Permit CITY OF TIGARD MASTER PERMIT ,
' - COMMUNITY DEVELOPMENT Permit #: MST2013 -00035
T I GAR
AR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 2S104DA02000
Jurisdiction: Tigard
Site address: 13400 SW 128TH PL
Subdivision: QUAIL HOLLOW - WEST Lot: 6
Project: Voegtlin
Project Description: Shower framing, recessing shower floor
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: $1.900.00 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
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
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders 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 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:
VOEGTLIN, DAVID MAUGHAN DESIGN INC Required Items and Reports (Conditions)
13400 SW 128TH PL 1910 NW LOVEJOY ST
TIGARD, OR 97223 PORTLAND, OR 97209
PHONE: 503 - 332 -1901 PHONE: 503 - 241 -4059
FAX: 503 - 241 -7029
Total Fees: $185.29
This permit i ' -d 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 accordance 'th 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. • TTENTION: Orego - -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -' -01 -0010 through OAR • -001 -r .90 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ '.
Iss ed By: �r_ / II ..%- . " Permittee Signature: _.
Call 503.639.4175 by 7:00 a.m. for the next available inspe do date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the projec
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE LSE ONLY /
R eceived a.,5 ol.s eyed{
City of Tigard � ( Permit No.: 1
n 13125 SW Hall Blvd., Tigard, OR 97223 FEB 7 2013 Plan Revie �, I
I C /
ill 9 • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: \� Other Permit:
Inspection Line: 503.639
I' FGA R I� Date Read �' ��� ®See Page 2 for
Internet: www.tigard- or.gov CITY OF Notifie 1 �l t (� Supplemental lufo
BUILDING DIVISION to( Ketst-
TYPE OF WORK REQUIRED /BATA: 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.
® I- and 2- family dwelling ❑ Commercial/industrial Valuation: $1900.00
❑ 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: 13400 SW 128 Place New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Voegtlin Covered porch area: square feet
Cross street/directions to job site: Gaarde and 128th 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.
Tax map /parcel no.: W389050 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.
Shower framing, recessing shower floor Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: David Voegtlin Type of construction:
Address: 13400 SW 128 Place Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)332 -1901 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofte schedule)
Business name: Maughan Design, Inc. 66.25
Structural plan review fee (or deposit):
Contact name: Cortney Austin
Address: 1910 NW Lovejoy St FLS plan review fee (if applicable):
City /State /ZIP: Portland, OR 97209 Total fees due upon application:
Phone: (503) 241 -4059 I Fax: : (503) 241 -7029 Amount received: ( 4 .7
E -mail: cortney @maughandesign.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Maughan Design, Inc. Submit two (2) sets of roof plan with connection details
Address: 1910 NW Lovejoy St and fire department access, along with the 2010 Oregon
Solar Installation Specially Code checklist.
City /State /ZIP: Portland, OR 97209 Permit Fee (includes plan review $180.00
Phone: (503) 241 -4059 Fax: (503) 241 -7029 and administrative fees):
State surcharge (12% of permit fee): $21.60
CCB lic.: 124374 1 kv h 13
Total fee due upon application: $201.60
Authorized signature: (1
A. L. -,---- . ('7 . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Cortney Austin Date: 2.7.13 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02/COM/WEB)