Permit • CITY OF TIGARD MASTER PERMIT
1 . 1 1 °.' COMMUNITY DEVELOPMENT Permit #: MST2009 -00126
T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/0912009
Parcel: 2S114BAl2000
Jurisdiction: Tigard
Site address: 9510 SW MILLEN DR
Subdivision: Lot: 0
Project: Carter
Project Description: New window opening.
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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: No
Total: sf Value: $875.00 Rear: 0
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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
Bckftw 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 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: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
CARTER, MICHAEL R A CUT ABOVE EXTERIORS INC
9510 SW MILLEN DR 12985 NW CORNELL RD
TIGARD, OR 97224 PORTLAND, OR 97229 •
PHONE: PHONE: 503 -639 -7172
FAX: 503 -639 -9755
Total Fees: $247.10
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 ' ccorda 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
day ATTENTION: Oreg• - q ' you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 through OAR•2 -001 - , 0. u may obtain a •py of the rules or direct questions to OUNC by calling 03.246.6699 or L800 332.2344.
C t
I ued By: /1,11_1
Permittee Signature: 4 n—+
,
Building Permit Application
RECEIVED
Residential FOR OFFICE USE ONLY
City of Tigard JUN 0 9 2009 R u AMBINInr Permit No.: MT`AZ/�/ /� ,
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi
( .: Phone: 503.639.4171 Fax: 503.598QL Y OF TIGARD DateB • j rlir d� Other Permit:
A RD Inspection Line: 503.639.4175 BUILDING DIVISION Date Rea`"': Fir. ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: (0 Supplemental Information
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.
g 1- and 2- family dwelling ❑ Commercial /industrial
Valuation: $ ( )�E - a�
❑ 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: Q5\ p SV,� M\\\en .'(` - New dwelling area: square feet
City/State /ZIP: -V } yxt a , O? S Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: -k-Rx' Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
l bokia N C \ nOd t \ 'At ! tridt -VD M i' lm Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: W .�C� 3 Lot no.: 85 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: tL1 ,3 O8� ` , Indicate the value (rounded to the nearest dollar) of all
` equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New *0 n � �� U 1 e Valuation: $
Q- X 3D R ,U� RflakrilA Existing building area: square feet
'eNv.) v.x\. `sv>`,c\6,AJ■J New building area: square feet
igj PROPMITY OWNER ❑ TENANT Number of stories:
Name: . c)a_ *,U Type of construction:
Address: \�\0 ,3‘l\ m' \ \\\ �-C Occupancy groups:
City /State/ZIP:***-c 1 a o1� 2.2A . Existing:
Phone: ( 5 6 3 . . 1 131 ® lD Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: A p b ovti , .5 NYC All contractors and subcontractors are required to be
Contact name: 1 ` ( � yy� licensed with the Oregon Construction Contractors Board
�V �` " t i 5 under ORS 701 and may be required to be licensed in the
Address: lag g Nu Ci�r ner► 1 1 jurisdiction in which work is being performed. If the
City/State /ZIP: U ��1 oil a 1 012 61-3. aa q applicant is ept from licensing, the following reasons
�" d t apply:
Phone: (5(Q) l0 4 3- I I „Ii Fax::( 5t3 ) U43 - 04 (A q 1
E -mail:
CONTRACTOR
Business name: ¶\ QJ iimsf 1 , EV - 'S BUILDING PERMIT FEES*
Address: SV 1QS f s l� f /� (Please refer to fee schedule)
t L t tIIU Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
I , lic :) 4. f ? �� Total fees due upon application:
r t , Amount received:
( //,"/
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (2)0‘: t > (,) t ( , A w Date: C /Oc /O 4 * Fee methodology set by Tri -County Building Industry
l Service Board.
1:\Building \Permits\BUP -RES PermitApp.doc 11/6/07 440 4613T(l 1 /02 /COM /WEB)
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Jun. 5. 2009 11:46AM Milestone Electric No.4041 P. 2
Jun. 5. 2009 10:49AM A Cut Above Exteriors No.7714 P. 2
Electrical Permit Application RECEIVE FOR OFFICE USE ONLY
City of Tigard f. 4 Perth No.; 5,.. q
V Phone 503,639, 171 Fax 03.5931960 JUN 0 9 2009 PDate/la Other Permit;
r 1 G, ,\ r, r, Inspection Line: 503439.4175 Data neadyiny: ' lank lid dee Pagelfor
Internet tvww.tlgard.or.gov CITY OF TIGARD 4o6Fedndethod dopplemt>otal Information
. Tttrl . oh *BUILDING DIVISION . . . .. _ ' PLAN BMW' • • .
❑New construction RAdditionlalteration /feplacoment
Please check all tint. very (satin n eels or plane W/.lema decked bawl:
❑ Demolition ❑Other:
ID Service or feeder 400 amps or more D Bulldlag three stories.
where the imitable. fa li amen! Q tvisrfnsa end boatyards.
