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Permit 1 + 4 � CITY OF TIGARD MASTER PERMIT ,1 PERMIT #: MST2009 -00020 COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104DA - 19400 SITE ADDRESS: 13295 SW KINGSTON PL ZONING: R -4.5 SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 020 JURISDICTION: TIG PROJECT: HAFER Project Description: Replace entry landing and rear deck ledger board. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SFA FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 1,085.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable JAROD HAFER ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This 13295 SW KINGSTON PL 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 624 - 9060 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 624 -3632 Reg #: LIC 156998 PLAN IN FILE FOR 13235 KINGSTON PL TOTAL FEES: $ 110.63 REQUIRED ITEMS AND REPORTS - I A ! - - - Issued -By -: — — Permittee- Signature : - A11NOTQINIVA Call 503.639.4175 by 7:00 a.m. for an inspection that bus i day. This sermit and shall be kept in a conspicuous place on the job site until c • ' pletion of the project. Approved plans are required on the job site at the time of each inspection. Buildinz Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received L (1.‘ ©(I t. Permit No.: // • `- ...TOIL" JAN 2 9 2009 Date /By ° 13125 SW Hall Bhd., Tigard. OR 97223 Plan Review is Eli C . Phone: 503.639.4171 Fax: 503.595.1960 Date /By "C Other Pennie -t tC D P C OF TIGARD Inspection Line: 503.639.417 (�� Date Ready /By. ® See Page 2 for Internet: www.ligard- or.gov BUILDING DIVISION Notified /Method: i .S•t� _ Supplemental Information BUILDING Q C'1. ULRL=c` TYPE OF WORK 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: $1085 ® I- and 2- family dwelling ❑ Commercial /industrial El Accessory building El Multi - family Number of bedrooms: ID Master builder ❑ Other: Number of bathrooms: JOBS SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13295 SW Kingston PL. New dwelling area square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 440. ( — Covered porch area: square feet Cross street/directions to job site: off of SW Greenfield Dr., Turn East on Deck area: 20 square feet street "B" then north on Kingston PL. Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Quail Hollow South PH 1 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. .move and replace entry landing and guard rails with same. Replace existing Valuation: $ handrails w/ same @ entry stairs. Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: . • • 'ners t . t "I ' ' • • - J t Y ad "k"\-1Z_T Type of construction: Address: ' A IA Occupancy groups: City /State /ZIP: Existing: Phone: (503) 590 -5226 Fax: ( ) New: ® APPLICANT ® CONTACT PERSON ' NOTICE Business name: Western Architectural All contractors and subcontractors are required to be Contact name: Justin Barnhart licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 10220 SW Greenburg Rd., Suite 125 jurisdiction in which work is being performed. If the City/State/ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 297 -0665 Fax: : (503) 297-0757 E - mail: justin@westernarchitectural.com CONTRACTOR Business name: Aspen Siding & Windows BUILDING'PERltiIT FEES* Address: 15615 SW 74 Ave., Suite 190 (Pleaserejertn fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Tigard, OR Phone: (503) 624 -9060 Fax: (503) 624 -3632 FLS plan review fee (if applicable): CB tic.: 156998 Total fees due upon application: Amount received: Authorized signature: , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Andy Leisman Date: 01/29/2009 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(I l /02 /COM /WEB) L fPlumbing•PermitApplication - - - Date received: Permit no.1/ A`r - 6:m. CI of Tigard � ' .J ` � g Sewer permit no.: Building permit no.: ` Address: 13125 SW Hall Blvd, Tigard, OR 97223 City ofTigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 -1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: w y TYPE OF PERMIT O 1 & 2 family dwelling or accessory O Commercial/industrial O Multi- family O Tenant improvement O New construction O Addition/alteration /replacement O Food service 0 Other. . °JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: 13. S" . S i <_; -L p rLCt. Descri . tion Oa Fee (ea.) Total Bldg. no.: Suite no.: New 1- and 2-family dwellings only: (Wades 100 ft. for each utility connection) Tax map/tax lot/account no.: SFR (1) bath Lot: 20 Block: Subdivision: SFR (2) bath Project name: SFR (3) bath = City /county: ZIP: Each additional bath/kitchen MI Description and location of work on premises: Site utilities: ■ -. Catch basin/area drain Est date of completion/inspection: Drywells/leach line/trench drain = PLUMBING CONTRACTOR Ong drain (no. lin. ft.) _ Manufactured home utilities E " Manholes = Wolcott Plumbing Rain drain connector PO Box 2007 Sanitary sewer (no. lin. ft.) _ Gresham OR 97030 -0594 Storm sewer (no. lin. ft.) _ 503- 667 -1781 Water service (no. lin. ft.) iiii CCB:23847 PLM #:26 -208PB Fixture or Item: ■ -. Contractor's representative signature: Back flow Absorption valve Bow preventer IIIII Print name: Date: Backwater valve NM - ., ;` CONTACT PERSON .' Basins/lavatory _ ME Name. Clothes washer 7 PLM #:26 ME - Address: Drinking fountain(s) _ City: State: ZIP: Ejectors/sump M Phone: Fax: E -mail: Expansion tank NM , ,.3..... ,,,,,, , ,,^:,, `° , . \ =MINER s - ._ .. Fixture/sewer cap _ MI Name (print): Floor drains/floor sinks/hub Mailing ddress: Ho bi disposal _ MI g Hose bibb City: State: ZIP: Ice maker Phone: Fax: E -mail: line Itor/grease trap MI Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain (commercial) - employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: Date: Surnp ME `?, _" + . V ENGINEER e, Tubs/shower/shower pan - - - Urinal NM Name: -__ Water closet ME Address: Water heater _ City: State: ZIP: Other. = Phone: Fax: E -mail: Total NM Na all jurisdictions accept credit cards„ please call juri�ictim for more infammim Notice: This permit application Minimum fee $ O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $ - -- Credit card mmbcs ' State -surcharge -(8%) .....$ / within 180 days after it Wig been Name of cardholder as ebowa an credit card accepted as complete. TOTAL $ $ Cardholder aigoaaae Anse 440-4616 (61000OM) -Mechanical Permit Application , - Date received: Permit no.j y pyg - p ''�'1i ". City of Tigard � it� �,�- • _.. � g Project/appl. no.: Expire date: City of Tigard Address: 13125 SW W Hall Blvd, Tigard, OR 972 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: • Land use approval: Building permit no.: 0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration/replacement 0 Other. ;: JOB SITE INFORMATION '.,COMMERCIAL VALUATION SCHEDULE Job address: j3DS/k.$' SGo I ; „`S s . , e Lckc Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map/tax lot/account no.: profit. Value $ . Lot: 2t) 'Block: I Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: ZIP: 1 & 2FAMIL1' DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: AND COMMERICAUINDUSTRLAL EQUIPMiEN'TSCILEDULE Fee (ea.) Total Est. date of completion/inspection: Description Qty. Res. only Res.only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM space insulated? O Yes ❑ No Air conditioning (site plan required) Is existing P Alteration of existing HVAC system : '•'AIECIIANICAL CONTRACTOR Boiler/comPressor _ State boiler permit no.: JEROME ELECTRIC HP Tons BTU/H P O BOX 7 51 Fire/smoke dampers/duct smoke detectors Heat pump (site plan required) HILLSBORO OR 97123 Install/replace furnace/burner BTU/H 503-648-5144 Including ductwork /vent liner O Yes O No Install/replace/relocate flormou heaters— suspended, CCB: 36051 ELC: 34 -119C SUP: 2877S wall, or floor mounted Name (please print) Vent for appliance other than furnace C« CONTACT PERSON' Refrigeration: Absorption units BTU/H Name: Chillers HP Compressors HP Address: Environmental exhaust and ventilation: City: , I State: I ZIP: Appliance vent Phone: Fax: ' E -mail: Dryer exhaust . . ''- . :' 0wNER ? Hoods, Type 1/ I res. . tchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: Ste ZIP: Type: piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel r i r ing each additicnal over 4 outlets 3,, { ` x- . ' i .:` ' . p p ._ (schematic required) Number of outlets Name: Other listed appliance or PP � �Pm ent: Address: Decorative fireplace City: State: ZIP: Insert —type Phone: I Fax: E -mail: Woodstove/pelletstove Other. Applicant's signature: I