Permit (28) 1111
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00374
TE G;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017
Parcel: 2S109DA05300
Jurisdiction: Tigard
Site address: 15226 SW GREENFIELD DR
Subdivision: SUMMIT RIDGE Lot: 30
Project: WELLS
Project Description: Install(5)windows and (1)new header above garage.
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:
Total: 0 sf Value: $4,000.00 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
0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains:
Bckflw Prevntr: 0 Catch Basins: 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'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:Y Square Feet:
ALT SF VB
R-3 0
Owner: Contractor:
WELLS,ALEX M&KRISTINA M EXTERIORS INC Required Items and Reports(Conditions)
15226 SW GREENFIELD DR 1516 SE 120TH AVE 1 Bedrooms will need egress
PORTLAND,OR 97224 VANCOUVER,WA 98683 windows per R310.1
PHONE: PHONE: 360-260-1311
FAX:
Total Fees: $254.13
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 throu OAR 952-001-0.*.. 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', - 1 _ �. .1110.- Permittee Signature �'
Cal1503.639.4175 by 7 0 a.m.for the next availablepection 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
ResidentialFOR OFFICE USE ONLY
i, {
City of Tigard Received Permit No r �j
13125 SW Hall Blvd.,Tigard,OR 97223 !.'1 ' -)ale/By loi` 47 j� S/�017'zl/37y
;; g` i '' d 1 I(Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Inspection I me: 503.639.4175 ,Q O
TIGARD e -= t[�`�t�ReadyBy: lug ® See Page 2 for
Internet: www tigard-or.gov 1�oM.i Almethoda)//0047 /tl Supplemental Information
/tom. .. .. /�L. i
TYPE OF WORK REQUIRED DATA: 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
®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 dwellingValuation: $4000
y ❑Commercial/industrial
❑ 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: 15226 SW Greenfield Dr New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 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: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S109DA05300 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.
cut in five 3'x 2.5'windows above garage and install new header Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Alex Wells Type of construction:
Address: 15226 SW Greenfield Dr Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)425-1210 Fax:( ) New:
® APPLICANT Er CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Exteriors Inc
Structural plan review fee(or deposit):
Contact name:Chris Lee
n FLS plan review fee(if applicable):
Address: 1516 SE 120 Ave
Total fees due upon application:
City/State/LIP:Vancouver,WA 98683
Amount received:
Phone:(360)260-1311 Fax: :(360)260-4906
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:contact*exteriors-inc.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Exteriors Inc Submit two(2)sets of roof plan with connection details
and fire department access.along with the 2010 Oregon
Address: 1516 SE 120' Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98683 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)260-1311 Fax:(360)260-4906 State surcharge(12%of permit fee): $21.60
('CB lie.: 126986 `� l fif Iff 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:Christopher M.Lee Date:8/4/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15226 SW GREENFIELD DR, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2017-00374
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Drywall fire separation complete.
Final inspection approved.
Violation Summary:
Inspector Contractor