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Permit .� CITY OF TIGARD MASTER PERMIT 1111 ', � COMMUNITY DEVELOPMENT Permit #: MST2011 -00177 Date Issued: 10/19/2011 .T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Parcel: 2S109DA06500 Jurisdiction: Tigard Site address: 14991 SW GREENFIELD DR Subdivision: SUMMIT RIDGE Lot: 42 Project: Worrell Project Description: Adding floor to vaulted area over living room. BUILDING Floor Areas Required Setbacks Required Stories' 2 Bedrooms 1 First 0 sf Basement' 0 sf Left 0 Parking Spaces 0 Height 0 Bathrooms 0 Second 255 sf Garage 0 sf Front: 0 Smoke Dwelling Units 1 Third 0 sf Right. 0 Detectors Yes Total' 255 sf Value. $18,000 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 Drywall- Trench Drain 0 Other Fixtures 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 1 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: ADD SF VB R -3 255 Owner: Contractor: WORRELL, BOBBY & STEVE MACS CONSTRUCTION & REMODELING LLC Required Items and Reports (Conditions) 14991 SW GREENFIELD DR 474 EDWARDS RD TIGARD, OR 97224 MONMOUTH, OR 97361 PHONE 503 - 201 -4506 PHONE 503 - 580 -7083 FAX 503 - 838 -1278 Total Fees: $953 81 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 expl ork 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 t - rules adopte• by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through O • - 952- 001 -0090 You may obt- r - • • o - - or direst questions to OUNC by calling 50 232 1987 or 800 3 Issued 1' . i, ' - Ayr ' Permittee Ai • °175 by 7:00 a.m. for the next available inspection date. This permit car. shall .e ept 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 D : �� � �1l�p�btl �f�/ 77 Ci of 'TI and D Permit No q 13125 SW Hall Blvd., Tigard, OR 9722 7 1 2011 Plan Revie ►1 2 :` Phone: 503718.2439 Fax. 503.598.19 Date/B !11i/� j�� Other Permit: ` T1.G A RD Ins ection Line: 503.639.4175 Date Read'': luris ® See Page 2 for Internet www. tigard- or CITY OF TIGAD Notified/Method Supplemental Information BUILDING DIVISION I' 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 - work indicated on this application. CATEGORY OF CONSTRUCTION ❑ / l- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 9 ' by ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: .1 111 q ( 5 « rceitscI'e il T.12. New dwelling area: square feet City /State /ZIP: /'F Q r - � of 7 7 a Garage /carport area: square feet Suite/bldg /apt. no.: 9 I 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: 1 Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK p � work indicated on this application. i 14 I )I 6t. (2ef 1 above e I, v i /16j 0(,nj Valuation: S J Existing building area square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Bp 6U Q c5f W 0 — e l / Type of construction: Address: / L� 4 g i 5-ii) Q re a • e f j � , Occupancy groups: City /State /ZIP: 7; a © 7 off- ^ Existing: Phone: (SO ,9 — r 9 Fax ( ) S d New: • ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: Total fees due upon application: City /State /ZIP: Phone: ( ) Fax: : ( ) Amount received: /05, 0 d 0 E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Submit two (2) sets of roof plan with connection details M� (� $ C Ct 1.1 < 4 t 0 t/ rA`n i i }ck\ `,k LA- ( . . and fire department access, along with the 2010 Oregon Address: L. 7 (I c:'__ kw C r y t Solar Installation Specialty Code checklist. City /State /ZIP: f Q • 1'� i1t,,.