Permit (114) °° u CITY OF TIGARD MASTER PERMIT
a ' COMMUNITY DEVELOPMENT Permit#: MST2023-00481
T t r A It.D 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 211 4/2 0 2 3
Parcel: 2S 111 CD02400
Jurisdiction: Tigard
Site address: 9630 SW SUMMERFIELD DR
Subdivision: SUMMERFIELD NO.7 Lot: 341
Project: TALBOTT
Project Description: Removing(2)windows and patio door on south side of dwelling and installing(3)windows and(1)
patio door.
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: $32,000.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amplvolt: 0
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 VB R-3 0
Owner: Contractor:
TALBOTT,PETER&BLISS TL REMODEL AND CONSTRUCTION INC Required Items and Reports(Conditions)
9630 SW SUMMERFIELD DR PO BOX 1996
TIGARD,OR 97224 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-984-2783
FAX:
Total Fees: $950.53
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: / �u''r �M�t"/l/ Permittee Signature:
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 FOR OFFICE USE ONLY
lail Ciof Received Permit No.:
TigardDECEIVE DateiBy y/ ) �3 /nsT�3� K/
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review !1
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: et Other Permit:Inspection Line: 503.639.4175ZOLp 3 Date Ready/By: Jarit: I El See Page 4 for
TIGARD Internet: www.tigard-or.gov SEP 0 Notified/Method: Supplemental Information
ITy OF TIGARD
TYPE OF WO1 ILD'NG DIVISION REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
" i] El
OF CONSTRUCTION work indicated on this application.
/ I-and 2-family dwelling Commercial/industrial Valuation: $32,000
^ Number of bedrooms: *.
❑Accessory building 0 Multi-family
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:9630 SW Summerfield Drive New dwelling area: square feet
City/State/ZIP:Tigard, OR 97034 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Talbott Remodel Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW 98th Other structure area: square feet
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
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove (2) windows and patio door on south side of home Valuatio $
and install (3) 42" X 42" windows and (1) 12/0 X 6/8 Patio Existing building area; square feet
door New building area: square feet
I] PROPERTY OWNER 0 TENANT Number of stories:
Name:Peter and Bliss Talbott Type of construction:
Address:9630 SW Summerfield Drive Occupancy groups:
City/State/ZIP:Tigard, OR 97034 Existing:
Phone:(503 866-1498 Fax:( ) New:
] APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer so fee schedule)
Business name:TL Remodel &Construction Inc
Structural plan review fee(or deposit):
Contact name:Tim Labunsky
FLS plan review fee(if applicable):
Address:25030 SW Parkway Ave suite 110
Total fees due upon application:
city/StateizIP:Wlsonville, OR 97070
Amount received:
Phone:603-984-2783 Fax::( )
E-mail: l r
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
`r� r�M l C Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TL Remodel &Construction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:25030 SW Parkway Ave suite 110 Solar Installation Specialty Code checklist.
Cit /State,/ZIP:WIIsonVille, OR 9070 Permit Fee(includes plan review $180.00
Y and administrative fees):
Phone:(503 984-2783 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: Total fee due upon application: $201.60
/tJ� This permit application expires if a permit is not obtained
Authorized signature: /. Y _ _ _ within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Tim Labunsky Date:9-11-23 Service Board.
1:\Building\Pennits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(1 I/02/COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Allyson Armstrong DATERECEIVED•
DEPT: WILDING DIVISION Aa BU
FROM: Tim Labunsky
NOV 3 0 2023
COMPANY:TL Remodel&Construction Inc CITY OF TIGA D
BUILDING DIVTION
PHONE: 5039842783 I By:
EMAIL: timl@tlremodel.com
RE: 9630 SW Summerfield Drive MST2023-00481
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
3 Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 3 Engineer's calculations.
Other(explain):
REMARKS: Engineering calc packet includes requested lateral caluculations
/ FOR O FI E USE ONLY
Routed to Permit Technician: Date: 1 Z N Z', Initials:
Fees Due: n Yes ,,77 No Fee Description: Amount Due:
...--- $ (K
6 p 6) $
Special )\-'
Instructions:
Reprint Permit(per PE): ❑Yes 121 No ❑ Done
Applicant Notified: Date: Initials: