Permit CITY OF TIGARD MASTER PERMIT
- COMMUNITY DEVELOPMENT Permit #: MST2012 -00205
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/07/2012
Parcel: 2S103CB00700
Jurisdiction: Tigard
Site address: 12235 SW JAMES ST
Subdivision: WILLAMETTE Lot: 7
Project: Tibbets
Project Description: Foundation and structure for above - ground 275 gallon heating oil tank.
BUILDING
Floor Areas Require Set backs 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: $2,600.00 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
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Furn > =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'l 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:
OTR SF VB R -3 0
Owner: Contractor:
TIBBETS, KATHLEEN M FIRST CALL HEATING & COOLING CO Required Items and Reports (Conditions)
12235 SW JAMES ST 1650 NE LOMBARD ST
TIGARD, OR 97223 PORTLAND, OR 97211
PHONE: 503 -590 -1592 PHONE: 503- 231 -3311
FAX: 503- 286 -5194
Total Fees: $297.71
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 -0090. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 T � 2322.1987 or . 2 23 / 4 � 4. Q , A I
Issued By: \j 1 Permittee Signature: ON f 4vl & /-7 b,v
Call 503.639.4176 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.
08 /01 / 2012 WED 11: 58 FAX 5032865194 FIRST CALL HEATING 0002/011
A o
Building Permit Application RE“ r P V - i icai
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iteivai AUG 0 1 201 101; of Iv I t ,,, ().1 \
City of Tigard Received Ao, 'Par
er / f Permit No://
1 • 13125 SW Hall Blvd., Tigard, OR 97223 AR1 an/OF PGA 'Elaft1BY:
' - . Plaa Revrew ..• lc 611
Phone: 503.7182439 Fax: 503.598.1960 DIN II; - ■
ciair.. in L rroct: tPata03v: 41. 1r () 2- 12.... OtherPermit
• I 1: :
, inspection Line: 503.639.4175 ..., .. N. . • i JDate Re : W Se. Page 2 tor
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Internet: www.tigard Notified/Method: / ibr - Supplemental Informant
KiVrr rr iet - W i TlifF-71 -- 4W,IWT,TIMNI*V"'
OIL' '' 4 r :::D/2 ■: ''''' l ' ''''`. ' 11 ' -' ' ' 4' ' ' ' '''..*' '';e ' - '''
i-reonZa.sieb.z.i., _L.-Y. :. , T , , , ,Ak..4-7..as_..,
0 New construction 0 Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
2 0 Other: equipment, materials, labor, overhead, and the profit for the
,..,:TeM.,WWW" 70-1M-Y. ',1"-TTNY4k7Fifir:9'.( work indicated on this application.
gittii2Wr. ' ', ' --s t ` . -......."ALJtili4AkIkrakiiAt - thrin..qagekta t atk..4" - APJ,:g1r2EVAAS 4 .06'
Valuation: $ 2 - &OD
P - and 2-family dwelling 0 Commercialfuldustrial ./
0 Accessory building 0 Multi-fitmily Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
DIATESVE.VMagnerig.agg
Total number "floors:
Job site address: 223 5 s - p es St- New dwelling area: square feet
City/State/ZIP: e / , 0 / # 1 2.2 3 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: 2. (0 q - Covered porch area: square feet
Cross street/directions to job site Deck area square feet
Other structure area: square feet
Vi.-.;'
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
equipment, materials, labor, overhead, and the profit for the
1 paTamsr.r.4.•E° work indicated on this application.
Lat,likkirdelk , .: 1 " - Vol_tr.:4,tv - .1.4.4 1,1 4 , ..44412.7Mita-utgaiaSciaLkliali.
Valuation: $
Existing building area square feet
03/ Ir,1
New building area: square feet
gli eFf' ;TAW pp. Number of stories:
Name: do , , •,,,
• . ' /3 Type of construction:
Address: /2235 ,j-ki _ 3 Occupancy groups:
City/State/ZIP: 7) e 4 , 4 ',,, OR q7- z 2 7 Existing:
Phone: (57)3 ) glggtEIIIIIIII Fax: ( )
New:
kqRryi SI, V, ./ r.:-7,-,z-7--177-.7-7-7.-..ur..7,,wir
'5'4:,,:Nthmliew, , z.' , -..9.. - mg-...e,ini -7 :41--kikn..4....K611.-ar.i,Y,u4 I fikr.,imit.10.4.71. , ...43., M 't .1.31tArdZilt '. 4 .54k,1 ',% L QaAti'APP&r, it" 't. i , 1:7
Business name: 5 e tt ,,,,,,
/ Structural plan review fee (or deposit):
Contact name: afr it■ ...4 -. /
FLS plan review fee (if applicable):
Address: J i 5, 4 i i - jr0h . WMIIIIIIIIIIIIIIIIIIIIIIIII
Total fees due upon application:
City/State/ZIP: ,P 7 DR 6 2
Amount received:
Phone: ( 50 3) 2 , . _ 0 , ii ,„ Fmc : ( _Se) 4 i , I i i70,1743101,4",,k19-n-',.PNIZI'',21-3"-V1
$ 4.0 ,. ( '11 •- ;,.„ - '‘" :■, .,." i -a ' 7
E-mail: lAp triV1ITeI.1ZiWf1
WNW ' 7, jr 7 7 1M7,.4%.r . ,0,Wt •T .M 4.V414)41:61 Commercial tmd residential prescriptive installation of
kvakelacakka,-*..— „.tfaLiqa., toof-top motmted PhotoVoltatc Solar Panel System.
Business name: ' I . ...1/ A I ' Submit two (2) sets of roof plan with cormection details
and fire department access, along with the 2010 Oregon
Address: / 6 LA,/ e Solar Installation Speetalv Code checklist
Cit Pea _ i /7 Permit Fee (includes plan review
$180.00
. ../ and administrative fees):
Phone: ( '33) 2 _32 IIMMER-M2311.11 State surcharge (12% of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: l.. ),5 Thls permit application expires If a permit is not obtained
name: AV, r Date:
Prim - (/ 4 A1-iliZj 87] 2_
t
within 180 days after it has been accepted as complete.
1
° Fee methodology set by Tri-County Building Industry
Service Board. I
,_e
1:1BuildimpermitsIBUYRESPennitApp.o 02/24/2011 440-46131(11/02/COM/WEB) e a ,4-m.77/- /A/ / LA . 4 --
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08/01/2012 WED 11:58 FAX 5032865194 FIRST CALL HEATING
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rst all 1650 NE Lombard Street
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Portland, OR 97211
503/231-3311 FAX503/286-5194
Heating & Cooling www.FirstCallHeat.com
FAX Coversheet /0 additional pages to follow
Date: Vd1/1
• To: 7 Per int' tj laPig
• From: 11 _-4/ , at direct phone:(30 2A
Note:
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III o ° Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: /IS To20 /� — t9e020-5- fLc - r
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A tYP 4-0.s r T6 /
Routed Plans:
Original Plan Submittal Date: c / //.
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant: '
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact 1.& �tyenrs/C1a�t at 503 -718- 241 `( or 7 p @ tigard- or.gov)
Land Use Case No. / Name
a Zoning >Z -y .r
El Setbacks: _
Front 1- Rear I C Side __2_ Street Side / 5 Garage z_o
❑ Maximum Building Height Actual Building Height
.O Clearance
1"J Easements
❑ Sensitive Lands Type: N xr
Notes: X / fi
T/�e Lack iM n r � ,.� iu u
Original Plan: Approved Z Not Approved ❑ Date: s4-4- / L
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- or.gov)
❑ Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved .❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard-or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
•
Page 2 of 2
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