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Permit • y- CITY OF TIG MASTER PERMIT lit s COMMUNITY DEVELOPMENT Permit #: MST2009 -00141 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/28/2009 Parcel: 151 34DA01901 Jurisdiction: Tigard Site address: 11114 SW 108TH AVE Subdivision: Lot: 0 Project: Grant Project Description: Extend existing covered porch. 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: 0 Third: 0 sf Right: 0 Detectors: No Total: sf Value: $25,000.00 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 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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 add'I 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! Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 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) GRANT, JAMES R & KAREN DORR WELLINGTON HOMES INC 11114 SW 108TH AVE 18151 S. UPPER HIGHLAND RD. TIGARD, OR 97223 BEAVERCREEK, OR 97004 PHONE: PHONE: 503- 632 -1144 FAX: Total Fees: $684.56 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 acc rdance with approved plans. This permit will expire if work is not started within 180 days of issuanc- • ork is suspended for more the 180 days. A TION: Ore.: law requires you to follow the rules adopted by the Oregon Utility Notificatio• enter T • - -s are set forth in OAR 952 -00 0010 through OAR 9' I s -0100. You may obtain a copy of the rules or direct questions to OUNC by calling • .246.6. • • 1.800.33 2344. Issu d By: r Permittee Signature: _� �. -Aix. Building Permit Application Residential rOR (ii l �( I 1 'I. «v1 \ City of Tigard E WED e, in , l Permit No.: p '.0 )/ • 1 3125 SW Hall Blvd., Tigard, BE Plan Review �7l = Phone: 503.639.4171 Fax: 503.598.19,600 2 2009 Date/B �i��7ri other permit T I G .4 R D Inspection Line: 503.639 J �J L Date R . //� / kid ® See Page 2 for Internet: www.tigard -or.gov No. etho 7 ( 7/ €.5 / / (rp Supplemental Information TYPE CITY_ F TI RD ' 04 if e 'f / IiE ATA:1 -AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit ased on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. `- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 2 5;000. 0 ❑ 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: I I I 1 L S.U) I O'S TN New dwelling area: square feet City/State/ZIP: T c A R t � , o.. 9 ', Z `Z 3 Garage/carport area: square feet Suite/bldg. /apt. no.: , ` I ( Project name: „��11 G R. A NT Covered porch area: 2_ 2_, 0 square feet Cross street/directions to job site: 6 j 4 C U K (A ,Vl o /'c p 'TO Deck area: square feet I v TU ps A /' T ("C„d Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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.: 1 v e 7 -1 G D 1 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ ADD Oh( Tv ,1✓xI sTirv6 covc42E.„12 floRt -tf (-ti ( Ex7 c/2 (G2 C, f c'( l F_PL 4C 1' Existing building area: square feet New building area: square feet 11 PROPERTY OWNER ❑ TENANT Number of stories: Name: , t r`✓L G 2 /4 n (f Type of construction: Address: l I (( 4 s u ) to S Occupancy groups: City/State/ZIP: 7 A A ,a 0 t- ? 7 2,z_3 Existing: to /„ Phone: (sot) ,3 3 L 4 Fax: ( ) New: [X, APPLICANT ❑ CONTACT PERSON NOTICE Business name: /J F (. L i/5(cTO N do ci i E f e (ix- c , All contractors and subcontractors are required to be 1 T` licensed with the Oregon Construction Contractors Board Contact name: V (r.1 under ORS 701 and may be required to be licensed in the Address: ( 7 ( s'-( 5 uPp /f (Graf e.,( jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: g A o F g C R 2_ gC K, ®/1 4' 700 V apply: Phone: (rJ) G 3 2 . _ (/ e i , Y Fax: :: ( c t a i ) 632- / / / 1 E -mail: IOC LL(/Y6 Fore (3( .T( ' f . C.or CONTRACTOR Business name: ([)2 LC. ,p y - �' /”( 2 S /t)C . BUILDING PERMIT FEES* Address: /e/ f7 S. a POE.,e / - ` tva review (Please refer (or deposit): sit): le) City/State /ZIP: 6 � V £g_G/L6,E, � (OA ? 