Permit rt CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00007
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2015
Parcel: 2S104BC03100
Jurisdiction: Tigard
Site address: 12689 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 42
Project: Johnson
Project Description: Repair garage due to truck hitting it.
BUILDING
Floor Areas Required Setbacks Required
Stones: 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:
Total: 0 sf Value: $11,000.00 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
0
Tubs/Showers: 0 Garbage Disp: 0 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
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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema 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 SvcJFdr: 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:
JOHNSON,THEODORE R&JUDY A WLSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions)
12689 SW ASCENSION DR 14845 SW MURRAY SCHOLLS DR STE
TIGARD,OR 97223 110-324
BEAVERTON,OR 97007
PHONE: PHONE: 503-320-2100
FAX:
Total Fees: $437.09
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 per.,' - - 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 f• ow the rules -•opted by the Oregon Utility Notification Th• - rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain - ••y of the rules• direct questions to OUNC by calling 5• .''7• .:00.332.2344.
Issued By: - ittee Signatur,.
'1.639.4175 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.
Building_Permit Applicat' , CEIVEP
Residential R�+ 11' FOR OFFICE LSE ONLI
City of Tigard nn^^II 2 Received /6— f� Permit No.: �, l,'�
a 13125 SW Hall Blvd.,Tigard,OR 9•AV 2 0 2015 p eRey f y
Phone: 503.718.2439 Fax: 503.598.1960 p �gy, Other Permit
T I G A R n Inspection Line: 503.639.4175 CITY OF TIGARD Date R ad� „• Alt brie: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /%-- ,'7 4 Supplemental Information
BUILDING DIVISION VA/ Sys G
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New nstruction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement 8 Other: ( ). ,,e1. dr.�jQ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION!"` f work indicated on this application.
-2-family dwelling ❑Commercial/industrial Valuation: $ `/,EL v
❑Accessory building ❑Multi-family Number of bedrooms:
El builder ❑Other: Number of bathrooms: l
JOB SITE INFORMATION AND LOCATION Total number of floors: —
Job site address: (4.6 O ' sL) A 5 c,2,„L1 i o h New dwelling area: square feet
City/State/ZIP: 1- t (T� S Garage/carport area: _ square feet
Suite/bldg./apt no.: Project name: Covered porch area: square feet—
Cross street/directions to job site: k{of Zcr, Deck area: - square feet—
Other structure area: — square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J 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.
....,2_flos__-, Q C. - `L O 4 _ I_ck Valuation: S `//O�iv
T-t'l� �c- t�-l--l'cl,-e t rimzer,k V Existing building area: Z 1/cv square feet
New building area: square feet
ErfROPERTY OWNER ❑ TENANT Number of stories: z
Name: { i2 TD LI&,.S 0 11 r o- Type of construction: (,j p D N 1-17-04,-t
Address: S a/t■Q_ a b -- --e Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
grAAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofec sateduk)
Business name: ( LS D'e s �c--6 CSVL l L L Structural plan review fee(or deposit):
Contact name: s-t-e�>,� S j) - -
Address: I tf a`�S S� �u krill s(,L �- FLS plan review fee(if applicable):
t 4.7d� Total fees due upon application:
_t
,St,�_ t to r 3 a-� ;��- d� / �/SCP*43 —
Phone:� ) 3)-d a—(Cc7 Fax: :( )
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:S�-*-Q Q.t.)t L_S,j e cc 5- r G-- 3-"--
CONTRACTOR Comm-• ial and residential prescriptive installation of
roof-top m. ted PhotoVoltaic Solar Panel -m.
Business name: y ' p a s 4.4�-�p and fire two( ets of roof plan with • ection details
Z/7- � and fire departure access,alon• ,rth the 2010 Oregon
Address: Solar Installation S.•. .lty .de checklist.
Permit Fee(inclu.r .lan review
City/State/ZIP: and •. ni ; e fees): $180.00
Phone:( ) Fax:( ) State surcharl= 12%of permit - : $21.60
CCB lic.: ir .02— _
To . ee due upon application: $201.60
Authorized si lure: /' ��/ This pe .,'t application expires if a permit is not obtained
�� `�,/ within 180 days after it has been accepted as complete.
Prim name: t iJT41 3u/ Kate: . C *Fee methodology set by Tri-County Building Industry
�.] Service Board.
I:\BuildingTermits\BUP-RESPermitApp.doc 02/24/2011 ••0-4613T(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
12689 SW ASCENSION DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
March 3, 2015 at 8:03:15 AM
MST2015-00007
David Young
Repairs complete per approved plans and engineering.
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
12689 SW ASCENSION DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
FAIL
February 27, 2015 at 10:52:57
AM
MST2015-00007
David Young
No access for inspection.
Recall with access.
Special inspectors report received via email.
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
12689 SW ASCENSION DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
March 3, 2015 at 8:03:15 AM
MST2015-00007
David Young
Repairs complete per approved plans and engineering.
Violation Summary:
Inspector Contractor