Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00098
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2020
Parcel: 1 S125DB06000
Jurisdiction: Tigard
Site address: 7130 SW SHADY LN
Subdivision: SHADY DELL NO.2 Lot: 33
Project: J1372-Kennedy Rest.
Project Description: Repairing damaged roof trusses and replacing interior finishes.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: First: sf Basement: sf Left. Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right:
Detectors: Yes
Total: sf Value: $7,500.00 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:
Drywell-Trench Drain: Other Fixtures:
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 Temp SrvclFeeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: WI Svc or Fdr:
Ea add l 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-800 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:
BALLANCE,KELLY L& KENNEDY RESTORATION Required Items and Reports(Conditions)
NICE,KYLE S 13909 NE AIRPORT WAY
7130 SW SHADY LN PORTLAND,OR 97230
TIGARD,OR 97223
PHONE: PHONE: 503-234-0509
FAX:
Total Fees: $223.83
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 throu OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `� U✓ --� w Permittee Signature: viz/ -5z-rev) C ��GA!
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 RECEIVE I FOR OFFICE USE ONLY
Cl of Tigard Deteived //
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 3 0 2020 Date/6 ` , ,�� „i 'eraat o.: - yf �j.,
g Plan Review
n^,� other Permit:
E!Pill
Phone: 503.718.2439 Fax: 503.598.1960 DaterB : h . s_, _�+�9- „go �,
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/B : H See Page 2 for
TIGARD
Internet: www.tigard-or.gov ,�BUILDING DIVISION Notified/method:yis 4)� /� Supplemental Information
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 t1Z Other: Ft Q..E )ps t-1fK E equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
''t-and 2-family dwelling ID Commercial/industrial Valuation: $ 45002
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:`I� 1
Job site address: 1-1 3O SW S t4ArDY /E L wE New dwelling area: X‹ square feet
City/State/ZIP: "� t 4 h eo 0 R. Garage/carport area: /f square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 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.
2(cQ lart 2 h 1"1t1c -Q jLDO E T Q t7S S Valuation: $
R GP igrG 11.tT>~Q�O i2 F i Pt 1 SNP S Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( )— LY Fax:( .,) New:
ii APPLICANT EONTACT PERSON BUILDING PERMIT FEES*
Business name: 1p'pS L�r_ (Please refer Is fee scleedule)
Structural plan review fee(or deposit):
Contact name: '[a IS E-I?1 P.P,-.i DE N
FLS plan review fee(if applicable):
Address: 3 i1 4, �E 7- �t .
Total fees due upon application:
City/State/ZIP: T
—rdiizr1.FM,a 60).. 111-tZ Amount received:
Phone:( cl 1 &t Q i 0 81 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: e,R,E 4 0 N Arm 1.41TFC-i_ At irm4 L•CO"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: is E I.tt,y�e b`� IZ as D R 1*rRB IJ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: i'3 Cl O ei NE htQ.. oQT W'-( Solar Installation Specialty Code checklist.
City/State/ZIP: PO2-( 4) Gi 3�3 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(SC 2 , 4 asp/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 3 4.0 - Total fee due upon application: $201.60
Authorized signature: // This penult application expires if a permit is not obtained
r`j within 180 days after it has been accepted as complete.
Date: / *Fee methodology set by Tri-County Building Industry
Print name:
ROISE/� ��`tviAGw� tl S / 70?€.) Service Board.
1:1Building\Petmits1B P-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)