Permit y CITY OF TIGARD MASTER PERMIT
1 - 2 COMMUNITY DEVELOPMENT Permit #: MST2011 -00173
Date Issued: 10/05/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439
Parcel: 2S102BC01808
Jurisdiction: Tigard
Site address: 12535 SW WATKINS AVE
Subdivision: NORTH TIGARDVILLE ADDITION Lot: 26
Project: HERNANDEZ
Project Description: Replace wood framing of front bedroom due to vehicle impact
BUILDING
Floor Areas Required Setbacks Required
Stories 0 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
Total 0 sf Value $9,498 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 SrvclFeeders 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 0
Owner: Contractor:
HERNANDEZ, MARIA DELUZ HORIZON RESTORATION Required Items and Reports (Conditions)
12535 SW WATKINS AVE 7235 SW BONITA ROAD
TIGARD, OR 97223 TIGARD, OR 97224
PHONE PHONE 503- 620 -2215
FAX 503- 624 -0523
Total Fees: $402.17
This rmit 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 . 4proved ans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
d ys. ATTENTION Oregon law quir s • to follow the rules adopted by the Oregon Utility Notification C-n -_. - - set forth in OAR
2- 001 -0010 t rough OAR 952 -0 -0090 .y obtain a copy of the rules or direct questions to OUNC by calling 503 : or :00 Iiii
i ,
f /` �
Iss d By: Permittee Signature: AAA �ti(-
Call 503.639.4175 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.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
t.
Residential RECEIVED . FOR OFFICE`USE ONLY
City g of Tigard ( 1 Received S i
:. ... _ T 2�� Date /B PermitNo.. lOE /�� I7 3
V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ; 7l
<''' Phone: 503 718 2439 Fax. 503.598 1�(�, i Date /By. .% 0 ff� Other Permit: &.,e o2//-'a53 g
TI GARD Inspection Line: 503.639.4175 eft
l O F
Ol TIGARD Date Ready /B • Juris Ei See Page 2 for
Internet: www tigard -or gov BUILDING DIVISION Notified /Method Supplemental Information
'"1-'-"'' " `-` '":s ,, ,_ - " TYPE - OF =WORKS ur; 4 `_ '" . ' ' > `'° ' '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
_- - E R Y O C "* -� 2`: �.- ` ` _ _ — work indicated on this application.
,,,;
° :2,,, : ; P ,-,; - - aC A TEGORY OF CONS'I' `h — -
-�_� — o ��., � ,�:�, - -i -. r _ —'_ . �
Valuation: $9498
® 1- and 2- family dwelling ❑ Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
di _ e , r,: =° _ _ _ ,.. s , ,, s� . Total number of floors:
y , ,,, , ;T_ J OB= SITE, INFOR ANDLLLOCATIONa , „ ,,
Job site address: 12535 SW Watkins Ave New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Hernandez, Maria -STR Covered porch area: square feet
Cross street/directions to job site: SW Walnut & SW Watkins Deck area: square feet
Other structure area: square feet
REQUIRED DATA: =.C OMMERCIAL -US 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.: equipment, materials, labor, overhead, and the profit for the
- work indicated on this application.
_ � _,�` �, DESCRIPTION �,- �— � , � � °��- FP
lication.
Valuation: $
Replace wood framing of front bedroom due to vehicle impact
Existing building area: square feet
New building area: square feet
a a `® PROPERTYaOWNEa . - ' y ❑ TENANT_ r ; Number of stones:
Name: Maria Hernandez Type of construction:
Address: 12535 SW Watkins Ave Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)927 -0257 Fax: ( ) New:
.- ® ` -II CONTAC'T,, PERSON'- - BUILDING PERMIT FEES *':
', , - . (Please'refer 16 fi.':Wehedule)' ; ` , _ t
Business name: Horizon Restoration
Structural plan review fee (or deposit):
Contact name: Mike Boyd
FLS plan review fee (if applicable):
Address: 7235 SW Bonita Rd
Total fees due upon application:
City /State/ZIP: Portland, OR 97224
Amount received:
Phone: (503) 849 -0886 Fax: : (503) 624 -0523 .
PHOTOVOLTAIC SOR
LAP`ANEL SYSTEM FEES*'
E -mail: angiej@horizonrestoration.com
- «,,. ,,,,,- Commercial and residential prescriptive installation of
tt t.CONTRACTc!R " '' I .
5;�" � }` r ° roof -top mounted Photovoltaic Solar Panel System.
Business name: Horizon Restoration Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 7235 SW Bonita Rd Solar Installation Specially Code checklist.
City /State /ZIP: Portland, OR 97224 Permit Fee (includes plan review $180.00
and administrative fees): _
Phone: (503) 620 - 2215 Fax: (503) 624 -0523 State surcharge (12% of permit fee): $21.60
CCB lie.: 160672 / Total fee due upon application: $201.60
Authorized signature: 0r�' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
i
Print name: Michael Boy Date: 10/5/11 l * Fee methodology set by Tr- County Building Industry
Service Board.
l: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)