Permit t I
CITY OF TIGARD MASTER 1 00600109
,, DEVELOPMENT SERVICES DATE ISSUED: 5/8/2006
X111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 BB -02300
SITE ADDRESS: 10480 SW AMANDA CT ZONING: R - 3.5
SUBDIVISION: BRIE WOODS LOT: 002 JURISDICTION: TIG
Project Description: Add floor to interior.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 168 sf BASEMENT: sf LEFT: SMOKE DETECTORS: U
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 168 sf 12,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
DEREK SPRAGUE BOXWELL GENERAL CONTRACTING LLC applicable laws. All work will be done in accordance with approved
10480 SW AMANDA 10940 SW BARNES RD SUITE 232 plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 PORTLAND, OR 97225 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies
Phone: 503 443 - 3872 Contact #: PRI 503 - 807 - 6479 of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Reg #: LIC 158946
TOTAL FEES: $ 324.81
REQUIRED ITEMS AND REPORTS
C
Issued By : �� Ztz& Permittee Signature :_3
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
.. I i Building Permit Application. FCE!EF - , FOR OFFICE USEONLY
City of Tigard Rerrived F' N �
g MAY 0 8 20J6 Datr' ' 0.0. F/ , ��r '''CO
13125 SW Flail Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 .' ^ $ C uher Pernut
Inspection Line: 503.639.4175
CITY OF i' -, ;-, Date Ready P.c n 0 See Attached Checklist for
Internet: www.ci.tigard.or.us v Notified/Methode Supplemental Information
TYPE OF WORK • REQUFRED •D_ATA: 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.
® 1- and 2-family dwelling Valuation: $12000
y g ❑ Commercial /industrial
111 Accessory building 1:11 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATIO Total number of floors: 2
Job site address: 10480 SW Amanda Ct New dwelling area: 168 square feet
City /State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Sprague Office Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED'D_ATAi C'OAIAIERCIAL - 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.
Adding floor to interior second level to create office Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER' . . • ❑ TENAN Number of stories:
Name: Derek Sprague Type of construction:
Address: 10480 SW Amanda Ct Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone: (503)443 -3872 Fax: ( ) New
®, APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Boxwell General Contracting, LLC All contractors and subcontractors are required to be
Contact name: Chris Boxwell licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 10940 SWE Barnes Road; Suite #232 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, Oregon 97225 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 807 -6479 Fax::( )
E chris@youroregoncontractor.com
CONTRACTOR
Business name: Boxwell General Contracting, LLC BUILDING PERMIT . .FEES*
Address: 10940 SWE Barnes Road; Suite #232
Please refer to fee schedule
City /State/ZIP: Portland, Oregon 97225
Fees due upon application
Phone: (503) 807 -6479 Fax:( )
CCB lic.: 158946 _ C . F Amount received
Date received:
Authorized signature: r--�` This permit application expires if a permit is not obtained
V ��
_ _ within 180 days after it has been accepted as complete.
Print name: Chris Boxwell Date: S 1 -4-' d 6 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
Electrical Permit Application FOR O FFICE, USE ONLY
City of Tigard Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
" C : Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
T IC A R Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction 2rAddition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ❑Hazardous location
0 Service over 320 amps - rating ❑Buildngover 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential
1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Building over three stories ❑Feeders, 400 amps or more
❑ Master builder ❑ Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ' 0Egress/lighting plan RV park
Job no.: Job site address: (--t.
❑Health -care facility ❑Other:
`��� e' t .1 Submit 2 sets of plans with any of the above.
City /State /ZIP: — ri 0- / O 2- e t • q - - 7 - 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: C3' PA-Su L a F c.-r FEE* SCHEDULE .
Description I Qty. I Fee. I Total I '''
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
" Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
. J J24ROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: b lc_ S P 6.-N.4 J E 601 amps to 1,000 amps 240.60 2
Address: (a g p S w -'t`5-' ;1- - C—i- Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: <1---t C1/h+LM 7 D q 2 7 - 3 Temporary services or feeders installation, alteration, and /or
Phone: ( S? ) Li t{3 - ? -7- L Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: _ Date: Branch circuits - new, alteration, or extension, per panel
APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: T 6- e..- �... --{L G„„.."--.. t. -A_C-- branch circuit
B. Fee for branch circuits
Contact name: Gc ,r, --t a. ( - € -' — without service or feeder fee, 46.85 2
first branch circuit
Address:
Ct %fc, S W j" r)t 3 • • L3` 7_ Each add'I branch circuit 6.65 2 •
City /State /ZIP: Pp >e - el — 4 '7 t j Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( TN) ced -6 r{ l Fax: : ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: 0/1 6.41 . '0.15 L
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: i cg ? q 1,„ Electrical Lie.: Suprv. Lie.: Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: Date: State surcharge (8% of permit fee):
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
* Number of inspections per permit allowed.
