Permit (64) CITY OF TIGARD MASTER PERMIT
I:, - COMMUNITY DEVELOPMENT Permit#: MST2018-00130
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2018
T I •� 9 Parcel: 2S110BA05900
Jurisdiction: Tigard
Site address: 14260 SW MCFARLAND BLVD
Subdivision: SHADOW HILLS NO.2 Lot: 42
Project: KELLY
Project Description: Adding(1) new window for master bathroom and enlarging kitchen door for(1) new French door.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $7,520.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add!500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
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
Owner: Contractor:
KELLY,MARK B&GAIL E BLACK DIAMOND HOMES INC Required Items and Reports(Conditions)
14260 SW MCFARLAND BLVD 15685 SW 116TH AVE SUITE 290
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: PHONE: 503-201-6304
FAX: 503-579-3990
Total Fees: $356.33
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 iss e, or if work is suspended for more the 180
1 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• -nter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma obta'• = -- •f the rules or direct questions to OUNC by calling 50 987.3{1.800.332.2344. �-
,...-
Issued
Issued By: ,11,4— Rermittee Signature: L 11 I —.aIVINIT.01111..
,z II 503.639.4175 by 7:00 a.m.for the next available inspection date. I lir.
This permit card shall be kept in a conspicuous place on the job site until completio •f th .-•je
Approved plans are required on the job site at the time of each inspecti• .
Building Permit Application
Residential I 0 It Oil I( l 1:U\►.1,
City of Tigard V DateBea
7/i
‘,37,-)-- Permit No.: vi 7-0161 r KJ1 i ^.
; D
�_ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, v / l
Phone: 503.718.2439 Fax: 503.598.1960 cy , , Other Permit:
T G h p Inspection Line: 503.639.4175 MAY t 2013 Date ReadyBy: . ) �'� i J,a;s. �` Gr.�1 V
S s See Page 2 for
Internet www.tigazd-or.gov Notih ethos: _/f % Supplemental Information
CITY OF TIGARD [[[
TYPE OL ` , _. t li<3r DAT I-AND 2FA ILYDWELL
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
pLAddttton/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CA' CORYtivCO)ytRDcTiowork indicated on this application.
®1-and 2-family dwelling 0 Commercial/industrial Valuation:7 $ �1-- " -
❑Accessory building 0 Multi-family Number of bedrooms. N
6A.16—.1-td
❑Master builder 0 Other: Number of bathrooms:
JOB sat,INFORmAtioN AND :OCATION Total number of floors:
Job site address: 1 L? (Q ,S� iik,i �d D 1 /�„_�U" V(') New dwelling area: square feet
City/State/ZIP: '7 7�; L.1) () �J '7
/ZIy`?J-\ V I 1 Garage/carport area: square feet
Suite/bldg./apt.no.: ( ` `T�'17" Project Jname: l Covered porch area: square feet
Cross street/directions to job site: 6 j L(..._ Ti\) i(1.-A-1), Deck area: square feet
''0,-,-,y-i.;,.-,, i { "' , l' Other structure area: sq uare feet
44,1101a,
OREDAT:CO RC,t L.Y IST
Subdivision: t,, �j��14. 14-— Lot no.: LtPermit 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
Dr,SektAnAO , work indicated on this application.
Single Family Residence -- At
D I L41 u ow � i8a a Valuation: $
/ (,l))ot..)�, G L DM I U f" 1 rx;iN e v\ Existing building area: square feet
1� New building area: square feet
eig #ROPEliTY OW R 0 TtNAl Number of stories:
Name:' 1 ► ,ik, 4, l>4G L (/`e 4 p t j Type of construction:
Address: I L4 cV fLJ Mli641Q ICLAd 3t f{/[! Occupancy
�p /� �, p y groups:
77 Z
City/State/ZIP: �) r)- 2
v LI Existing:
Phone:(9.7')) 0 ° 0-%-1$. Fax ( )
New:
, =' APPLICANT , -`a CONTACT PER N , BUILDINGMI _ *
Business name:Black Diamond Homes,Inc " i `
Structural plan review fee(or deposit): 3"7,("' �,
Contact name:Jiff Bettinelli 111, �w
Address:15685 SW 1166 Ave.Ste 290 FLS plan review fee(if applicable):
City/State/ZIP:Tigard/OR/97224 Total fees due upon application:
Phone:(503)201-6304 Fax::( ) Amount received:
E-mail:Jeff@blackdiamondhomesinc.com PHOTOVOLTAIC �PA 4SYSTMM F S+ �:'''
CO,,,...[„. __ residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Black Diamond Homes,Inc Submit two(2)sets of roof plan with connection details
Address:15685 SW 116th Ave.Ste 290 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard/OR/97224 Permit Fee(includes plan review $180.00
Phone:(503)2016304 Fax:( )
and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lie.:109542
110
I Total fee due upon application: $201.60
Authorized signature: , Ifiliwk, This permit application expires if a permit is not obtained
j within 180 days after it has been accepted as complete.
1 1
*Fee methodology set by Tri County Building Industry
Print name:JefBettinelli Date: s/
1. Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14260 SW MCFARLAND BLVD, TIGARD, April 10, 2019 at 9:46:40 AM
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00130
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor