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Permit (86) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00243 T I G A R[7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2019 Parcel: 2S1026600830 Jurisdiction: Tigard Site address: 10440 SW JOHNSON CT Subdivision: BROOKSIDE PARK NO.2 Lot: 6 Project: VINATIERI Project Description: Voluntary seismic retrofit. 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: $1,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Ejector Sump Pump MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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: VINATIERI,ROBERT E Required Items and Reports(Conditions) PO BOX 23771 TIGARD,OR 97281 PHONE: PHONE: FAX: Total Fees: $211.99 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 95 -001-0090. You ma •btain a copy• the rules or dire : estions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - LI' ALLL •ermittee Signature: Call 603.639.4175 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 aro required on the job site at the time of each inspection. r J . i we Buildig Permit Application Residential FV E FOR OFFICE USE ONLY City of Tigard Received _ ) ., p �3 2014 Date/B : '7 y 17� Permit No.: •IIIn 13125 SW Hall Blvd.,Tigard,OR 97223 ,j i i N ' Plan Review laff, 0 Phone: 503.718.2439 Fax: 503.598.1960 A Date/B : Other Permit: T I G A RCS Inspection Line: 503.639.4175 j� � Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov r��l ill � p � Notified/Method: Supplemental Information i> te�.7 .. .._ "�., Wer,. _ ,.... ..... TYPE OF WORK REQ D I TA:41 AND 2- t r:TP17 LtNp 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwellingValuation: $1,000.00 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION.ANIS fi OLATJON Total number of floors: Job site address:10440 SW Johnson Ct New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Vinatieri 32136 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.:2S102BB00830 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. Voluntary Seismic Retrofit Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER N 0 TENANT Number of stories: Name:Bob Vinatieri Type of construction: Address:10440 SW Johnson Ct Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)620-5576 Fax:( ) New: �k :5 E APPLICANT ® CONTACT PERSON' x•' B -PER% L Business name:TerraFirma Foundation Systems .4xrertnree wlel �tr .w ,. Structural plan review fee(or deposit): Contact name:Emily Singleton FLS plan review fee(if applicable): Address:13110 SW Wall St City/State/ZIP:Tigard,OR 97223 Total fees due upon application: /11ir) tt Phone:(971)205-5223 Fax::( ) Amount received: E-mail:esingleton@terrafirmafs.com PHOTOVOLTAIC SOLAR PANEL SYSTEM"FEES`F x Commercial and residential prescriptive installation of CONTRACTOR t ,,,,,,,-„....,t,.: A r t ,h ."'"4:...:' v. �n� .... roof-top mounted Photovoltaic Solar Panel System. Business name:TerraFirma Foundation Systems Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:13110 SW Wall St Solar Installation Specialty Code checklist. City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(971)205-5223 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:173547 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. Print name:Emily Singleton Date:6/17/19 *Fee methodology set by Tri-County Building Industry Service Board._ I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONEI" - City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated 503.718.2439 Fax: 503.598.1960 Associatt ed permits: TIGARD 24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 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 ❑ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 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 ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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 ❑ architect licensed in©re'on and shall be shown to be•y.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". 0 0 ❑ 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 ❑ 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 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 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) Plumbing Permit Application Building Fixtures - CE -. FOR OFFICE USE ONE\ Received City of Tigard q Permit No.: 1 't_�y� 5� r 13125 SW Hall Blvd.,Tigard,OR 97223 �i 7 201 Date/By: �� )�� '-- ��. �`( W `- j u N Plan Review /// 0 Phone: 503.718.2439 Fax: 503.598.1960 CITY Date/By: Other Permit No.: �.- C i3 Internet: for wwlne:w.Ugard or.go503.639.4175 8' ° t �4�)" ° hate Rd/dy/By: Juris ®pplem�,See ent✓a Information 1 � TI(AIZD Inspection � UI �A o10I � I :;: .. matian ❑New construction 0 Demolition For special information use checklist Description Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .'„,if.:','„:".,,= CATEGORY OF CONSTRUCTION V w SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinlder(_sq.ft.) : Page 2 sr JOB T1E"INFOATION AND L OCATION z; Site utilities: y oi^ L Catch basin or area drain 18.76 Job site address:10440 SWiI � eea-C4-(� I, oVC Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Vinatieri 32136 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.:2S102BB00830 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Install Sump Pump Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 1 25.02 r 0 pR{I"ERTY, OWNER I .TENANT Expansion tank 12.51 .).�.� . Name:Bob Vinatieri Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 10440 SW Johnson Ct Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 Phone:(503)620-5576 Fax:( ) Ice maker 12.51 ,y APPL .NT 0 CO t PERSON Interceptor/grease trap 25.02 Business name:TerraFirma Foundation Systems N, Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Emily Singleton Roof drain(commercial) 12.51 Address:13110 SW Wall St Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54 Phone:(971)205-5223 Fax::( ) Tub/shower/shower pan 12.51 E-mail:esingleton@terrafirmafs.com Urinal 25.02 Water closet 25.02 .,w rCONTJI 'ORm. Water heater 37.52 Business name:TerraFirma Foundation Systems Water piping/DWV 56.29 Address:13110 SW Wall St Other: 25.02 City/State/ZIP:Tigard,OR 97223 Subtotal Phone:(971)205-5223 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:173547 Plumbing Lic.no.:PB1545 Z/f ; Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: £-------- TOTAL PERMIT FEE Print name:Emily Singleton Date:6/17/19 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.doc 10/01/09 440-4616T(10/02/COM/WEB) TOIRIPII PlUmling Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site T tihtiesµ . Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1'100' 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 erllSpectlOIIS or Fees=:; Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Qthand 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture T,y11e fo Replace/` Capped Added Relocate Plan review is required for any of the following. Work PerformedPlease check all that apply. Baptistry/Font Bath Tub/Shower 0 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagramis required for new buildings Garbage -Domestic-non-foodq Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and fees assessed for the sewer increase must be paid before the Water Closet-Toilet Urinal plumbing permit can be issued. Other Fixtures: C:\Users\esingleton\Downloads\PLMF PermitApp.doc 2