1:\ Building \Permits\ELC- PemiitApp.doc 03/23/06 440-4615T(I 1/05 /COM/WEB
Electrical Permit Application - City of Tigard
•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
.RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
•
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \Building\Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION
Ahtto, PERMIT #: tv1ST2006-00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &MOW
Phone: (503) 639-4171 pplI
Inspection Requests (24 Hrs.): (503) 639-4175 ...,_,W -......
INSPECTION WORKSHEET FOR DATE: 8/26/2006 - TIME: 7: 00Atvl PAGE: 15
SITE ADDRESS: 10480 SW AMANDA CT CLASS OF WORK:
SUBDIVISION: BRIE WOODS LOT #: 002 TYPE OF USE:
PROJECT NAME: SPRAGUE
DESCRIPTION: Add floor to interior.
OWNER: SPRAGUE, DEREK PHONE #: 503-443-3872
CONTRACTOR: BOXWELL GENERAL CONTRACTING LW PHONE #: 803-807-6479
Inspection Request Scheduled For: Date: 5/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 030678-02 503-807-6479 Y
Corrections/Comments/Instructions: 7 V o ,/i/t_ es S S
/ Alit
'
r \
I /
- - '
lip 0 1
F Z 7 PARTIAL APPROVAL El CANCEL 7 NO ACCESS
I I FAIL ■ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
04
Inspector: 11. 1 / Date: 5J1. I, JO (0 Phone #: (503) 718- (2 9 oZ 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: zi/E /200 o
Phone: (503) 639 -4171 q °u4 ii,iII
Inspection Requests (24 Hrs.): (503) 639 -4175 _.:
INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 10460 SW AMANDA CT CLASS OF WORK:
SUBDIVISION: BRIE WOODS LOT #: 002 TYPE OF USE:
PROJECT NAME: SPRAGUE
DESCRIPTION: Add floor to interior.
OWNER: SPRAGUE, DEREK PHONE #: 503-443-3872
CONTRACTOR: SO)CVifELL GENERAL CONTRACTING LLC PHONE #: 503 -807 -6179
Inspection Request Scheduled For: Date: 5/26/2006 Pour Time:
Co. - . Inspection Description Confirm # Contact # Message
199 Electrical final 0305713.01 W3-807-6479 Y
Corrections /Comments /Instructions:
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PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �' 6 \ 1 03 Date: sI C 2-4 ry 6 Phone #: (503) 718- 2 6
il
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2006.00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51812006
Phone: (503) 639-4171
4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/12/2006 TIME: 7:03AM PAGE: 18
SITE ADDRESS: 110-180 SW AMANDA CT CLASS OF WORK:
SUBDIVISION: BRIE WOODS LOT #: 002 TYPE OF USE:
PROJECT NAME: SPRAGUE
DESCRIPTION: Add floor to interior,
OWNER: SPRAGUE, DEREK PHONE #: 503-443-3872
CONTRACTOR: BOXVVELL GENERAL. CONTRACTING LLC PHONE #: 508O7-$i/9
Inspection Request Scheduled For: Date: 5/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 029784-01 503-807-6479
Corrections/Comments/Instructions:
V FC--/t
i/L'k
•
4 .__ DASS El PARTIAL APPROVAL pi CANCEL NO ACCESS
I FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: 6 Date: - 0 Phone #: (503) 718- z6z-/y
_ .
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MST2006.00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/812006
Phone: (503) 639-4171 :*11111t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5112/2006 TIME: 7:03AM PAGE: 17
14Cbout- , to
SITE ADDRESS: 1000 SW AMANDA CT CLASS OF WORK:
SUBDIVISION: BRIE WOODS • LOT #: 002 TYPE OF USE:
PROJECT NAME: SPRAGUE.
DESCRIPTION: Add floor to interior.
OWNER: SPRAGUE, DEREK PHONE #. 5(Y3-.443-3e72
CONTRACTOR: BOXWELL GENERAL CONTRACTING LLC PHONE #: 503-607-6479
Inspection Request Scheduled For: Date: 5/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 02978402 503-807-6479
Corrections/Comments/Instructions:
■./
0 PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
fl FAIL El CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: CjilP Date: 5 06 Phone #: (503) 718-