� 0 r ., r , cl ', 3 C Permit Fee (includes plan $180.00 and administrative fees): Phone: (?j L 3) C F3 0 — 7 O b "I Fax: (4,1, < _ 12.... .-- 7 ,;; State surcharge (12% of permit fee): $21.60 CCB lie.: ` (6 0 u -'Ck i O/r'A• Total fee due upon application: $201.60 Authorized signature: �r -`./` / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tit- County Building Industry Print name: 0 ` �^ ),. (4 / 1 Date: / b- 1 2, 0 1 1 Service Board 1:1Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02/COM/WEB) 10/17/2011 09:45 503 - 378 -9085 PAGE 01/01 M- _,--- 10/13/ 011 13: 6 035981 J60 CITY OF TIGARD PAGE 01/01 l Electrical Permit AUUlicati REC.., F... t.ti• I tc i 1 ',1' i1■.I 1 City of Tigard OCT 17 2011 MINE11.111111 'emit 140,; .y ott -QOI7 13125 SW Hall Blvd., Tigard., OR 97223 (Aim 1'crmit: ,11 a phone: 503.71$.2439 Fax. 503.590.1W � ►,. r,� ,.1:: ,. 1,iv inspection Lint; S03.t139.4175 CI TY F ateRettdll* ; , t. Id, Paget for Internet: vwrw.tigard- ftr,Fov BUILDING DIVISt agohacdfMdtwd: �ntrt Wormwood El TYPZ OF WO Ili New e0nstruction El AddltIondttll eration/rcplatement ' ease caeca all that apply (submit g sets of plane wNeema 01.0,04 Wow). ❑ Scrvicc or feeder 400 trams or more ©Hailding Over limo stenos. Demolition i] Other: whore rho available Carat camel p Manu,A and boatyards. CATZGOItY 170 CONSIRTJCTTON oxcoeds 10,000 coops at 150 vein or 0 Floating buddies*. loss to irrotnd, or moods 14,00() Cl commercial -use agricultural Q 1- and 2- family dwelling E Commercial/Industrial ■ AcocsSory building amps for all arhet instollattona buildings, Q], Multi.tamlly Q Master builder Q Other ❑ Piro pump. ©Inamaitarfon of 75 KVA or .JOB MX 1711 AM LOCATION D C1 PSmorgcticy new system. Inlet supmat "1- system. �gdditionGrncv. ❑"A ", "T3', "] -2" "l•3 ", 100Tdp or more, occupancy. Job no.: lob site address: / La ! " I I" , • e , [ f/'. ( 1 Slit or tmijet rettidcntia1 imna. 0 Recreational vohlele parks, © Health- flare ►a�eilinil4 D Supply valtago ter morn than City/State/ZIP: 1p: ft. Or Qll tr�rdaua loc> Bans. 04 volts nominal Suite/b1d ,g.lapt, no.: Project name: CIS Pales or Poetise 600 amps or more SCIUMOULE Cross streetldirectinns to job site: lintT IIIIMIlliNIIIIIIEMMEN New restilenbal lino* or multi- 0unily dwelling molt. Includes attached garage- Subdivision: ITISM l,00o sq. et tv I*6' MI 168.54 IMO F. add'1 500 or portion - El Tar: map /map/puree! no.: Limit.. energy, r gy, residential 75.00 wear 1F7f1QN OF WORK with above a ,, . A . L im •• • energy,. mull- family 111 75.00 © r ... , , ntird with awvc n Services or feeders in tallation alt. 'don. and/or rtlecadan 200 arms or loan NM 100 10 _El o moor, owrent • 0 TZN 201 amps to 400 Imps MP 33156 !EMU 401 am - to 600 amps 200 34 �E Name: o s T * ♦ (,01 amp to1,O ME 30104 MIIMEI Address: 41 / ifeee1 a ti over 1,000 amps or volts MIEMEIIIIIIIIIIEll Temporary ac vlgea ar feeder, InatAlla alteration, onion, afdlrrr irityiStatei7�lP: ;,rip � X' 'r rclaaatit PhC"' ( 3 c9.6 0 4.) 