Permit CITY OF TIGARD MASTER PERMIT
III
11 • • COMMUNITY DEVELOPMENT Permit #: MST2010 -00162
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010
Parcel: 1 S134BD07002
Jurisdiction: Tigard
Site address: 11340 SW COTTONWOOD LN
Subdivision: ENGLEWOOD NO. 3 Lot 227
Project: Jett
Project Description: Install (3) new windows and (1) solar tube.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
Total: sf Value: $3,554.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0
Ea addi 500 sf: 0 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
601 -1000 amp: 0 601 +a 1000v: 0
1000 +amp /volt: 0
ELECTRICAL • RESTRICTED ENERGY
SF Residential
Audio 8 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)
JETT, STEVE HAMISH MURRAY CONSTRUCTION
11340 SW COTTONWOOD LN INC
TIGARD, OR 97223 4627 SW CONDOR AVE
Portland, OR 97239
PHONE: 541- 908 -5397 PHONE: 503 -504 -7703
FAX:
Total Fees: $238.13
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, • r ' work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent . Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2.- 9• or . = 10.332.2344.
4 11 V --se
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Issued By: / Permittee Signature: I`
Building Permit Application c. EC EVED ' ' x %gt ? C.
Residential SEP 1 5 2010 1- oR ()Hi( 1: 1r i () I .1
City of Tigard may. 941/F 0 Permit No.: tr*V540. -X /102
:, ° 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGARD pi Review , r0 1 J Ill Phone: 503.639.4171 Fax: 503.598.1960 Date/g : � 1 l �� o' Other Permit:
r icni:i�
Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready :y: h ale: ® See Page 2for
Internet: www.tigard - or.gov Notified/Method: 4 A Xi Supplemental Information
A ere- —�
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. OV
1- and 2- family dwelling El Commercial/industrial Commerciandustrial
Valuation: $ 3 , j , j 1
❑ Accessory building ID Multi-family Number of bedrooms: 3
❑ Master builder ❑ Other. Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION i Total number of floors: Z,
Job site address: / 1 3 4 0 SW 04` ,,v, 06 4 L G 142.- )leWdwelling area: 2 / el 0 square feet
City/State/ZIP: j'/(4 , O R 77.2'2-3 Garage/carport area: 7 6 0 square feet
Suite/bldg./apt. no.: " 1 Project name: Covered porch area: square feet
Cross street/directions t o job site: S / 4 ) f e _ h p / I S f , J. fin $ 4J Deck area: 3 0 O square feet
f p f i r�% vi D -to ,S (d C plf „o � izi y e• Other structure area: square feet
.l REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: $,./ 3 q” 69 d 7 Da 2. equipment, materials, labor, overhead, and the profit for the
y1 a 11 / w DESCRIPTION / OF WORK ( work indicated on this application.
j rl (3) ne v../1 ✓Idow v; ' (l) el e vi $J fo ' f rn N he/ Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER I ❑ TENANT i Number of stories:
Name: f -t v e. J€ fl Type of construction:
Address: / /340 5 2 (,p-r-to1nwac i ) s. i &.. Occupancy groups:
City/State/ZIP: I q A fd , 0 g 7 7_2.3 Existing:
Phone: (c4 +) 1031— S3 C! 7 Fax: ( ) New:
APPLICANT I ❑ CONTACT PERSON NOTICE
Business name: ,,,,,)s 4 A v/ y 44. f/, , 113 L f M G • All contractors and subcontractors are required to be
/ / r licensed with the Oregon Construction Contractors Board
Contact name: , e r Jos /'�
J i" under ORS 701 and may be required to be licensed in the
Address: /-6 L7 ,S' (..,,, or ALA_ , jurisdiction in which work is being performed. If the
City/State/ZIP: � i/ , Q 7,Z 9 aPply: applicant is exempt from licensing, the following reasons
Phone: (Sd3) 744 43 � Fax:: (5a3) 17.4. - 05
E -mail: rote er g X ei Al ; rh /h a ✓rely , Co /sl
CONTRA //
,54 Business name: � pp. e. A l tt OD Ar / co y 7 ti� 4 b v� , BUILDING PERMIT FEES*
Address: / i (Please refer to fee schedule)
City/StateJZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): �, y5
CCB lic.: / �s !13 Total fees due upon application: 8
Amount received: g . yS
Authorized signature: This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete. set by Tri -County Building Industry
Print name: X , joi /' I Date: r / /7iLv� d 1 l •Fee methodology
/ / Service Board.
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