Permit ___ CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00 1 1 1
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04l29/2020
T I G A P.fl Parcel: 2S104DA21600
Jurisdiction: Tigard
Site address: 13275 SW YALE PL
Subdivision: QUAIL HOLLOW SOUTH TOWNHOMES Lot: 42
Project: Quail Hollow South Townhomes
Project Description: Building 2: Repairs at entryway stairs and landings for(1)SFA units at 13275 SW Yale Pl.
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: $105.00 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:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Woes Air Conditioning: NI Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Fum<10OK: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temo Srvc!Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: WI 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+ampivolt:
ELECTRICAL•RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
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: $95.29
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 2-001-0 . You y obtain a cop the rules or ' ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: i�� i %i'�r'� ermittee Signature: gc, ......77,.
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
'`f '' /.2&
Residential RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received ��// ''I
Date/By: "7/ / 40 PennitV.V.)��;20 -o0i//
' 13125 SW Hall Blvd.,Tigard,OR 97223 APR 01 2020 Plan Review
- u
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t 14 2.0 4 1 Other Permit:
T I G A R n Inspection Line: 503.639.4175 CITY O F Ti G AR D Date Ready/By: /i�, J.ris: RI See Page 2 for
In[eet: www.tigard-or.gov BUILDING CIUISIOI_JNoti iMethad- 726 Supplemental Information
Internet:
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.
Valuation: $ t b S u0
0 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13275 SW Pelee...Le L.. y,y-r Le- p New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Building 2 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: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S104DA21600 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: -S-se5700--
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name:Quai1 Hollow South HOA 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 rnjee schedule)
Structural plan review fee(or deposit):
Contact name: Chad Windham
FLS plan review fee(if applicable):
Address: 9425 N Burrage Ave
City/State/ZIP:
Portland,OR 97217 Total fees due upon application:
Amount received:
Phone:( 503 )240-3388 Fax::( 503 )240-3424
E-mail: cwindham racom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
@11ohnsonin
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 lie.: 221561
/' Total fee due upon application: $201.60
Authorized signature: /�/ This permit application expires if a permit is not obtained
W within 180 days after it has been accepted as complete.
Print name: Chadlee B Ind am Jr Date: 03/31/2020 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)