0 1. ' 200 etnp6 4r WO; 593.6 Ming that I own which is t101 aot amps to 400 mire II 1,11.0a B Owner installation: This installation is being made on property 401 atoms to s99 amps � - d Intended 'tot sale, lase., rent, or exchange, according to ORS 447, 449, 670, And 701. Branch circuits — new alteration 7 , a.teneinn + Pict el D ate: /0 11 , Fee for brawl, circuits with imisiiii Owner signature y � - _� °Jr�l.,.a A _ dbora $orvlca or *ode r1/* Q AP • Ctlf4'IC AC"ll MASON ., eh branch ti it Business [tame A, as for brans a tcuits without ycMcc or l•eder lac, nrgt 56 ,1 R Contact name' branch circuit Fnch add'} bench circuit 7,4 Ml:.. • nonage service to feeder not In uded bash tnartthcttrrad orm dwatiln : tt sm'vi widlar .weer edular m P}1eHe: ( ) ltetotm ct onl U Pump or ilri • t1orl strata 67.84 Sign or outline lighting = 61.04 lqn � odor � r aR :4 moo) alum red mrcrsy ill! 1 .„ 1 altcratlo or ttan * ■ f . . .. ~ •.N 't Mal . 1 add Ins t over allowable in an of the above Address: i • • • �lll. .' . Additional inspection (1 ltt nun) 66 � CityfState/ IP: Q a Al tnvesd •%ion (I hr mitt II ' 4 eY, - r te : industrial , ant 1 lit min phone: e: (t it /, Is m ( - ,to 5 /r'8� 4 . , Insp Ins for whlc no la eail listed / hr min MI ,* 1 • • : 1`1o.: / tt � 94'fy0f ll r �,l � S� II :a �.i _ t El .o `j ' •• �i jl Suprv, Lie .1 n . Subtotal: IIIIIIIIM S11ptw, Electrician signature, rcguired f Plan review (25% of , melt to : — Date: 5tam surcharge N% °Spenttitfeel' TOTAL PRRM1 nib: Atlt}l0ried slgnattlre: is permit aprrltoattmr toms te n punkin is over r bteined wkbio lint plays attar tt 'to. he arerpted ns eomplen, Print name: Doc a Number of inspections allowed tier parrnh, 44.0-46I Fro 1 I051COMIWEB i a t \au416141PermltclL•LC-PemotAplow emi (le /441%-417 Dan Nelson From: PeterGrazian @BoiseBuilding.com Sent: Wednesday, October 19, 2011 9:32 AM To: mcrllc @ymail.com Cc: Dan Nelson Subject: Mac Construction Remodel 11 -919 Attachments: WolleatRemodel _BMDVan_LL_VLConnect.pdf; 11 -919 -1 Upper.pdf; 11 -919 -1 D4 Calculation.pdf Mac, Here is the revision to your remodel project per my phone conversation with your designer. Please note the changes and note my engineer's separate connection detail. Peter Grazian Boise Cascade Engineered wood Supervisor 1- 800 - 621 -8896 phone 1- 360- 693 -4856 fax From: Olson, Jeff K (EWP) Sent: Wednesday, October 19, 2011 9:17 AM To: Grazian, Peter Subject: RE: 3 -5/8" ledgerlok was used Peter, Here is an approval detail for the LedgerLok screw for the 2 ply 1 3 /4" VL Let me know if there are any questions Best Regards, Jeff Olson Boise Cascade EWP White City, OR From: Grazian, Peter Sent: Tuesday, October 18, 2011 4:55 PM To: Olson, Jeff K (EWP) Subject: 3 -5/8" ledgerlok was used Thanks Jeff The individual point loads are the side load from the joist using a IUS2 06/11 88 hanger Peter Grazian Boise Cascade Engineered wood Supervisor 1- 800 - 621 -8896 phone 1- 360- 693 -4856 fax 1 Property Owner Statement RECEVED Regarding Construction ResponsibilitiesocT 11 2011 Oregon Law requires residential construction permit applicants who are not licenseA1t e � Construction Contractors Board to sign the following statement before a building nT ARD issued. (ORS 701.325 (2)) D UILDIN G DIVISION This statement is required for residential building, electrical, mechanical, and plumbing per mits. 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: e_trid Ac` -iroi I c30$5zi Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I w ill 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. WOC(Y_lk Print Name of Permit Applicant VOOrUVAL CO: u Zon S' nature of Permit Applicant Date Permit #. 0t( / 77 Address. /L/'?9/ 51 Vr Q i'1sL..) Theo' f of 9‘7?4-5 r =r Issued by: /7. Date: /O/;9/// This Copy for Permit Offices