Permit �� CITY OF TIGARD MASTER PERMIT
g COMMUNITY DEVELOPMENT Permit #: MST2012 -00272
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/06/2012
Parcel: 2S 104DC06900
Jurisdiction: Tigard
Site address: 13757 SW FERNRIDGE TER
Subdivision: MORNINGSTAR Lot: 10
Project: Simpson
Project Description: Fire damage repair, replacement of roof framing above master bathroon and exterior deck on
north east corner of the house
BUILDING
Floor Areas Required Setbacks Requi
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: 1 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $15,000.00 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
Drywell -Trench Drain: 0 Other Fixtures: 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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 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:
SIMPSON, GEORGE W 8 JANIE M KENNEDY RESTORATION Required Items and Reports (Conditions)
13757 SW FERNRIDGE TERR 315 SE 7TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
PHONE: PHONE: 503 - 234 -0509
FAX: 503 - 234 -4479
Total Fees: $545.27
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 do in accor• - s 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: Ore• •n = . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule- are set forth in OAR
952- 01 -0010 rough OA' 2 -0' r 490. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 8 • 1.800 - • . .44.
lssu d By: ' S _ =t _� J t t _, Permittee Signature: iV ✓�d
Call 503.639.4175 by 7:00 a.m. for the next available Inspection • ate.
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 City 1tDl. ''N�D FOR OFFICE USE ONLY
of Tigard ty 1�D1. Recei
7111 - `J g Date/B (t�(• ���(� G(I���� �Y
a 13125 SW Hall Blvd., Tigard, OR 97223 T P la n R mil► I
Phone: 503.718.2439 Fax: 503.598.1 • � �
1 2 9 2012 D # ' ' I V I Z_ Other Permit Permit: No.: �� S��I p� ���� e
Inspection Line: 503.639.4175 Date Ready :y: Supplemental Information
T 1GARL7 •j 0 See Page 2 for
Internet: www.tigard- or.gov !'�I't'V (F Notified hod: ( I
Iiifl. u� 4vI CQ 1 1 (s li t •
TY OI+ OR1i ? I DAT 1 A NI 2 FAM D !E ttiS O : `;
❑ 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
CA K.9 °.OR C
work indicated on this application.
Valuation: S /� rt OCIO ."r•-
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms: 3
❑ Master builder El Other:
Number of bathrooms: 3
,IOB SITE€ INFORMATION AND;`:LOCA
.: TION Total number of floors: 2
Job site address: 13757 SW Fernridge Terrace New dwelling area: n/a square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: n/a square feet
Suite /bldg. /apt. no.: 13757 1 Project name: Fire Damage Repair Covered porch area: n/a square feet
Cross street /directions to job site: SW Fernridge Terrrace and Deck area: 350 square feet
SW Morningstar Drive Other structure area: n/a square feet
REQUIRED ATA .001MMMIERCT_ AL- ASE CHEGY I IsT
Subdivision: Morningstar I Lot no.: 10 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2S104DC06900 equipment, materials, labor, overhead, and the profit for the 1
?`r
work indicated on this application.
Fire damage repair, replacement of roof framing above master bathroom Valuation: S
and exterior deck on north east corner of the house Existing building area: square feet
New building area: square feet
►+ PR O P ERTY OWNER , ' ❑ TENANT Number of stories:
Name: 1 ( ,J,,_ Tat/at, K "`' ,, �w Type of construction:
Address: 13757 SW Fernridge Terrace Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT : ❑- CONTACT , PERSOPI BUILDING FERMIT FEE
Business name: TM Rippey Consulting Engineers (Pleaserejeriote
Structural plan review fee (or deposit):
Contact name: Geoff Gore
FLS plan review fee (if applicable):
Address: 7650 SW Beveland St.
City /State /ZIP: Tigard, OR 97223 Total fees due upon application:
Phone: (503) 443 -3900 I Fax: : ( ) Amount received: pri,k,E l
E -mail: ggore@tmrippey.com .. PROTOVOLTAIG SOLAR PANEL SYST>M FEES*''
+CONTR Commercial and residential prescriptive installation of C i Oli
roof -top mounted Photovoltaic Solar Panel System.
Business name: Kennedy Restoration Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 315 SE 7th Ave. Solar Installation Specialty Code checklist.
City /State /ZIP: Portland, OR 97214 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 234 -0509 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 3402 Total fee due upon application: $201.60
Authorized signature: � �--�„ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: * Fee methodology set by Tri- County Building Industry
�Eo� C Q — � • Dat e: ID` Z9 ! �2 Service Board.
I:\Building \Permits \BOP - RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)