Permit N " CITY OF TIGARD MASTER PERMIT
I R COMMUNITY DEVELOPMENT Permit#: MST2014-00035
Date Issued: 03!1912014
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Parcel: 2S1070001305
Jurisdiction: TIGARD
Site address: 16780 SW BULL MOUNTAIN RD
Subdivision: CHURCHILL FOREST Lot: C
Project: PARK
Project Description: Fire repair- Replace trusses and chase framing
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 st Garage 0 at Front: 0 Smoke
Dwelling Units 0 Third 0 sf Right 0 Detectors
Total 0 sf Value 559.000 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
Drains. 0
Tubs/Showers 0 Garbage Disp. 0 Water Heaters 0 Water Lines 0 Catch Basins 0
Bckfiw Prevntr D
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.e100K 0 Vents. 0 Woodstoves• 0 Gas Outlets 0
Furn>=100K 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvr/Feeders Branch Circuits
1000 sf or less 0 0-200 amp 0 0-200 amp 0 W/Svc or Fdr 0
Ea add!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 Ecompasmg• N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VS
Owner: Contractor:
PARK.BETTY KENNEDY RESTORATION Required Items and Reports(Conditions)
KIM.KWANG JOG 315 SE 7TH AVE
16780 SW BULL MOUNTAIN RD PORTLAND,OR 97214
TIGARD,OR 97224
PHONE PHONE. 503-234-0509
FAX- 503-234-4479
Total Fees: $1,416.58
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 cordance with approved plans This permit will expire if work is not started within 180 days of issuance. or if work • spended for more the 160
da ATTENTIOco�N- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. "ho e rules - set forth in OAR
2-001-0010 through••' : -r0•l090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 2 ar/ •• 2344.
11 � .._ �
I
sued By: �-V ": Permittee Signature: `_- 1-
Call 503.639.4175 by 7:00 a.m.for the next available inspection da -.
This permit card shall be kept in a conspicuous place on the job site until comp on of the project
Approved plans are required on the job site at the time of each Ins•ection.
Wilding Permit Application
Residential RECEIVED FOR OFFICE USE ONLI
City of Tigard Received Date/ : I ,/ Permit No.:i/grz/y-0603
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 9 2014 Plan Review' ��
Phone: 503.7182439 Fax: 503.598.1960 Date/B I Other Permit
1 I ;�k O Inspection Line: 503.639.4175 CITY OF TIC'q Hp Date Ready'- luris ® See Page 2 for
Internet: www.tigard-orgov r. Notified/Method Supplemental information
TYPE OF WORK REQUIRED DATA: I-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
' J Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
VA 1-and 2-family dwelling ❑Commercial/industrial Valuation: S Cc ' Q 0� d
❑Accessory building El Multi-family
Number of bedrooms: `•7
Number of bathrooms:
13 Master builder ID Other: 5
JOB SITE INFORMATION AND LOCATION Total number of floors: -Z—
Job site address: /(,.. ?go .s1.0 T a /A 0�,..4. New dwelling area: icy-7 square feet
City/State/ZIP: --��' �� e k , r„ 9 7 ZZ4 Garage/carport area: square feet
i
Suite/bldg./apt.no.: Project name: Tic_ Covered porch area: square feet
Cross street/directions to job site: gds.( ,,,/ /°Z' s e� al Deck area: square feet
Dhi 6t,tot1 a�Y dn, • to 'F- siiG of Other structure area: square feet
. -84,I r` t/^ ¢d kA) REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
�`�(aqG�- Tv-.ASS tit ¢ / C /4f� ∎/`�s.-rs9 Valuation: $
V "h0 gl_,`A�_�'+a+/ f1 Existing building area: square feet
New building area: ' square feet
❑ PROPERTY OWNER T ❑ TENANT Number of stories:
Name: ...i,rJ44 ---PO4-42-k- Type of construction:
Address: 1(d, 7 i.e) S Gt) 7 v(/ � fD u`r TL;'J I� - Occupancy groups:
City/State/ZIP: f 4�,Gd me, 9 7Z Z4 Existing:
Phone:(5b3) 4 7 7"3 9 Fax:( ) New:
❑ APPLICANT ❑ CONTACT' PERSON BUILDING PERMIT FEES*
Meese refer to fee schedule)
Business name: —
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: ,
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( )
Amount received:
E-mail:
PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: �j-�_Kt� S t�� Submit two(2)sets of roof plan with connection details
/"'� / /4 and fire department access,along with the 2010 Oregon
Address: 3 15 s ve4 ae Solar Installation Specialty Code checklist.
City/State/ZIP: -,( Permit Fee(includes plan review $180.00 v i` �"�° ' q 7*Z/T/ and administrative fees): i
Phone:(da) Z3¢_o -� ', Fax:(663)234 4 — 4tt 7 I State surcharge(12%of permit fee): $21.60
CCB lic.: c • Z--l,Ji411.......■ _ Total fee due upon application: $201.60
Authorized signature: ,K, within This permit application expires if a permit is not obtained
I �`/ within 180 days after it has been accepted as complete.
Print name: ��� L Date: 3 *Fee methodology set by Tri-County Building Industry
_ (Sy
( —�i Service Board.
1:\Building\Permits\BI.JP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16780 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00035
George Heimos
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16780 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2014-00035
George Heimos
Pass No C of O issued, entered in error.
Inspection failed.
1. Provide mechanical and electrical final approvals prior to Final building approval.
2. Recall when above corrections have been completed
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16780 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00035
George Heimos
Violation Summary:
Inspector Contractor