Permit y CITY OF TIGARD MASTER PERMIT
II ; COMMUNITY DEVELOPMENT Permit#: MST2014-00209
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2014
Parcel: 2S103DD00423
Jurisdiction: Tigard
Site address: 10915 SW FAIRHAVEN WAY
Subdivision: FAIRHAVEN COURT Lot: 10
Project: Phipps
Project Description: Repair roof framing due to tree damage.
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: $25,000.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall-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
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!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:
ALT SF VB R-3 0
Owner: Contractor:
PHIPPS LIVING TRUST OREGON HOME IMPROVEMENT CO INC Required Items and Reports(Conditions)
10915 SW FAIRHAVEN WAY 17255 SW PILKINGTON RD
TIGARD,OR 97223 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-635-6248
FAX: 503-636-7183
Total Fees: $814.49
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 • 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: Orego la, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01-0010 through OAR •: -001-+090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: _ `L -,..i....._., Permittee Signature: ■jw
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. .e`
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 RECEIVED FOR OFFICE USE ONLY
Received
111 City o Tigard DateB : / Permit No ;� /
. a 13125 SW Hall Blvd.,Tigard,OR 97 %Ca V 2 4 2014 Plan Review Y! ���
Phone: 503.718.2439 Fax: 503.598. .0 Date/B : alma,. • Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY Date Ready kris: See Page 2 for
Internet: www.tigard-or.gov CITY OFTI(;ARD Notified/Method: A. ;Oa' Supplemental Information
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❑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
a work indicated on this application.Odi tgi `
® 1-and 2-family dwelling 12 Commercial/industrial Valuation: S25,000
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
B ;SI'I INFORMATION AND LOCATIO Total number of floors:
Job site address:10915 SW Fair Haven Way New dwelling area: square feet
City/State/ZIP:Tigard,Or Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Phipps Residence Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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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
f s DESCRIPTION OF WO work indicated on this application.
Repair of roof framing due to tree damage. Valuation: $
Existing building area: square feet
New building area: square feet
a PROPER O ER 1 0: 'ENAI'NT.'i Number of stories:
Name:Shari Phipps Type of construction:
Address:14530 NE North Valley Rd Occupancy groups:
City/State/ZIP:Newberg,Or 97132 Existing:
Phone:(503)277-3454 Fax:( ) New:
APPLICANT 0 NT Z ON LnINc ll►ER1 ftT FEES*
Business name:TM Rippey Consulting Engineers l!'lit+? dxeriaeat#ied+flej
Structural plan review fee(or deposit).
Contact name:Ralph Turnbaugh
FLS plan review fee(if applicable):
Address:7650 SW Beveland St,Suite 100
Total fees due upon application:
City/State/ZIP:Tigard,Or 97223 41296----,0 7
Phone:(503)443-3900 Fax: :(503)443-3700 Amount received:
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Business name:Oregon Home Improvement Submit two(2)sets o •.f plan with con.• tion details
and fire department access, : • g wi ' e 2010 Oregon
Address:17255 Pilkington Rd Solar Installation Specialty C..` •cklist.
City/State/ZIP: Lake Oswego,Or 97035 Permit Fee(includes review $180.00
and admi . rative fees):
Phone:((503))635-6248 Fax:(503)636-7183
State surcharge Yo of permit fee): $21.60
CCB lic.:34908
Total f e due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
g �� S within 180 days after it has been accepted as complete.
Print name:Ralph Turnbaugh Date:11-18-2014 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
I
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
10915 SW FAIRHAVEN WAY, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
February 24, 2015 at 10:39:53
AM
MST2014-00209
David Young
Smoke and carbon monoxide detectors installed to code.
Violation Summary:
Inspector Contractor