Permit CITY OF TIGARD MASTER PERMIT
11111 " COMMUNITY DEVELOPMENT Permit#: MST2014-00203
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2014
TIGARD Parcel: 2S112BD05400
Jurisdiction: Tigard
Site address: 7962 SW LEISER LN
Subdivision: LEISER PARK Lot: 18
Project: Moar
Project Description: Tree strike repair
BUILDING
Floor Areas Required Setbacks Required
Stones: 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: No
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
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
Fum>=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/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:
DENNIS MOAR HOMEMASTERS Required Items and Reports(Conditions)
7962 SW LEISER LN 7225 SW BONITA RD
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: 503-358-1224 PHONE: 503-639-7700
FAX:
Total Fees: $275.06
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 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- 10 throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 987 or 1.800.332.2344
Issued y: Permittee Signature: it
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 '1EIVED
ki
Residential FOR OFFICE USE ONLY
City of Tigard 9V 17 2014 Received � �� Permit No.: ��
Irr
DateB �I ODot03
13125 SW Hall Blvd.,Tigard,OR 23 Plan Review►
Phone: 503.718.2439 Fax: 50 Date/By: ► �" I / f'\ Other Permit:
f 1GARD Inspection Line: 503.639.4175 UFTIGARU Date Ready/By: '/ " Juris: Iii See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifi ethod:Or �� /Y' Supplemental Information
L(I—net-c x-e
TYPE OF WORK EQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New consu uctiun ❑Demolition Permit fees*are based on the value of the vA ork performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ®Other:REPAIRS equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling Valuation: $5,000.00
y g ❑Commercial/industrial
CI Accessory building 11 Multi-family
Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7962 SW LEISER LN New dwelling area: square feet
City/State/ZIP:TIGARD/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:MOAR TREE STRIKE REPAIR 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 lees*are based on the value of the work performed.
Tax map/parcel no.:2S112BD05400 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.
REPAIR/REPLACE DAMAGED WOOD FRAMED STRI'C IIRE COMPONF fS Valuation: $
AND FINISHES Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ' ❑ TENANT Number of stories:
Name:DENNIS MOAR Type of construction:
Address:SAME AS ABOVE Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:WEST COAST FORENSICS (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:DAVE SANDAHL,PE
FLS plan review fee(if applicable):
Address:3835 SW KELLY AVE
City/State/ZIP:PTLD/OR/97239 Total fees due upon application:
Phone:(503)358-1224 I Fax::(503)232-5372 Amount received: 77-3
E-mail:dave*wcfore.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Conan cial and residential prescriptive installation of
CONTRACTOR roof-top •Iunted PhotoVoltaic Solar Panel Syst-••.
Business name:HOMEMASTERS Submit two is of roof plan with co 1- on details
and fire departmen .- • s,along 1 e 2010 Oregon
Address:PO BOX 230207 Solar Installation Specialty :. ••checklist.
•-s plan revs i
Permit Fee(inc City/State/ZIP:TIGARD/OR/97281 Perm 'nistrative fees): $180.00
Phone:(503)502-1097 Fax:( ) Sta - I charge(12%of permit fee): = .60
CCB lie.:195693 Total fee due upon application: $201.60
Authorized signatut iaa.�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p44, 5 40 yL Date: ///7�(p Service methodology set by Tri County Building Industry
1:1Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)