Permit (108) rt CITY OF TIGARD MASTER PERMIT
IIII1' - COMMUNITY DEVELOPMENT Permit#: MST2023-00465
Date Issued: 09/28/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA01200
Jurisdiction: Tigard
Site address: 14357 SW 168TH AVE
Subdivision: ROSHAK RIDGE Lot: 12
Project: McSweeny
Project Description: Reduce size of bedroom two to create storage space.Alter one window
in bedroom two and add new window to storage room.
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: $16,000.00 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 Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bcktlw 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: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcIFeeders 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 HomelFeeder/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: NI 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 VB R-3 0
Owner: Contractor:
MCSWEENEY,RICHARD F MOUNTAINWOOD HOMES INC Required Items and Reports(Conditions)
DIMASTRODONATO,VALERIA 11675 SW 66TH AVE
14357 SW 168TH AVE PORTLAND,OR 97223 •
TIGARD,OR 97224
PHONE: PHONE: 503-746-7338
FAX:
Total Fees: $568.20
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 . - -.. • ed 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. ATTEN %': Oregon la 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: It Permittee Signature:
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Call 503.639.4176 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
f Tigardand EIVED Rgeatce eiBveyd
�� , ! Permit No.:
/ 7/ i}3 / i�(e114 • 13125 SW HalBlvd.,Tigard,OR 9RE Phone: 503.718.2439 Fax: 503.598.19 Plate By 1 1s �3 - Other Permit:
T 1 l f n E:i) Inspection Line: 503.639.4175 E PPlan Review 12 2023 Date Ready/By: I I� i ,�I" nui I El See Page 4 for
Internet: www.tigard-orgov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF 1BtJiItDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $16,000
0 1-and 2-family dwelling El Commercial/industrial
\� 0 Accessory building ❑Multi-family Number of bedrooms: A
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14357 SW 168th Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Dimastronato/McSweeny Upper Floor 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: I 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.
(1 t�GEr Alm 1 u C_�Cds.r_-_) <<:t- S 'etVValuation: $
eS oarate one bedroom and walk in closet to create '�
ems. rid new window to Existing building area: square feet
• )r.'z`C6'P C-M,C,Th - New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Valeria Dimastronato and Richard McSweeny Type of construction:
Address:14357 SW 168th Ave Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:(503 )332-9091 Fax:( ) New:
—
I] APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mou ntai nwood Homes (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Kim Hancock
FLS plan review fee(if applicable):
Address:11675 SW 66th Ave
Total fees due upon application:
City/State/ZIP:Tigard, OR 97223
Amount received:
Phone:971 )269-5253 Fax::( )
E-mail:khancock@mountainwoodhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Mountainwood Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:11675 SW 66th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard, OR 97124 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )746-7338 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:184317 Total fee due upon application: $201.60
Authorized signature: I
` JA/I . (, t,.t�Q/9 ��V1v �� This permit application expires if a permit is not obtained
v ` within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Kimberly Hancock Date:9/12/2023 Service Board.
I:1Building\Permits 1BUP-RESPermitApp.doc 01/25/2023 440-4613T(I1/02/COM/WEB)