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Permit rf CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2015-00109 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015 Parcel: 25111 DB00200 Jurisdiction: Tigard Site address: 15220 SW ALDERBROOK DR Subdivision: SUMMERFIELD NO.8 Lot: 430 Project: Webber Project Description: Porch cover addition BUILDING Floor Areas Required Setbacks Required Stories: 1 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: $7,200.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckftw 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: 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: WEBBER,CARLA J REVOCABLE LIVINGTL REMODEL AND CONSTRUCTION INC Required Items and Reports(Conditions) BY WEBBER,CARLA&JOHN TRS PO BOX 1996 15532 SW PACIFIC HWY CIB 402 LAKE OSWEGO,OR 97035 PORTLAND,OR 97224 PHONE: PHONE: 503-984-2783 FAX: Total Fees: $421.75 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 copy•f the ru-- •r direct questions to OUNC by calling 5 .800.332.23 Issued By: - Permittee Signature: Call 13 :.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. I • Building Permit ApplicationR�+rFjj IY Residential RR��JGGIL ED I ,>>z (0 II, I I �1 t I City hof Tigard JUN 2 g 2015 Received DatB : , Mffillin Permit No.: f' s -O,012,1 liq II • 13125 SW Hall Blvd.,Tigard,OR 97223 �� Phone: 503.718.2439 Fax: 503.5 8.] plan DateB Revi: 1��mijlar Other permit i �`1 Inspection Line: 503.639.4175 1 ii 1 �+ i Date Ready/By: ® See Page 2 for I p/ L)p�1� Internet: www.tigard or.gov "?!.l1LDIN�j DIV/,SIOf Notified/Method: /r/i ' �WDN'y. 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 work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 57200 ❑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:15220 SW Alderbrook Drive New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Webber Covered porch area: square feet Cross street/directions to job site: 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. Porch cover addition Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:John and Carla Webber Type of construction: Address: 15220 SW Alderbrook Dr Occupancy groups: City/State/ZIP:Tigard OR 97224 Existing: Phone:( ) Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* fire schabsi Business name:TL Remodel&Construction Inc (rfeessrUb►arJ Structural plan review fee(or deposit): Contact name:Tim Labunsky FLS plan review fee(if applicable): Address:PO Box 1996 City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Amount received: ifl_? °6) Phone:(503)9842783 Fax::( ) E-mail:TLRemodel @yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top . 'tinted Photo Voltaic Solar Panel System. Business name:TL Remodel&Construction Inc Submit . (2)sets of roof plan with connection 1 ■is and fire dep:, •i ent access,along with the 201' 3 •gon Address:PO Box 1996 Solar Installatio •'cialty Code chec . City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(inc pl: ew $180.00 and admi I .•r•tive fees): Phone:(503)9842783 Fax:( ) State surc :-_ 12%of•- • fee): $21.60 CCB Iic.:191214 (0430 I(,t f Total fee due upon application. $201.60 / This permit application expires if a perm' 'a not obtained Authorized signature: within 180 days after it has been accepted s complete. Print name:Timothy Labunsky Date:6/29/15 *Fee methodology set by Tn-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB) I r .1 14FT,FIVEP Electrical Permit Application I t,l; (,1 1 1( 11 "l t, City of Tigard JUN 2 9 ?015 Mann Permit No.: N6-7--,g6 5-O )/O'40,Datem 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 3 Date/B : ■ SQP�1'�4 iIUAKU Other Permit: Inspection Line: 503.639.4175 Date Ready/By: miss El See Page 2 for Internet: www.tigard-or.go,DUILDING DIVISIM, Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑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 ® 1-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","E","1-2","1-3", Job no.: Job site address: 1 152zo Alden:ow Y Six or more more. occupancy. L°J 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.: Project name:Brumbaugh ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description Qty. I 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'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 1 circuit for lighting in new porch covering 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:John and Carla Webber 401 amps to 600 amps 200.34 2 Address: 15220 SW Alderbrook drive 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:( ) Fax:( ) relocation 200 amps or less 59.36 1 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 2 Business name:TL Remodel&Construction Inc each branch circuit B.Fee for branch circuits without Contact name:Tim Labunsky service or feeder fee,first 1 branch circuit 56.18 2 Address:PO Box 1996 Each add'I branch circuit 7.42 2 City/State/ZIP:Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)9842783 Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:TLRemodel @yahoo.