Permit n CITY OF TIGARD 1• MASTER PERMIT
'`1 1 COMMUNITY DEVELOPMENT iffir Aill Permit#: MST2014-00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2014
Parcel: 2S110BB01400
Jurisdiction: Tigard
Site address: 12260 SW DUCHILLY CT
Subdivision: AMES ORCHARD Lot: 11
Project: Lee/Vaughn
Project Description: Remove load bearing wall&replace with beam. 2/17/15, reprinted to change contractor to Fine
Finish Remodeling, Specialty Heating and PDX Electric.
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: $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
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
Other Fixtures: 0
Drywell-Trench Drain: 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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:
VAUGHAN,ANDREW T M& FINE FINISH REMODELING INC Required Items and Reports(Conditions)
LEE,YUNAE 15710 SW RESSTONE DR
12260 SW DUCHILLY CT BEAVERTON,OR 97007
TIGARD,OR 97223
PHONE: 503-330-5802 PHONE: 503-849-5661
FAX:
Total Fees: $479.78
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 >• Those rules are set forth in OAR
952-001-0' . rou. !•R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . 2.1987 or 1.8'' •4.
1 . • • ��
Issued . : • '' Permittee Signature: C.
Call 503.639.4175 by 7:00 a.m.for the next available ins•- on dat
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 I SE O\L\
City of Tigard Received Permit No.: Mib J '?
DateB :
11111 " 13125 SW Hall Blvd.,Tigard,OR 9722FEB 1 7 2015 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Da[eB Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. _Yetis. ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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
®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 Valuation: $5,000.00
g ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
1:1 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12260 SW Duchilly Court New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site:SW Bull Mnt.Rd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ' l,ot 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.
Demo load bearing wall and replace with a beam. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Yunae Lee,Andrew Vaughan Type of construction:
Address: 12260 SW Duchilly Court Occupancy groups:
City/State/ZIP:Tigard/OR/97224 Existing:
Phone:(503)330-5802 Fax:( ) New:
®APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: -
Structural plan review fee(or deposit):
Contact name:Same as above-Property Owner
Address:
FLS plan review fee(if applicable):
City/State/ZIP:
Total fees due upon application:
Phone:( ) Fax::( )
Amount received:
E-mail:YAI,EE1 @yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Fine Finish Remodeling,Inc. C 1440, Jr ) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15710 SW Redstone Dr. Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton/OR/97007 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)849-5661 Fax:( )
I State surcharge(12%of permit fee): $21.60
CCB lic.: 194786 M 11'7
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
_■■ •
---7 within 180 days after it has been accepted as complete.
Print name:Yu a Lee Date:02/17/2015 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/201 I 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
City of -
Tigard Received
Date/By:
y
Mil
" 13125 SW Hall Blvd.,Tigard,OR 9 EC E I VE D Plan Review Permit No.: I ((��% 'I` ,'J
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: g 03.639g4175 FEB 1 2015 Date Ready/By: luris: RI See Page 2 for
Internet: www.ti ard-or. ov g
Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE 01BWROING DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty J Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12260 SW Duchilly court Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site:Bull Mnt Rd. Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Reframc furnace outlet fireplace 23.32
X byr Log lighter(gas) 23.32
/ �f Wood/pellet stove
Wood fireplace/insert 33.39
23.32
p Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Yunae Lee,Andrew Vaughan Range hood/other kitchen
equipment 33.39
Address: 12260 SW Duchilly court Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/OR/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)330-5802 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Same as above-Owner Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:YALEE1Jyahoo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Specialty Heating&Cooling,inc. e to77 G 1,pti!)kne) Other:
(� MECHANICAL PERMIT FEES*
Address:7500 SW Tech Center Dr#130 Subtotal
City/State/ZIP:Tigard/OR/97223 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)620-5643 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:66578 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Yunae Lee Date:02/17/2015
I:1Building\Permits\MEC_PermitApp 040113.doc 440-4617T(I1/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Received —-/1 Oj _ 2 q
Plan Review
Permit Nn.:
� 1 3125 SW Ball Blvd.,Tigard,OR 97223 Plan Rcvicw
Phone: 503.718,2439 Fax: 503M1960 Date/ti : Other Permit:
TI c RD
Inspection Line: 503.639.4175 id 17 2015 Date Ready/By: lads_ ® See Page 2 for
Internet: www.tigard-or.gov • Notified/Method: Supplemental Information
0-TY OF TiOARD
TEUIPMRYDIVISION PLAN REVIEW
New construction Please check all that apply(submit 2 sets of plans w/items checked below)
❑ ®Addition/alteration/replacement
❑Service or feeder 400 amps or more ❑Building over three stories
❑Demolition ❑Other: 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 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A""G" "1-2'"I-;"
Job no.: Job site address: 12260 SW Duchilly Court 10011P or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/Slate/ZIP:Tigard/OR/97224 ❑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.
FEE SCHEDULE
Cross street/directions to_job site:SW Bull Mnt Rd. Description I Qty. J Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.11.or portion 33.92 1
fax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK /Y'^ (with above sq.e.)
I U Limited energy.multi-family 75.00 2
014y.1_,6 1 residential b e Energy above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Yunae Lee,Andrew Vaughan 401 amps to 600 amps 200.34 2
Address: 12260 SW Duchilly Court 601 amps to 1.000 amps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP:Tigard/OR/97224 Temporary services or feeders installation,alteration,and/or
Phone:(503)330-5802 Fax:( ) relocation
200 amps or less 59.36 I I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449.670.and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension, __er panel
® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
— above service or feeder fee,
Business name: each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name:Same as above(owner) service or feeder fee,first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
Phone:( ) Fax::( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:YALEEI @yahoo.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: pDx & le'c-(-r- [- (-L-1:--- Signal circuit(s)or limited-energy See
panel.alteration.or extension. Page 2 2
Address: I''-8 I(6, SiA) iApPer toy ne5 Fern) R� Each additional inspection over allowable in any of the above
nn Additional inspection(I hr mitt) 66.25/hr
I
City/State/ZIP: t Oswe jo /op- / 0703s- Investigation(1 hr min) 66.25/hr
Phone:( 33) 6)3 q_ cc-70y • Fax:(t)( -,_)")) 2_00 - 136 2_ Industrial plant(I hr min) 78.18/hr
/ Inspections for which no fee is
CCB Lie.: Electrical Lie.: C1(O Suprv.Lie,; specifically listed(/hr min 9o.W!hr
I �(� p 5�r25 )
J ELECTRICAL PERMIT FEES
Suprv. Electrician signature,requiredr /��l i/ �,�� Subtotal:
Print name: MI£4Y - C'�1l-e-_C Date: 2-/i2/i5 Plan review(25%of permit fee):
Y State surcharge(12%of permit fee):
Authorized signature: / ' TOTAL PERMIT FEE:
i
/ This permit application expires if a permit is not obtained within 180
Print name: Yunae - aug an Date: p V/PAt" days after it has been accepted as complete.
• Number of inspections allowed per permit.
