Permit (71) CITY OF TIGARD MASTER PERMIT
!IN .,
s COMMUNITY DEVELOPMENT Permit#: MST2016-00215
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016
Parcel: 1 S134AA00700
Jurisdiction: Tigard
Site address: 11340 SW IRONWOOD LP
Subdivision: ENGLEWOOD Lot: 14
Project: Moon Creek Homes
Project Description: Repair/replace damaged wall and floor framing due to fire.
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: $15,000.00 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
Other Fixtures: 0
Drywell-Trench Drain: 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'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:
MOON CREEK HOMES INC WILLAMETTE RESTORATION SERVICES INC Required Items and Reports(Conditions)
10940 SW BARNES RD PMB 340 PO BOX 2679
PORTLAND,OR 97225 OREGON CITY,OR 97045
PHONE: PHONE: 503-656-2867
FAX: 503-656-4284
Total Fees: $538.27
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yin a •• of the • = or direct questions to OUNC by calling 503.232 0.332.2344. (
Issued By: �� f" Perm,'.- -•••ature:
L �639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED
Received 5 n.1 /
City of Tigard DateBy: Oil �2 Permit No.: lar�r���a�S
13125 SW Hall Blvd.,Tigard,OR 4,11# 2 4 2016 plan Review
S �/2� J)S Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 DateBy:
l t G A It a Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION
Notified/Method: 02+4 , Supplemental In
formation
' -� . ,,,„0(4,.,4
,N3
,§• a 't ,i,,..'n , r - E ' 't ,. 1001 7co ellibie ' ! ) t ; 2-FAMILY.0Noll
ii
0
,..„ .,....,- _ f �
,...„,:„,,
. „,,,...,,:, .._,
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:Repairs equipment,materials,labor,overhead,and the profit for the
\RY ' 'A » :' work indicated on this application.
' • x S$R ,: 444 o� (i (i,oi - H. ,- •1141044.10Y
® I-and 2-family dwellingValuation: $15,000.00
0Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
r x it ;.tea .h sem.. ih x�" , P t R 4,1 Ilp �_.. ,n 5h h la:
�� Y B'SITE'I e R��� ; i LOCAT ?N �� � Total number of floors:
Job site address:11340 SW Ironwood Loop New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Moon Creek Homes Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
I m i DASAOMMERC ). CKLIST, -_
�2'
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S134AA 00700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
s-te ';o 't i i i d!p did ii i A.�m;l '
r O ;,OF�WOR C �' x� work indicated on this application.
• e � r�•°,Ip'� ,. ,� �,. -� _«� .;tea, ,.� '$
Repair/replace damaged wall and floor framing due to fire. Valuation: $
Existing building area: square feet
New building area: square feet
:max 1� ii rePoat, i�'` S a�: r% iI a
❑4PRl�PER' ' OWI R ,�I,' aI ,i+ A y A'73;,1 .s„ v!A h` 'h` Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
P dCANT '• ❑ CONTACT PERSON = B LD�iG PER r *.ids a
.� t. -T = I anUss car +. z s"• _ I ' tx re. r * �„.,. er r to fee
� Ise) `fit I ��n '
Business name:West Coast Forensics Engineering and Design leaeieieriojfeesc/te7uiej
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 Fax::(503)232-5372 Amount received: ( 94,
NRtA ' � P OT?YQfi U4, S� P
0 .Email ✓Ld W c t0- Co
' - � CTOR � irCommercial and residential prescriptive installatio
a t i ( a � t., COT _ ke �!
roof-top mounted PhotoVoltaic Solar Pane em.
Business name:Willamette Restoration Submit two(2)sets of roof plan wi •inflection details
and fire dep.' 'sent access,al.•: '•'th the 2010 Oregon
Address:PO Box 2679 Solar Installation p' '.•••i ode checklist.
City/State/ZIP:Oregon City/OR/97045 Permit Fee(i i• des plan r . $180.00
.'s administrative fees):
Phone:(503)720-3369 Fax:(503)656-4284 State su .5'. _e(12%of permit fee): $21.60
CCB lic.:158552 ?/j/�y
Total fee due upon application: $201.60
Authorized signa re: (*• ., This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
...A
Print name: Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.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
11340 SW IRONWOOD LP, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
FAIL
MST2016-00215
David Young
Provide smoke detectors in each sleeping room as required per issuance of structural
permit.
R314.3.1
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
11340 SW IRONWOOD LP, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
FAIL
MST2016-00215
David Young
Provide access for inspection.
No one home, 9:00 am
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
11340 SW IRONWOOD LP, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00215
David Young
Smoke detectors installed, final inspection ok.
Violation Summary:
Inspector Contractor