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:Lighting Electric LLC Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:PO Box 890 Each additional inspection over allowable in any of the above City/State/ZIP:Woodburn,OR 97071 Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(971)338-8989 Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fcc is 90.00/hr CCB Lie.: 198682 Electrical Lie.: C904 Suprv.Lie.: 3535S specifically listed(V2 hr min) �� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ( _ Jew Subtotal: Print name: John Christensen Date: 6/24/15 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Konstain Lobsyuk Date: 6/24/15 This permit application expires if a permit is not obtained within 180 days ays after it has been accepted as complete. • Number of inspections allowed per permit. 1.1Building\Pemits\ELC_PematApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(II/05/COM/WEB City of Tigard , ---of ill li COMMUNITY DEVE.i.OPMENT DEPARTMENT i R l Building Permit Review — Residential Building Permit #: H 407-00/5—o6 /0? Site Address: jsaa 0 S 1-,) A(A e.tor-u t r Project Name: U -(1)(1) f (Z Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: I t Co v f 2 E T) Pb 2-C if NI'Verify site address/suite#exists and active in permit system. River Terrace Plan District: ❑ Yes 4. No Site Plan Elements: �,,( I�`three(3)copies of site plan JdJExisting structures on site I' Site plan must h€on 8-1/2"x 11"or 11 x 17"paper i Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow gr tility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems pApplicant information(name and phone number) Arosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions y /design,location of catch basin,etc.) J2Lot area,building coverage area,.,percentage of coverage and IXl treet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations(2 foot contour lines if more than yfixisting trees to be retained with drip line,and tree 4 foot differential) protection measures RI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: L" Yes,applicant was notified ❑ No Received: ❑ Yes X No Xf Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified Xi No Applied For: ❑ Yes ❑ No,stop intake k Land Use Case#: 1.ii/A- [k' zoning: R- -7 PD l' Setbacks: Front — Rear t. Side '( Street Side — Garage — Pg Landscape Requirement: % (a Py'"P°Kj. Lot Coverage Maximum: $V NT'Building Height: Maximum Height 5G Actual Height I s h 1 Visual Clearance ,Easements g1-Sensitive Lands: ❑ Yes R No Type vl pt \NI Urban Forestry Plan N/A NEINConditions "Met"prior to issuance of building permit Notes: $t,�;l r (,, c a,�t.–�� L>k - ° !31 b t, 3 c1 vlo a cb-c ,"-4:3 • Approved By Planning: Q C ex,.,,,...- Date: to--c 9–!S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_031015.docx Building Permit Submittal Original Submittal Date: /01/ /c Site Plans: # Building Plans: # _ Building Permit#: PZ Enter building permit#above. Workflow Routing: e--Planning -B'1~ngineering 2—Permit Coordinator $Bruilding Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: 12--Engineering: (1) copy of permit application, (1) site plan, (1)building plan and jo ginal plan review routing form. .LET Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ( ...A._ ,. _�� ; Date: 6/9-9/5— Engineering Review ,B'Slope at building pad: '3 74. ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Zi No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes 2 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: At /JCL- 1.4-1. Date: ` /S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: t i OK to Issue Permit Approved by Permit Coordinator: (..,e-""'' , a . Ca c..✓t_e-.--- Date: 40 `i O ' IS 1:\Buildingl Forms\BIdgPermitRvw_RES_031015.docx ■ 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 15220 SW ALDERBROOK DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00109 David Young 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 15220 SW ALDERBROOK DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00109 David Young Violation Summary: Inspector Contractor