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Permit CITY OF TIGARD MASTER PERMIT ''7 I COMMUNITY DEVELOPMENT Permit#: MST2015-00052 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2015 Parcel: 2S 109 BA01900 Jurisdiction: Tigard Site address: 13969 SW LEAH TER Subdivision: HILLSHIRE SUMMIT Lot: 4 Project: Hosoda Project Description: Add to existing upstairs bedroom by building floor across the 18'high interior entry, add egress window to new space. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 45 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 45 sf Value: $18,000.00 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 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'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: ADD SF VB R-3 45 Owner: Contractor: HOSODA,GORDON&CENDRINE CREATIVE HOME REMODELING CO Required Items and Reports(Conditions) 13969 SW LEAH TER 7350 SW LANDMARK LN TIGARD,OR 97224 TIGARD,OR 97224 PHONE: 503-504-5134 PHONE: 503-639-2411 FAX: 503-639-0950 Total Fees: $624.04 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 Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a ep7 eFtk rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B 1 mittee Signature: C .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 Application Residential RECEIVED FOR OFFICE USE ONLY Cit`J g APR 7 205 Received L/� �/ !�-l�/`G . J a. y of Tigard 23 Date/13 : r Permit No.: r/eA J • _ • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.55LB��1/ OF TIGARD Date/13 : Other Permit: Inspection Line: 503.639.4175 Date ReadyBy: Juris: ® See Page 2 for TIGARD BUILDING DIVISION Internet: www.tigard-or.gov Notified/Method: y�//IS Orr Supplemental Information 14.et caml- Si vfe-A 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 A dd iti on/al t er ati o n/r ep 1 a c e me nt ❑Other: equipment,materials,labor,overhead,and the profit for the - CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 2/1-and 2-family dwelling ❑Commercial/industrial I U� v ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I 3 q.4Q 4 SI•t.J L-o 4 /e YYA LL c New dwelling area: k-©2 square feet /-3 City/State/ZIP: T1 j4 rd OR 9 72.Z1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: d osod, Covered porch area: square feet Cross street/directions to job site: 13e,L h vi e v l e r' -a _— Deck area: square feet Leith h T--c -a_c-z_____ Other structure area: square feet REQUIRED DATA COMMERCIAL-USE CHECKLIST Subdivision: I-4-7 I(CA4‘r(_, 5(,,,,v, /r i" � I Lot no.: Z` Permit fees*are based on the value of the work performed. LS j O4 @A. °'a Ott 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. Valuation: $ a i1 �. r .. / . •Iv / .1 /I•[/ I /. — 10dr cl L ass l{ I g '/T/q In ` . ;or !h - Existing building area: square feet J New building area: square feet Drat,i S 6,X 7'`f' Si,Id N/a 8 �11f"�h G Cnd 1115/dam C g ig PROPERTY OWNER I ❑ TENANT :i1II# r Number of stories: Name: e—O rd on ' (4n- ,--;tic / o s o d a Type of construction: Address: f 39 0 q S w 14,4 1r"4 ( t... Occupancy groups: City/State/ZIP: 1-7,1(.1.r d ©k G 7 224' Existing: Phone:(.57)))) 5 0 -- Si 34, Fax:(kiii ) New: iii] APPLICANT _ ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: cry Q fi t'( m ���m��c/ h�jj Structural plan review fee(or deposit): Contact name: GYM f- Sk /i- /f J FLS plan review fee(if applicable): Address: 1350 5/1/ J// ,I Y k L a MC Total fees due upon application: City/State/ZIP: T ,/ 7zZ - • Amount received: 02,2-S.�jp Phone:( )4,3 . 1/ I Fax::( )65q ,pe7b—b E-mail: / * PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* r�..v tSC Cr e. . ✓e hone ne ft�rn ads/t/1 a CO m, Co ercial and residential prescriptive installation of :: s . CONTRACTOR R roof-to. mounted PhotoVoltaic Solar Panel Systeu Business name: Am e ,q_, s /t-PP c 4-A/T Submit : FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III _ Transmittal Letter I i k;A 1,1) 13,25 -H .il Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: -- DATE RECEIVED: DEPT: B G DIVISION RECEIVED APR 16 2015 FROM: trio UJVG Y/� � 'e. a h � CITY OF TIGARD COMPANY: BUILDING DIVIS:J . PHONE: 505 5 & 3 °I Z `-i I ( BY: RE: 1 594 a 1-«111 • /((5 % Z o i 5 -po 052. (Sitte�rA�ddrresss) �� (Permit Number) (Project name name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: " :_ • . FOR O FIC USE ONLY �- Routed to Permit Technician: Date: A\-- '�A l`� Initial 1r'!' Fees Due: ❑ Yes (j-I Fee Descriptio : Amount I ue: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes 1 ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13969 SW LEAH TER, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2015-00052 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Bedroom addition, not to be used as separate sleeping room. Does not have code compliant egress window exiting to the exterior of the building. Violation Summary: Inspector Contractor