Permit CITY OF TIGARD MASTER PERMIT
2 : COMMUNITY DEVELOPMENT Permit #: MST2012 -00231
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012
Parcel: 1 S 133AC 14400
Jurisdiction: Tigard
Site address: 10815 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES Lot: 62
Project: Autumn Park
Project Description: This permit is for 3 builidings, addresses: 10815, 10825, 10835, 10845 SW Huntington Ave,
10855, 10865, 10875, 10895 SW Huntington Ave & 10915, 10925, 10935 & 10945 & 10955 SW
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: $5,000.00 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
0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 8 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 HOMEOWNER'S 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: $167.72
i
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and : other applicable I. • wo
be do in accor ce with approved plans. This permit will expire if work is not started within 180 days of issuanc or work is suspe. : - d for e the 180
d . ATTENTION: ce -, I: requires you to follow the rules adopted by the Oregon Utility Notification l ly Thos- . -. are s- forth in OAR
• • 2- 001 -0010 through OA • . -I • -0090, You may obtain a copy of the rules or direct questions to OUNC by calling 50 .19- .:*0.3 .2 . / - /gm
Issued By: r\ Permittee Signature: .�� Li
Call 503.639.4175 by 7:00 a.m. for the next available Inspec • n did _.
This permit card shall be kept In a conspicuous place on the Job site until •omple on of the project.
Approved plans are required on the Job site at the time of ea Ins • =ctlon.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard D e / B ed ?A mnon Permit No.: I - j ,�,,,. ct ,„23 f
V 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G n It D Inspection Line: 503.639.4175 Date Ready/13y: Sufis: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 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
.,
- ddition/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 ❑ Commercial/industrial Valuation: $
❑ 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: ,g ,e.6 0� d7 A.2 Garage /carport area: square feet
Suite/bldg. /apt. no.: // Project name: /9L/27)11A..) i 9 , Covered porch area square feet
Cross street/directions to job site: �(.,j 130' 4 /.5c4 a ''s /y , 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 (rotaded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
tei .3 //) £__ Z_Kr£/1/o2 / /&fr »e /9A- y i61Qyeo� Valuation: $ -� ° j'
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 41�v�,0 / 17/4 Type of construction:
Address: - Occupancy groups:
City/State /ZIP: , Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: �c../9,0 (;)70,e_cs (j7 /LC All contractors and subcontractors are required to be
Contact name: \..5c4)-ea--- - tip 2 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: IS42., 7,23 7500 Fax:: ( )
-
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: _ 't--,9_,L) (4f- $ o t_)5 / Z (G
(Please refer to fee schedule)
Permit fee:
Address: 'T t 6
`�!' ?O / State surcharge (12% of permit fee):
City /State /ZIP:
FLS plan review (40% ofpermit fee):
Phone: ( 22_3 2 I Fax: ( ) (Due upon application.)
CCB lie.: 4 / Total permit fees: •
Authorized signature: Amount received: i //,67. r "
'
� � This permit application expires if a permit is not obtained
Print name: ,1 r.,, I , �JC� Date: 9 - _ within 180 days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \Permits\FPS- PermitApp.doc 02/01/2011 410.4613T(11 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I: \Building \Permits \FPS- PermitApp.doc 02/01/2011 2