I'Ouilding\Permits\ELC PermitApp ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COMAV'EB
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
lig
■ ,
Request for Permit Action
1 1 , , , i , 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits @tigard-or.gov
FROM: Ili Owner ❑ Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual)
Mailing Address:
City/State/Zip:
Phone No.:
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit #: 1` 'T a0 I 1 —OO? i q
Site Address or Parcel#: P"�fJ 0 J ,j t c4 i fr P...2:447/— Q110
Project Name: Ala, , '''(tc t#?1L W i j7
o e. Lot#:
EXPLANATION: 7/he ,z/t;//e -chC. -
Signature: `t Date: 3/I 7(p)
Print Name: ? ir 0,e �e
t J
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
Route to Sys Admin: Date By Route to Records: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_092314.doc
IIII n
CITY OF TIGARD MASTER PERMIT
S COMMUNITY DEVELOPMENT Permit#: MST2014-00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2014
Parcel: 2S110BB01400
Jurisdiction: Tigard
Site address: 12260 SW DUCHILLY CT
Subdivision: AMES ORCHARD Lot: 11
Project: LeeNaughn
Project Description: Remove load bearing wall&replace with beam
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: $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
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
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,500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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:
VAUGHAN.ANDREW T M& CUSTOM CONSTRUCTION&REMODELING Required Items and Reports(Conditions) I
LEE,YUNAE 19385 SE SUMMERTIME DR
12260 SW DUCHILLY CT SANDY,OR 97055
TIGARD,OR 97223
PHONE: 503-330-5802 PHONE: 503-519-6160
FAX:
Total Fees: $434.78
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes a • 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 issua•."", or if • k is suspe • :. or more the 180
days. ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio• Center. Th•<e - -s are set • h in OAR
952- 1-0010 through OAR 952- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 50•.232.1987 or 1 ..:i, 2.23,
Iss ed By: _% �!� /E�f `.-- "ter' Permittee Signature: ice`►/
Call 503.639.4175 by 7:00 a.m.for the next available inspec'•.•fR
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 FOR OFFICE I SE ONE)
City of Tigard HECEIVED Reeeivea ^ .•
III g DateB �� 0 Permit No.: t'-14-j1:9.10/ —0�a�..
* 13125 SW Hall Blvd.,Tigard,OR 9 7 2 • 0 8 2014 Plan ReviewAME��
Phone: 503.718.2439 Fax: 503.5 .4960 Date/B : / Other Permit:
TIC A R D Inspection Line: 503.639.4175 Date ReadyBy: luris. El See Page 2 for
Internet: www.tigard-or.gov CITY�r ARI Notified/Method: /Ai '/Li ; Supplemental Information
1 Li. U M1 A t ri u * L e c..../.71-/ l �
1/a
TYPE OF WORK REQU ED 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 CONS I RUCTION - work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $5,000.00
❑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:12260 SW Duchilly Court New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Covered porch area: square feet
Cross street/directions to job site:SW Bull Mnt.Rd. 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.
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.
Demo load bearing wall and replace with a beam. Valuation: $
Existing building,area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Yunae Lee,Andrew Vaughan Type of construction:
Address:12260 SW Duchilly Court Occupancy groups:
City/State/ZIP:Tigard/OR/97224 Existing:
Phone:(503)330-5802 t-t°s( Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:Same as above-Property Owner
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application: '
7 C3
Phone:( ) Fax::( ) Amount received: � 7, j`/
pc E-mail:YALEEl @yahoo.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Comme c . • d residential prescriptive installation o
CONTRACTOR roof-top mounte• ' otoVoltaic Solar Panel Sy .
Business name:Custom Construction&Remodeling Inc.(Steven Ray) Submit two(2)sets o .f •plan with co ton details
and fire department acces , , on: '• the 2010 Oregon
Address:19385 SE Summertime Dr. Solar Installation Special ''r'• checklist. _
City/State/ZIP:Sandy/OR/97055 Permit Fee = es plan ew $180.00
and administrative f
Phone:(503)519-6160 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:115205 ?/ Total fee due upon application: '-11.60
Authorized signature: '�i' This permit application expires if a permit is not obtaine
� within 180 days after it has been accepted as complete.
Print name:Yunae Alliiiir Date:12/08/2014 *Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received / g /q C ' tot/ �C/4/_�'� l
6 Reteiv Permit No tot,
: s • 13125 SW Hall Blvd.,Tigard,OR 97223 �1 ` Plan Review
Phone: 503.718.243 "5 . H f Date/By: Other Permit:
1 1 G,�R U Inspection Line: 503. gJ Date Ready/By: turis la See Page 2 for
Internet: www.tigard-or.gov Notified/Metbod: Supplemental Information
4 TYPE OF WO1
13t" '` I
, y P) AN REVIEW
❑New construction ®Add ition/alteration/replacet>ue� •NO Please check all that apply(submit j�sets of plans w/items checked below):
e l ce 1 L�11a ❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: ::,I _ " t; I►� where the available fault current ❑Marinas and boatyards.