Date: per: . Name (print): Not all j¢idictioas accept credit cards, please call jurisdiction for more information. Permit fee $ O Visa Cl Mastert'ard Notice: This permit application Minimum fe $ Crept card :amber / / expires if a permit is not obtained plan review (at %) $ Expires within 180 days after it has been State surcharge (89b) .... $ Name of cardholder as drown oa credit cord accepted as complete. TO'T'AL $ Cardholder signature Amount 440.4617 (6100/COW io , Electrical Permit Application - lks Date received: Permit no.: S , jy Ur 1� 0 s,..e ` y ( ' a ,, .f Ci o 'Tigard Project/appl. no.: • Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 - 4171 Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: .. . TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial O Multi- family 0 Tenant improvement 0 New construction ❑ Addition/alteration/replacement ❑ Other. 0 Partial - - {_ .t.. JOB SITE INFORMATION - Job address: , _ S LU „ . • ' Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: r Block: Su• • ivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: . - CONTRACTOR APPLICATION • • . ' : - z FEE SCHEDULE • . Job no: Fee Max Description Qty. (ea) Total no. insp Streamline Electric New residential -single or multi- family per DBA LaValley Corporation dweuingunit . Includes attached garage. 6025 East 18 St Service included: . Vancouver WA 98661 1000 sq. ft. or less 4 360- 993 -5080 Each additional 500 sq. ft. or portion thereof CCB:116514 ELC #: 34 -432C SUP #: Limited energy, residential 2 Limited energy, non - residential 2 Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders - installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: , ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to 200 Ind°°, i°°,orrelocation: 2 ORS 447, 455, 479, 670, 701. P 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 x R. " ENGINEER -* Branch circuits - new alteration, or extension per panel: Name: • A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E -mail: Each additional branch circuit: *,, 'PLAN REVIEW (Please check all that apply) - ' Misc. (Service or feeder not included): O Service over 225 amps- commercial 0 Health- care facility Each pump or irrigation circle 2 ❑ Service over 320 amps - rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) ora limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* — - - 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection 1 Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) S Credit card. number. - — / / within 180 days after_it has been_ State surcharge (8%) ....$ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6A0✓COM) III n CITY OF �I�� ' MASTER PERMIT PERMIT #: MST2009 -00020 ° COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104DA - 19400 SITE ADDRESS: 13295 SW KINGSTON PL ZONING: R - 4.5 SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 020 JURISDICTION: TIG PROJECT: HAFER Project Description: Replace entry landing and rear deck ledger board. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 51 BASEMENT: sl LEFT: SMOKE DETECTORS: TYPE OF USE: SFA FLOOR LOAD: SECOND: sl GARAGE: et FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sl RIGHT: VALUE: 0.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sl REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE OISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < ]HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 6005F: 261 • 400 amp 201 • 400 amp 1st WO SVCFCR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp EA ADDL BR CR SIGNAL/PANEL: IN PLANT: MANU HMISVC /FDR: 601 - 1000 amp: 601+allps•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC/FDR> =226 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOMIPAOING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable JAROD HAFER ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This 13295 SW KINGSTON PL 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: Contact #: PRI 503 624 - 9060 questions to OU NC by calling 503.246.6699 or 1.800.332.2344. FAX 503 - 624 -3632 Reg #: LIC 156998 TOTAL FEES: $ 110.63 REQUIRED ITEMS AND REPORTS Issued By : Permittee Signature : Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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.