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Permit P-kprincC CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2009 -00153 T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/30/2009 Parcel: 28 103DB08400 Jurisdiction: Tigard Site address: 11145 SW MORGEN CT Subdivision: Lot: 0 Project: Beebe Project Description: Install skylights.8 /12/09 ADDED (2) bath fans, and (1) hood. 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: sf Value: $2,500.00 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 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 SrvclFeeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 Ea add! 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) BEEBE, ESTHER M TRUSTEE NEIL KELLEY CO INC 11145 SW MORGEN CT 804 N ALBERTA TIGARD, OR 97223 PORTLAND, OR 97217 PHONE: PHONE: 503- 288 -7461 FAX: • Total Fees: $210.99 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 rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: © \ Mechanical Permit Application R FOR OFFICE USE ONLY City of Tigard ° ' • Date/B ed ° 13125 SW Hall Blvd., Tigard, OR 97223 y' U !`l •1 - Phone: 503.639.4171 Fax: 503.598.1960 Plan Review AU G 12 2009 Date/By: Other Permit: T I G n R D Inspection Line: 503.639 Date Ready/By: lu 's: Fill See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUIi_DPNG nivISION - TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Fl- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: I 1 1 45- rn (c n t1 (requires site plan showing placement) 14.00 City /State/ZIP: V Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: 5n � e l�p Gas heat pump 14.00 Cross street/directions to job site: ° `' Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF 'WORK Water heater 10.00 � (2) Gas fireplace water heater or gas 10.00 t � ` �� {'� fn� Flue vent fo v fireplace 10.00 Q. 0 S�V Q ' , Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 • Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, tt�'� Phone: ( ) Fax: ( ) toilet compartments, utility rooms) L. 6.80 • ❑ APPLICANT ' ❑ CONTACT-PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each a dditional Address: Furnace, etc. Gas heat pump _ City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: N t 1L \ e 6 J (ewo& Clothes dryer (gas) I C'�- Other: Address: C604 , At e- 5E-- MECHANICAL PERMIT FEES* City /State /ZIP: {�UV -) i ccoc ` ` .._ 6 7 -7 Subtotal (, ^3 S�5 .� 9 2,d ( L$ 7 ^ . 7 Minimum permit fee ($72.50) Phone: J� Fax: Plan review (25% of permit fee) CCB lic.: b ( 66 3 State surcharge (12% of permit fee) TOTAL PERMIT FEE T his permit application expires if a permit is not obtained within 180 Authorized signature: - days after it has been accepted as complete. Print name: t d. JGVtt/l Date: "1 --(I • Fee methodology set by Tri -County Building Industry Service Board I: Building \Permits\MEC- PermilApp.doc 01/19/07 4404617T (1I /02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $1 0,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building\Permits\MEC- PermitApp.doc 01/19/07 2 • a CITY OF TIGARD �' MASTER PERMIT o COMMUNITY DEVELOPMENT Permit a: MST2009-00153 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/30/2009 Parcel: 2S103DB08400 Jurisdiction: Tigard Site address: 11145 SW MORGEN CT Subdivision: Lot: 0 Project: Beebe Project Description: Install skylights. 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: sf Value: $2,500.00 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 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 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 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'I 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) BEEBE, ESTHER M TRUSTEE NEIL KELLEY CO INC 11145 SW MORGEN CT 804 N ALBERTA TIGARD, OR 97223 PORTLAND, OR 97217 PHONE: PHONE: 503 -288 -7461 FAX: Total Fees: $129.79 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other - •p -ble law. All work will be done in : - - -- with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work • sus• :nded for more the 180 days. A - NTION: Ore. • • law re • uires you to follow the rules adopted by the Oregon Utility Notification Center. T , se rule - are set f• h in OAR 952-Or -0010 through OAR 95 11 -01 I I. may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1 :10.332.2 4. Iss ed By: • / � �� . L�: ' Permittee Signature: .� 9 �' W47 • • Building Permit Application vE Residential ECE� " ' FOR OFFICE USE ONLY R Cl of Tigard �U1 1 2 009 Received s, • ' ea\ `J g L Date /B Permit No.: - /,,' • a 13125 SW Hall Blvd., Tigard, OR 97223 T Plan Review l �F 1 IGA ® Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 CI R Date /B Inspection Line: 503.639.4175 V t t DI "Ic I� * ma te Ready :y: - - 9 � ® See Paget for TIGARD Internet: www.tigard- or.gov BUILDING v � 7I Notified/Method: 9 • Supplemental Information Q.\ zr — :na flL 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 In Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ),1- and 2-family dwelling Valuation: $ 25 o 0 y g ❑ Commercial /industrial ❑ 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: it (QS cSti.! M o(Lc j C- New dwelling area: —-- • square feet City/State /ZIP: �t c_i_pc-� f O Ca l 2_23 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: 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 work indicated on this application. Valuation: $ 11 CZ fv.w S r.-y t - taN'TS_ - Hel <-)F °` 2,t @ Ems Loc , Tt c,j r a i t Ltd S4 y Li el 1 Existing building area: square feet 1../C ti. s... t es- --%.0 c_o t New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: �---� `t"1 -R,. [R. Type of construction: Address: \ \ 1 A S .W 1-1 crl- c,et--.1 — Occupancy groups: City /State /ZIP: --Tic, 1,rR1- C' gL 9 Existing: Phone: (503 ) C 2A..,l _ 01 0 Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: N Ell... K .,-( CO All contractors and subcontractors are required to be Contact name: " i{lts,JE-_- _ N- y(2_i`!� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6Ot4 N A e _ ? S T, jurisdiction in which work is being performed. If the - ] / 8 applicant is exempt from licensing, the following reasons City/State /ZIP: 1 12-n4, r� t 0- `1 "7 2,17 apply: Phone: (5a 31 1�33 1. oiy Fax:: (503) 2_11 a _ 7,4(4 E -mail: ,S1'1cttvt,. P,‘T r c'..._k „.,..,_; k kctl . < <'� CONTRACTOR l Business name: IN..--1.,... I LL`( C-c.._ BUILDING PERMIT FEES* Address: p� N fact 2, -tom ... (Please refer to fee schedule) City/State/ZIP: /ZIP: 2-1-7 Structural plan review fee (or deposit): ty R -t om O O �? FLS plan review (if applicable): Phone: (So?) j - - - ,4 (0 , Fax: (5(J'3) 2_ — -7.L11 G4 // Total fees due upon application: Amount received: - 4 i_ 6 ( V Authorized signature: A/ - This permit application expires if a permit is not obtained � f / r Y within 180 days after it has been accepted as complete. Print name: .6.1. , k ‘. ‹ ... Date: I ( (1_, A. 1 • Fee methodology set by Tri-County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(1 I /02/COM/WEB)