' '1t
CATEGORY OF CO �`1 � �J exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/iustrial ❑Accessory building
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pomp. ❑Installation of 150 KVA or
JOB SITE LNFOR11f ATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","I-3",
Job no.: I Job site address: 12260 SW'Duch illy Court IooHPormore. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard/OR/97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:SW Bull Mnt Rd. Description J Descion l Qrv. I Fee. 1 Total 1 '
New residential single-or multi-family dwelling unit.
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 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
_ ® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Yunae Lee,Andrew Vaughan 401 amps to 600 amps 200.34 2
Address: 12260 SW Duchilly Court 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard/OR/97224 Temporary services or feeders installation,alteration,and/or
Phone:(503)330-5802 I Fax:( ) — relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits–new,alteration,or extension,per panel
® APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42
Business name: each branch circuit
B.Fee for branch circuits without ,
Contact name:Same as above(owner) service or feeder fee,first ,
branch circuit 2
Address: Each add'I branch circuit 'Z I 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular
Phone:( ) I Fax: :( ) dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
E-mail:YALEE1 @yahoo.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:S&A Electric Inc.(Ken Sunkner) Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: 19385 SE Summertime Dr. Each additional inspection over allowable in any of the above
City/State/ZIP:Sandy/OR/97055 Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)519-6160 F. "( ) . Industrial plant(1 hr min) 78.18/hr
+� � Inspections for which no fee is
CCB Lie.: 1:122113.1 .�' ,` ectrical ' Sup '•p, / specifically listed(%z hr min) �/hr
'--I-!W P'N ELECTRICAL PERMIT FEES
Suprv.Electrician Si .�.�,requires, ,� � Subtotal:
Print name., K '/ / f� Date: Plan review(25%of permit fee):`
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: Yunats Lee - This permit application expires if a permit is not obtained within 180
Date: 12/08/2014 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I\Building\Permits\EI.C_PermitApp_ELR ERE.doc Rev 05/21/2013 440-4615T(11/05/COMM'EB
. r
Mechanical Permit Application FOR OFFICE USE ONLY
74 City of Tigard Date/B l t// ./ Permit No.: /--,1 Jr ��l ,�,�(7
13125 SW Hall Blvd.,Tigard,OR 97223 y Q
Phone: 503.718.2439 Fax: 503.59 Plan Review Date/By: Other Permit:
T I G A K D Inspection Line: 503.639.4175 Date Ready/By: runs: Pi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
.€-s . 4d -.. .
A r1 r Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alt rfRplacrlertt 1 performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: ^It t.^ - IN mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12260 SW Duchilly court Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site:Bull Mnt Rd. Hydronic hot water system 23.32
Residential boiler(radiator or
_ hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Reframe furnace outlet fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER El TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Yunae Lee,Andrew Vaughan Range hood/other kitchen
equipment 33.39
Address: 12260 SW Duchilly court Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/OR/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:(503)330-5802 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Same as above-Owner Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:YAI,EE1yahoo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Heat Relief Inc.(Mark DeFrancisco) Other.
MECHANICAL PERMIT FEES*
Address: 19385 SE Summertime Dr. _ Subtotal
City/State/ZIP:Sandy/OR/97055 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)519-6160 Fax:( )
State surcharge(12%of permit fee)
CCB lie.:122424 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
, days after it has been accepted as complete.
Authorized signature: j * Fee methodology set by Tri-County Building Industry Service Board
Print name:Yunae Lee ' Date: 12/08/2014
1:\Building\Permits\MEC_PermitApp_040113.doe 440-46171(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
12260 SW DUCHILLY CT, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
March 2, 2015 at 9:27:09 AM
MST2014-00218
David Young
All structural framing complete as per approved plans.
Violation Summary:
Inspector Contractor