Permit II CITY OF TIGARD MASTER PERMIT
2 ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00089
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/27/2012
Parcel: 2S115AA04900
Jurisdiction: Tigard
Site address: 10883 SW CHATEAU LN
Subdivision: REBECCA PARK Lot: 6
Project: McCord
Project Description: Add 2' "topper" to portion of existing 6' fence.
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: $100.00 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
0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 • Drains: 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
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcJFeeders 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 & 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:
OTR SF 0
Owner: Contractor:
MCCORD, GRANT C & LISA A OWNER Required Items and Reports (Conditions)
10883 SW CHATEAU LN
TIGARD, OR 97224
PHONE: 503 -670 -7233 PHONE:
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. ATT • Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• . enter. Those ru =s are et forth in OAR
952 -001 010 through -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5' ■: L• r 1.8.: 44
Issue By: k. • A Permittee Signature: 4111 'i1tt/1:��/arlik.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection daT�
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
Residential FOR OFFICE ItSil ONLY
ce
Reived j 1Y5 �ayofa _60037
City of Tigard Received
7 427 a / Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � / , ,�
' 10 Phone: 503.718.2439 Fax: 503.598.1960 Date �/ // a �!/ Y Other Permit:
iii n ii i Inspection Line: 503.639.4175 Date Ready/By: kris' ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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 E, Other: FENce ENN equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
MK and 2- family dwelling ❑ Commercial/industrial Valuation: $ 100 Q
❑ 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: l o 0 3 s W C A Au 1,.. A New dwelling area: square feet
City/State /ZIP: TZGRRD I t7 R 7-a--4- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
/O 7N If C S'T? EP-7- J OFF OF DuK 1 NI {a?- Other structure area: 8(?) 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
RAZE' WORK work indicated on this application.
RAZE' l S SiAk7 6/ F To g / IN A W:A/6- Valuation: $
L 41 - lIcE , L1/ L(L OIE F... 1 )C 02 2 x 4- Existing building area square feet
C Eb E iNaTH GAO/- l5; New building area: square feet
pl. PROPERTY OWNER ❑ TENANT Number of stories:
Name: l # Jr Mc CO (a Type of construction: —
Address: ' Og 3 Sv) C [ 14 L.4iVE Occupancy groups:
City /State /ZIP: T3 &D , 0 e. Existing:
Phone: ( S03) 67Q - .7-9_3g Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
S N M r (Please refer to fee schedule)
Business name: 1- Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Phone: ( ) F es; ; ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commer '.1 and residential prescriptive installatio •
CONTRACTOR roof -top mou PhotoVoltaic Solar Panel S .
Business name: Q upt e Submit two (2) set. • f roof plan with co • Ion details
and fire department ac • '. along wi . . e 2010 Oregon
Address: Solar Installation Specialty . • • e ' ecklist.
City/State /ZIP: Permit Fee (includes . . 'ew $180.00
and ad • - strative fee .
Phone: ( ) Fax: ( ) State surchar:: 2% of permit fee): $21.60
CCB lic.:
:.1 fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
� • 11/1117..... within 180 days after it has been accepted as complete.
�� * Fee methodology set by Tri -County Building Industry
Print name: _ 1 ` ,1 „ Date: q 2 4 i 2- _ Service Board
I: \Building\Perrnits\BUP- RESPermitApp.doc 02/24 /2011 440- 4613T(11/02 /COM/WEB)