. CATEGORY OF CONSTRIICI'XON ' osoceda 10,000 amps at ISO volts otr ❑ Ataling buildings.
less to ground, or oxeceds 14.000 ❑ Commetoirl.tise agricnbmal •
Ili 1- and 2- family dwelling ❑ Commercial /indusirlal ❑ Accessory building amps for all oebariostallmions. buildings.
❑ Multi-fbmly ❑ Master builder 0 Other: ❑ Fire sump. C1larndlndonot951 PA or •
JOB INFORMATION ANA LOCATION ❑Fmergenoysyenm. hrge►eapsretelydertvedaystens.
❑ Adanionof now molor load of 0 "A ",•6",^]$", "1•T; .
Job no.: Job site address: 9 ,57 .S W m i t .L e J OQ, 100HP or more. ooa►psnoy.
1J ❑ Six or more ras;nemial mitt ❑ Recreational vehicle pules.
City/State/ZIP: . e n ❑ Heallh -cam feel�ea CI Supply voltage for more than
`�1 (ilV �� 1� �� � ❑Hesardoyelorai'oaa. 600 volt,nomiaal.
Suite /bldg. /apt, no.: 1dojcot name: 6. ❑ Service or feeder 600 amps or more. •
.. FEE SCHEDULE • ' .
Cross street/directions to job site: t DocrIonso I Qtr. 1 14w I '[std I • New residential �{,kr�cti+" �6 ca a O { M �� r t 1 -t1'1 Includes attached �e ga r multi-family dwelling ULIt.
Subdivision: Copp Gr�.k 5 �. 1 1,01 no.: RS 1,000 sq. ft or less 145.15 4
J Ea. add'l 500 s . fl. or ponion • 33.40 l
Tax map/parcel no.: , Lim led energy. residential
• ': DESCRITION OF WORK . . ' ,. . (with above so. 0,) / 75.00 7560 1
Limited energy. multi -family 75.00 2
residential (with oboe se. A.)
Serviieer or feeders Installation relocation
200 amps or less 80.30 j 2
❑ . FROPERRTY' OWNER. • I . ❑ =NAM ' . • 201 amps to 400 amps 106.85 1
Name. 1 ' ' 1 .k (.Q. (4-e( 401 amps to 600 amps 160.60 1
1 C L 601 amps to 1,000 amps 240.60 2
Address. 0 5 t i, w V� t LL,,,„ on_ Over 1.000 amps or volts 454.65 . ] 2
City/State/ZIP: 4.1i , 0 Y� 9 - 7 d Jt 1 Temporary services or feeders installation, alteration, mod/or
relocation
Phone: (5o 3) s 9 , art' 67(7 o I Fax; ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is riot 201 amps to 400 amps 100.30 2
intended for sale, lease, rant, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 133.75 2
Owner signature: . Date; „� Branch eircaits new, alteration, or extension, panel
A. Fee for branch circuits with
. . ' 0: APPLICANT •. . • I. . ❑ CONTACT PERSON • • above service or feeder fcc,
6.65 2
Business name; a r each branch circuit
//i,7 ' � 9 I7 e 7 r C - B. Pee for branch circuits • .
without service or Contact name: J Ad o ` 0 � p fit 5 firstbmnclt•clrcuf feeder fee, ( 46115 IR, 2
dr es s: 2 (� e'� Each add'1 branch circuiA t 6.65 2
bitseellaneous (service or feeder not included
City /SutteJ/CP; j ag ayt. r , jyr elle p 70.6 A Pooh manufaeturcd or modular 90.90 2
dwelling, servioe and/or feeder
Phone: (93) (,LAS —S 5 2 Fax :: (5b3) / "/ e " �'I/J Reconnect only 66.85 2
E -mail: ) , y . . • I ` : 6I - . c- • C, 40 /ifs- Pump or Irrigation clrolo 53.40 2
• ' e I BACI.OR • . • . Sign or outline lighting 53.40 2
r Signal circuit(s) or Ilmiud-
Business name
L / � .<��>�
energy panel, alteration, o r
Address: /10 0 �� / L 1 P4, _ 7 0 0 extension. Describe: Pogo 2 2
City/State/21F: A ea., k y700 Each additional inspection over allowable in any of the above
Per inspection I 62.50
Phone: (jja) 64(s-- _ — 3 z I Fax: (93,3 6,90 - 4/8 /I3 hives tigalion per bour(1lar 6250
CCB Lie.: Pi e Electrical Lie.: 3 •f- / gt Suprv, Lie.: '443 5 Y Industrial plant per hour 73.75 —�
�� 71/ 1 / r /o r to - ELECIBICAL' PERMIT FEES' ' • • � • •
\ Print name Suprv. Electrician signature, required: la SublOtal: %Z . / .3'5"
WI ., Plan review (25% of permit thole
v� l //1.4.04 A l em s 0 I Date; 6 Y State surcharge (12 of permit fee): /L./• ba-
Authorized signature: .. • TOTAL PERMIT FE$ I 69 ,11 7
print mane: l Date: This Permit application aspires He permit's nor ebtaleed mitten ISO
days otter it has been accepted as complete,
r Number ofinspeelions gnawed per pennir.