Permit �� CITY OF TIGARD MASTER PERMIT
IN II • COMMUNITY DEVELOPMENT Permit#: MST2014-00192
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2014
Parcel: 2S 115AA03800
Jurisdiction: Tigard
Site address: 10591 SW KENT ST
Subdivision: DOVER LANDING NO.2 Lot: 77
Project: Davis
Project Description: Interior remodel, remove bearing wall, remodel kitchen. Electrical work done under
ELC2014-00620.
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:
Total: 0 sf Value: $2,500.00 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 1 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
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1
Fum>=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:
DAVIS,JOE E&KATHRYN E PARSONS CUSTOM REMODELING&CABNT Required Items and Reports(Conditions)
10591 SW KENT ST 13783 S FORSYTHE RD
TIGARD,OR 97224 OREGON CITY,OR 97045
PHONE: PHONE: 503-656-7232
FAX: 503-656-6967
Total Fees: $399.58
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o er ap•icable 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 w• is su'•ended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T ose •es are set forth in OAR
952-001-0010 through OAR 952-001-0090. You_may obtain a copy • the ru= •r direct questions to OUNC by calling 503.23 .1987 r 1.:•:. 32.2344.
Issued By: t i_...■ -e ' - i•nature: �_ j
C.. 4175 by 7:00 a.m.for the next available inspection e.
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 ApplicatiotREFI
Residential FOR OFFICE USE ONLY
1,1 City of Tigard OCT 2 S 2014 Date/By: tv r4 Permit No.: 't �` 'dol•a
C • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review 0 -
Phone: 503.718.2439 Fax: 503.598. TY (CARD Date/By:
0, Other Permit:
TI G A R D ]nspection Line: g 03.63 8.4175 rig Stu n ncInt( Date Ready : // 0. 'r-- �u�s ® See Page 2 for
Internet: www.ti ardor. ov °� 1 /I� Notified/Meth Y Supplemental Information
tt?/C
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ t-
® 1-and 2-family dwelling ❑Commercial/industrial Z
❑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:10591 SW Kent St. New dwelling area: ` square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: _- square feet
Suite/bldg./apt.no.: Project name: 04V1s Covered porch area: ^` square feet
Cross street/directions to job site: Deck area: �-- square feet
1)u4,e fdek ,4 I aatb Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work perlomied.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Peen(aL . .1-10 r� hea-i' � 10k\ _ci ze _
J Existing building area: square feet
Ce J New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Joe&Kate Davis Type of construction:
Address:10591 SW Kent St. Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)367-7563 Fax:( ) New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Parsons Custom Remodeling&Cabinets,Inc (Please refer to fee schedule)
Structural plan review tee(or deposit):
Contact name:Ed Parsons
FLS plan review fee(if applicable):
Address: 13783 S.Forsythe Rd.
Total fees due upon application:
City/State/ZIP:Oregon City,OR 97045 _
Phone:(503)656-7232 I Fax::(503)656-6967
Amount received: 4 77.'ECG
E-mail:edcparsons @aol.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Co P mercial and residential prescriptive installation of
CONTRACTOR roof- .• mounted Photo Voltaic Solar Panel Syste
Business name:Parsons Custom Remodelling&Cabinets,Inc. Submit •. sets of roof plan with tonne '. details
and fire dep. • access,along w• • • e 2010 Oregon
Address: 13783 S.Forsythe Rd. Solar Installation Spe • .•• checklist.
City/State/ZIP:Oregon City,OR 97045 Permit Fee es :•• review $180.00
Phone: 503 656-7232/�05_S d administrative( ) 3y-o$3z Fax:(503)656-6967
e •to surcharge(12%of permit fee): $21.60
CCB lit.:136199 •7f�Dii) 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.
Print name:
rr Date: *Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Oct 281401:31p p.1
Plumbing Permit Application
Building Fixtures RECEIVES Reenrd
City of Tigard Darcy / i t tvn.: r.jrltL�-�D/r ✓
11111 : a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503. i 8 201 Date/By. Other Permit No.:
T I G A R D Inspection Line: 503.639A175 Date Ready/By: lies: ®See Page 2 for
Internet: www•.tigard-or.gov t,; OF F!f>�4RD Notified:Method. Supplemental Isforesation
TYPE OF C D FEE* SCHEDULE
For special information use checklist
❑New construction 1 n p 1 Ea Total
Description ( y.
XAdditionJalteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master budder ❑Other: Fire sprinkler( sq.1L) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: t.0 q 1 S VA i�.'t� Si Catch basin or area drain 18.76
Drywetl,leach line,or trends drain 18.76
City/State/ZIP: 71(t/ C) Footing drain(no.linear ft.:_) Page 2
Suite/bldgfapt.no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:-J Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: -1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
14, 7\-..)43 tLt Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address: Garbage disposal f 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 1 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: (,14-C L' f‘....."0 tA-Ab/k.":11-7 Water piping/DWV 56.29
Address: 1 3101 5 )-1 i-VVC 1e-- Other. 25.02
City/State/ZIP: o>2z Ck OIL g 7 may. Subtotal
Phone:( j ) 7Q) Fax:13) 'o-$72c) _ Minimum permit fee: $72.50
�' - Plan review (25%of permit fee)
CCB Li c.: r- 7 Plumbing Lie.no.: ?.. State surcharge(12%of permit fee)
Authorized signature: ( c PLC TOTAL PERMIT FEE
'� This permit application expires if a permit is not obtained within 150 days
Print name: C.„4/2_.‘..._ C r2-�755 Date:l G 7-�)'{ after it has been accepted as complete.
`Fee methodolo5y set by Tri-County Building industry Service Board.
1.1Building\PWmiliPLMC-•ermitApp.doc 1OM1/C9 440a616T(10n2'COM/WEe)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard AECBU rived /Q a2 G Ar a Permit No.: r_,`4 �O/ >
111
. • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a LL// v
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
T I G A R n Inspection Line: 503.639.4175 OCT 8 Z014 Date/BY:
Date Ready/By: Jur. ® See Page 2 for
Internet: www.tigard-or.gov otified/Method: Supplemental Information
CITY f{GA '
TYPE OF WORK RC,14LD ,i VIIal!' . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10591 SW Kent Street Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
' Heat pump 61.06
Suite/bldg./apt.no.: Project name: pa V S Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
D ,r�tm le 1 p6� hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert . 33.39
Flue vent for water heater or gas
Mov-c. gas (, .e.. 4-o rte., coc1� }Qp fireplace . 23.32
Log lighter(gas) 23.32
le.c°Vuo . 11 Wood/pellet stove 33.39
I.13-4-c.t1 rl{....) Vri,^4-f` �ul vet Rini Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Joe&Kate Davis Range hood/other kitchen
— equipment 33.39
Address:10591 SW Kent St Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)367-7563 Fax:( ) Attic/crawlspace fans 23.32
k: APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Parsons Custom Remodeling&Cabinets,Inc
$14.15 for first four;$4.03 for each additional
Contact name:Ed Parsons Furnace,etc.
Address: 13783 S.Forsythe Road Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Oregon City,OR 97045 Water heater
Phone:(503)656-7232 Fax::(503)656-6967 Fireplace
Range
F.-mail:edcparsonsW&aol.com Barbecue _
CONTRACTOR Clothes dryer(gas)
Business name:Parsons Custom Remodeling&Cabinets,Inc Other:
MECHANICAL PERMIT FEES*
Address: 13783 S.Forsythe Rd Subtotal
City/State/ZIP:Oregon City,OR 97045 Minimum permit fee($90.00)
Phone:(503)656-7232 0 S (503)656-6967 Plan review(25%of permit fee)
( $ 3r 3al-og3Z Fax: State surcharge(12%of permit fee)
CCB lie.:136199 . TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/l days after it has been accepted as complete.
Authorized signature: , * Fee methodology set by Tri-County Building Industry Service Board
Print name: F Oh Pa450ns Date: ip-2g_ i\P �,I
I:\Buildingermits\MEC_PermitApp_040113.doc 440-46i7T(11/02/COM/WE( B)
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Oct 29 14 06:27a p.1
C U S T O M'
REMODELING & CABINETS, INC.
13783 S. Forsythe • Oregon City, OR 97045 RECE I(503) 6 56-7232 if
OCT 2 .7 2014
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FAX TRANSMITTAL SHEET IIVrOJV/SJO
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FAX NO.: 5'a3- 5? - k 9 Go
FROM: E c 20,rs oAs-
DATE: /0 - Z '- (t1 TIME: 7.
TOTAL PAGES (including coversheet): 1
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Oct 29 14 06:27a P 2
CITY OF TIGARD CEI Efi ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT OCT 2 y Pennittl: ELC2014-00620
Cate Issued: 10/2812014
TIGARD 13125 SW Hail Blvd.,Tigard OR 97223 503.718.24381+� 014 parcel: 2S115AA03800
'rill "`"r` Jurisdiction: Tigard
Site address: 10591 SW KENT ST DING pi�rARIJ
Project: 73529:Parsons Remodel-Davis $t itfilIon: DOVER LANDING NO.2 Lot: 77
Project Description: (5{circuit Installation.
Contractor: RED'S ELECTRIC CO INC Owner: DAVIS,JOE E&KATHRYN E
6336 SE 107TH AVE 10591 SW KENT ST
PORTLAND,OR 97266 TIGARD,OR 97224
PHONE: 503-233-6467 PHONE:
FAX: 503-233-12Bi
FEES
Quantity Description Data Amount
5 crt Branch CircuitswoiPurchase 10/28/2014 585.86
Specifics: Service or Feeder
1 ea 12%State Surcharge- 1012812014 $10.30
Type of Use: SF Electrical
Class of Work: ALT
Typo of Cone':
Occupancy Grp:
Total 596.16
Required items and Reports(Conditions}
This permit is issued subject to the regulations contained In the Tigard Municipal Code, Slate of OR. Specialty Codes and all ethos applicable law. A11 work will
be done Ir. 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. ATTENTAN: Oregon law requires you to Inflow the roles adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR
952-0010010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Pernillloo Signature:
OWNER INSTALLATION ONLY
The Installation Is being made on property l own which Is not Intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.835.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept In a con aplcuoua place on the job site until comp:elion of the protect_
Approved plans are required on the job site at the time of each Inspection.
CITY OF TIGARD
BUILDING DIVISION PERMIT#: h9Srao/y-Cxa/q' -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 /.ma-'d vIlllwill'l'
Inspection Requests (24 Hrs.): (503) 639-4175 :- °__..
INSPECTION WORKSHEET FOR DATE:/..., 4 07`..) --' TIME: PAGE:
SITE ADDRESS: JO S-"y/ FA/X fiiT SD' CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7- 7g--- /j Pour Time:
Code # in Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
41— Pl4 e,,✓a- / i 4 L /El if
lt/A L .Y777 FrTi-27ti 134,....c it/o CG `t- 0
1
1
'ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Q-
Inspector: c Date: �p�U '() Phone #: (503) 718-
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
10591 SW KENT ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00192
George Heimos
Violation Summary:
Inspector Contractor