Permit CITY OF TIGARD 1 t 1 MASTER PERMIT
$ .- COMMUNITY DEVELOPMENT - • " 4' Permit I: MST2013 -00218
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/24/2013
T 1 G ARD Parcel: 1S133DCO2800
Jurisdiction: Tigard
Site address: 11925 SW MORNING HILL DR
Subdivision: MORNING HILL NO.1 Lot: 3
Project: Williams
Project Description: Fire repair: replace roof trusses, drywall, insulation and interior finishes. 12/30/2013: REPRINT
permit to add gas piping for furnace, water heater and log bar.
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: Yes
Total: 0 sf Value: $150,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 1 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
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0
Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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/0 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:
WILLIAMS, LASHANDA EARLINE BELFOR USA GROUP INC Required Items and Reports (Conditions)
11925 SW MORNING HILL DR 12823 NE AIRPORT WAY
TIGARD, OR 97223 PORTLAND, OR 97230
PHONE: PHONE: 503 -803 -8914
FAX:
Total Fees: $3,030.04
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 R 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. /
Issued By: Permittee Signature: AV �/ � c 4. � , \77 c v
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.
U CITY OF TIGARD MASTER PERMIT
IIII C . .. COMMUNITY DEVELOPMENT Permit#: MST2013 00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Date Issued: 10/24/2013
Parcel: 1 S133DCO2800
Jurisdiction: Tigard
Site address: 11925 SW MORNING HILL DR
Subdivision: MORNING HILL NO 1 Lot: 3
Project: Williams
Project Description: Fire repair replace roof trusses,drywall, insulation and interior finishes
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 Yes
Total' 0 sf Value: $150,000.00 Rear 0
PLUMBING
Sinks 0 Water Closets 3 Washing Mach 1 Laundry Trays 0 Rain Drain. 0 Urinals' 0
Lavatories 0 Dishwashers 1 Floor Drains. 0 Sewer Lines: 0 SF Rain Storm Sewer 0
Tubs/Showers 0 Garbage Disp 1 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 4 Clothes Dryers. 0
Heat Pump' N Hoods. 1 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'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 Descnption 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:
WILLIAMS,LASHANDA EARLINE BELFOR USA GROUP INC Required Items and Reports(Conditions)
11925 SW MORNING HILL DR 12823 NE AIRPORT WAY
TIGARD,OR 97223 PORTLAND,OR 97230
PHONE PHONE 503-803-8914
FAX
Total Fees: $3,014.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and . other applica•le law All work will
be do'= ' • •:• : with approved plans This permit will expire if work is not started within 180 days of issuance,_.:,,, is suspe •ed for more the 180
d- ATTENTION. Or-eon I- requires you to follow the rules adopted by the Oregon Utility Notif -'•n Cy Those rules re set forth in OAR
•52-001-0010 through OAR • -001'10'I You may obtain a copy of the rules or direct questions to OUNC by calling .03 23 /987 r 1.800 332 234•.
Issued By: 1 _ / e'�� 'i/ Permittee Signature: i ?� /
Call 503.639.4175 by 7:00 a.m.for the next available inspec on 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
Residential • ECPi1
FOR OFFICE USE ONLY
B Received
III City of Tigard Date/By (O ��/ 3 ) Permit No. /YjT�(j/3-fa'//a
q 13125 SW Hall Blvd.,Tigard,OR 14 2013 Plan Revie!I'. Phone: 503.718.2439 Fax: 503.598.1960 Date/By I (k l . Other Permit
-
Inspection Line. 503.639.4175 ® See Page e 2 for T I G t U CITY V TIGARD Dale Rd y ��LLL ' I Internet: www.tigard-or.gov t d shod l� 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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $150,000
❑Accessory building ❑Multi-family Number of bedrooms: 3
1=1 Master builder ❑Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:11925 SW Morning Hill Dr. New dwelling area: 0 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Williams Fire 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: I 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.
Repair fire damage.Replace affected trusses and re roof.Replace drywall, Valuation: $
insulation and interior finnishes. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT . Number of stories:
Name:Lashanda Williams Type of construction:
Address:11925 SW Morning Hill Dr. .. Occupancy groups:
City/State/ZIP:Tieard,Or 97223 Existing:
Phon.. ,.; 1 ,- , ; Fax:( )
New:
►5 APPLICANT ' . ® CONTACT PERSON BUILDING PERMIT-FEES*
Business name: , ..
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tom Armour
FLS plan review fee(if applicable):
:AO Address:12823 NE Airport Way
Total fees due upon application:
City/State/ZIP:Portland,Or 97230 P
hone:(503)803-8317 Fax::( )
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:tom.armour@us.belfor.com X
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Belfor USA Submit two(2)sets of roof plan with connection details
1/4\J and fire department access,along with the 2010 Oregon
Address: 12823 NE Airport Way Solar Installation Specialty Code checklist.
