Permit (32) CITY OF TIGARD MASTER PERMIT
illig s .' COMMUNITY DEVELOPMENT
Permit#: MST2018-00101
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/29/2018
T f cJ A I i� 9 Parcel: 2S114AC01100
Jurisdiction: Tigard
Site address: 9118 SW WAVERLY DR
Subdivision: WAVERLY ESTATES Lot: 44
Project: ENGEN
Project Description: Creating new storage space in existing crawl space. Altering foundation, adding exterior door,
and installing new header.
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: 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: 2
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:
ENGEN,MATTHEW P&JESSICA L CEDAR MILL CONSTRUCTION COMPANY Required Items and Reports(Conditions)
9118 SW WAVERLY DR 19465 SW 89TH AVE
TIGARD,OR 97224 TUALATIN,OR 97062
PHONE: PHONE: 503-885-9370
FAX: 503-885-9368
Total Fees: $284.44
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 95 -001-0090. You ay obtain a py of the rules or direct questions to OUNC by calling 503.23 1987 or 1.800.332.2344.
Issued By: 'id/ l Permittee Signature:
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.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
•
Residential ,, TA' iFOR OFFICE USE ONLY
Cl of Tigard Received
g Date/By: Permit No.: �t "... L i 01
III_ r 13125 SW Hall Blvd.,Tigazd,OR 97223 Plan Review r u W V
Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 8 2018 Date/By: 'atS` ) Other Permit:
I
I(;A 1:t Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov I-7 { !It No ed/Method:St2, er 7- ,....6 Supplemental Information
(2 '' - '', t ' ./ver
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 CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $`205:10 ,DDS
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i !8 c 1 W/I,v L.-ILLj b p New dwelling area: square feet
City/State/ZIP: T)( M21 t)0,2 9 D22'./ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Er' i J� Covered porch area: square feet
Cross street/directions to job site: C t„t, 92'2 1—,.., S v-i I nt)talz,t4 p,Z Deck area: square feet
Cid t:;'1-w s7..1 7-1 6/s'2-1-* 1446 A CCA-51t. A uC-o al< Other structure area: square feet
i)(\-2'1Z REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: iiimme.„es 4j- scour A3 r.l.Ate Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: A,// f Indicate the value(rounded to the nearest dollar)of all
/,t 7
&. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ADD rxrf,2102 1)00l --- 144,Mu-'S GikA-t,.at sl c- Valuation: $
Cu r f o`R-'c vrl O i' I-rr o u N Often o .J w Yr V L t TN STA'z L Existing building area: square feet
3/2"y l Q 1/2," ,r 7 1 G1. 1 As i New building area: square feet
111 PROPERTY OWNER 0 TENANT Number of stories:
Name: 11 - EAGC,..1 Type of construction:
Address:G 1 i 8 c L J t.,....4,\ L" -L,y t>'L Occupancy groups:
City/State/ZIP: 1-1 6 L 4 1 o 2 Gj 122)-( Existing:
Phone:(503),3)-s .3 5.5 Co Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON _ BUILDING PERMIT FEES*
Business nam (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application: 7
City/State/ZIP: 7/ �"�Z
Phone:( ) Fax: :( )
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
w CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C L L,rL /t l,t. C-0 4-r S Tt2_.krUn u,..1
Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: )19(9 c S t4 B9T14 Ail:- Solar Installation Specialty Code checklist.
City/State/ZIP: ermit Fee(includes plan review
y TU R L Ni 1 0 2 q 7 0(0 2. and administrative fees): $180.00
Phone:($0 3 ) $Qj c_ 9300 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: t'S 1 34s—
Total fee due upon application: $201.60
Authorized signature: /h _ This permit application expires if a permit is not obtained
� -�'� within 180 days after it has been accepted as complete.
Print name: M - e. r J Date: 3//281 is *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permitit Applicatiila l OR 0VTR ti l tii tty11
)'
City of Tigard ., � Received
Permit#: t��7`�)1 lj c�%tJ!t��j
III4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Z Phone: 503.718.2439 Fax: 503.598.1960 Q , Date/By: Related Permit#:
Inspection Line: 503.639.4175 AR ¶ $ Z .1 t. Ready Date/By: Juris See Page 2 for
T I G A R D Internet: wwwNot
.tigard-or.gov ified/Method: I 0 Supplemental Information
TYPE OF WORK CiY� i 14�`�lel PLAN REVIEW
❑New construction ® •Addition/alteration/replacertietit �it Please check all that apply(submit l sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
op 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
1 g Addition of new motor load of system.
Job#: Job site address: q
S SiW U AVL'/ L y t'2 I0OHP or more. ❑"A","E" "1-2""I-3'
City/State/ZIP: Ti G AZ 1 v 2 9 r)2'' ❑ ix more residentialunits. occupancy.
1 0 Health-care facilitiees.s. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: St.J ' 2 ° A4117 --.o S....., WI t'/)I FEE SCHEDULE
Description I Qty. 1 Each I Total I *
(I7 L_•3 E ,-J -n G/sZ f' 0-,CIA SL 04 d a t. /tf..)- Cpv lc . New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
t�� (with above sq.ft.) 75.00 2
AU."Y2 o Aim 1� OUT Lel— C t e2G u t't— Limited energy,multi-family
1NI 01 ./FY 15-i\-A1 I� 2-1‘N77 J c1 a c u t`r residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: "kir EA 6.6,1 200 amps or less 100.70 2
Address: 99 St„ W A' 11:;�L y ; (2. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 'n G/-a-t 0 2 91/1 y 601 amps to 1,000 amps 301.04 2
r
Phone:(5tj',) 31-5, . 95(p Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: IM 6 rJ cyt," Flu"i 7 G-42. . CO 1..v relocation
Owner installation:Thi installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease, nt,or exchange,according to ORS 447,449,670,and 701•. 201 amps to 400 amps 125.08 2
Owner signature: Date: 3/7 `��(�,`1 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
0 APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first I 56.18 2
Address: branch circuit
City/State/ZIP: Each add'l branch circuit I 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
-energy
Address: panel,Signal alteration,or eor xtension.on. C1 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(V2 hr mm)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 3.(,O
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: A--- TOTAL PERMIT FEE:
9 This permit application expires if a permit is not obtained within 180
Print name: M Air' E tJ G-L Date: S,'L8//S days after it has been accepted as complete.
* Number of inspections allowed per permit.
I.\Building\PermitslELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9118 SW WAVERLY DR, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00101
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9118 SW WAVERLY DR, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00101
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor