Permit CITY OF TIGARD MASTER PERMIT
' a COMMUNITY DEVELOPMENT Permit#: MST2014 00187
T E GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014
Parcel: 2S103BB07901
Jurisdiction: Tigard
Site address: 12350 SW 124TH AVE
Subdivision: LAKE TERRACE Lot: PT 8& PT TRACT
Project: Hinds
Project Description: Removing(2)walls, replace with(1)wall to enlarge master bedroom and guest room. Reducing
existing bedrooms from 4 to 3. Electrical work will be done under minor label.
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: $5,000.00 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
Fum<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.'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:
HINDS,TOM M&JUDY G ALLAWAY CONSTRUCTION LLC Required Items and Reports(Conditions)
12350 SW 124TH AVE 16004 SW TUALATIN-SHERWOOD RD
TIGARD,OR 97223 #147
SHERWOOD,OR 97140
PHONE: PHONE: 503-329-3523
FAX: 971-228-2645
Total Fees: $271.06
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 160
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 through OAR 952-001-0090. You may obtain les or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344.
Issued By: �! Permittee Signature: 1. . - `_. ....
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 completi,n o the project.
Approved plans are required on the job site at the time of each inspe•ion.
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Residential / FOR OFFICE I SF (.1\1.1
City of Tigard ��.Art i Permit No STS </_a9 Z'�
IN
" 13125 SW hall Blvd.,Tigard,OR ►�i1� , .
Phone: 503.718.2439 Fax: 503.5 �� ®rs CNher Permit:
I I t !:t Inspection Line: 503.639.4175 Bate Read. L•. Sun. ® See Pair 2 foe
Internet. www.tigard-or goy Notified Method lid/ //'t f,... Supplemental Information
OCT G,ff.-►-t` (rct- ipc, ga?y•,..,.;
TYPE OF +1' , :1 REQUIRED 1 REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑ New construction K + l Permit fees'are based on the value of the work performed.
i1 t ��' Indicate the value(rounded to the nearest dollar)of all
®.AdditionialterationJreplacemeni i •her. equipment.materials.labor.overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation_ S f
® 1-and 2-family dwelling ❑Commercial/industnal v
❑Accessory building ❑Mulct-family
Number of bedrooms:
❑Master builder ❑Other. - Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors 4'
Job site address: 12350 SW 124"St. New daclling area: 0 square feet
i City/State/ZIP:Tigard,Or 97223 Garage/carport area 0 square feet
Suite/bldg./apt.no. Project name: Hinds Residence Remodel Cos ered porch area 0 square feet
Cross street/directions to job site: Deck area 0 square feet
Other structure area 0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Lake Terrace Lot no Pernut fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no..PT 8& PT TRACT equipment.materials,labor.overhead,and the profit for the
DESCRIPTION OF WORK R work indicated on this application.
Remising to walls sprarating the 2(e)guest bedrooms and the le)master suite. VValuation: S
w
Remised w alis are to he replace w ith one wall that will divide the expanded Existing building area: square feet
Master Suite and one larger guest room. Nets building area square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name Tom and Judy Hinds Type of contrition:
–H
Address: 12350 SW 124"Ase. Occupancy groups.
City/State/ZIP: Tigard,OR 97223 Existing.
Phone'.( ) Fax ( Ness
® APPLICANT 1 ® CONTACT PERSON BUILDING PERMIT FEES*
(Please
Business name:Scott I Edwards Architecture r�n rojrosctiYeafirJe)
Structural plan rev less fee tor deposit):
Contact name Joe Broders
FLS plan reviess fee(if applicable)
Address: 2525 E.Burnside St.
Total fees due upon application:
City/State/ZIP: Portland,OR application:
Phone (503)226-3617 Fas: :( ) Amount received: # y7,
E-mail JRroders a seallp.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Co unre=al and residential prescriptive installation of
CONTRACTOR roof ■p mounted Photo Voltaic Solar Panel Syster .
Business name:Allaway Construction(Contact:Jason Aliaway) Submi vo(2)sets of roof plan with co in details
— — and fire d .•nment access.along wi • 2010 Oregon
Address:901 Brutscher St.STE D.#101 Solar In.s:allots - ccialr, Co • ckltst.
City/State/ZIP: Newberg,OR 97132 Permit Fee 0 . an mvless 5180.(5)
and :• ni • ve fees):
Phone: (5113)329-3523 Fax:( 1 State lurch. :c(1'_"s of perms ) 521.60
CCB lie.: 162300
oral fee due upon application 520 1.601
This permit application expires if a permit is n obtained
Authorized signature: 1 4" within ISO days after it has been accepted as con
Date:16/01/1/ 'tee methodology set by Irv-County Building industry
Print name: �CtSe1i1 !t l�dW" Service Board
f
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12350 SW 124TH AVE, TIGARD, OR, 97223 April 20, 2017 at 10:02:14 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00187
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor