Permit MASTER PERMIT
"! CITY OF TIGARD
- C OMMUNITY DEVELOPMENT Perm #: MST2011 -00148
Date Issued: 09/02/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104DC00300
Jurisdiction: Tigard
Site address: 13354 SW BENCHVIEW TER
Subdivision: BENCHVIEW ESTATES Lot: 3
Project: GREINKE
Project Description: Remodeling existing sunroom.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 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. Yes
Total: 0 sf Value $5,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Drains: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =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: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp 0
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:
ALT SF VB R -3 0
Owner: Contractor:
GREINKE, MARK S & PAMELA J SCOTT DAVID HUTCHINSON Required Items and Reports (Conditions)
13354 SW BENCHVIEW TER 22115 NW IMBRIE DRIVE UNIT 133
TIGARD, OR 97223 HILLSBORO, OR 97124
PHONE: PHONE: 503 - 956 -9772
FAX:
Total Fees: $278.56
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 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ■ = are set forth in OAR
952 - 001 -0010 t)ro gfril'" 952- 001 -0090. You may obtain of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 , "•4.
Issued By. ./ —1i Permittee Signature: �.orJ
i f MP"
Cal A 9.4 '5 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. j
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
FOR OFFICE USE ONLY
I City of Tigard ��� Received DateB : � Permit No.: /, _ .• /
a 13125 SW Hall Blvd., Tigard, OR 97 11• Plan Reviet 911127
•
Phone: 503.718.2439 Fax: 503.598. ' . Il 011 DateB : ,�� Other Permit.
TI G A R D Inspection Line: 503 C- Pp 1 • Date Read : y: Juris 10 See Page 2 for
Internet: www.tigard-or.gov t\\ r A� Notified/Method: ( ii 77 Supplemental Information
TYPE OF WORK � 1 �`r ) � REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction ❑ Dl Permit fees* are based on the value of the work performed.
Indicate the value (romded to the nearest dollar) of all
tddif n/alteration/re acement ❑ Other: equipment, materials, labor, overhead, and the profit for the
'CATEGORY OF CONSTRUCTION work indicated on this application
"
Valuation: $ �-
} 2- family dwelling ❑ Commercial /industrial � i
/ ❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder I=1 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 7 7g -V S ,/.30.7c ,e,./ °,.... New dwelling area: square feet
City /State /ZIP: ./� ,_� 0� 9-7p2 Garage /carport area: square feet
Suite/bldg. /apt. no. : ' Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
�a6/ eja.fi'�.;.� 1 r% <( S//.CJ}7h /L A C/2.4.,. - +ate Valuation: $
n Pr►v
�/ Existing building area square feet
(Frl.. -,, 3.1� o
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:
i 4 be el 40 Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: S' j) 4 / ..i a-) All contractors and subcontractors are required to be
Contact name: �!n /' /u��n l licensed with the Oregon Construction Contractors Board
w( under ORS 701 and may be required to be lcensed in the
Address: jurisdiction in which work is being performed. If the
<,* G God _, / .l v =-- • applicant is exempt from licensing, the following reasons
City /State /ZIP: apply:
Phone: (Sj3) Tj f c- � I Fax :: ( )
E -mail:
. CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 57 1/ � ,-
�l Permit fee:
Address: a te/ /j /,..4 i , , z LL2. 0/13
? State surcharge (12% of permit fee):
City/State/ZIP: / / at 1
Phone: ( ) 9�6_97� z Fax: ( ) (Due upon application) ` 7 i /
CCB lic.: rke9 22 O Total permit fees:
Authorized signature:
fr--"------------ Amount received:
This permit application expires if a permit is not obtained
y� �� / Date: �, within 180 days after it has been accepted as complete.
Print name:
��/ ` • /Ni0+ F.�l' 'p * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\FPS- PermitApp.doc 02/01/2011 440- 4613T(I1/02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
El Alteration ❑ 11+ heads: Plan review required.
El Repair
Number of sprinkler heads:
Additional description of work: •
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
El Wet El Dry
Additional Standpipes
Information: Hazard Group •
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 •
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
1: \ Building \ Permits \ FPS-PermitApp.doc 02/01/2011 2