Permit 1 'v ,1 - _.. MASTER PERMIT
II CITY OF TIGARD
MST2009 -00022
COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104DA -19300
SITE ADDRESS: 13305 SW KINGSTON PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 019 JURISDICTION: TIG
PROJECT: CAIRE
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: BOIUCMP < 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 /FOR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601+a 'ups-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
JENNIFER CAIRE ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
13305 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 i I
rf
:,.4 -'' -- - S e % A
Issued By : Permittee- Signature:
i
Call 503.639.4175 by 7:00 a.m. for an inspection that busines- day.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
BuiMdi t Permit Application
Residential
RECEIVE FOR OFFICE USE ONLY •
CI g of TI and Received , . Ol , q 1 O d oll No : ,,,,��ppr���
i
Date /BV: r `. .C632.. •
° 13 125 SW Hall Blvd., 9 2009 , Tigard, OR 97223 JAN 2 Plan Review ` �/mime
C . Phone: 503.639.4171 Fax: 503.598.1960 Date /Bv ...permit:
Cf G AR D Inspection Line: 503.639 CITY O TIGARD Date Ready /By. )uris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified /Method. a - S' 0 Q 1 '[a 1 Supplemental Information
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 CONSTR UCTION work indicated on this application.
® 1- and 2- family dwelling Valuation: $1085
❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13305 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: h CI ( Covered porch area: square feet re_
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: S
nandrails w/ same @ entry stairs. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: •• • . • . 1 . ' - _ V P rl, n ‘VQ-P ,r C P , Type of construction:
S Address: / p. /A- lSJ 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 S\V 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 PERMIT FEES*
Address: 15615 SW 74 Ave., Suite 190 (Please refer to fee sch&ule)
City /State /ZIP: Tigard, OR Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 624 - 9060 Fax: (503) 624 -3632
B lie.: 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(1 I /02 /COM /WEB)
C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2009 -00022
COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104DA - 19300
SITE ADDRESS: 13305 SW KINGSTON PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 019 JURISDICTION: TIG
PROJECT: CAIRE
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: of BASEMENT: of LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: SECOND: of GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: TI*RD: of RIGHT:
VALUE: 0.00
OCCUPANCYORP: R3 BDRM: BATH: TOTAL: 0 5f 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: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX MP: btu FLOOR FURNANCES: VENTS: WOOOSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 anp: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADO'L 600SF: 201 - 400 amp 201 - 400 amp tat WiOSVCiFDR SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp EA ADOL BR CR SIGNAL/PANEL: IN PLANT:
MANU HMBVC /FDR: 601 - 1000 amp: 601+amps-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: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEI1RRIG: 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
JENNIFER CAIRE ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
13305 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 1 56998
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.