Permit CITY OF TIGARD MASTER PERMIT
11.0,, , Permit#: MST2018-00080
COMMUNITY DEVELOPMENT Date Issued: 03/14/2018
T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BD07008
Jurisdiction: Tigard
Site address: 11380 SW COTTONWOOD LN
Subdivision: ENGLEWOOD NO.3 Lot: 233
Project: Turner
Project Description: New partition wall with closet in finished basement to create(1)additional bedroom.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $7,000.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add.'500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3
Owner: Contractor:
TURNER,BRIAN DAVID CASCADE BUILDING GROUP LLC Required Items and Reports(Conditions)
GOFORTH,DONNA KATHRYN 9450 SW GEMINI DR#23633
11380 SW COTTONWOOD LN BEAVERTON,OR 97008
TIGARD,OR 97223
PHONE: PHONE: 503-970-0508
FAX:
Total Fees: $319.40
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 lhe Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy o or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r_. . Permittee Signature: —'
Call 503.63' .'.'1 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 Vt.
City of Tigard Received
,� 'I 13125 SW Hall Blvd.,Tigard,OR 972 Dam/Ry: J/) Permit No.:
_ Phone: 503.718.2439 Fax: 503.598.1960 L. Pia°R'-�'e"' M Sr�`����j�
Inspection Line: 503.639.4175 DateRea 3 -)• - , OthIwo: etmit:/h e.i J_'7_, \,.
l I G 1}.D P� ' Date It �/
Internet www.ti+. d-or.•ov �y� t- e/Met o / -T S See Pent l for
- �°� ! ,'�ed/Method:� /L� Qi'} '�(y Supplemental Information
rift. 11. ! j 'CM' �,._., -- - id _ - _ -
TYPE OF WOR Permit fees*are based on the value of the work performed.Indicate tbt
❑New construction0 D ani nearest dollar)of all equipment,materials,labor,overhead,and the pro
I on this application.
0:4 Addition/alteration/replacement ❑Other:
CATEGORY OF CONSTRUCTION Valuation: $7000
ii I-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 1
0 Accessory building 0 Multi-family Number of bathrooms:
0 Master builder ❑Other: Total number of floors: I
JOB SITE INFORMATION AND LOCATION New dwelling area: 150 square feet
Job site address:11380 SW Cottonwood Ln
Garage/carport area: square feet
City/State/ZIP:Tigard,OR 97223
Covered porch area: square feet
Suite/bldg./apt.no.: I Project name:Cottonwood
Deck area: square feet
Cross street/directions to job site:SW Springwood Dr
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHP,CI
Permit fees*are based on the value of the work performed.Indicate du
of all
Subdivision: nearest dollar) equipment,materials,labor,overhead,and the pro
Lot no.:
Tax map/parcel no.:1S134BD07008 on this application.
DESCRIPTION OF WORK Valuation: s
Build a partition wall with closet in finished basement to create an additional Existing building area: square feet
bedroom. New building area: square feet
Number of stories:
II PROPERTY OWNER I 0 TENANT. Type of construction:
Name:Brian Turner Occupancy groups:
Address:11380 SW Cottonwood Ln Existing:
City/State/ZIP:Tigard,OR 97223 New:
Phone:(919)951-8323 I Fax:( ) BUILDING PERMIT FEES*
-4 APPLICANT (Please refer to fee schedule)
CONTACT PERSON Structural plan review fee(or deposit):
Business name:Cascade Building Group LLC
FLS plan review fee(if applicable):
Contact name:Dustin Fancher
Address:9450 SW Gemini Dr#23633 Total fees due upon application:
City/State/ZIP:Beaverton,OR 97008 Amount received:
Phone:(503)858-5521 PHOTOVOLTAIC SOLAR PANEL SYSTEM FE
I Fax. ( ) Commercial and residential prescriptive installation of
E-mail:dustin@cascade-bg.cam rooftop mounted PhotoVoltaic Solar Panel System.
CONTRACTOR Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Business name:Cascade Building Group LLC Solon Installation Specialty Code checklist.
Address:9450 SW Gemini Dr#23633 Permit Fee(includes plan review
City/State/ZIP:Beaverton,OR 97008 and administrative fees):
State surcharge(12%of permit fee):
Phone:(503)858-5521 I Fax:( )
Total fee due upon application:
CCB lie.:217204 Thisermit application pplication expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Authorized signature: ___ *Fee methodology set by Tri-County Building Industry
Service Board.
Print name:Dustin Fancher I Date:2/28/18
1 REQUIRED DATA:1-AND 2-FAMILY DWELLING I
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-46131(1 I/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11380 SW COTTONWOOD LN, TIGARD, March 26, 2018 at 9:14:19 AM
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00080
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved electrical final inspection, ELC 2018-00187, prior to building final
inspection. R109.1 .6
Electrical final can be scheduled with building final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11380 SW COTTONWOOD LN, TIGARD, March 29, 2018 at 7:22:56 AM
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00080
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor