Permit CITY OF TIGARD MASTER PERMIT
II
• COMMUNITY DEVELOPMENT Permit #: MST2013 00088
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2013
TIGARD g Parcel: 2S104DB02900
Jurisdiction: Tigard
Site address: 13037 SW ROCKINGHAM DR
Subdivision: AMESBURY HEIGHTS Lot: 29
Project: Chandler & Neville Inc
Project Description: Permit finished basement area of 320 square feet previously done without permit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 320 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: 320 sf Value: $34,265.60 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: 1
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: 3
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:
ADD SF VB R -3 320
Owner: Contractor:
CHANDLER & NEVWILLE INC WHITMAN CONSTRUCTION Required Items and Reports (Conditions)
215 N MERIDIAN ST #206 31630 NE CANTER LN
NEWBERG, OR 97132 SHERWOOD, OR 97140
PHONE: PHONE: 503 - 830 -4793
FAX:
Total Fees: $1,536.09
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 -0 90. You may po�btaiin'a of the rules or direct questions to OUNC by calling 5!' 232.1987 or 1.800.3 344.
Issued By:
/ Sid-
Permittee Signature: �� 11/111.■
Call 503.639.4175 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.
BuildinE Permit Application
Residential RECEIVED Received tt )IZ t tt t Il 1. I •I l l' I 1
City of Tigard Date/B : Permit No.: NSrdot-evo89'
111 I • 13125 SW Hall Blvd., Tigard, OR 9 e'r s 0 9 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598. • , j Date/B : LAW W .� �0�
r I c; :\ R I) Inspection Line: 503.639.4175 Date i I Supple 2 Information
BUILDING r IVISIO N c0°rs u , Oloti
TYPE OF WORK REOUIRED 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.
Valuation:
K1 -and 2- family dwelling ❑ Commercial/industrial $ 3� ltd
)
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: O
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 'jC 4j 7 Sco X OG 41/1 f, 41(11 New dwelling area: 0 3 A square feet
City/ State/ZIP: ier ¢rG( 0 / 2. q 7 2 a 3 Garage carport area: square feet
Suite/bldg./apt. no.: I Project name: Covered porch area: square feet
Cross street/directions to job site: 4 . 1 i f 1 i f K d - S lk f e e_ f / Deck area: square feet
l '' Z Ad to rr,,�G e r`I f A /Lr 4 7L D A /1-"G // r^ y 440 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.
l ' / 1 SP - e� I � M O A e0 J.S 1 A N✓t ,epti P /P eel �¢ ,1(fJ �% l/t'^ Valuation: $
Existing building area: square feet
New building area: square feet
(PROPERTY OWNER A I 1 ❑ TENANT Number of stories:
Name: 4 A A/1 d I , e r dyi d J g 19 GJJV / k L , 4 e.- Type of construction:
Address: '700 ,O e 4 /A4 d S U i 4 Z SO Occupancy groups:
City/State/ZIP: /1 e W L e �o , 0 (Z.. Existing:
Phone: ( rte) b - o 3 Fax: (S ) S3 8' ^ t I 11 New:
Of APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
` / (r t
(Neese ngtis•tofreseidsfyl
f
Business name: 7'4 0././9 N ( y` s )(re_ T t � ; -. 0Ps SO
Contact name: 0p,, ) C T ,"•,./7\ Structural plan review fee (or deposit):
Address: 5,20 3 to• 2_,,,/c FLS plan review fee (if applicable):
City/ State/ZIP: 0 'e u,d.P� % Q/ q 7i 3'Z Total fees due upon application:
Phone: ( ''3) c p. 33° 4 79 ' . Fax :: ( )
Amount received: e
J 60, ae @ still/ie coy" t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
'(J
E -mail: //tt
CONTRACTOR rc ` Zv c a, otvc e 9 ",, t ommercial and residential prescriptive installation of
'} roof -top mounted PhotoVoltaic Solar Panel System.
Business name: (. '2 'lt ,r1�e (DO) , 6 oi l G ' (, . s rl Submit two ( sets of roof plan with connection details
1 and fire departm access, along with the 2010 Ore o
Address: 3 �v, / i f G /` Solar Installation Spec ode c .
City/ State/ZIP: if.a.,/cam \ G e 47/ 3 `.. Permit Fee (in • • • an '- $180.00
a • administrative fees):
Phone: (5' d 3 4 4...7q i Fax: (S`i 2/ 7'/ /07
Stet harge (12% of permit fee): - 60
CCB Iic.: / 7 3 33 i ;II 0 14
Total fee due upon application: , I ...
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: S 1 W . Date: �,� Q ._ * Fee methodology set by Tri County Building Industry
d>r r Service Board.
