Permit �� CITY OF TIGARD MASTER PERMIT
ilki 13 COMMUNITY DEVELOPMENT Permit #: MST2013 -00006
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013
Parcel: 2S 104 BCO3700
Jurisdiction: Tigard
Site address: 14363 SW WINDSONG CT
Subdivision: HILLSHIRE WOODS Lot: 48
Project: Barrera
Project Description: Fire repair: remove all finishes including drywall and insulation, flooring, etc. Then smokeseal
and install new
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: Yes
Total: 0 sf Value: $60,000.00 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
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 SrvcfFeeders 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 & 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:
BARRERA, ADELINA T BELFOR USA GROUP INC Required Items and Reports (Conditions)
14363 SW WINDSONG CT 12823 NE AIRPORT WAY
TIGARD, OR 97223 PORTLAND, OR 97230
PHONE: 503- 713 -7957 PHONE: 503 -803 -8914
FAX:
Total Fees: $1,424.91
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 nce 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. ENTION: -eon I- • requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1-0019 through OA' •• - 001 -9 • • i'. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33
0 Issue By: / 1 ' ` Permittee Signature: . 1 ./11 / / i i ...,/
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • n d e. f
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 USE ONLY
RECEIVED of Tigard 8 \1. CEIVED Date/ByReceive. d
tS i 3 ` Permit No.1,4 CI O 1C- ` O
III ��
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1 r
Phone: 503.718.2439 Fax: 503.598.1 N 1 52013
Date/By: 1 t f PS Other Permit:
TIGARD
Inspection Line: 503.639 Date Read lug :au See Page 2 for
Internet: www.tigard- or.gov Notified/Method: l' /:_ ' pplemental Information
CITY uu OFTIGARD
TYPE I r' tap `u DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction tg 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. ,�} Obi
igi 1- and 2- family dwelling ❑ Commercial /industrial Valuation: '�,( ' /. (! v
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: Z s
JOB SITE INFORMATION AND LOCATION Total number of floors: 2_
Job site address: l y✓ 3 5 14u t iJ' kd5on1 G f New dwelling area: square feet IVO
City /State /ZIP: . 77 Y ' Q f`-d I DR / 9 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: / _ rp f�, Ar��a Covered porch area: square feet
Cross street/directions to job site: 5c 1 / 5 J v s / u I 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.
Q „ 09 I Lp , / / .. 415 /� ns i� �/, .�,(i f / ,D^ „_,�,, KGGf!/ i Valuation: $
/VI Su tob✓A t ` -Hoo r0u , ec t 1 � fY Existing building area: square feet
S YvD C .sec 5 litt Ii New building area: square feet
• P ROPERTY OWNER ❑ TENANT Number of stories:
Name: Aooe / / 5x -sera Type of construction:
Address: /4./56 ' ,5 I"l(14d504 9 C f Occupancy groups:
City /State /ZIP: / 7 y�� 61Q 9 7Z j Existing:
Phone: (23) 7/3 _795 -7 Fax: ( ) New:
0 .APPLICANT gr CONTACT PERSON BUILDING PERMIT FEES*
Business name: / yr pug /�-�a� (Pleaserejerrojeesclredrrle)
c J Structural plan review fee (or deposit):
Contact name: U L L cia,, n�-f�t
o
/2.0Z � J' FLS plan review fee (if applicable):
Address: a )E' ‘p wac
City /State /ZIP: p0 r - /ild 77Z.3 Total fees due upon application:
Phone: 7
6 83) y6 y - ` (X, 7 G Fax: : 7 � ' ` ( �3 Li ce y / s 7 ) / (O Amount received:
E -mail: T 0e/ I�'P CIQ�/9G // rK US r ,6e /it -, co, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
�
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
/ �
Business name: L (-fa r - [z T 7 7 Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1 2.—V 2..3 �� � � v r p � � ' `"' 1 Solar Installation Specially Code checklist.
City /State /ZIP: f W
�,, n „`GI / b p IL 9 Z 3 0 Permit Fee ( includes plan review
$180.00
Phone:
( S.L) 76q - Z Fax .-F37 (5 3 q O l b a administrative fees):
o
/ / ,.}.� x State surcharge (12 /o of permit fee): $21.60
CCB lie.: 1 / h At `' (� �J 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: TX.L AjCIauu4 /,_ Date: ! ! Li 1 i3 * Fee methodology set by Tri County Building Industry
{6 Service Board.
l:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 613T(I /02 /COM /WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14363 SW WINDSONG CT, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
04/17/2013 00:00
MST2013-00006
PASS - C of O
Violation Summary:
Inspector Contractor