Loading...
Permit Ili .a CITY OF TIGARD MASTER PERMIT gr.- COMMUNITY DEVELOPMENT Permit #: MST2010 00086 .T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2010 Parcel: 2S103CD04500 Jurisdiction: Site address: 13543 SW PIPER TER Subdivision: TINDALL PARTITION Lot: 1 Project: TINDALL Project Description: 500 SF detached shop BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 500 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 13 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: NO Total: sf Value: $18,735.00 Rear: 0 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bckflw Prevntr: ' MECHANICAL Fuel Types Air Conditioning: N . Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Fum <100K: Vents: Woodstoves: Gas Outlets: Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0 -200 amp: W/ Svc or Fdr: 4 Ea addl 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) LAWSON, BRENT E OWNER 1 MST Ersn Cntrl 503 - 681 -4444 7524 SW RED CEDAR WAY TIGARD, OR 97223 PHONE: PHONE: FAX: Total Fees: $703.63 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. ' • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-'11-0010 through •AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue. c . � Permittee Signature: 1uilding Permit Application Residential - . t) R { 01 1 R. � 1 S 1 ►,►iv 1 1 x • r � Re ceived City of Tigard Permit No.: • 13125 SW HaII Blvd., Tigard, OR 97223 •'' Q Pl Review �, �� �� ` it ' ®y Phone: 503.639.4171 Fax: 503.598.196P � 1' Date : �� ni Other Permit: i t i;t Inspection Line: 503.639.4175 Date Ready/By. ® See Page 2 for Internet: www.tigard - or.gov � 1�\S\o c"P Notified/Method: 7 I Supplemental Information TYPE OF WORK lis Vj\N � REQUIRED DATA: 1- AND 2- FAMILY DWELLING L rvew 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. L 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ',1E3 �`7 j ❑ 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: 1- 3 5 y 3 S W p. p.¢,- 7 e r New dwelling area: square feet City /State /ZIP: ^1 9 arc_ D as. q 7 2 2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1 _ 0 „ . . . 4 , (S Covered porch area: square feet Cross street/directions to job site: 11 I'd 4- w■, R 1-1 Loop ,� SW 4 r - Tee: Deck area: square feet Other structure area: goo square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 2 Permit fees* are based on the value of the work performed. p 2 �) 3 9 g 1 Indicate the value (rounded to the nearest dollar) of all Tax ma / p arcel no.: — W e materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. i Lw Co K �� 'T' ��� �� d /l� , Valuation: $ F/v Existing building area: square feet New building area: square feet E'PROPERTY OWNER ❑ TENANT Number of stories: Name: - L At..) S 0 4e Type of construction: Address: ) 3 y a o Sw 121 Occupancy groups: City /State /ZIP: T ;5 q r ” -/ Qn g 7 2 Z 3' Existing: Phone: ( So3 ) $GS — co Fax: (Sol ) 796 - 9 3q / New: ErAPPLICANT ❑ CONTACT PERSON NOTICE Business name: .s p 4-1 w r_¢ f All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: CONTRACTOR Business name: S 4,4 p „ per ty o a. . €' BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone:( ) Fax:( ) CCB lic.: Total fees due upon application: 7j -0° Amount received: Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name: Date: 20 1 U * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BU)TRES PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) * ivo fees j_ 1,_ . 4 su/ _ ;".HiJ (` r Ele Permit Application , , ` ' I t)R ( il 11( I l , •,1';,,12 , til t � � a � , I , . Received Ci of Tigard O �� Date/B : Permit No.: V 7 • UrIde 13125 SW Hall Blvd., Tigard, OR 97 , 1 � Plan Review ?; Phone: 503.639.4171 Fax: 503.598::' N.z (1 ,. a te/B : Other Permit: r,- ,,,---- -[ i t n'i'f Inspection Line: 503.639.4175 ` �Py ‘ � P lc : e Ready/By: Juris• El See Page 2 for Internet: www.tigard- or.gov \`t` © (�- V NA Notified/Method: Supplemental Information TYPE OF WORK 0 c � ` � PLAN REVIEW 1_ New construction ❑ Addition /alteration/repl�GC ��1�1t Please check all that apply (submit a sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ^� less to ground, or exceeds 14,000 ❑ Commercial -use agricultural l� j- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: 13 54 3 SW P,' ei Ter / 100HP or more. occupancy. P ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: -r a f i D 2 (r 7 2 Z ❑Health care facilities. 