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Permit CITY OF TIGARD MASTER PERMIT !PI `. W II ' COMMUNITY DEVELOPMENT Permit#: MST2015 00051 TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 04!16/2015 Parcel: 2S114BA03500 Jurisdiction: Tigard Site address: 9685 SW SERENA WAY Subdivision: PICK'S LANDING NO.2 Lot: 105 Project: COOK Project Description: Window reconfiguration. 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: Total 0 sf Value: 59,000.00 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: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 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.]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: COOK,GARY R&SUSAN E PAUL SCHULZ CONSTRUCTION INC Required Items and Reports(Conditions) 10582 SW KENT ST 15420 SW SPRINGBROOK RD TIGARD,OR 97224 NEWBERG.OR 97132 PHONE PHONE: 503-320-3149 FAX: 503-538-6530 Total Fees: $374.24 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 iss - e, or if work is -spended for more the 180 days. ATT • : : •regon law requires you to follow the rules adopted by the Oregon Utility Notificatio =nter 1.se u e - set f.•h in OAR 952-04 -'010 through O R •- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 •87 0 '0.3 r d. 7 I-sued By: L f�2P Permittee Signature: t '' �� . C 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. 4I Approved plans are required on the job site at the time of each inspection. Iii q CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2015-00051 T I CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2015 Parcel: 2S114BA03500 Jurisdiction: Tigard Site address: 9685 SW SERENA WAY Subdivision: PICK'S LANDING NO.2 Lot: 105 Project: COOK Project Description: Window reconfiguration. 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: Total: 0 sf Value: $9,000.00 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: 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 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: COOK,GARY R&SUSAN E PAUL SCHULZ CONSTRUCTION INC Required Items and Reports(Conditions) 10582 SW KENT ST 15420 SW SPRINGBROOK RD TIGARD,OR 97224 NEWBERG,OR 97132 PHONE: PHONE: 503-320-3149 FAX: 503-538-6530 Total Fees: $374.24 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 iss - e, or if work is .spended for more the 180 days. ATT ■ : . •regon law requires you to follow the rules adopted by the Oregon Utility Notificatio Inter. %se - set f•. in OAR 952-011 -r010 through 0 R • 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 •87 o, '0.3 • , I- d //7 ued By: ,GQ Permittee Signature: f��i1..� !tea . _Alla 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. 411 Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONL1 II a City of Tigard Received Daceiv Permit No.:`1' 13125 SW Hall Blvd.,Tigard,OR 97223 1 ph Revi �� •/5:—.` l t Phone: 503.718.2439 Fax: 50Q v�D D�e/g : �' �• Permit: T I L ;�R D Inspection Line: 503.639.4175 +C Date Ready/By: SI See Page 2 for Internet: www.tigard-or.gov q 013 N.i ad/Method: y �t Supplemental Information APR N _ . .�7i►mss / '. - •■TYPE OF W CoF?1,v`S`QN REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction +! 1. n� 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: $9000.00 ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address:9685 SW Serena Wy. New dwelling area: 0 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Cook Residence Covered porch area: square feet Cross street/directions to job site:cross street is SW Serena Ct. Deck area: square feet SW Durham Rd.,South on Serena Ct.,East on Serena Wy to site. Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Picks Landing I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S114BA03500 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. widow reconfiguration Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Gary and Sue Cook Type of construction: Address:%85 SW Serena Wy. Occupancy groups: City/State/ZIP:Tigard,OR 97224 Existing: Phone:(503)639-1284 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Paul Schulz Construction (Please rejamjerscAredak� Structural plan review fee(or deposit): Contact name:Paul Schulz FLS plan review fee(if applicable): Address:15420 NE Springbrook Rd. City/State/ZIP:Newberg,OR 97132 Total fees due upon application: Phone:(503)320-3149 I Fax::( ) Amount received: E-mail:paul_@paulschulzconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mI . ed PhotoVoltaic Solar Panel System. Business name:Sam as above Submit two(2)se • roof plan with connecti e• •- .ils — and fire department ac -� . ong with . 110 Oregon Address: Solar Installation Specialty s•• -c ist. City/State/ZIP: Permit Fee(includes . . re '- $180.00 and .•• 1 strative fees): Phone:( ) Fax:( ) States •• .e(12%of permit fee): $21.60 CCB lic.:160569 7 l31 I Total fee due upon application: 01.60 Authorized signature: WEI' i Th is permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Paul Schulz /FDate:3/30/15 *Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/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 9685 SW SERENA WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00051 David Young Provide approved electrical ﬁnal inspection. Recall with electrical re inspect. 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 9685 SW SERENA WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00051 David Young Violation Summary: Inspector Contractor