Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2011 -00050
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2011
Parcel: 2S103AC08000
Jurisdiction: Tigard
Site address: 11387 SW FONNER ST
Subdivision: ERVIN /STARK PARTITION Lot: 0
Project: BOURKE
Project Description: Install new window and replace existing window with door.
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: No
Total: 0 sf Value: $3,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 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 VB R -3 0
Owner: Contractor:
BOURKE, ERIN INSIDE JOBS LLC Required Items and Reports (Conditions)
11387 SW FONNER ST 2845 SW 87TH
TIGARD, OR 97223 PORTLAND, OR 97225
PHONE: 503- 858 -5883 PHONE: 503 - 998 -5125
FAX: 503 - 641 -3297
Total Fees: $217.71
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 suspe or more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules/ are se forth in OAR
952- 001 -0010 throw • : R 952 - 001 -0090. Yo • - • • ain a copy o ir°• • - - : -' get questions to OUNC by calling 503.232.1987 or 1.800 332.2344
Issued B Permittee Signature: % / /a. .. _ h,
C. 03.63 ' a.m. for the next available inspection date.
This permit card shall be - • n a conspicuous place on the job site until completion of the pr• ect.
Approved plans are required on the job site at the time of each inspection.
Building Permlit application (� . -ed/- 411,.F.
Residential FOR OFFICE l ' 011.1
City of Tigard a Received
Perm No.:
11111 ; , Date/By. 1 11 � i -a,
13125 SW Hall Blvd., Tigard, OR 97223 a . '` 1 „ Plan Review ► >+ /
Phone: 503.718.2439 Fax: 503.5 Date/By: t 4 ( 'I( Other Permit:
Inspection ' ton Line: 503.639.4175 ' - ` . Date ReaReady/By: Juris: H See Page 2 for
TIGARD c � !1 'l
. Internet: www.tigard- or.gov _ [ Notifi ethod: 7 X4f/ / -IT& Supplemental Information Ai ( TYPE OF WORK 'i 1 ATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Pe fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
tgi Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0-1_ and 2- family dwelling ❑ Commercial/industrial Valuation: $ 3 COO
iii Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 1 ? ) R1 5 w Fp n l N C, 5 r New dwelling area: square feet
-
City/State /ZIP: -in "y2 c l zZ 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: (,a2_1( /L Covered porch area: — square feet
Cross street/directions to job site: FLA. Le j _ o f t Fob ,,,J C-- Deck area: —^ square feet
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.: 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.
( NJ) kJ t o p t� 4 2 C C.. ,,� "/ poo 4 Valuation: $
Existing building area: square feet
New building area: square feet
/ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 2 l t om { Bo kj_ce_. (C Type of construction:
Address: 54...,,,N 6 - Occupancy groups:
City/State/ZIP: Existing:
g
Phone: (6t,' ) '66.8 - 58 8 3 Fax: ( ) New:
1g, APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Please re er to ee schedule
Business name: F 2 l ti 5: «
Structural plan review fee (or deposit):
Contact name: H O M L p I -4 ,-.4 r4: ,2
FLS plan review fee (if applicable):
Address: 113 F 1 6 W F O N N r 2
City/ State/ZIP: Total fees due upon application: F 7 7. 5-
Phone: ( 3) es 8 _ S 8 8 3 Fax: : ( ) Amount received: * -7? -
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: 1 N5 t O E ..So f5 S Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 2-84.5 4,&) 81 - Solar Installation Specialty Code checklist.
City/ State/ZIP: Qp2 91 1 Fee (includes plan review ,r(� t � � do
Z Z S and administrative fees): v
Phone: (5*,•.j3) cl at g . S i 7 5" Fax: ( ) State surcharge (12% of permit fee):
CCB lic.: IS ` 1 �P 4 , f - Total fee due upon application: $ 7 7, 56,,
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
r * Fee methodology set by Tri-County Building Industry
Print name: Cr) /17 ,_- L� Date: g - 1 1 Service Board.
I: \Building\Permits\BUP -RESP itApp.doc 02/ 24/2011 440- 4613T(11 /02/COM/WEB)