0 Supply voltage for more than 'j / ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: („ ,, v,„ t ,4ric2 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: 121 4 - o tux vtesL.00e A. P,o,„. -re, Description I oty. 1 Fee. 1 Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 2 1,000 sq. ft. or Tess 168.54 4 Tax map /parcel no.: 2. \ 3C.Q 9 g Li Limited ne y, es ft. or portion 33.92 1 � f' Y Y' Limited energy, residential 67.84 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 67.84 2 ‘f ' residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation � 200 amps or less ( 100.70 (C07Ca2 E „ 4ROPERTY OWNER I ❑TENANT 201 amps to 400 amps 133.56 2 Name: �Q 401 amps to 600 amps 200.34 2 nN. vv 601 amps to 1,000 amps 301.04 2 Address: Os-0o Sw- 1 21 5 Ave..) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: -y-� Sa ' A / d>2 q 7 2 - 7 - 3 relocation Phone: ( Sri; ) Bo 5 ...75 So Fax: (So? ) 1g/6 -44 30t/ 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exc ge, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 �,/� Branch circuits — new, alteration, or extension, per panel Owner signature:_y j� Date: S -9— ?c) 10 A. Fee for branch circuits with ❑ APPLIC T I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit 2 I Business name: S 04 P ��/ B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTR Signal circuit(s) or limited- energy • Business name: 6o-DA t( J e fr-i panel, alteration, or extension. Page 2 2 ��ss "` """��� Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed (%m hr min) CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEE S Suprv. Electrician signature, required: o Subtotal:, Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): 15 , 1.. TOTAL PERMIT FEE: 1 4. 1 z (53 Authorized signature: This permit application expires Ha permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. 1: \ Building \Permits\ELC- PermitApp.doc 10/01/09 440- 4615T(11/05 /COM/WEB Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or r 1 will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. enqu.k___Lau.40A Print Name of Permit Applicant ^ -ad I0 S' ure of it Applicant Date Permit #: 1-4 "zrao I o - ODD Address: t -e,9-h b / O a-. 7 2g.-3 N1 Issued Date: /5/5q/0 This Copy for Permit Offices Jul 06 10 08:27a brelawso 5037464391 p.2 JELL- 5 07:23 FROM: 70:5037464391 p•1 - ,Nrr 69 ; IV $ VW Vi 5V :/UJ /`rVYJy N. Robert Mazany : , - �t J. '4.0 `— ` 7. ---�,' -- G IU J"'rF-rkr "/: i � ` C C C` 1 f . j � , AMERICAN 5acery of _ f Y _ _ _ CONSULTING ARBORIS1$ ` - s ; -. — — - Registered Consulting Artrarist #133 �. - Z. E VI c.4) e 0 —A PP.ra'v - 'h � i * } • 7//b0 ..:> r I . t r r______;‘_,_ $ Q r .r.---- t , • t t o a. t i ... t •••.' r ► . � 3Z:11 � • r 4–t,r- r - 4–..------1-----,.,—. – --"------.... *1 1.= r f r x.23 r - e : I L . `, . - -298 - (#` V 1 ii . • r ;fit : ' Go.T0.9 e lit - :s.......4 . A - x _ ____...z,...-- • , . , - . - ii > - _ ID / __..Z.ii,./;, ,1 ' , yr .., t •. ` 1 ! 1�rivcY`w� r t _tea r /� a - i * • r l Project Names Lawson Resadr:ncc - - ; -- 1 1 Site Address: 13543 SW Pipes Terrace - ., � - 1 ft , Parcel #; 25I3CD -08900 „ ,- - A- 7 - — Submitted Bp: Brent Lawson 13500 SW 121 Ave. Tigard, OR 97223• r I. I ` Prepared Hy: Brent Lawson I ; . F � ,_ ; _ _. = 1-.207 RECEIVED d ! JUL 06 2010 CITY OF TIGARD BUILDING DIVISION . . .. C Y OF TIGARD - SITE PLAN REVIEW BU1 'I it ' RMIT NO.: 4 .1 , t — • MEE PLANNING DIVISION/ Required Setba : Approved „.. 0 Not Approved Side: Street Side / Front. gar4.-. L Rear: ....L. Visual Clearance: ill Approved 0 Not Approved Maximum Buildia:. :Aeight CWS Servic:.e Pro‘'. etter Pflreci 0 - ,es 0 No L Received It . 4 , / ... fit i,,itc 1 • ENG NEERINfEPARTMENI: Actual Slope: % kin Approved 0 Not Approved Site P an: a-Approved 0 ot Approved B : .,..,‘ Date: Notus: bt- cyfA.,.- f i - Z_ dvininiA,a5vA say4,—/kt ff e-ki.)--- A.,..tr)-eLtic 1111111 • • ARD . STTE P • VIEW ar - Tri 4, - 0: M5T 't) 0.--uool Alain -oa5s 'met Tram: • Approved 0 Not Approved Protectedje' es: Approved • . Approved .. . A, ■,,, 0 I Date: S 0 Notes: J