0 a Structural plan review fee (or deposit): Phone: (coy) C 3 L ._ ( ( ((7 Fax: (50 3) ‘32_ 7/ Y FLS plan review fee (if applicable): CCB lie.: 9 (� ( Total fees due upon application: *A69 • q g Amount received: / OOH . `f Q Authorized signature This permit application expires if a permit is not obtained C -, within 180 days after it has been accepted as complete. Print name: : .r t , Date: _ 2 - 0 * Fee methodology set by Tri -County Building Industry Service Board. I: \Building \Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB) 06/30/2009 TUE 11:50 FAX 503 786 3432 PYRAMID HEATING 21001/001 06/30/2009 10:30 5036321146 WELLINGTON HOMES PAGE 01/01 Ind r xi Mechanical Permit Application i FOR OFT:WE 1. SF: i1NL1 ReceWed �� � City of Tigard 1 `, LO Deen3Y: oIi1'��. '/I PermitNe.: g f, i(3 .'00 111/1 13125 SW Rail .4l 7_, Tigard, OR 97223 L C T � r n � D � �` `� p !'bane; 503.638.4171 Ftac: 503.598.t4 C 1 171 _ • air 2 for r I C;, I;. i> Inspection Line: 503.639.4175 CV" OG 01\AS N a d; ter' SSU optcmcntal Information w^ww.tigard -or. ��I TYPE OF WORK i � 1 COMMERCIAL FEE* SCHEDULE USE CHECKLIST 1_ _ New construction ,g� dditionlalteration! lacerrtent Mechanical permit fees"' are based on the value of the work perframcd_ indicate the value (mended to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials. equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: S. RESIDENTIAi,. F,QI IiPMENT / SYSTEMS FEES* VI 1.- and 2-family dwelling ❑ Cotmntercialrndustrial 0 Accessory building Fo lrtfornvrrtort use checklist. 0 Multi- family ❑ Master builder 0 Other: Description I Qty. I Ea. I Total JOB SI 1 t INFORMATION AND LOCATION Acating /cooling Air conditioning or haft plmtp Job site address: ( (1 k (i 5 (- i C) Oenuilm site Plan bowing placement) _ 14.00 ; City/State/ZIP: �G R p 2 4? 2 2-'3 Furnace 100,000 BTU (ducltt/vents) 14,00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suirchsldg. /apt. no.: reject name: (2 12 T.- Gas heat pump 14.00 Cross street/directions to job site: 6G46.,_ d ( 4 y fya 7-0 Duct work 10.00 JI dronic hot water system 14.00 S U-) (0 7 1" - TO 7 £4V .Cry/7 Residential boiler (radiator or *Ironic) 14.00 Unit heaters (fuel -type. not electric), in -wall, in -duct, sznjuended, etc. 14.00 Subdivision! i bat no " - Pltrelvent for anv of above 6.80 Oilier 10.00 Tax map /parcct ru,.: ' S ` 3 '1 _ 6,' Cj L 3 i Other fad appliance DESCRIPTION OF WORK Water heater 10'00 _ Gas rim -place ] , 10.00 ■ ° • ` e . a r ill • ill. _ ' Floc vent for water heater or gas fireplace 10.00 • Log rhtc*S£a ^) 10.00 - Wood/pellet stove 10.00 Wood fircplaceiinwit 10.00 Chimney/liner /flue/vent 10.00 ❑ PROPERTY OWNER 0 TENANT Other. 10.00 Name: Environmental exhaust and ventilation Address: Range hood /outer kitchen equipment 10.00 _ City/Stint/ZIP: : Ctothcs dryer exhaust 10.00 I 1 Single -dud cxtraust (imtlirootm, Phone: ( ) Fax: ( 1 toilet cominrtments utility moms) 6.80 ig, APPLICANT ❑ CONTACT PERSON Attic/uawlspacc fans 10.00 Other 10,00 - Rosiness none: ELL t(r'l G r7 - vr,f 1-/a r ,,,7 , / n/ C . ):net pip T, Contact name: r /./ SS.40 for first four; 51:00 Tor each additional Address: Furnace, . etc 1 g(S S L- P -- Ot / Gas heat pump . City /State/ZIP: , l� ,i4 v.,e_c-/L s € ,e ` ©i 97 0 0 S / Wail/suspended/unit heater Phone: (5 6 32- - 1 C,/ y Fax: : (5 )q) 651- ^ I /y‘ Waterhancr Fireplace _ 1 5,40 5 , 4 4 0 E -mail: Range CONTRACTOR Barbecue �1 1 Clothes dryer (gas) Business name! ? y-arn d t Pa� 11n 1 ODi 1 n . Other Address: 5 • • • . l x1 - lr •! ., D / / . fl MECHANICAL PERMIT FEES* City /State/7_iP: pi 1U.)QU ,e, C)R 77 22 -Z f SabmMt 5,1{ 1 `` �t j 1 Minimu pe rmit fee ($72.50) "ja, Plan review (2,5°/0 of permit fee) Cc lic:_ 2_ Stale sitrthnl8,.(12 %or permit lirc) t;,.. TOTAL PERMIT FEE i .26 Authrttired 4iRtlatlttc: f di 1 A ' This permit application expires it n permit b not obtained within 180 day, nftcr it hna been accepted an camphor. Print name: h il V Date: q " Fee mathodotop.y set by T ri - Coun y 8tnlding Industry Service Board l: lnmldingl Prmltrafr-c_r+nwhApp,,t c n1/19Ilt 411.1617r (1 Il02 /COM /WPR) RECEIVED \o° O° JUL 0 2 2009 � � /0.. ,v ' CITY OFTIGARD f � R a-R 1 BUILDING DIVISION 0 h SS, 00 G��� raid [O)£iZ P ,t Po4.[ff E1cTVINISfoni O i `6 • ) C, fr. CF ti vo ° CN c. i ! .r goo t p�" v, 01 ,r i il w 1 -5. bS r £X I Srr nl b CI I � 4_ Srgi.c-rxft E., ■ c • . L " 4.4 f i ' 1 . 20 ')S IN klb i 6. L 67.6 I — 1 9 F t � Z 'swt'1 Go n,�-c-I 1e h St LT Fi.,(Cfc., a .► /P RFay..c 0 ° / /MI S.w , rog Ai, � 0 W E�Cr('voroN t/or�s f, (NC a � -f/YY .5 TA- gcLcLc,Q 6, N r r(Lt.. eH At n(GL 30.00 y 1S DA. COI`s CITY OF TIGARD - SITE PLAN REV BUILDING PERMIT NO.: PLANNING DIVISION: Not Approved Required Setbacks: (fi Approved ❑ Side: Street Side: Rear: /S -- Garage: r— Not Approved Front. _� or Approved ❑ v►sual Clearance: � Nei ht• � feet Maximum Building g Required: ❑Yes ❑ No CWS Service Provider Letter Req ❑ Received �� Date: "26310 ` ENGINEERING D EPARTMENT: Not Approved N. Approved Actual Slope: EA Approved ❑ Site PI • .Approved ❑ � B ...:11. Date: 5u.),---v--- N _ CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: 13 Not Approved pproved ❑N Approve Street Tr A pproved Protected Trees: L I Date: 1 r 1 B: Notes: