Permit p CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2015-00107
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2015
Parcel: 2S111CA04500
Jurisdiction: Tigard
Site address: 9680 SW LAKESIDE DR
Subdivision: SUMMERFIELD NO.12 Lot: 665
Project: Corbett
Project Description: Replacement of doors and windows,changing locations and sizes.
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: $28,000.00 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
0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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!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:
CORBETT,COLLEEN J J3 BUILDERS Required Items and Reports(Conditions)
9680 SW LAKESIDE DR 4865 SOUTHSTAR CT NE
TIGARD,OR 97224 SALEM,OR 97305
PHONE: PHONE: 503-798-8140
FAX:
1
Total Fees: $866.01
This permit is is -• subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don- • accordance wit- -•proved 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 la re. -s y•u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001-0010 th ough OAR 952-00 /090. Yo obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.r 1.80/.332.2344.
1 ..►`.:
Is ued By: 952-00
, Permittee Signature: � -...,:7�W'_ .�.
Call 503.639.4175 by 7:00 a.m.for the next available insp tit on datl
This permit card shall be kept in a conspicuous place on the job site until ompletion o the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatiog y �,D
-Residential �� ' i1 L FOR 01 1 It I: t `NI v1 1
• City of Tigard �gClEME' Pet,n;t No.• Sf; •15'00107
13125 SW Hall Blvd.,Tigard,01211.444232 5 2015 Plan Review r.A
• Phone: 503.718.2439 Fax: 503.598.1960 paze/g �i r �/ i►I her Permit:
TI UI A R 1) Inspection Line: 503.639.417(`ITJ 0 GARD Date Ready/By: �e� 1�s See Page 2 for
Internet: www.tigard-or.gov o , Notified/Method: Suppkmental Information
BUILDING DIVISION I. (,a
TYPE OF WORK REQUIR D D A: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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $28,000
❑Accessory building ❑Multi-family Number of bedrooms: 2
❑Master builder ❑Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:9680 SW Lakeside Dr. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Corbett Covered porch area: square feet
Cross street/directions to job site:SW 98th Ave. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Summerfield Estates Lot no.:665 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S111CA04500 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Replacement of doors&windows-change location&size. K.i4 hen •bath ntod 1. Valuation: $
.Reside Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Connie Corbett Type of construction:
Address:9680 SW Lakeside Dr. Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)349-6655 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:J3 Builders (Please refer to fee sehedak)
Structural plan review fee(or deposit):
Contact name:Jim Youngers
FLS plan review fee(if applicable):
Address:4865 Southstar Ct.NE
City/State/ZIP:Salem,OR 97305 Total fees due upon application:
Phone:(503)798-8140 Fax::( ) Amount received: ,��
E-mail:j3builders@comcast.net
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Cs••mercial and residential prescriptive installation of
CONTRACTOR roof- • mounted Photo Voltaic Solar Panel System.
Business name:J3 Builders Submit o(2)sets of roof plan with connection de
and fire des• ment access,along with the 20 t •regon
Address:4865 Southstar Ct.NE Solar Installa Specialty Code chec. .
City/State/ZIP:Salem,OR 97305 Permit Fee des pl.. tew $180.00
and.• • - .tive fees):
Phone:(503)798-8140 Fax:( ) State sur •:.:e(12%of permit • $21.60
CCB lic.: 199654
y�,er 17 Total fee due upon application: .201.60
Authorized signature: ,P This permit application expires if a permit is not obtained
Ili
•i within 180 days after it has been accepted as complete.
Y P P
Print name:Jim Youn_ Date:6/25/2015 *Fee methodology set by Tri-County Building Industry
Service Board.
I:113uilding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
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
9680 SW LAKESIDE DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00107
David Young
Violation Summary:
Inspector Contractor