Permit MASTER PERMIT
IIIII • CITY OF TIGARD PERMIT #: MST2009 -00064
° COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104DA - 23500
SITE ADDRESS: 13165 SW WORCHESTER PL ZONING: R - 4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 061 JURISDICTION: TIG
PROJECT: HYATT
Project Description: Replace entry landing and rear deck ledger board.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REOUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: st LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: SECOND: of GARAGE: s1 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: e1 RIGHT:
VALUE:
p st
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 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: 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 - 2110 amp: 0 • 200 amp: WSVC OR rDR PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 600SF: 201 - 400 amp 201 • CO amps 1st WOSVCFDR SIG WOUT 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: 601•atps•1000v: MINOR LABEL:
10004 amp/volt :
PLAN REVIEW SECTOR
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: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL If 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
ROBERT & AMY HYATT ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
13165 SW WORCHESTER PL 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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
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.
...
CITY TIGARD MASTER PERMIT
PERMIT #: MST2009 -00064
COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104DA -23500
SITE ADDRESS: 13165 SW WORCHESTER PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 061 JURISDICTION: TIG
PROJECT: HYATT
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. sf RIGHT'
VALUE: 1 ,501.0 0
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 5=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 8 STEREO: VACUUM SYSTEM. AUDIO 8 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 b 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
ROBERT & AMY HYATT ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans This
13165 SW WORCHESTER PL 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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
/ / /
Issued By : 4 Permittee Signature :
ti•
Call 503.639.4175 by 7:00 a.m. for an inspection that busin- -s day.
Thi - 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.
. pit
Building Permit Application
Residential FoR OFFICE usE oNLv
. City of Tigard RECE\JED DateiBy �9 / 6 4Q. Permit No / p �45t
Tigard, OR 97223
Date/By SW Hall Blvd.. Ti Plan Re • ( 7 r/�?
g 2��9 Plan vict I-�
r � : •
Phone 503 639 4171 Fax. 503 598 1960 SAN 2 9 Dale/By S ' J b Other Permit •
- I G A R D Inspection Line: 503 639 4175 Dale Ready /By t n toyer ® See Page 2 for
Internet. www Tigard -or gov CITY OF TIGARD Notified/Method Q •S G q ` J� J �l r Supplemental Information
WILDING DIVISION Cot ,CLd
TYPE OF W 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.
I- and 2- family dwelling ❑ Commercial /industrial Valuation S1501
❑ 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 13165 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 PH 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.
move and replace entry landing and guard rails with same. Replace existing Valuation S
Handrails w/ same @ 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 building area square feet
❑ PROPERTY OWNER
0 TENANT Number of stories:
Name t 'ke:46 r( / [<ty Type of construction.
Address € P � �Cq /�1. dept, Occupancy groups:
City /State /ZIP: Existing:
Phone. (504.)-5984126--- Fax: ( ) New
CO 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 & M'indows BUILDING PERMIT FEES*
Address: 15615 SW 74 Ave., Suite 190 (Please refer to fee schedufe)
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 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 In- County Building Industry
Service Board.
I.\ Building \Pernnts \BUP -RES PermitApp doe 11/6/07 440- 4613T(11/02/COM /WEB)