Permit p CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2013 -00055
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2013
Parcel: 1 S 135CA03000
• Jurisdiction: Tigard
Site address: 9568 SW NORTH DAKOTA ST
Subdivision: GEARHART ACRES Lot: 2
• Project: Howland
Project Description: Fire repair. Electrical work under ELC2013 -00118
•
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 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: $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'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:
HOWLAND, JOHN P KENNEDY RESTORATION Required Items and Reports (Conditions)
9568 SW NORTH DAKOTA ST 315 SE 7TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
PHONE: PHONE: 503 - 234 -0509
FAX: 503 - 234 -4479
Total Fees: $544.27
•
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 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throug OAR 952-001-0090, You maybtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /i�C,l.� Chat
Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit No M f 3_
- Tigard, OR 9722
111
q 13125 SW Hall Blvd., Ti EE60 eiv 2 8 2013 y
g Plan Review
DatDate/By: I . , to Other Permit: ei_d A0/3 r S
&
Phone: 503.718.2439 Fax: 503.598.19 I
7
TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready/B . �� 13 Juris. 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified Method: Supplemental Information
1 rd Stet' Par t 0,, -1-1
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
W' Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
[ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S t u O
1:1 Accessory building ID Multi-family Number of bedrooms:
1=1 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
-1 54,S Sal tsi 01214 DAKOTA S 1 "
City /State /ZIP: -rCtaep 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
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.
rE'AAt2 'DAvwAet Cq s� �C '1,m. Valuation: $
Existing building area: square feet
New building area: square feet
IV PROPERTY OWNER ❑ TENANT Number of stories:
Name:
4i0.itri.N a? IZG5t0C.A.1 C Type of construction:
Address: q5(,9. 5 \44DAKOTTA 512EG r Occupancy groups:
City /State /ZIP: ---r74/\2r Existing:
Phone: ( ) Fax: ( ) New:
"t' APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: M1L4Z)2, Cor t CP J Cn In1EE.QS Structural plan review fee (or deposit):
Contact name: -te.R.,..1 14061,m FLS plan review fee (if applicable):
Address: 8510 5,4 $Ae13 /1>
City /State /ZIP: �o Total fees due upon application:
ei- Lostrk
Amount received: 4 l go?. "
Phone: (Gp3) 24 Lt I2 Fax:: 653 ) 2.4 (, 1395
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
I L- m l War' - co rY1
Commercial and residential prescriptive inst ation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Pa System.
Business name: �/4N�.f Z,C5 16►�� Submit two (2) se of roof plan with nnection details
and fire department a•_ ess, along th the 2010 Oregon
Address: SiS sa . +r'J'� Avs Solar Installation Specie ■ Co. checklist.
City /State /ZIP: IleTt_A%.r.'� o2 q 4 z Permit Fee (includes .n review $180.00
and admi ' rat , fees):
Phone: (5b3 ) 23i 0500. Fax: ( ) State surcharge (I `/o of permit - .: $21.60
CCB lie.: ? 2 Total fe• the upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
.. O within 180 days after it has been accepted as complete.
Print name: � Date: 2 - 2013 * 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)
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
9568 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
04/25/2013 00:00
MST2013-00055
PASS
Violation Summary:
Inspector Contractor
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
9568 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
04/25/2013 00:00
MST2013-00055
PASS - C of O
Violation Summary:
Inspector Contractor
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
9568 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
03/25/2013 00:00
MST2013-00055
PASS
Violation Summary:
Inspector Contractor