HomeMy WebLinkAboutPermit (4) CITY OF TIGARD MASTER PERMIT
I ' COMMUNITY DEVELOPMENT II
Permit#: MST2023-00249
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2023
Parcel: 1 S133CC00700
Jurisdiction: Tigard
Site address: 14124 SW SPRINGBROOK LN
Subdivision: PEBBLECREEK Lot: 1
Project: Ceilidh
Project Description: Header replacement
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: $15,000.00 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
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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
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'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+amp/volt: 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:
CEILIDH,MINKE JENSON GENERAL CONTRACTING Required Items and Reports(Conditions)
LAMEDMAN,DEBBIE ANN 19120 S FERNWOOD RD
14124 SW SPRINGBROOK LN MOLALLA,OR 97038
TIGARD,OR 97223
PHONE: PHONE: 503-310-6844
FAX:
Total Fees: $340.57
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. ATTENTIO : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ,ent hose rules are set forth in OAR
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Issued By: /Gi71 l I Permiftee 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 O I F'I( L l S E O\L.1
City of Tigard Received
Date/By: 1.• /Co' A Permit No.: L
11114C 'Gzd
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
t 12 i Inspection Line: 503.639.4175 Date Ready/By: Juris: I Fa See Page 4 for
Internet: www.tigard-or.gov Notified/Method: J Supplemental Information
TYPE OF WORK REQUIRED DATA:1DALAI 1-AND2-EAKILY°.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 0 Other:Header placement equipment,materials,labor,overhead,and the profit for the
C 'E+t7t1tY ollx iC "IICI
work indicated on this application.
Q 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $ 15-Csi^!
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
SITE INFORMAAND-LOCATIONTION Total number of floors:
Job site address:14124 S.W.Springbrook lane New dwelling area: square feet
City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Barrows&Springbrook Other structure area: Header pla square feet
REQUIRED DATA..COMMERCIAL-USE anacuir
Subdivision: 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
bN ov:woRK work indicated on this application.
Placing LVL header in place ofl "wall Valuation: $
t
6 G` " Existing building area: square feet
New building area: square feet
IN PROPERTY OWNER Number of stories:
Name:Minke Ceilidh Type of construction:
Address:14124 S.W.Springbrook Lane Occupancy groups:
City/State/ZIP:Tigard,Or 97223 Existing:
Phone:( ) Fax:( ) New:
APPLICANT. 0 CONTACI.T'lRStEsi HOLDING PERMIT FEES'
Business name:Jenson General Contracting Structural plan review fee(or deposit):
Contact name:Shawn Jenson
FLS plan review fee(if applicable):
Address:19120 S. Frenwood Rd
Total fees due upon application:
City/State/ZIP:Molalla, Or 97038
Phone:603 )310-6844 Fax::( ) Amount received: ;y�: - 5'l
E-mail:shawn@jensoncontracting.com -PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Jenson General Contracting Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19120 S. Fernwood Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Molalla, Or Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 310-6844 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:182417 r'----7 Total fee due upon application: $201.60
Authorized signature: --.------ This permit application expires if a permit is not obtained
_ ——4 within 180 days after it has been accepted as complete.
Print name:Shawn Jenson Date:6-5-23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemritApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)