Permit k
. CITY OF TIGARD MASTER PERMIT
•
'' - I: :,.'-• COMMUNITY DEVELOPMENT Permit #: MST2012 -00288
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/26/2012
Parcel: 2S112CC09900
Jurisdiction: Tigard
Site address: 8454 SW LANGTREE ST
Subdivision: LANGTREE ESTATES Lot: 31
Project: Packer
Project Description: Remove existing T -1 -11 siding and replace with Hardi Plank lap siding.
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: $19,962.00 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 add9 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:
OTR SF 0
Owner: Contractor:
PACKER, SEAN J CLEAR CHOICE WINDOWS 8 DOORS Required Items and Reports (Conditions)
TRUJILLO, KIMBERLY 16285 SW 85TH AVE SUITE 107
8454 SE LANGTREE ST TIGARD, OR 972224
TIGARD, OR 97224
PHONE: 503- 544 -8640 PHONE: 503 - 643 -3887
FAX:
Total Fees: $423.25
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 '• _ - • •ance 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: •regon law requires you to follow the rules adopted by the Oregon Utility Notification Cen '. Those rules are set forth in OAR
952-'01-0010 through • • R 95 101 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 •87 or 1.800.3 2.23'4.
Issue By: . _ /l�� ��l� , � �_
y: — Permittee Signature: �`
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • n a te.
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 ; VFOR OFFICE USE ONLY
C 1 of Tl and Received �/
Iii g DateBv: // A4' / A- Permit No.: / 1 NrAVA --a,
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: ions ® 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
y[ I - and 2- family dwelling ❑ Commercial /industrial
Valuation: S l (11 .� •
❑ building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: New dwelling area: square feet
City/State/ZIP: J Garage /carport area: square feet
����� CCC CCCC
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: 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.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this apication. __
r I 1 ` ,� _ `— ` ' % \ . , n r Valuation: S • m `. (; k at�� J Existing building area: square feet
New building area: square feet
PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name: - ' . 1 ' � V Type of construction:
Address: AMIN`I,T'' / 1 Occupancy groups:
City /State /ZIP: ki t ar , A Existing:
Phone: (y li+j WZ' Fax: ( ) New: --
�,� . _
/°'" APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name. i
�' �� 1` 1t ^ _ Structural plan review fee (or deposit): 377• [ p
b
Contact name: �� `) ` 1 I,,, �s
i /
FL . - able : !�!
Address:l �' ada ) S
� — T otal fees due upon application:
City /State /ZIP- r � �, 1 - A 7 G ��
Phone: ( t f • Fax:: ( ��) ?� V Amount received: J .
E - mail. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commer ial and residential prescriptive installation of
roof -top m. nted Photo Voltaic Solar Panel System
v
Business name: t , ' , ,� ,! g 1 �„� S ubmit two ( ets of roof plan with • - ion details
_�. .- - and fire departure access g with the 2010 Oregon
Address. 1 1 ^` ` -`/ 'l So /ar Insta /lation� aI Code checklist.
1 Pe • ee mclu. • •Ian review
,� ANF (I $180.00
Phone: (C-)01-7 and administra • fees):
r Fax. ( ) 1
?� l\ State surcharge (12% of perma $21.60
CCB lic.: \ ' Total fee due upon application: $201.60
Authorized signa[ur= 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:V4Nt /"Y l/� a\ \\` f'l K Date: \ \, \ \ z * Fee methodology set by Tri- County Building Industry
," GU Service Board.
I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 46I3T(I I /02 /COM/WEB)