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Permit CITY OF TIGARD MASTER PERMIT IIII ' COMMUNITY DEVELOPMENT Permit #: MST2010 -00207 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/23/2010 Parcel: 2S104CA00700 Jurisdiction: Tigard Site address: 13339 SW ESSEX DR Subdivision: HILLSHIRE Lot: 7 Project: WEGENER Project Description: Moving header at front door to 8 ft., replacing gas furnace, and installing duct work for range. 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: $450.00 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: Natural Gas Heat Pump: N Hoods: 1 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 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 SF 0 Owner: Contractor: WEGENER, MICHAEL W & MASTER PLAN CONSTRUCTION INC Required Items and Reports (Conditions) FARRAR - WEGENER, LOUISE 6500 SW BEAV - HILLSDALE HWY #1 13339 SW ESSEX DR PORTLAND, OR 97225 TIGARD, OR 97223 PHONE: PHONE: 503 - 297 -1281 FAX: Total Fees: $195.20 - This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes d 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, • r if ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent= Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 - 009 You may obtain a co• of._direct questions to OUNC by calling 503.232.198' o 800.332.2344. ii Issued By: �' Permittee Signature: ` =v Call 75 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 thb project. Approved plans are required on the job site at the time of each inspection. 11/1U/YA1A FRI 16:21 FAX ��AAY/AA� /'�v /u^ �v.�� ,u� ��v,�'"v� IX0ilding Permit Application Residential of �nuv� 1 ' � � "� �" '~''~'~ ' �"w""" v r rvneov ^o0onU AND 2-rAwmmvmxxpu _______ _--___- [] wm,wmu"n��" [] o�«��oo p*nxu=~ on m^no"^^r/x".~�pn�mmd, ___- ------------------ Indicate the value (rounded * the Dearest (vx^r) 1� mv��`� []mx� ovoi»/*m/.n`me�"/".mb^�^�*=d. and �hopmmm,the -- ---------- ---------- �i /�"/u/m`vb cx/'nnoxror on*arx�^cnom — '' - ' application. ____-_ -____-_'_--_'_-_ r • � ' G�lxodt-�."oyovumo� Or"."""mivuo�~m"| Valuation: (�� _�� ------ ----' Number m.mmom,� [] xe"mm�m/iN|no D Multi-family � � � l�� -------- ---'-'----'--- -------- � ao r»oo [] vmmnh.i|ap L]()ip` ""' " " ""'~� -- ---__'____--- ______ x/n SITE mvnIInarxm AN() LOCATION Total number mfloors; Job site xmkesz New (Meiling � _ , - Garage/carport ��` �� ����� � Suite/bldg./apt, m.: `o,wro porch mrx • (ro�*�vtWi�u.omm�amm nmk area: � _-_- _ " - -___ _________- __ _______ _______,�_ __ _____ m��umu"�,w°� n"°" � REQUIRED DATA: ComwsxcmL^mxcnvruo*r . Solldivision: I I.ol no,', Iltri)lit fees' arc based on the value 01' the wolic performed, ' � nmmnx�m�"" 111C �� ��� t --- ' all '__ ______ equipment, /omcum"/*m^o,"dmx.ond/honmU/�,thv nE*oornow0vwnxx - wort( ! . l . id i ca 1 cd on this application. __--_-__---_ _____ �__~ ____. vmp"'i0111 « / Ne 0 NOWASr...i4 .e1.6.1fr la016_411 4 7 ' a 017 New Iluilding area: . , square feet Address: - City/State/ZIP: 1, 'l ~ l � _-_----_-_____- Phone, 1 ) ~ ) ,,,,/ New: O APPLICANT 0 CONTACT' pcuxuN ------ mnT/cc e i _ oo��"omc� ' All contractors mm subcontractors arc required *hp • --------- ----- licensed with the Oregon C"""*.ct/""r"m,o*^mBoard Cwo^u ^^*^� _____---_'__ under ORS m/ and roily be required m»o licensed iothe Address: jurisdiction � hinh°"/,heing performed, |." applicant *vNe"p/ from /ic"nsap/o,oxux,g reasons (lily/Slide/7.1P: r^,� �( ) -- -'------- _- n~"m/. . --__ n`NrxAc,ou ------'--- --------- � o *�`� �U0v�� - � : aoo C ` C. /�Swanp. ��«r��,�/� ���� (Y -/ 7.7�; ' ~' -'— �' --- � -''� � -- [IS plan review rex(if o w ` . '~~= °~n='(ir " ~ ~" ` CC" 'c Authorized d ( ........... wiibio IFIII (lays after it has been SICCepled i0i COIN/101e Prtut ame^';'\ `.`��i��.�±_--� ^ /�""`um o"ow/�m. Service 130nrcl. /.`uoiu/^gpmmtvnv''vpx/`w`"kxn /oxxmv ^m 11/10/YA1A FRI 16:21 FAX '�AA�/AA� '�m�" /u� .�� /u� ��"vw""� Mechanical Permit Application ' V al . ImieBy it i 01 lilt Penni! Nii, pl / ..... ` P---'--- :--'-1 7V Other Permit: Internet: .=`"�",mgOV N - perfillined, Indieille 1110 \011tte (rounded to the nearest dolldr) of :ill Value: $ � C^rcC:ouru+CowxruncrnN _-- --' vmxomxnx'.nVo/,mxwr/x FEES* ��1'mid 2'hwi|y�woUi^g []Cmomo�ix|�odvw,i"| []Av�",*�h"iWi^o - -- --� -- []M"|/i'FmUy []w,^/mimi|der 1:3 other. _ __ Jnn mna /n,onM^rx� �ww u/c^Tx� � ____ _________ ----- Air conditioning � ------- • Job site au=m: / (j��- ---__- ��"�""/'`*""show " eu���egL _--_-- (ar/outuz/p: —7 ������ - m`"�",mwov mn (.lue�s��146,15 � --- ---------- ------- '----'--- mmacc 1 0o/)m~nll 54.91 . o"i/*�u�/"yt^o p��"�.~'� '-------------- � _--J_- ' ��Jwm2___ ______�/��____....... Cross uremm|mmiom job site: _ Duet 211.12 I iyclioniemx water.9slem 21.12 Residential boiler (radiator or 23.32 _--__--____- ........ ___-_--_--___- _______-__-____'__- -_-.`-,,--..-`~. /"°~xi ��� _______ Flue/vent For �2��r�c ���� Subdivision: | �o»v.: -------- ------- -------------�-'�--- --------� Oilier. -_�--_---_-__-_-�-_-�-_- 'Fax mo/`/pmno|ov.: Oilier fuel appliances __- -'----- nnxemrnow m' v"m�u--'---'---'-------- - Water heater ------' » � '__ll�2- M I NI° Ill ' e ] « ' u "— -) J .32 ,- ----__- ' '-'- T����1�& 2 J� 2 '-'--__- _________��y_______ Gk � w / o / ��� __-�- 1 23 . 3 lc) -, 1^9.. 0 Pn ' _ - _ . --_-__ 12 ____-_� / e---' _`_- - R /" = ~'_____-_�-__' Admm^ equipillent / _ n.:19 _ City/State/ZIP: Clothes dryer exhaust 11.39 -- Single-duct rm* *� m `r ����� n" ( > m n� -���� ��- z l Phone: ( � � "f m; . O APPLICANT Oo�mr�crnu:w)m I�� � ------ _��l- • � o"^imp�mc -- -- ---- __-- -_ .... piping -__-_ c o n t a c t addition: I _'-__' Furnace etc Address: ====-, - . ' _ • s�. cil,e/^te/z/,: Wa!Sstivendedlui!iL heater • . _�����y�_�__-_-_-__'_'-___ ------ -'----_ ----- ----'---------�----- _��s��____________-_- eomo: • ��______�__ -______�� *nN/u^rr*u ___ �___________ -------- MECHANICAL PERNtrr FEES* . _ --_ / � xow.' q�/ do _ -_-'- a _.,,,,--- Phone: ` ' ^ ' °~~ n " . ` / r"iw , <z � m�]�m��� _ ___ C.C....13 lie.: O ( 1 1 &6> C / ..,..,.„ State surcharge (17'N, -----� r i � This pi app11,:itIon exiiirvs if a pormit Is owl obtained within 1811 Authorized signature: ^,p .o_o *. �. ""*"m �°m*.� ^re, metw,ii,i,,n,,t Tri•Cotiilly hithiSity Selvi,:k; 11.0.11 "mamn■!,'m"its wwm +w^n (II m CUM ma` �