Permit CITY OF TIGARD iffrQ/5 MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2013 00157
T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08!12/2013
Parcel: 2S111BA00802
Jurisdiction: Tigard
Site address: 14170 SW 100TH AVE
Subdivision: TIGARDVILLE HEIGHTS Lot: 24
Project: Doering
Project Description: Replace existing deck and deck cover. 11/20/13, reprinted to add(2)branch circuits.
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: No
Total: 0 sf Value: $25,000.00 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 Srvc!Feeders Branch Circuits_
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
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:
DOERING,JOSHUA N&ANGIE L B DUTTON CONSTRUCTION INC Required Items and Reports(Conditions)
14170 SW 100TH AVE 16775 SW LAKE FOREST BLVD
TIGARD,OR 97224 LAKE OSWEGO,OR 9703
PHONE: PHONE: 503-572-7392
FAX:
Total Fees: $970.22
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 •+ • r- ce 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
day . ATTENTION: • -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are et forth in OAR
9 '-001-0010 through OA" •- -10 '190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. • or 1.800.332.2344.
Is rued By: .� , / ,Q� Permittee Signature: r ,�33
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.
Electrical Permit A licatio F FOR OFFICE USE ONLY
�� ""' R / '
City of Tigard 2 Received e Date/B m Permit No.: �� /3
° 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 2 ® 203 Plan Review
' C Phone: 503.718.2439 Fax: 503.598.1960 A Date/B : Other Permit:
TI G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY Notified/Method: Supplemental Information
BUILDING DIVISIO "
• TYPE OF WORK PLAN REVIEW
❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
�
-y less to ground,or exceeds 14,000 ❑Commercial-use agricultural
, '-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","I-3",
Job no.: Job site address: t� looter or more. occupancy.
1%`c-6 5 4J i oeYth Ayr ❑Six or more residential units. ❑Recreational vehicle parks.
Clty/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than
T I�-r/C Q D . O Q q )Z Z ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: O C t21 Aic< 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: ,7C i�aN/rl� Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
ftb L I F tt T i N�j Ci/QCU r E k 1 12t5►z OLD 1 � residential(with above sq.ft.)
J / Renewable Energy ❑ See Page 2
C c..( ) T Services or feeders installation,alteration,and/or relocation
A PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: A r L1 I e bye r ∎eNii 401 amps to 600 amps 200.34 2
Address: J `' ' 601 amps to 1,000 amps 301.04 2
,D b>J U�rth 1��C Over 1,000 amps or volts 552.26 2
City/State/ZIP: -rlGrisc t (Jet' C' 3 Temporary ZZ Tem ra services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670, d 701.
t 401 amps to 599 amps 168.54 2
Owner signature: U Date: ' - I3 Branch circuits—new,alteration,or extension,per panel
APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: A �v r TaN Gm 7-2 U C rl Oil TN . each branch circuit
B.Fee for branch circuits without
Contact name: t • U""fib service or feeder fee,first / 56.18 2
C branch circuit
Address: l t 9,6S S t,3 1-Y/Ji) 5-r- Each add'I branch circuit / _ 7.42 2
City/State/ZIP: �. 3 Miscellaneous(service or feeder not included)
( l�—t C11 D 1 ace I )ZZ 3 Each manufactured or modular 67.84 2
Phone: p ) Fax: ( ) dwelling,service and/or feeder
3 S 7 Z 7 59 Z Reconnect only 67.84 2
E-mail: g D c e-vyko 6 & yrcriaa.Cb el Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: Cup,J p n v Signal circuit(s)or limited-energy See
I
panel,alteration,or extension. Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:
Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 6.3.top
Print name: Date: Plan review(25%of permit fee): r'
State surcharge(12%of permit fee): 7. 4'5
Authorized signature: TOTAL PERMIT FEE: -7 I ,a 3
Print name: Date: This permit application expires if a permit is not obtaine8 within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(I1/05/COM/WEB
CITY OF TIGARD MASTER PERMIT
1111 s.. COMMUNITY DEVELOPMENT Permit#: MST2013 00157
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2013
Parcel: 2S 111 BA00802
Jurisdiction: Tigard
Site address: 14170 SW 100TH AVE
Subdivision: TIGARDVILLE HEIGHTS Lot: 24
Project: Doering
Project Description: Replace existing deck and deck cover.
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: No
Total: 0 sf Value: $25,000.00 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 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&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:
DOERING,JOSHUA N&ANGIE L B DUTTON CONSTRUCTION INC Required Items and Reports(Conditions)
14170 SW 100TH AVE 16775 SW LAKE FOREST BLVD
TIGARD,OR 97224 LAKE OSWEGO,OR 9703
PHONE: PHONE: 503-572-7392
FAX:
Total Fees: $898.99
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 in acco•-• . 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
ys. ATTENTION: Ore., law requires you to follow the rules adopted by the Oregon Utili Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 9 • 101-0D!•. ou may obtain a copy of the rules or direct questions to•il C b .1987 or 1.800.33 '.:- 4.
