Permit Support Document CITY OF TIGARD MASTER PERMIT
II
� COMMUNITY DEVELOPMENT Permit#: MST2003-00401
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2003
Parcel: 2S110BD05800
ff1219/ Jurisdiction: TIG
Site address: 11838 SW VIEWCREST CT
Subdivision: Lot:
Project: ABLE
Project Description: Excavation of crawl space to create additional living space. 4-9-04 adds of gas line, out and
fireplace insert. 11/21/05:This permit is reinstated for purpose of final inspections for a period of
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: 784 sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $72,441.60 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: 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: 1
Furn<100K: Vents: Woodstoves: Gas Outlets: 1
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 add'l 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: 1
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
N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF R3
Owner: Contractor:
ABLE,MIKE PROLINE CONSTRUCTION LLC Required Items and Reports(Conditions)
11838 SW VIEWCREST CT 650 SE ARROW CREEK LN
TIGARD,OR 97224 GRESHAM,OR 97080
PHONE: 503-639-5962 PHONE: 971-271-4360
FAX:
Total Fees: $1,348.28
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
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Issued By: .c-. Permittee Signature:
.5i1 "°??9 II 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 FOR OFFICE USE ONLY
City of Tigard Received ��y/ n n
Dait ��//,'�IJ�i > Permit No.:/})c 7;? V.3 G�,�1 c,/
IN q 13125 SW Flail Blvd.,Tigard,OR 97223 Plan Review ! v' / 1/
ti• . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: RIM B! See Page 2 for
Internet www.tigard-or.gov No;ified!Method: f Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
Indicate the value(rounded to the nearest dollar)of all
"li Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
"1-and 2-family dwelling ❑Commercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
•
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: !/S q gr s 1el rr6a r 4}'j�cps,-1 ' i---. New dwelling area: square feet
City/State/7_IP: 7/2 A i (1 ' C s® q 7 [.� Garage/carport area: square feet
K, Suite/bldg./apt.no.: Project name: Aate, ®4S 3E3AJi- Covered porch arca: square Feet
//
Cross street/directions to job site: 8,u/J fl"i'i /vt#i/N a 4 /5&/tl /'�i Deck area: square feet
I Other structure area: square feet
N. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
�`� Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
�• Indicate the value(rounded to the nearest dollar)of all
"ti Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
) ✓'- J'} Valuation: $
V y hIVC` Existing building area: square feet
'2Rml•' fe./P\45T/le,t Y1C�N L -9-66 `.1 fit New building area: square feet
PROPERTY OWNER ❑ TENANT / Number of stories:
a
Name: w_t,(. ' LL,/DA A bi i,&, _ Type of construction:
Address: 'J i 4g 5 L(,/ Vier 1✓(1'5t x.,. i Occupancy groups:
City/State/ZIP'" , �qy'
Phone:(���) „'�_, 0.... '�r53�fr�� Fax:( d�i� � Existing:
J New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 06,10 gtik 014 .w 4,I6A1 L L�.
! Structural plan review fee(or deposit):
`S Contact name:
alit,
��j �+ ; FLS plan review fee(if applicable):
Address: rJ r J 1}-sl 6 9ie `-e-
Total fees due upon application:
City/State/ZIP: fakiiii nA q'74 3 ,_
Phone: Amount received:
1 ( t �'J`�q —A 7 �' Fax::( ) .
E-mail: 4. 4 Ps(j[ /s)S { 'Iv i /)$ MA r j j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES`
\ rt�.,tv (/+ CONTRACTOR l7 Commercial and residential prescriptive installation of
t roof-top mounted Photo Voltaic Solar Panel System.
1' Business name: /�Zk �;� ;, �h.� �c Submit two(2)sets of access, ln with connection details
�� and fire department along with the 2010 Oregon
Address: 6S(� l Solar Installation Specialty Code checklist.
rSti C .
City/State/ZIP: rrJ� -/ -_ C% �•l '? r ,^/�I Permit Fee(includes plan review
C� I V pL and administrative fees): $180,00
Phone:Ki 7)) ")/ Li 3,LI Fax:( ) State surcharge(12%of permit fee): 121.60
CCB lia: 5-5.7.0 Total fee due upon application: $201.60
Authorized si This permit application expires if a permit is not obtained
•
) within 180 days after it has been accepted as complete.
Print na� C✓ti�L 'w 1 Date: ,ji'I' �J/ 2 ,( *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\Bl1P-RESPer mitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)