I:\ Building \Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11 /02/COM/WEB)
I A M EI �I
Mechanical Permit Applic E FOR OF'FI('F. USE ONLY
City of Tigard IN -
APR 0 9 2013 Received Date/By: Permit No.M 90 8 n
• 13125 SW Hall Blvd., Tigard, OR 9722
Phone: 503.718.2439 Fax: 503.598. Plan Review Date/By: other Permit:
� OF TIGARD
Inspection Line: 503 �� pp Re
T t G A R D � Date Ready/By: orris FA See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: ( )0.37 S' t vt go Ll / ` ,4 �✓1 (requires site plan showing placement) 46.75
/� , Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP: j e, „a_ rat 0 C q 7 Z. Z 3 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump
/ / 4- ` (requires site plan showing placement) 61.06
Cross street/directions to job site: f . 1 A ` ,4 let r , -e ( T t o Duct work 1 23.32
�ci /' W Hydronic hot water system 23.32
f��L / r/ !� t ` LN `' 7 94 Residential boiler (radiator or
g y L ,� � g It 4 M hydronic) 23.32
,`^ Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.:
Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
a^ S l"'C C-9 (Cv7 0 7 l b - s I - b e U ei /e l oM 1 l J e d Gas fireplace/insert for { 33.39
1 1� l �J Flue vent for water heater or gas
I Ct f ' 7 / re A fireplace 23.32
G � Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
Name: . L i rl S /i r ? f e W ' / / e
Other: 23.32
�/ r Esviroomental exhaust and ventilation:
Address: /00 7_ 1 e b G✓,c1 A ea( .- t 4-e zs-o Range hood/other kitchen
equipment 33.39
City /State /ZIP: /4 • a (`) 4 R 4o� o4 q Z Clothes dryer exhaust , 33.39
Single -duct exhaust (bathrooms,
Phone: ( ,g- o -4 7 9 .-. Fax: 03 ) S3' — 6 / I/ toilet compartments, utility moms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 2332
Other: _
Business name:
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name:
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP:
Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
I \Building\ Permits\ MEC- PermitApp doe 03/07/12 440 (I I/02/COM/WEB)
Electrical Permit Applicatio .ECEIVED .(fl():H( I I SF. OvII
City of Tigard APR 0 9 2013 Received Permit No.: A,l S'1 C0 8
il h
- - 'r 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5 ti'F OF TIGARD Date/B : Other Permit:
TI GA R [� BUILDING DI Inspection Line: 503.639.4175 DIVISION Date Ready/By: luris E5 See Page 2 for
Internet: www.tigard - or.gov U D V ISIO fV Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below) •
❑ New construction ❑ Addition/alteration /replacement
El Demolition Other; ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: 1 3 03 7 5 ((J 4z_ �l `, t Ii 100 os. c r eation.
❑ Six o o r r moo re a r reesidential units. ❑ Recreational vehicle parks.
City /State /ZIP: '� ` pJ 4 r d O . q 7 az > ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no,: Project name: ❑ Service or feeder 600 amps or more.
/ 1 �^ FEE SCHEDULE
Cross street/directions to job site: 1f K ? S'' ! c'e, / o Description I Qt J Fee. I Total I •
,- / / j� / New residential single - or multi - family dwelling unit.
r 32 i ti f c ,
/A e f r e." /41 N 1 O it 4 )-5A. 'i Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 I
Tax map /parcel no.' Limited energy, residential 7500
DESCRIPTION OF WORK (with above sq. ft.)
f- O Limited energy, multi - family
.� SI fYA 1 (� Poi's, e /id c J l ifvf IAA ,vfo 1` e d residential (with above sq. ft.) 75 (x) 2
Services or feeders installation, alteration, and/or relocation
,,,,// 200 amps or less 100.70 2
d-. PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
G / �'�d �/ Vi if 1 C 401 amps to 600 amps 200.34 2
Name: `r Al / V w 601 amps to 1,000 amps 301.04
Address: • 700 ij ti,,,,„„ 4 gv S1w T Q a ca Over 1,000 amps or volts 552.26
Temporary services or feeders installation, alteration, and /or
City /State/ZIP: 14 f v h e i � e n 17 f 32.
relocation
Phone: (5 ) 930 _ A.7 f , Fax: ( g ) s 3g - G ill 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps t 68.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder tee 7.42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit '?j 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City /State /ZIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( )
Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited - energy
Business name:
panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: Additional inspection (I hr min) 66.25/ hr
Investigation (I hr mm) 66.25/ hr
City /State /ZIP: industrial plant (1 hr min) 78.18/ hr
Phone: ( ) Fax: ( ) Inspections for which no fee is 9000 / hr
specifically listed (% hr min)
CCB Lie.: Electrical Lie.: Suprv. Lie.: ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit tee):
Print name: Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 1811
days after it has been accepted as complete.
Print name: Date: * Number of inspections allowed per permit.
I' Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(I1/05 /COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13037 SW ROCKINGHAM DR, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/17/2013 00:00
MST2013-00088
FAIL
1. Stairs to be redone, plan submitted
2. Shear wall per engineering
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13037 SW ROCKINGHAM DR, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/17/2013 00:00
MST2013-00088
FAIL
1. Stairs to be redone, plan submitted
2. Shear wall per engineering
Violation Summary:
Inspector Contractor