Permit a CITY OF TIGARD
MASTER PERMIT
ipg PERMIT #: MST2009 -00059
COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104DA - 23300
SITE ADDRESS: 13145 SW WORCHESTER PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 059 JURISDICTION: TIG
PROJECT: BAUTISTA
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: of LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: of RIGHT:
VALUE:
OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 0 sf 0.00 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: BOILICMP < RIP: 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 am: 0 - 200 amp: W{SVC OR FDR PUMPflRRIGATION: PER INSPECTION:
EA ADD'L 600SF: 201 • 400 amp 201 • CO amp 1st WSSVCA:DR SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp EA ADDL BR CR SIGNAL/PANEL: IN PLANT:
MANU HM/SVC/FDR: 601 - 1000 amp: 601sanp31000v: MINOR LABEL:
1000+ ampNolt :
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 IL STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 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
LEE BAUTISTA ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
AMANDA BEASLEY 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or
13145 SW WORCHESTER PL TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
TIGARD, OR 97223 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
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.
El CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2009 -00059
COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104DA - 23300
SITE ADDRESS: 13145 SW WORCHESTER PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 059 JURISDICTION: TIG
PROJECT: BAUTISTA
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' of FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS. THIRD sf RIGHT:
VALUE: 1 501 00
OCCUPANCY GRP. R3 BDRM: BATH: TOTAL: 0 sf 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 ADDL INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp' W /SVC OR FDR: 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 /FOR> =225 A : > 600 V NOMINAL' CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM. AUDIO & STEREO. FIRE ALARM. INTERCOM/PAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: BOILER. HVAC• LANDSCAPEIIRRIG• PROTECTIVE SIGNL:
GARAGE OPENER' CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC• DATA/TELE COMM: NURSE CALLS: TOTAL S 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
LEE BAUTISTA ASPEN RIDGE CONSTRUCTION INC laws All work will be done in accordance with approved plans This
AMANDA BEASLEY 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or
13145 SW WORCHESTER PL TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION
TIGARD, OR 97223 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
Al , , ■ Id 1
Issued By : 4'f, / Permittee Signature : /PAP A -
Call 503.639.4175 by 7:00 a.m. for an inspection that business , ay.
• Thi j „.-
mit card shall be kept in a conspicuous place on the job site until corn • letion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildiiig Permit Application
Residential RECEI VEI' FOR OFFICE USE ONLY
City of Ti and Permit No Q
QQ Received �j
b JA N 2 9 20 Date a9 0 �L � /
e 13125 SW Hall Blvd , Tigard, OR 97223 Plan Revs fr j
13 Phone: 503.639 4171 Fax 503 598.1960 Date /By ( 2..4 Other Permit
' I G A R D Inspection Line 503 639 4175 CITY OF TIGARD Date Ready r. . I(. . �n 65 See Page 2 for
Internet www ugard -or gov BUILDING DIVISION Notified /Method . S. 4 1 Supplemental Information
TYPE OF WORK REQUIRED DATA: I- 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.
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation. 51501
❑ Accessory building ❑ Multi - family Number of bedrooms
El Master builder ❑ Other: Number of bathrooms •
JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address 13145 SW Worchester PL New dwelling area: square feet
City /State /ZIP. Tigard, OR 97223 Garage /carport area square feet
Suite/bldg /apt no. Project name: Quail Hollow South Covered porch area: square feet
Cross street/directions to job site. off of SW Gaarde Street turn north on Deck area 20 square feet
Princeton LN. follow to end and turn North on Worchester Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision. Quail Hollow South PII 2 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.
'emove and replace entry landing and guard rails with same. Replace existing Valuation: S
nandrails w/ same u entry stairs. Brace and detach rear balcony and replace Existing building area square feet
Ledger board with PT 2 x existing board and re attach. New budding area• square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name. e t � pftA'rgr7} Type of construction:
Address ,&64.4E /46,13 £ f1 Occupancy groups:
City /State /ZIP Existing:
Phone 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 to 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: justinnwesternarchitectural.com
CONTRACTOR
Business name Aspen Siding & Windows BUILDING PERMIT FEES*
Address' 15615 SW 74 Ave., Suite 190 (Pltase refer ro fee schedrrfe)
City /State /ZIP Tigard, OR Structural plan review fee (or deposit)
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 Tn- County Budding Industry
Service Board
I. \Building \Pemuts \BUP -RES PemtitApp.doc 11/6/07 440- 4613T(I I /02 /COM /WEB)