Permit CITY OF TIGARD MASTER PERMIT
_ COMMUNITY DEVELOPMENT
Permit ft: MST2014-00093
T I(A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2014
Parcel: 2S110DA06300
Jurisdiction: Tigard
Site address: 10511 SW NAEVE ST
Subdivision: ERICKSON HEIGHTS Lot: 24
Project: WIHTOL
Project Description: Converting attic to bedroom.
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: 148 sf Garage: 0 sf Front 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 148 sf Value: $16,323.00 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 Tvoes 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 Temo 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: 4
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-3 148
Owner: Contractor:
WIHTOL,CRAIG D&JENNIFER L DANIEL L FORNEY CONSTRUCTION CO Required Items and Reports(Conditions)
10511 SW NAEVE ST PO BOX 118
TIGARD,OR 97224 SHERWOOD,OR 97140
PHONE: PHONE: 503-314-5261
FAX:
Total Fees: $851.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law, All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan , or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follo. i- =s adopted by the Oregon Utility Notification C t r. hose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You spay o ' a copy of the rules or. - questions to OUNC by 'rig 503. .1 7 or 1. 0.332.2344.
Issued By/. - -=rmittee Signature:
Call `ate . :00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
,
Building Permit Application
Residential FOR OFF I( F. 1 'NI ()NIA•City of Tigard GEIVED Date/ :: , i 7 wit No.. u Y/o • — c
13125 SW Hall Blvd.,Tigard,OR 9 p�Re ie•• •
: S Phone: 503.718.2439 Fax: 503.595.1 ,4 Dare/B : ��� IEM Permit
TI c A k t� Inspection Line: 503.6394175 JUN 12 20 Date Ready/By: El See Page 2 for
Internet: www.tiggsdrez.Sov ';ii:.Lui;'ri +� L �s/I R. S"R4 labor atioa
. I S .1 . 1 'i!Y . .f1'�.` '1_ /
TYPE OF nMSIO ► REQUIRED DATA:I-AND 2-FAMILY DWELLING I
Q New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all❑Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 11 n 9
91-and 2-family dwelling ❑Commercial)iindustrial
Valuation: �-- cr�aa,140/3'v}-(I�
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (p 411 S 104 14aks tt N f 0. vj'1'. New dwelling area: 1 di$ square feet
City/State/ZIP: `r"'i 4 wet:, a 6g. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: CA jk Ito' Covered porch area: square feet
Cross street/directions to job site: ! bu kA.g Le 4+ 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.: Z. papa m 4:3450 equipment,the value(rounded to the nearest dollar)of all
equipment,mateials,tabor,overhead,and the profit few the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S I
Z...014 V CJCI AM I(... 'lb LAS/14 CI
t_ 1,44,t€ E (t) gearcµ Existing building area: square feet
J New building area: square feet
`PROPERTY OWNER ' r l ❑ TENANT.E'`� it i/ Number of stories:
Name: .fit P.1 t E 14lh%TOL .* e/ Q i )ti Type of construction:
Address: .5,13.N4rC rt L �`) Occupancy groups:
City/State/ZIP: r k
p� t 1V Existing:
Phone:(�3 84, ! g'1 Fax:( ) r New:
.APPLICANT ❑ CONTACT. PERSON BUILDING PERMIT FEES*
Business name: 12 Ef i2 `62 vi re( rotaosit):
l - Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
CmtyiStalefLlY: Total fees due upon application: A +
Phone:( ) Fax: :( ) Amount received: F")/5—.*9'1
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top Mounted PhotoVoltaic Solar Panel System.
Business name: Pa i4 m{-►L.'F,lat../ET ( 4--T*0 00 Submit two sets of roof plan with connec'• details
and fire dep: . .• access,along with • 010 Oregon
Address: {).0 Se>, I(8 Solar Installation S',=,_+ Code cklist.
City/State/ZIP: F".L(SE-2 1,40 or, 0 t�. 91 I4 Permit Fee(includes �t ve f�
and a. strative fees :� $180.00
Phone:(gyp 31..4 -. s'L4,' ( Fax:( ) State Burch: • 2%of permit fee): 21.60
CCB lic.: ` 1 " y/D 0 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.
