Permit Il a CITY OF TIGARD MASTER PERMIT
l PERMIT #: MST2009 -00053
COMMUNITY DEVELOPMENT DATE ISSUED: 2/5/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 DA - 21000
SITE ADDRESS: 13000 SW PRINCETON LN ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 036 JURISDICTION: TIG
PROJECT: SCHULTZ
Project Description: Replace entry landing and rear deck ledger board.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: of BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: SECOND: sf GARAGE: 51 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELUNG UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 51 1,085.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 100K: BOIUCMP c 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADDL 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>o4 RES UNITS: SVC/FDR>e225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
KATHERINE SCHULTZ ASPEN RIDGE CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
13000 SW PRINCETON LN 15615 SW 74TH AVE STE 190 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010
through 952- 001 -0080. You may obtain copies of these rules or direct
Phone: Contact #: PRI 503- 624 -9060 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 624 -3632
Reg #: LIC 156998 PLAN IN FILE FOR 13235 KINGSTON PL
TOTAL FEES: $ 110.63
REQUIRED ITEMS AND REPORTS
/
i i iliff- i 11
Issued By : i Permittee Signature : / L�,
/ / Or
Call 503.639.4175 by 7:00 a.m. for an inspection that busin> s day.
T • permit card shall be kept in a conspicuous place on the job site until c • mpletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
gesidential RECEIVED FOR OFFICE USE ONLY
R eceived
City ! r{ r^�
'J of Tigard
g DateB : Za+ O�1 1 Permit Nn.: �� 00035
° 13125 SW Hall Blvd., Tigard, OR 97223 q Plan Review �i
• � 0 Phone: 503.639.4171 Fax: 503.598.1960 JAN �+ 9 2009 FArw, rj Other Permit:
Date/B
Inspection Line: 503.639.4175 Date Read C tins: ® See Page 2 for
I t A R D Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method:a .S. . G� -t- E' Supplemental Information
BUILDING DIVISION l
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: 51085
❑ 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: 13000 Princeton LN New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: % `.. Covered porch area: square feet
Cross street/directions to job site: off of SW Gaarde Street turn north on Deck area: 20 square feet
Princeton LN. Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Quail Hollow South PH 2 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.
'move and replace entry landing and guard rails with same. Replace existing Valuation: S
..andrails w/ same @ entry stairs. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: - ritwrIr Padgett 6kv Jr itl ,w 6 Type of construction:
Address: S I A /A r Occupancy groups:
City /State /ZIP: Existing:
Phone: (503) 590 -5226 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Western Architectural All contractors and subcontractors are required to be
Contact name: Justin Barnhart licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 10220 SW Greenburg Rd., Suite 125 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 297 -0665 I Fax: : (503) 297-0757 •
E -mail: justin@westernarchitectural.com
CONTRACTOR
Business name: Aspen Siding & Windows BUILDING PERMIT FEES*
Address: 15615 SW 74 Ave., Suite 190 (Please reel ro fee schedule)
City/State/ZIP: Tigard, OR Structural plan review fee (or deposit):
Phone: (503) 624 -9060 Fax: (503) 624 -3632 FLS plan review fee (if applicable):
8 lit.: 156998 Total fees due upon application:
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: Andy Leisman I Date: 01/29/2009 * Fee methodology set by Tri -County Building Industry
Service Board.
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