Permit (49) CITY OF TIGARD MASTER PERMIT
: Permit#: MST2017-00001
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2017
T t � �?. 9 Parcel: 1 S134DB11400
Jurisdiction: Tigard
Site address: 11008 SW BRENDEN LN
Subdivision: DAKOTA GLEN Lot: 16
Project: STEPHENS
Project Description: Replacing garage staircase.
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: $800.00 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: 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!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:
STEPHENS,MICHAEL G AFFORDABLE SOLUTIONS LLC Required Items and Reports(Conditions)
11008 SW BRENDEN LN 13531 CLAIRMONT WAY UNIT 172
TIGARD,OR 97223 OREGON CITY,OR 97045
PHONE: PHONE: 503-270-1702
FAX:
Total Fees: $113.79
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 - • - •ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thro = r•AR 952-001-0098 'ou may•• -' a copy of the rules or 'rect questions to OUNC by callin 503.232.1987 or 1.800.33 2344.
N.
Issued By:/ / ,, ii, /41 - e Signature: t41
9.4175 by 7:00 a.m.for the next available inspectio�n te.
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
ResidentialFOR OFFICE USE ONLY
City of Tigard Dace/B d
.�. Permit No.:
1
'� 13125 SW Hall Blvd.,Tigard,OR 97 2 ?'c),\-1 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 i i1Date/B : 7 Other Permit:
Inspection Line: 503.639.4175 a 0 Date Ready/By: INIIMIE0 See Page 2 for
T t G A R D Notified Method: Supplemental Information
Internet: www.tigard-or.gov 1
'_• vitt ! \- 'Q�C-.re,;L t t `2►-tir.1 -
TYPE OF Y 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
X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
g 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ �� �
Number of bedrooms:
- ❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ‘k Vc)V -$rder1L�1 New dwelling area: square feet
City/State/ZIP: '1' i d ,cv� q, 2,2_-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 5t Covered porch area: square feet
Cross street/directions to job site: 't7W KICV4-\ ) g$., %-i.- 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.
—.ekQ -e- `O�C,J1Ycac&� iinckr-(9e 1 h(�YY�,-
Valuation: $
1
,if,i 7) ont,. / q7 of/5d� _ Existing building area: square feet
New building area: square feet
441 PROPERTY OWNER 0 TENANT' Number of stories:
Name: 'k , ‘ etit'► S Type of construction:
Address: /100' 571 /?,,<A,01,6„, Zk. Occupancy groups:
City/State/ZIP: .,cry 612._ 3 77 4�' Existing:
Phone:( ) Fax:( ) New:
fl APPLICANT� r C0 CONTACT PERSON BUILDING PERMIT FEES*
(PkoBusiness name:pt.. -Y C7l �` c J review e refer r deposit):j Structural plan fee(or deposit):
Contact name: Tjy f ( a\ S\A A)
A� -7 FLS plan review fee(if applicable):
Address: kis N Q `/l.(=.
.i,e- „tt v\ *.lc ,..,,t t 1 Z1.�
Total fees due upon application: Sii,6
City/State/ZIP:O-jA }l,l1 I cii 0145Amount received:
Phone:( s.5)Z1 mob'fl 0 Z _ Fax: :( )
E-mail:11"\ - Ok ° cn ?ax t y 1 .e.-OWNPHOTOVOLTAIC SOLAR PANEL SYSTEM,FEES*
i�" Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:A C��,‘ �,, ``^�,( Shh , t CAS ` L c . Submit two(2)sets of roof plan with connection details
CA.. V�V t s L— and fire department access,along with the 2010 Oregon
Address: os'3 t c Actj,r rj W 0L(,,.4 z (72 Solar Installation Specialty Code checklist.
City/State/ZIP: a\ I c G' Permit Fee(includes plan review
$180.00
Y � `l (. 7 and administrative fees):
Phone:et.,3)2i('j V'1.6 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 2..D'S i S I Total fee due upon application: $201.60
Authorized signature: „...--L__ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
gat✓ J-i,iiDate: //2(/—7 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)