2 City/State/ZIP:Portland,Or 97230 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)408-8880 Fax:(503)408-8880
w State surcharge(12%of permit fee): $21.60
CCB lie.: 146973
Total fee due upon application: $201.60
v Authorized signature: This permit application expires if a permit is not obtained
Qwithin 180 days after it has been accepted as complete.
Print name:Tom Armour Date:9/30/13 *Fee methodology set by Tri-County Building Industry
( , Service Board.
v. 1.rn..na:_..■n......:...rni rn n •on,,._...:• a.... nn,nannr. A An ecrorir r inflirnn A inrrn\
. __ ,
1
• i ft 1, \,/4 r 1I 1,
Plumbing Permit Apulica ,,, �� ,_ ,i__
Building Fixtures
City of Tigard OCT 2013 Received
'
_
Date/By r0 /q /3 PermitNo f r i�/5-ea."(S
13125 S W Hall Blvd.,Tigard,OR;9722 3//(°�� ° 6,,
C Phone: 503.718.2439 Fax: 503398!146W4 °Cj L Plan Renew
Date/By Other Permit No
Ispection Line: 503.639.4175 r " ;P r\ �:iI"S G C G`,"
lt G A f:D Date Ready/By
ions Si See Page 2 for
Internet www.tigard-or.gov Notified/Method Supplemental Information
,4 7-' :1 .-,b n „h'ff,C'x:,?,ry¢>5_: a aG•.i, �,^ �,hf�'y:.:-_, 'T^i' ; Via` _):'.w^` :'t-r. „• •44.. ;iir,4:-k.'.C'.7 z4 _-5,„.,,,
_ K _
❑New construction ❑Demolition
For special in ormatton use checklist
Description L Qty. I Es. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
` : eq ti--Ac : -- :•;" - ?='u `%ri::.,r;i SFR t bath 31270
i..:Lr,. n
,. ...-r..._s ...r'3�3-_ _. .. , sr ... ,1'hl, ,--._..,-,,,--9- ``�%^i.!^^�`r.•gr.,,i ��. - ..
® I-and 2-family dwelling ❑Commercial/industrial ` SFR(2)bath 437.78
SFR(3)bath 50032
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fine sprinkler( sq.ft.) Page 2
:1h,,,,:- .Z-.^:1- i ws; ',Ike',', ;; ,; - Site Utilities:
",.t;,_x .,:a?u%;'z „ _11, 4NF_OH ATIOI -a AIIE-' pia/k��t�•�N.,='',-..-jr': °'3''•` r,---,;
Job site address: 11925 SW Morning'Hill Dr.T Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
tY Tigard,OR 97223 Footing drain(no.linear ft.:-) Page 2
Suite/bldg./apt.no.: I Project name: TVF-L.Williams Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear R: ) Page 2
Subdivision: I Lot no.: Fixture or Item:•
Tax map/parcel no.: Backflow preventer 31.27
_ ��... - ,- -.:. -q' , ' it i' ,,f•---=
=
Backwater valve 12,51 71.=77 Yf r ^,_ j..d_: -gt.1 !-i v ris- ,. "0.'i`zf;1-f°"'r
Clothes washer 1 25.02 25.02
Detach and reset plumbing to make fire damage repairs Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
_ '-4 r• t�#:-,+F• -i, %ft i `- :., " t-:-% t-- Expansion tank 12.51
Name:Lasonda Williams Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11925 SW Morning Hill Dr.
Garbage disposal 1 25.02 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(630)674-7426 Fax:( ) Ice maker 12.51
:14 O . ,,y i Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51
E-mail:
Urinal 25.02
lf'`4ti :+ .1 ✓1': ...E':-=.i-:..�.; i,i.n•..,w*r;,r =r%..f°'N a •r�:7 Water closet 3 25.02 75.06
r .. '.�.� Water heater 37.52
Business name:Davis Plumbing Water piping/DWV 56.29
Address:16008 SE Southview Ave Other: 25.02
City/State/ZIP:Mrlwaullde OR 97267 Subtotal $150.12
Phone:(503)307-1920 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:163590 Plumbing Lic.no.:3-558pb Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature TOTAL PERMIT FEE
Print name:Ross Stephen Da I Date:10-30-13 This permit application expires If a permit Is not obtained within 1.80 days
after It has been accepted as complete.
Fee methodology set by Tri-County Building Industry Semite Board
I\Building TeanitslPLMU-PermitApp.doc 10/01109 440.4616f(10/02/COMIWEB)
Mechanical Permit Applicatiq rif; .\\iii FOR OFFICE USE ONLY -
I 1� 6 ' t Rae°%ed '
um City of Tigard ° Ree 0y: e /'/ /`7L Dc-b p,-rnit No. 14/J���0" ,—/
v 13125 SW tall ut.d.,Tigard.OR 97223 OCT rr Plan Ra��s
lig
Phone: 503.7l2439 Fay: 503.598.1964) OCT ll 2013 s.
Date Bs: !! C tdt<-r Permit:
TRCA.RD Inspection Line: 503.639.4175 Date Rem 13f r s' El See Page 2 for
Internet: wwwtivard-or.gov 0111/a-L. ,I'%1419 NetaredMetht. Supplemental Information
7311 r r ', : - Pc� 1k . I _
TYPE OF WORK „ COMMERCIAL It SCHEDULE- USE(_uECKLISr
r Mechanical permit fees*arc based on the value of the work
❑New construction ®.Additionraltcration'replacement performed.Indicate the value(rounded to the nearest dollar)villa!!
Q Demolition ❑Other: I, mechanical materials.equipment,labor,overhead,and profit.
Value_$
CATEGORY OF CONSTRUCTION ' RESIDE,N I1AL EQUIP,\1ENT 1 SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial.?industrial 0 Accessory building For spedalInformation usecheekt&
i'
®Multi-family ❑Master builder ❑Other: 1 Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION ,1 Heating/cooling:
46.75 I
Job site addrass: 11925 SW Morning 11111 Dr. 1.1 Air conditioning■
Furnace 100,000 BTU teats'serna) 46.7 5
CilyiState?ZIP:Tigard,OR 97223 Furnace 100.000+BTU(dtet.:'.eme) 54,91
Heat pump 61.06
Suite..bldg.?apt.no.: 1 Project name:7'\'F-1.Williams Dart y.erk x 23.32 13,32
Cross street?diteetinns to job site:1357°&morning hill dr ; l lvdronic hot water system 23 32
Residential boiler(radiator or
h)il onic) 23.32
Unit heaters(fuel-type.not electric),
in-wall.in-duct suspended.etc. 46.75
FlucA ent for any of above 23.32
Subdivision: Lot no.: Other: 23,32 I
Other fuel appliances:
Tax map?parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacelinsert 33.39
Flue vent for water heater or gas
replace damaged ducting due to fire&slater damage fireplace 23.32 G
r Log filthier(sac) 23.32
Wood/pellel stove 33 39
Wood hreplacc/insett 23,32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER
Other: 23.32
[) TENANT
Environmental exhaust and ventilation:
Name:Lashanda Williams Williams Ranee hood/other kitchen
j equipment _l 1 33.39 ' 33.SR
Address: 11925 SW Morning 11111 Dr. Clothes dryer exhaust 3339
City.'Statc?ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments.utility rooms) 4 23.32 93.23
Plume:(630)674-7426 Fax:( ) Attidcrawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other. 23 32
DusiasNs name: Fuel piping:
514.15 for first four:54.03 for each additional
Contact name: Furnace,etc.Gas heat.um. MINE Adtlress. I WalVsus•ended?unit heater __'
C'it./StateiZIP: / Water heater
Phone:( ) Fax::( ) Rae;lace -_�
_ R�,e
I1 mail: ; Barbecue
CONTRACTOR doer(etas)
Ilusinrtis name:PERFECT CLIMATE INC: Outer: —_;'
h1ECIW LAICAL PERMIT FEES*
Address:31925 E HISTORIC COLUMBIA RIVER 11W 1! Subtotal V �-
Cit./State?ZIP:TROUTDALE OR 97060 i Minimum permit fee($90.00)
Plan review 1.25%of permit fee)
i Phone:(503)491-1848 Fax:(503) 491-4849 ji State surettaree(12%of permit fee)
r CCL3lie.: 118424 TOTAL-PERMIT FEE
1 This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: 1� ,\ i, ' Fee methodology set by TrsCounty Building Industry Set,ice Florid
IPrint name:-�� ���� I Da[ea- ��‘ � !�
I n_Yi-g'Perri'+.:',tECj'e.mitApp_PIOl1? .os 51r-r41 102031.1 ES) i■
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
11925 SW MORNING HILL DR, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
2014-04-15 (null)
MST2013-00218
FAIL
1. Correct leak on hot water valve at hall bath lav. 310.0
2. Provide hot water at all required fixtures. 310.4
3. Rear hose bibb requires positive attachment to building and sealed. 313.3/314.5
4. Re-inspection required. 103.5.6.1
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
11925 SW MORNING HILL DR, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
2014-04-15 (null)
MST2013-00218
FAIL
1. Provide final plumbing approval. All else ok
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
11925 SW MORNING HILL DR, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
2014-04-15 (null)
MST2013-00218
PASS
NOTE Fireplace gas pipe is hard capped in fire box. All else ok
Violation Summary:
Inspector Contractor