6`- 4c , / ,^ Valuation: $ ta t 1� 9 1° Existing building area: square feet New building area: square feet A PROPERTY OWNER 0 TENANT Number of stories: Name: ()fl €t I3 e I 1 e L/g� Type of construction: Address: 1 V 7z 3 �y):,,e/ J c Occupancy groups: City/State/Z : ` �' "� vst4,15,1 G,Q i� �0- Existing: Phone:(�%i" j, "'� L?Q Fax:( ) New: 121 APPLICANT ce CONTACT PERSON BUILDING PERMIT FEES* edule) Business name: t Lp Crl✓ [A 6 ' (Pleaseiewref(or deposit):it): Structural plan review fee(or deposit): Contact name: '/ e / ,/ ((. lK7`2,��'�� FLS plan review fee(if applicable): Address: i(q.,---t--) � �'/ � }/1 /573.Z City/State/ZIP: 1 C2�` 1 Total fees due upon application: Phone: �V�� Wax..( ) Amount received: E-mail: i ,..„(4,a, ` a, ,, ,n/� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Y` � Commercial and residential prescriptive installation of I"RA TOR Business name: ` roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: (7,0:-.2 .1.:2 ‘,. .,,,,4.5--(2 ifo4Solar Installation Specialty Code checklist. City/State/ZIP: tc..® Q �Permit Fee(includes plan review $180.00 (. � ../// and administrative fees): Phone:�'.'/ f 1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: tie L Total fee due upon application: $201.60 Authorized signature: 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:(51 I, &Le__ tie L 10 ate: `a ...5-i / Service Board. I:\Building\Permits\BUP-RESP- itApp.doc 02/24/21 1 440-4613T(11/02/CcOM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling rolz 0141(I. I °Nl.l City of Tigard Received ilhDate/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 T I G A K D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No y/.it 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 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 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet 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- ❑ ❑ ❑ 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 ❑ 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 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 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 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 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 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 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 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 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) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12723 SW SORREL DOCK CT, TIGARD, November 29, 2017 at OR, 97223 2:12:11 PM Record Type: Record ID: Residential - Master Permit MST2017-00418 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: 12723 SW SORREL DOCK CT, TIGARD, November 29, 2017 at OR, 97223 2:13:32 PM Record Type: Record ID: Residential - Master Permit MST2017-00418 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor