Permit (22) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00299
-LEGAR a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2019
Parcel: 2S111 DB08700
Jurisdiction: Tigard
Site address: 15430 SW OAKTREE LN
Subdivision: SUMMERFIELD NO.10 Lot: 548
Project: Thorne
Project Description: Moved kitchen window over 18 inches to right, removed (1)60 x 60 window, and installed (1)3/0 x
45 inch window.
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: $1,200.00 Rear: 0
PLUMBING
Sinks: 0 Water closets: 0 Washing Mach: 0 LaundryTrays: 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
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall-Trench Drain: 0 Other Fixtures: 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:
THORNE,CLIFFORD D JR TL REMODEL AND CONSTRUCTION INC Required Items and ReQo_rts(Conditions)
THORNE,STEPHANIE E PO BOX 1996
15430 SW OAKTREE LN LAKE OSWEGO,OR 97035
TIGARD,OR 97224
PHONE: 503-936-5342 PHONE: 503-984-2783
FAX:
Total Fees: $138.29
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 may obtain a co• . e ru es• direct questions to OUNC by calling 503.232. or 1.800.332.2344.
[��{Issued By ��� a_ y�� •- i•nature: f
a 503.639.4175 by 7:00 a.m.for the next available ins-.- n 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 4 t a � i i r
Residential FOR 01.1-R F. t SE 0\1.1
4
City of Tigard J Li L 2 2 20 I" Received
13125 SW Hall Blvd.,Tigard,OR 97223 t 1 , .r, S1 - fi DateBy: ? iij /�� `ei '��? ��-r� Cg 1= ' Plan Review7y1 /
Phone: 503.718.2439 Fax: 503.598.19 F t �� e r �; .", 1 AateBy: Other Permit:
Inspection Line: 503.639.4175 a... `
T 1 G A K D p bate ReadyBy: Juris See Page 2 for
Internet: www.tigard-or.gov otetotified/Method: Supplemental Information
Ole CORK ICREQVII DATA I ANT/2FA .YDWELLING
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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CO FRUCTIOI+i work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $1200
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE,INFORMATION ANT/.LOCATION .. Total number of floors:
Job site address:15430 Sw Oaktree Lane New dwelling area: square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet /
Suite/bldg./apt.no.: Project name:Thorne Coveredrch area: squarev
po feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R QTJIRED RA1tAt COMM RCIAL-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
work indicated on this application.
Move kitchen window over 18"to right,remove 1 6/0 X6/0 window and install 3/0X Valuation: $
45"window Existing building area: square feet
New building area: square feet
re tottER` OWN C`TrAANTNumber of stories:
Name:Clifford Thorne Type of construction:
Address:15430 SW Oaketree lane Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)936-5342 Fax:( )
New:
1 AMTCANT CONTACT TNI floc YO Pt;1It14tift *
Business name:TL Remodel&Construction Inc :f �"
Structural plan review fee(or deposit):
Contact name:Tim Labunsky
Address:25030 SW Parway Ave suite 110
FLS plan review fee(if applicable):
City/State/ZIP:Wilsonville,Or 97070 Total fees due upon application:
Phone:(503)984-2783 Fax::( ) Amount received:
E-mail:timl@tlremodel.com PHO' OVOiTAT ' �R OANEt&YAM, $*
Commercial and residential prescriptive installation of
``' roof-top mounted Photo Voltaic Solar Panel System.
Business name:TL Remodel&Construction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:25030 SW Parway Ave suite 110 Solar Installation Specialty Code checklist.
City/State/ZIP:Wilsonville,Or 9707 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)984-2783 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:191214
Total fee due upon application: $201.60
Authorized signature: ,., 1°.-----‘,:-..---
' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Tim Labunsky Date:7-18-19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)