Permit CITY OF TIGARD MASTER PERMIT
IN • COMMUNITY DEVELOPMENT Permit#: MST2020-00112
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020
Parcel: 2S104DA22600
Jurisdiction: Tigard
Site address: 12995 SW PRINCETON LN
Subdivision: QUAIL HOLLOW SOUTH TOWNHOMES Lot: 52
Project: Quail Hollow South Townhomes
Project Description: Building 3: Repairs at entryway stairs and landings for(2)SFA units at 12995 and 13005 SW
Princeton.
BUILDING
Floor Areas Required 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: $700.00 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:
Bckfw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywall-Trench Drain:
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!500 sf: 201-400 amp: 201-400 amp: W/O Svc/Edr:
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 SFA 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: $107.29
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 ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 952-00 090. Y i may obtain opy of the es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: cr"
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 /' b46))
Residential FOR OFFICE USE ONLY
Cl of Tigard RECEIVED Received / Permit No M
g DateBy: y/7�i 40 /LI S/�-� (/dl�.—
■ 13125 SW Hall Blvd.,Tigard,OR 97223,APR R 1 2020 Plan Review fI`�111 1/ t i
Phone: 503.718.2439 Fax: 503.598.1960^ O Date/By: 1 ILA + Other Pe Permit:
T I G R I I Inspection Line: 503.639.4175 CITY 0 F Tf GAR D Date Ready/By: LOI/"'� )_ / orris. HI See Page 2 for
Internet: www.tigard-or.gov Notifi eth U) I Supplemental Information
PUILDING DIVISION
TYPE OF WORK QUIRED 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 00
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ —7Q4).
❑Accessory building ® Multi-family Number of bedrooms:
❑Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12995, 13005 SW Princeton Ln New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Building 3 Project name: Quail Hollow South Pre-Paint Repairs Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Gaarde St Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l Lot no.: Permit fees*are based on the value of the work performed.
Tax snap/parcel no.:2S104DA22600,2S104DA22700 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: —
Existing building area: square feet
New building area: square feet
IE PROPERTY OWNER 0 TENANT Number of stories:
Name:Qua i.1 Hal low South HOB co/ BPM Management Type of construction:
Address:1800 SW 1st Ave Suite One Occupancy groups:
City/State/ZIP:Portland, OR 97201 Existing:
Phone:( 503 ) 334-2198 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: J.R.Johnson, LLC (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name: Chad Windham
Address: 9425 N Burrage Ave FLS plan review fee(if applicable):
Portland,OR 97217 Total fees due upon application:
City/State/Z1P: _
Amount received:
Phone:( 503 )240-3388 Fax: :( 503 )240-3424
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: cwindham@jrjohnsoninc.com
CONTRACTOR Commercial and residential prescriptive installation of
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/State/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 lio: 221561 Total fee due upon application: $201.60
Authorized signature: /i This permit application expires if a permit is not obtained
/fit/ within 180 days after it has been accepted as complete.
Print name: Chadlee B Windham Jr Date: 03/31/2020 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPernitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)