Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00116
Date Issued: 04/29/2020
T I c;A R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104DA23300
Jurisdiction: Tigard
Site address: 13145 SW WORCHESTER PL
Subdivision: QUAIL HOLLOW SOUTH TOWNHOMES Lot: 59
Project: Quail Hollow South Townhomes
Project Description: Building 7: Repairs at entryway stairs and landings for(6)SFA units at 13145, 13155, 13165,
13175, 13185& 13195 SW Worchester Pl.
BUILDING
Floor Areas Reauired 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: $1,850.00 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:
Bckllw 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 Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 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 SEA VB R-3
Owner: Contractor:
JR JOHNSON Required Items and Reports(Conditions)
9425 N BURRAGE AVE
PORLAND,OR 97217
PHONE: PHONE: 503-240-3388
FAX:
Total Fees: $179.29
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 9 001- 0. Yo may obtain a co y of the rule r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ct'r
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 —COVED Cf/7
Residential il FOR OFFICE USE ONLY
City of Tigard APR
O 1 2 Received f/7
' 13125SWHallBlvd., OR97223 ft� 6� Date/Sy: �� PeroiltN ,!'T.2-0aa �/O��_,
GP Tigard, DPian Review J�47o�i7, ink
TIGARD nsone: 503.718.2439 Fax:pection Line: 503.639.417503.598.19600011 OF TIGARON Date/Read/By. ��I w "' Sher Permit:
Inspection Page 2 for
S.au o�vIs�o y y
Internet: www.tigard-or.gov ILUNG Notified/Method: 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ ( (6
Number of bedrooms:
ElAccessory building ®Multi-family
0 Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13145, 13155, 13165, 13175,13185,13195 SW Worchester PI New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Building 7 Project name: Quail Hollow South Pre-Paint Repairs Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenfield Dr 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 nOS104DA23300,2S104DA23400,2S104DA23500,2S104DA23600,2S104DA23700,2S104DA23800 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.
Targeted repairs at entryway stairs and landings. Valuation: ,$-a-s5u.uv
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Quail Hollow South HOA co/ BPM Management Type of construction:
Address: 1800 SW 1st Ave Suite One Occupancy groups:
City/State/ZIP: port land, OR 97201
Existing:
Phone:( 503 ) 334-2198 Fax:( ) New:
® APPLICANT ❑ CONTACT.PERSON BUILDING PERMIT FEES*
Business name: J.R.Johnson,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Chad Windham
Address: 9425 N Burrage Ave FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Portland,OR 97217
Phone:( 503 )240-3388 Fax::( 503 )240-3424 Amount received:
E-mail: cwindham@jrjohnsoninc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: J.R.Johnson, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 9425 N Burrage Ave Solar Installation Specialty Code checklist.
City/Slate/ZIP: Portland,OR 97217 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 ) 240-3388 Fax:( 503 )240-3424 State surcharge(12%of permit fee): $21.60
CCB lie.: 221561
n Total fee due upon application: $201.60
Authorized signatures I// This h n 180 days
application
it expires if a permitcepeis not obtained
/�A"tA within 180 days after it has been accepted as complete.
Print name: Chadlee B WI dham Jr Date: 03/31/2020 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)