Issued By: , 4► Perm ittee Sign: ure: /J► �/ ✓JI /r/ >>
Call 503.839.4175 by 7:00 a.m.for the next available Ins•= • • -
This permit card shall be kept In a conspicuous place on the job site until co • . •n 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 Received
City of Tigard Date/B : Permit No.:
4 m Avg-0015
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie Sit
IN
C Phone: 503.718.2439 Fax: 503.598.1960�UN 2013 Date/B Aimm�.�r7 rall= Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Remy/:y: Juri'' ® See Page 2 for
. Internet: www.tigard-or.gov -CITY OF TIGARD Notified/Method: '7 5) /5. , •. / /a. 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
XAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ i czo, ab gI-and 2-family dwellin g 0 al
1=1 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: /1/47o 5t) i Qb'h n vC New dwelling area: square feet
City/State/ZIP: ri( ( i np € 9 7 ZZ 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: . U 0 E0,1ti 6. c K 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.
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.
Valuation: $
RePUccs- PxiSi ING 'bt-cK, a
tcK coq Existing building area: square feet
New building area: square feet
/ PROPERTY OWNER ❑ TENANT Number of stories:
Name: --Z-0,s4.., '.>7e•g:2.;Nl Type of construction:
i../170 Address: / 5 i.J Ion +14 av _ Occupancy groups:
City/State/ZIP: T-L6T : 00.6 97?ZZ'3 Existing:
Phone:( ) Fax:( ) New:
7.APPLICANT ' ' El CONTACT'PERSON BUILDING-PERMIT FEES*
Business name: (Please refer td fee schedule)
DQ � crn)S T2t5CT1 DN N C. Structural plan review fee(or deposit):
Contact name: 8R lm' .1-78/0
FLS plan review fee(if applicable):
Address:
%477S Ur..l Len{6- CorzEWr jCV •
City/State/ZIP: L�K 6 o5 W e6.0 02 6 1703 S Total fees due upon application:
Phone:(503) 4"?-z, 7 3 4 2 I Fax: :( )
Amount received: 0 A95 c>7
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* -
E-mail:
8 peer/sup @ .y O` cop, . Comme s'al and residential prescriptive installation of
CONTRACTOR roof-top mo. ted Photo Voltaic Solar Panel Sys -• .
Business name: �� CoNSTQUGT IC. �/�Jt;.. Submit two(2 -ts of roof plan with co -- ion details
and fire departmen , cess,along wi . • e 2010 Oregon
Address: !677.5 b w t;ft<g. ros-' r `30A Solar Installation Spec'. . Cod• ecklist.
Permit Fee(includes review Cit /State/ZIP: L j. c L t S1aL lam_ Bad ��J03S
and ad 1. istrative :-s): $180.00
Phone:(SAS) S 7-z, 73i Z u Fax:( ) State surch• 1 (12%of permit fee): $21.60
CCB tic.: %C s bTQ
'otal fee due upon application: $201.60
Authorized sign[ature: /'l i This permit application expires if a permit is not• tamed
�IlC1r►•1 Qa., within 180 days after it has been accepted as complete.
Print name: g `� 4"10N Date: 4,_ �_ 3
*Fee methodology set by Tri-County Building Industry
Service Board.
•
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
., •v •
e Building Division
Development Code Provision Review
T i c e Ii Residential Projects•
Building Permit No.: H cO I - OCR I S `7
Project/Subdivision Name: —1-DO E2 I ?..) , Lot #:
Site Address: ( L/ 170 o�uJ I O O v E.—
CWS Service Provider Letter:
Required:Yes ❑ No 0_
Received:Yes ❑ No
Plans Routed: //
Original Plan Submittal Date: c.P A4 II 3/0/3
Routed B .
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2"d Revision Submittal Date: ❑ Site Plan Only Routed By:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review(contact fttl WS KOWQC'9 at(503) 718-2421 or CI lQS IL @tigard-
or.gov)
Land Use Case No.
Zoning R 3•s
B Setbacks: i
/Front Rear IS. Side eJ Street Side NJ f k Garage t /A
D' Maximum Building Height: W Actual Building Height IJ/k
0 Visual Clearance r4/fk
❑ Easements `r
Cr ensitive Lands Type: NO IN
LZtreet Trees NI I A,
IJ Protected Trees I• I f r
Notes:
Original Plan: Approved Not Approved ❑ Date: 1 I 1[11 3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov)
i1 Actual Slope: 3
Notes:
Original Plan: Approved An- Not Approved ❑ Date: 7 1I(/l 3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert@tigard-or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to App ant
Okay to Issue Permit: Yes 'o ❑
Date Routed to Building: .
-
//
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR RES.doc Rev.01/16/13