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Permit (126) CITY OF TIGARD MASTER PERMIT II COMMUNITY DEVELOPMENT Permit#: MST2018-00081 Date Issued: 03/20/2018 T t t3Akt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I r i' '�1 �l ,` ' parcel: 2S102CC03400 / P ';- Jurisdiction: Tigard Site address: 10345 SW MCDONALD ST Subdivision: FRELEON HEIGHTS Lot: 2 Project: Hampton Project Description: 657 sf addition of(2)bedrooms and (1)bathroom with laundry. 4/10/18: REPRINTED permit to include 72 ft. of storm sewer, (1)rain drain connector, (1)clothes washer, and duct work. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 1 Bedrooms: 0 First: 639 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 639 sf Value: $72,750.15 Rear: 15 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF RainStorm Sewer: 72 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: Ice Maker: 0 Hose Bib: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 1 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1 Heat Pump: N Hoods: 0 Other Units: Furn<100K: 0 Vents: Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo 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: 5 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: ADD SF VB R-3 639 Owner: Contractor: HAMPTON,DANIEL L&CHERISSE M PAUL MILLARD OLSON Required Items and Reports(Conditions) 10345 SW MCDONALD 11933 SE SUNNY WAY 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 HAPPY VALLEY,OR 97086 PHONE: PHONE: 503-698-3444 FAX: Total Fees: $3,240.78 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. / ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob of the rules or direct questions to OUNC by calling 503.232.198 332.2344. Issued By:/./ 1.---10).-2-24‹:9_,-...._ y�°y,,��33 •_ ' Permittee Signature: eatrA39.4175 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. :portStreamingHandler.ashx Page 1 o • . Plumbing Permit Anplication-1-17 n.i.,-f iv Building Fixtures Fixtures rf. Fx t x IIIIIIIIIIZIIIIIIIIIIIIIIIIIIII City of TigardRecehod MAR 6 il 16 Date/By: Pennit)1"4-1....r 732C1 0"LrOCP/ IN.. - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 5 Phone: 503.718.2439 Fax: 503.598/1r9,, 0 4., .,•,' "Th 1,, Date/By: Other Permit No.: Inspection Line: 503.639.4175 ,,,a?,, ‘.. .,,.', c e.II A,1'. ,.,, 1 0., *,!:,, - " Date Ready/By: kris: I 13 See Page 2 for Internet wvvw.tigard-orgov ,.,,1,0 -, -,I .' :,1'! : + 1 ;Nocified/Metbod: I Supplemental Informaima TYPE OF Wutur. FEES SCHEDULE m:Sion 0 New construction 0 Demolition #4, 41144,_14', Description For special Whaase checklist 1 Qty. I Ea. 1 Total Addition/alteration/replacement 0 Other: it; I': .",.1', New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 E(I-and 2-family dwelling 0 Commercial/industrial ' I 1 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 sprinkler C_____sq.ft.) Page 2 JOB SIT'E INFORMATION AND LOCATION I Site utilities: Job site address: 34(.5I Catch basin or area drain 18.76 1 0 . '15\/..) rt 00.00em,I, ST. Drywell,leach line,or trench drain 1 „..18.76 City/State/ZIP: 1 AD ADC i Da cf 7Z 2 if Footing drain(no.linear ft.: ) -3.r" Page 2 Suite/bldg./apt.no.: I Project name: 14-Atietex.3 3-00 Manufactured home utilities ....- 50.03 Cross street/directions to job site: moil, 14v) ' et el 60 Manholes 18.76 e A ilr 0/41 14 t'I)OW A 1.0 461% Rain drain connector 1 18.76 Sanitary sewer(no.linear IL: _1 Page 2 cf Storm sewer(no.linear ft.:___) "")) Page 2 (/,) ‘2,r1A/ etretik/ etloyve-lor-i 0)clori--1 /....ix Water service(no.linear ft.:_J Page 2 Subdivision: I Lot no.: [ Fixture or item: 1 Tax map/parcel no.: I Backflow preventer I31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 1 25.02 Dishwasher 25.02 /i-A,r /7-(0A/ ei, 7 ) ,..g&-zdooris e ("/ , Drinking fountain 25.02 A 6,--77/a er 4/7 CC)/77rd 9-a'v Ejectors/sump 1 25.02 ePROPERTY OWNER I , le(TENAPri Expansion tank 12.51 I Name: °Ai./ 4 r_tker2445C. 14-Artlftv 4 Fixture/sewer cap 25.02 I Floor drain/floor sink/hub 25.02 Address: 1 D 14.; 5%„„) linos)At.