Permit (24) NCITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2016-00413
Tt 1, R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2016
Parcel: 2S111DB13800
Jurisdiction: Tigard
Site address: 15085 SW DAWN CT
Subdivision: LAUNALYNDA PARK Lot: 3
Project: BLANCHARD
Project Description: Kitchen window relocation. Trade permits will be submitted separately.
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: $3,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 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:
BLANCHARD,GREGORY L&SANDRA MCHURCH Required Items and Reports(Conditions)
15085 SW DAWN CT PO BOX 554
TIGARD,OR 97224 ESTACADA,OR 97023
PHONE: PHONE: 503-630-2430
FAX:
Total Fees: $213.21
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 ti- -- •.•ed by the Oregon Utility Notification Center. Those rules are set fo in OAR
952-001-0010 through OAR 952-001-0090. - copy of the rules or dirftct questions to OUNC by calling 503.23322.199 or 1.800.332.2344.
II
i
Issued Br //L,� .-�.
•.9.4175 by 7:00 a.m.for the next available inspection iate.
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.
/ -17-1VIlit.
Building Permit ApplicationItE 'EA 7 ,1
Residential i OIL O1 FIcl I SE Oy'L1
Y 4 1 � \� �
City of Tigard IIII
,,4.1 1 i Received F�
13125 SW Hall Blvd..Tigard,OR 97223 Date/F3 : 1� 1:1211!� 1
� � ! Revieu•�
1r 1 $ Phone: 503.718.2439 Fax: 503.598.1960 �f i ' Other Permit:
T I G A R D Inspection Line: 503.639.4175 " * eS/'day/I3 Jo- 7 ) • ,,
V1101 *s ` �� fit'I SuWI pplemental
Pane 2 for
Internet: www.tigard-or.gov lel j = o' ie./method: Supplemental information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
7. Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
indicated
CATEGORY OF CONSTRUCTION work on this application,3do /
1-and 2-family dwelling ❑Commercial/industrial Valuation: $ _ ---).
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:(..
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: b J3.L.,1/4_7q (-3 fit .` New dwelling area: ) square feet
City/State/ZIP: T'I ,✓ct c..) IQ ll 9`7 2,7_1— Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 64:0164\412{, 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.
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.
/rCVi k� t j l t1 eAJ C,J L1 Valuation: $
J Existing building area: square feet
New building area: square feet
24 PROPERTY OWNER '- 0 TENANT Number of stories:
Name: Six,iA,CJ Y I 13 O.,►'l CEJ�'t el,V,, Type e of construction:
Address: i ,.,--5-0$1 j 3 C.J i,cl,t.J,� (7 ( Occupancy groups:
City/Slate/ZiP: 7 1 7a. � ‹. ,
d Existing:
Phone:( ) Fax:( )
New:
tia APPLICANT 0 CONTACT PERSON
SUiLDxIrtG PERMIT FEES*.
Business name: + v �) i'1 e..)/1 l t.V L, L/U (Please refer to feescbedtrle)
Structural plan review fee(or deposit):
Contact name:
Address:
FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: --7 7..
Phone:( ) Fax::( • ) Amount received:
E-mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: R ' Submit two(2)sets of roof plan with connection details
c� ► `V��� �/J and fire department access,along with the 2010 Oregon
t' Address: P c} 1'6 o>4- c.5Solar Installation Specialty Code checklist.
tt City/State/ZIP: 8 �t).,r y,,Yc,� 0 i .� 00 Permit Fee(includes plan review 5180.00
Phone:(503) �,3g 5 4,L . Fax:( ) and administrative fees):
/ State surcharge(12%of permit fee): 521.60
CCB lic.: 5463.
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r"r within 180 days after it has been accepted as complete.
Print name: � . ���LA,✓�� Date: *Fee methodology set by Tri-County Building Industry
v / / Service Board.
I:iBuildingfermits\BUP-RESPermitApp.doc 02x24./2011 4404613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15085 SW DAWN CT, TIGARD, OR, 97224 July 24, 2017 at 7:23:03 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00413
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved mechanical rough in inspection on MEC trade permit.
Provide approved MEC final inspection prior to building MST final inspection.
Provide approved plumbing final inspection prior to MST final inspection.
Provide approved ELC final inspection prior to building MST final.
Provide approved framing inspection prior to MST final inspection.
All trade final inspections to be done prior to building MST final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15085 SW DAWN CT, TIGARD, OR, 97224 August 4, 2017 at 10:19:10
AM
Record Type: Record ID:
Residential - Master Permit MST2016-00413
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor