Permit (93) CITY OF TIGARD MASTER PERMIT
111--- COMMUNITY DEVELOPMENT Permit#: M ST2019 00021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2019
Parcel: 2S111AB08500
Jurisdiction: Tigard
Site address: 14430 SW 94TH CT
Subdivision: PENROSE TERRACE Lot: 30
Project: WHITE
Project Description: Bonus room conversion to a bedroom for a total of four bedrooms. Electrical permit will be
submitted separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 1 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors:
Total: 0 sf Value: $1,000.00 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: D Water Heaters: 0 WDrains: 0ater Lines: 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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: C 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000-1-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 VE R-3 0
Owner: Contractor:
W-IITE,HEATHER OWNER Required Items and Reports(Conditions)
14430 SW 94TH CT HEATHER WHITE
TIGARD,OR 97224 14430 SW 94TH CT
TIGARD,OR 97224
PHONE: PHONE: 971-260-7008
FAX:
Total Fees: $124.79
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 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.•- -• -'. ....z.••. e rules or direct questions to OUNC by calling 503.232.19 •or ;00.332.2
Issued By: Permittee Signature: .
1639.4175 by 7:00 a.m.for the next available inspection te.
This permit card shall be kept in a conspicuous place on the job site until co letion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
Cityla ii of Tigard Received Permit No.:/'» ""
A. Received
t/ 1� ,P C3 - ,'
13125 SW Hall Blvd.,Tigard,OR 97223. " ',4.1 p " Plan Review
I Phone: 503.718.2439 Fax: 503.591 � 1 ` Date/B . C I T Other Permit:
T1C AhD
Inspection Line: 503.639.4175 Date Ready/By: H See Page 2 for
Internet: www.tigard-or.govr ' 1, Notified/Method: M Supplemental Information
TYPE OF W i�Ici
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction
`''^'`` Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwellingValuation: $1,000.00
® 1-and 2-family 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms: 1
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14430 SW 94th Ct. New dwelling area: 0 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Heather Bedroom Cony Covered porch area: square feet
Cross street/directions to job site:SW 93'Y'and SW McDonald St 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.
Building a non-load bearing partion to create a 4th bedroom in the bonus room. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Heather White Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
x APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
�L Structural plan review fee(or deposit):
Contact name: S L.t�'CI U1 E
�p FLS plan review fee(if applicable):
Address: 1 Ct�Oq (v i,j i tAkicok wk-5 Or.
City/State/ZIP: � Total fees due upon application: r=— i
y PDAAC OR C112—Z4
Po pp , ' 1
Amount received:
Phone:(q-44 )9(00-1-OO ' Fax::( )
E-mail: si PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r c Gl YnA-c`.e.,- . . .
(J Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name. Submit two(2)sets of roof plan with connection details
,����,��` and fire department access,along with the 2010 Oregon
Address: Solar Installation Specially Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: `�"t/" This permit application expires if a permit is not obtained
�` within 180 days after it has been accepted as complete.
Print name: �, ) Date: *Fee methodology set by Tri-County Building Industry
�WUTe� Zl/ j Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14430 SW 94TH CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2019-00021
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Smoke and carbon alarms installed.
Electrical completed on minor label.
Violation Summary:
Inspector Contractor