Permit CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00094
T I GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012
Parcel: 1 S 133AC08800
Jurisdiction: Tigard
Site address: 10915 SW 130TH AVE
Subdivision: HAWKS BEARD TOWNHOMES Lot: 6
Project: Autumn Park
Project Description: This permit is for addresses: 10915,10925, 10935, 10945, 10955 & 10965 SW 103rd & 10920,
10930, 10940, 10950. 10960 & 10970 SW Briarwood PI. OSB dryrot and Some framing repair.
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: $1,000.00 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
Drywell -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
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: 0 201 -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:
REP SFA 0
Owner: Contractor:
AUTUMN PARK HOMEOWNERS ASSN. SEAN GORES CONSTRUCTION INC Required Items and Reports (Conditions)
TIGARD, OR 97223 PO BOX 1519
CLACKAMAS, OR 97015
PHONE: PHONE: 503- 723 -7500
FAX: 503- 723 -7504
Total Fees: $78.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all •ther 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 issuan •, or if • rk is suspended fo •. - - - 180
days. ATT ■ • • ' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification !enter. ' hose rule - : set orth in O' R
o p.
952 -01 6010 through • ' - 9 601 -6 ' '0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.. 7 .1987 • 8" 6
Iss • d By: L I 11'.' . -1 Permittee Signature: i,∎
9 _
Call 503.639.4175 by 7:00 a.m. for the next available Inspect' n • .
This permit card shall be kept In a conspicuous place on the Job site until comp etlon of the project
Approved plans are required on the Job site at the time of each h pectlon.
Building Permit Apptication .
Residential \\ FOR OFFICE USE ONLY
City of Tigard RECEIVED Date/By: 5 9 /� PermitNo.: H6r P l'j ,060 Fr
13125 SW Hall Blvd., Tigard,OR 97 Plan Review
e Phone: 503.718.2439 Fax: 503.59 Received C Date/By: Other Permit:
I C . r\ It D
Ins Line: 503.639.4175 IVI - 9 2012 Date Ready/By: 1 rig: ® See Page 2 for
Notified/Method: Supplemental Information
Internet: www.tigard-or.gov PP
CITY OF TIGARD
TYPE °BANG DIVISION 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.
dwelling Valuation: $
❑ I- and 2-family 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: New dwelling area: square feet
City/State /ZIP: i , � i Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: , 2u o M P ,e Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
I►- 'e RD / 2s',4 i . ..5c::). ..5c::). f , 4p, ' , P Other structure area: square feet
., % a q /6/ /09 /e9 /0 /01SSj /0c/65 S4/ /3 REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: je.904 /0430! /09,./c?) /09.ti 0,/09600, /O o.• &e , k rrmit fees* are based on the value of the work performed.
Tax map /parcel no.: Htdicatc 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. _
0-5,6 .DC &GD O% 20�, ....) rra4 M/.r, of fr9 Valuation: S j /�WW
/ Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: A tJr o n A i I
/3 e L)//, Type of construction:
Address: Occupancy groups:
City/State /ZIP: 4/ Pecs / of- -✓7 .ger9xjD0.K.) �1tcc /(£y Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application:
Phone: ( ) I Fax:: ( ) Amount received: * - 7 g .4)
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Co -rcial and residential prescriptive installation of
CONTRACTOR roof -top • ounted Photo Voltaic Solar Panel Syst - ...
Business name: s£�� � � � Submit two sets of roof plan with conne '.ndetails
� and fire departm - • ccess, along wi .. a 2010 Oregon
Address: T (7 1 3 0x • lS- / 9 Solar Installation Spec: ode • ecklist.
City /State /ZIP: (/110 M 6 6/Z e ? 7 O/S Permit Fee (includes - ' - w $180.00
and adm' • trative fees):
Phone: (.5 7,2 3 . -xSOO Fax: (s03 7 Z 3 - 7,to-f State surchar: 2% of permit fee): $21.60
CCB lic.: / 6 g 66
.'.tal fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
d' 7---)- within 180 days after it has been accepted as complete.
Print name: �seLG Jt- e� Date: 3' * Fee methodology set by Tri -County Building Industry
/y - /� - Service Board.
I:\BuildingTermits\BUP- RESPermitApp.doc 02/24/2011 4404613T(l 1 /02/COM/WEB)