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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00433 Date Issued: 12/12/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 103AA01600 Jurisdiction: Tigard Site address: 10830 SW WALNUT ST Subdivision: ECHO HEIGHTS Lot: 3 Project: Edwards Project Description: Converting living room into master bedroom and bathroom. Trade permits 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: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: 0 sf Value: $40,000.00 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 Drains. 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water 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: 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: EDWARDS,LES M AND MARCIA L CREATIVE HOME REMODELING CO Required Items and Reports(Conditions) 10830 SW WALNUT 7350 SW LANDMARK LN TIGARD,OR 97223 TIGARD,OR 97224 PHONE: PHONE: 503-639-2411 FAX: 503-639-0950 Total Fees: $1,100.57 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 y_ the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a c of the r .Qr direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. —'"'' Issued By: ..._. -----z---,-,- y���'�c�=— ,-�r—�•��----`---�� Permittee Signature: � �, j j 1 Cal 9.4175 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 "ilh , � it"°# FOR OFFICE USE ONLY City of Tigard �, 4 Received 1� G` )17 9 (`!--XJ'/,,33 Ill x 13125 SW Hall Blvd.,Tigard,OR 97223z 019 Plan Review / II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I L/ Other Permit: Inspection Line: 503.639.4175 is ) 'U " i bk r!' Date Ready/By: I ' ' Jur,s: See Page 2 for TIGARD , , Notified/Method: t' Supplemental Information Internet: www.tigard-or.gov t` �' �' ? , � l� t tom PP � Rd f.t�' 4..1�'b ��r . 1 .,� ,?•,,!, TYPE O f, y/,•/ ., a E° 1 p , ''LL,)I'+lCr k. ❑New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 51 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the *, work indicated on this application. N 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ a®0 0 ElAccessory building 0 Multi-family Number of bedrooms: El builder 0 Other: Number of bathrooms: 2 JOB t .a TION jo s'o CATION Total number of floors: Job site address: /© g30, 5 W W#t 1114 4 7"Si- New dwelling area: square feet City/State/ZIP: 7-,p t rd 0 j 7 22.3 Garage/carport area: square feet Suite/bldg./apt.no.: J Project name: re/0/4 Yds Covered porch area: square feet Cross street/directions to job site: viA,/1)GL-7 if-i, /"7ii Gam- s;74" Deck area: square feet Other structure area: square feet r € % 1 IS' Subdivision: Gti o .it C/el n t- Lot no.: 3 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.: '_3 1 V,,AR 0/4(b© equipment,materials,labor,overhead,and the profit for the gyp, ; r DES ''�10-1 ` F Nii0 !,'1`,''''' N, work indicated on this application. Cell ✓C.r+ /l vi h ei rl?Of") ihI J Valuation: $ FViet S tr beiroVv»-1 o-i d b roe Existing building area: square feet AAA New building area: square feet '''S'.'.•`*� f ,,,.«, NER ,� t . ,,,, ; ', ,. Number of stories: Name: LC$ w M ei r C i ci Ed fr/ ,`ds Type of construction: Address: /0 83 0 5 k/' J .f/)S4 it sf Occupancy groups: City/State/ZIP: '"! ii iti y--d d It 9 7 2�3 Existing: Phone:( ) Fax:( ) New: ,� \ AI,' ,<•. : ,, WF :C£y, ellsr''18 J111 I Y G l'' `'l " .' Business name: C ri 4.11 lic T/otY)C, P C' T1 0 c //h leor dep' ) Structural plan review fee(or deposit): Contact name: .elf) f o r J,r/ 2 FLS plan review fee(if applicable): Address: -7 35r p 6-W Loth d i- g r/4 Lot,r)c,. City/State/ZIP: '7 a�-J QR 9 -7 2.2.3Total fees due upon application: Phone:(,503) 4 31' 2..4-1 1 Fax::(6)3 ) (p3e) —0 q co Amount received: L i 111;'),:k O1r'I'�t� * NE'L SSY T ,• .,;., E-mail: i'tui 1- ,, GOih IsG IVIY) -rr,-ode/ii)A r e,n't =G , _ ‘,„.•,,,,,,,11•.,.•• Commercial and residential prescriptive installation of ,;, ,, /,,,;,, lar.„,`; „ ,,,, , N\%••,, s roof-top mounted Photo Voltaic Solar Panel System. Business name:G re R f"f✓t I-10/')7 L R 0110 tie </ri�y Submit two(2)sets of roof plan with connection details t/'7 and fire department access,along with the 2010 Oregon Address: 13 50 5 w 4.4.4,d m A t K LA he Solar Installation Specialty Code checklist. City/State/ZIP: Ti a/r -d Oil q 7 2.2-9- it Permit Fee(includes plan review $180.00 and administrative fees): Phone:(5'O 3 L,3 2)+1 ( Fax:(53) (Q 3 q 4 q co State surcharge(12%of permit fee): $21.60 CCB lic.: 1 3 5 --7 ,, ,0 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: f� 4 .• Date: 2, *Fee methodology set by Tri-County Building Industry ��� 5/i etif) / '1 t' �� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)