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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2020-00110 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020 n g Parcel: 2S104DA22300 Jurisdiction: Tigard Site address: 12938 SW PRINCETON LN Subdivision: QUAIL HOLLOW SOUTH TOWNHOMES Lot: 49 Project: Quail Hollow South Townhomes Project Description: Building 1: Repairs at entryway stairs and landings for(4)SFA units at 12938, 12948, 12968 and 12974 SW Princeton. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $1,241.00 Rear 0 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 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: W/Svc or Fdr: Ea add,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 SFA VB R-3 0 Owner: Contractor: JR JOHNSON Required Items and Reports(Conditions) 9425 N BURRAGE AVE PORLAND,OR 97217 PHONE: PHONE: 503-240-3388 FAX: Total Fees: $143.29 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 952 1-009 You ay obtain a cop f the rues or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ^ Permittee Signature: c: [/ems ' 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. 1 Building Permit Application i'M/)- Residential ii ECEIVE i FOR OFFICE USE ONLY wo - Cityof Tigard APR y Received y ` 131SWHallBlvd.,Tigard,OR 97223 APR O 1 2�2� Date/By: / '7�3C) gf PermitNoA 7j�O�004/D Plan Review Phone: 503.718.2439 Fax: 503.598.196 y —I� Other Permit: InspectionLine: 503.639.4175 CITY OF TIGARD Da ILDING DI) S! �/ See Page2for TIGARD I Date Ready/By: �/' Suds. Internet: www.tigard-or.gov 11 (�[� NotjfedlMe}7/gd: ���� Supplemental Information l YPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING ❑ New construction D Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 2 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ CI 1-and 2-family dwelling ❑Commercial/industrial I (� l t Vo CIAccessory building ©Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12938, 12948, 12968, 12974 SW Princeton Ln New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Building 1 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: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S104DA22300,2S104DA22200,2S104DA22000,2S104DA21900 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 ® PROPERTY OWNER 0 TENANT Number of stories: Name:Quail Hollow South HOA co/ 3PM 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 ❑ 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): City/State/ZIP: Portland,OR 97217 Total fees due upon application: Phone:( 503 )240-3388 Fax::(503 )240-3424 Amount received: E-mail: cwindham@jrjohnsoninacom 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/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 lic.: 221561 ,, Total fee due upon application: $201.60 Authorized signature: , j r `��- This permit application expires if a permit is not obtained /G,I lJf� G/J within 180 days after it has been accepted as complete. Print name: Chadlee B Windham Jr Date: 03/31/2020 *Fee methodology set by Tr-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)