Permit CITY OF TIGARD MASTER PERMIT
I I . re • CO MMUNITY DEVELOPMENT Pe rmit #: MST2012 -00103
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2012
Parcel: 2S111DB02300
Jurisdiction: Tigard
Site address: 15495 SW ALDERBROOK CIR
Subdivision: SUMMERFIELD NO.8 Lot: 482
Project: Porter
Project Description: Replace trusses, roof sheathing and roofing due to tree damage.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 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: Yes
Total: 0 sf Value: $12,500.00 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
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: 0 201 -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 VB R -3 0
Owner: Contractor: -
BRANDT, PAMELA PORTER & JOHN R &NORTHWEST RESTORATION Required Items and Reports (Conditions)
15495 SW ALDERBROOK CIR PO BOX 3264
TIGARD, OR 97224 TUALATIN, OR 97062
PHONE: PHONE: 503- 582 -0500
FAX:
Total Fees: $489.43
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. Ara • : . •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through O • - 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
I sued By: A. - _ - Permittee Signature:
Call 603.839.4175 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 p
R EC E" ,} `'� I
Residential FOR OFFICE USE ONLY C
MAY 17 2012 Received 7
City of Tigard DateByecei: / * 9 /2„ 444--- Permit No/f3 2 / 4 2��O iv '
° 13125 SW Hall Blvd., Tigard, OR 97223 /�++ A Plan Review ► . ) ( • her Permit:
C
Phone: 503.718.2439 Fax: 503.598.196Bi A TIGARD Date/By: der ' 2
Inspection Line: 503.639.4175 NUM iP_; 1 :ION Date Ready/By: s„ El See Paget for
TIGARD IGARD Internet: www.tigard - or.gov `y Notified/Method:` / / ��'� .4 t 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.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: $12 500
❑ 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: 15495 ALDERBROOK CIRCLE New dwelling area: square feet
City /State /ZIP: TIGARD, OREGON 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.
REPLACE TRUSSES, ROOF SHEATHING AND ROOFING DUE TO DAMAGE Valuation: $
7REE Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PORTER RESIDENCE Type of construction:
Address: 15495 ALDERBROOK CIRCLE Occupancy groups:
City/State /ZIP: TIGARD, OREGON Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: MILLER CONSULTING ENGINEERS (Please refer lo fee schedule)
Structural plan review fee (or deposit): / 74 r 4,3
Contact name: BRIAN HOGUE
FLS plan review fee (if applicable):
Address: 9570 SW BARBUR BLVD `
City /State /ZIP: PORTLAND, OREGON 97219 Total fees due upon application: ! 76 , y3
Amount received:
Phone: (503) 246 -1250 Fax:: ( )
E -mail: brian@miller-se.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: NORTHWEST RESTORATION Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: PO BOX 3264 Solar Installation Specialty Code checklist.
City /State /ZIP: TUALATIN, OREGON 97062 Permit Fee (includes plan review $180.00
and administrative fees):
one: (503) 582 -0500 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: 181827 � 111 ��'� Total fee due upon application: $201.60
Authorized signal . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: BRIAN HOGUE I Date: 5/11/2012 * Fee methodology set by Tri -County Building Industry
Service Board.
' I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 .' 440- 4613T(11/02/COM/WEB) -