Fee methodology set by Tri-County Building Industry
Print name: �� �j 4 Date: L a ' `� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
V
. 1
Electrical Permit Application 1 (11; ,)1 1 1 1 , I ■1 (1\I 1
M City of Tigard ig f 7' PermitNo.: . r 1/1 f3
13125 SW Hap Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1 _ Other Permit:
Inspection Line: 503.639.4175 E� �u r'
Ready/By: tats: 0 SaeP.,k
Internet: www.tigard-or.gov 2 .: ethod:
..1.:,-.7.,:s.....1., Supplemental IaisanMisa
TYPE OF WORK :x .. `
PLAN REVIEW
❑New construction ®Addition/alteration/t+eplaige Please check all that apply(submit 2 sets of plans w/items checked batowk
❑Demolition ��� ❑Service or feeder 400 amps or more ❑Building over three stories.
Other: ' . fl J where the available fault current ❑Marinas and boatyards.
CATEGORY OF CO VrIOI'i exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial less to gtound,or exceeds 14,000 0 Commercial-use agricultural
❑Accessory building amps for all other installations.
❑Multi-family ❑Master builder buildings.
Other: ['Fire pump. ❑Installation of 150 KVA or
0 Emergency system. larger separately derived system.
JOB SITE- QMMATIOII't�A -L9CA7
' � l ❑Addition of new motor load of 0"A" "£" °I-2„,"1-3^,
Job no.: 1 Job site address: 10511 SW Naeve St 100HP or more. occupancy.
❑Six or more residential units. Cl Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more.
Cross street/directions to job site: PEE SCHEDULE
Descried°. l Qt. I Pee. I Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.R or less 168.54 4
Tax map/parcel no.:
Ea.add'/500 sq.ft.or portion 33.92 1
Limited �'residential 75.00 2
DESCRIPTION OF WORK (with above sq.tt)
Limited energy,multi-family
4 circuits for remodel residential(with above sq.ft.) 75.00 2
Renewable Fmergy 0 See Palls 2
_ Services or feeders installatiota�alteratlon,and/or relocation
❑ FR OWNeR l ❑ TENANT 200 amps or less 100.70 2
Name: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Address:
601 amps to 1,000 amps 301.04 2
City/State/ZIP: Over 1000 amps or volts j 552.26 2
Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
Owner installation:This installation is being made on property that I own which is not 201 amps or less 59,36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 so 400 amps L r25.0B 2
401 amps to 599 maps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
C).41114c# Tr [3 CON'PAcp MOON A.Fee for branch circuits with
above service or feeder fee,
7A2 2
Business name: each branch circuit
B.Fee for branch circuits without
Contact name: service or feeder fee,fast l 56.18 56.18 2
branch circuit
Address: Each add'!branch circuit 3 7.42 22.26 2
City/State/ZIP: Miscellaneous(service or feeder not Included)
Each manufactured or modular 67.84 2
Phone:( ) Fax. :( ) dwelling,service and/or feeder
Romancer onty 67.84 ' 2
E-mail:
Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:Weber Electric,Inc. Signal circuits)or limited-energy See
panel,alteration,or mctenaon. Page 2 2
Address:7007 SW Robbins Rd Each additional inspection over allowable in any of the above
City/State/ZIP:Tualatin,OR 97062 Additional inspection(]hr min) ' 66.251 hr
Investigation(1 br min) 66.25/br
Phone:(503)819-7380 Fax:(na) 1 Industrial plant(1 la min) 78.18/hr
r
CCB Lie.: 44087 / 1 l Electrical Lie.: 34-442C Suprv.Lic.: 40288 Inspections for which r fee is 90.E ta
L'l4'!l / P �ecifically listed('/,hr min)
Suprv.Electrician signature,required: j 9_4,4' �D�//� �' �' ubt�s !„� Subtotal: 78.44
Print name: Matt Weber Date: 6-11-1 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 9.41
Authorized signature: TOTAL PERMIT FEE: 87.85
Print name: Date s permit application mires If•permit is not obtained within 180
days after It has been accepted as complete.
C �kEu__Perm pp_._&E-doe rtav 0SJ2112013
• Number of inspections allowed per permit.
410.46 t Tr(11/OSlCOM/WC+Jj
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10511 SW NAEVE ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00093
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10511 SW NAEVE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00093
Jeff Grove
Violation Summary:
Inspector Contractor