° 5,i Garbage disposal 25.02 ) City/State/Z1P: It 6/40 ()% g122,14 !lose bib i 25.02 I Phone:(so) 4 2.0-2.16 p I Fax:( ) ice maker 12.51 • VA.PPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 5t1s0.101/4 063t 64 Primer 12,51 Contact name: 9kul, OtA ot4 Roof drain(commercial) 12.51 Address: 11(453 te• 54401 id)A1 Sink/basin/lavatory I 25.02 City/State/ZIP: 14 AC'CAI li Ar1A,Of Solar units(potable water) 62.54 Phone:(9)3)4 "b 44f I Fax::(, )) 411-4531 Tub/shower/shower pan 1 12.51 E-mail: t ka ONC11.411+ SCC ho.h. Urinal 25.02NA,I /to" Water closet 1 25.02 CONTRACTOR Water heater 37.52 Business name: t. WC p via. r ,t)A4 I)I.4 4, AA C Water piping/DWV 56.29 Address: (0 boe c)-/J ( Other: 25.02 City/State/ZIP: A#4.1///iv it sa--- eNze- Subtotal Phone:(50V) 934 it:to Fax:( ) Minimum permit fee: $72.50 CCB Lie,: /t.7J'SV Plumbing LiPlan review (25%of permit fee)c.no.: 5 PA, a _ I Authorized VI& TOTAL PERMIT FEE 9ignature:ed1444) 1 State surcharge(12%of permit fee) IPrint name:Acr lArtf-A es& Date:3/3/cAtnel Tbls permit application expires it a permit*set obtained vial's Ile days alter it bes bees accepted as complete *Fee methodology set by Tri-County Building Industry Service Board. 1:113ull dinePermitsTLMU-PormitA pp doe Mogi/CO 440-4616T(10/02COMNJEB) p://tiglf/laserficheNiewer/Pdf/PrintPdfViewer.html?file=ExportStreamingHandler.ashx%3Frepo%3DCityofTi... 4/10/2C :portStreamingHandler.ashx �� Page 1 o Mechanical Permit Application.: _ .: IIIRecervtd Cityof Tigard r Perm! . �+ 6 j;;t R Datc 11y, 51 /a�^7i / • 13125 SW Hall Blvd.,Tigard,OR 97223 Ptah Revtew g Phone: 503.718 2439 Fax: 503.598.1 -y;t s` s a. ! amu,BY: Other Permit: I i t,n 1;I7 Inspection Line: 503.639.4175 t.i x t_ ,. _t" :k Vii: ' Date ReadyrBy: Jwiw: see Page 2 for Internet: www.tigard.or.gov il F,x e _y.$f 4r 1• r•s 1 x.'1 i,71. Notified/Method: J Supplemental information [ TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees'are based on the value of the work Q New constrictionAddition/all r.uionrre(Slatell 3 t s t perfonned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other " mechanical mattirials,equipment.labor,overhead,and profit, ,tit i s/l e F ` Value•,S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Girl-and 2-family dwelling 0 Commercial/industrial Q Accessory building For special information use checklist. Q Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. 1 Total 1 JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 103 HS 5VJ h.GDC� ' 1. 1 Furnace 100,000 BTU(ducts nems) 46.75 City/State/ZIP: is.' Furnace 100,000+BTU(duc .ests) 54.91 r D� co z2 Heat pump 61.06 Suite/bldg,/apt.no.: I Project name: 0Ark!? 5'O 5 Duct work 3 23.32 Cross street/directions to job site: R26I4 1.61411 q 9 60 Hydmnic hot water system 23.32 Residential boiler(radiator or 6 A-411- CO ("fit 090Atv dr. hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct.suspended,etc. 46.75 - y 1/ Flue`vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK ( Gas frreplace/insert 33.39 I Flue vent for water heater or gas AQ) ULA-41n'Jv to ADD 111 00 1=49X-- 1 fireplace 23.32 (2) agL/LOO�S ,!) >¢ civ ev/T Lag lighter teas) 23.32 Wood/pellet stove 33.39 49.-u nit) Y Wood fireplace/insert 23,32 1 Chimney/liner/flue/van 23.32 PROPERTY OWNER 1 0 TENANT 011ier: 23.32 Environmental exhaust and ventilation: Name: oPO44 Gti, 'r ,t�sC /4,64-021o0 Range hood/other kitchen Address: ,0-1),4s- C5+ ) ftt peoAx � Clothes Eolhcs 33.39 . ] equipmentddryer exhaust 1 33.39 City/State/ZIP: ';-1 ,.Q V__12"" ry y 1 Single-duct exhaust(bathrooms. toilet compartments.utility moms) l 23.32 Phone:(9 3) 620-21 r6 0 Fax:( ) Attic/cm wlspace fans 23.32 I APPLICANT [CONTACT.PERSON Other: 23.32 Fuel piping: Business name: "'k 17lA-- ©eite..o $14.15 for first four;54.03 for each additional 1 Contact name: ?NAl... 0L S O W Furnace,etc. { Address: i I"E3i 5 CSU1,310..c k)k1 + Gas lxst pump WallisuspendcxFunit heater City/State/ZIP: -% 1 VAI,1_61 1 0 9-- 11 $(p Water heater Phone:(5( ) L Q Tj p 3 1 4 4 I Fax::(5/3) 4/cc''4r.S3* Fireplace E-mail: 5 kRt'lt is 5-5 . ilotmdsti.i . 4v +►e'N 1 Barbecue CONTRACTOR I I Clothes dryer(gas) Business name:Tri County Temp Control Other: MECHANICALPERMITFE:V Address: 13150 S Clackamas River Drive Subtotal City/Stale/ZIP:Oregon City.OR 97045 I Minimum permit fee(590.001 Phone:(503)557-2220 1 Fax:(503)557/0919 Plan surchargerevw(25%of permit fe ) State (12%of permit fee) CCB lie.:72623 f TOTAL PERMIT FEE 1 This permit application expires if s permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: .,7a4t-V t- t • Fee nu:rhodology set by Tri-County Building industry service Want I Print name:Diane Mason I Date: 3/0/26/$ I t:•Buildin/Ymmiir MEC_Pc n sApp_04G113.doe 440451 Tr(11 OC.COM'WEB) p://tiglf/laserfiche/Viewer/Pdf/PrintPdfViewer.html?file=ExportStreamingHandler.ashx%3Frepo%3DCityofTi... 4/11/2C