Permit (153) CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2019-00022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2019
T f c;;`R.t; 9 Parcel: 2S104BC05500
Jurisdiction: Tigard
Site address: 12974 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 66
Project: Sunday
Project Description: Remodeling bathroom and adding(1)window.
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: $2,000.00 - 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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!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:
SUNDAY,MARC EVERGREEN RENOVATIONS Required Items and Reports(Conditions)
DUPUIS,BREANNA 14605 SW BONANZA CT
12974 SW ASCENSION DR BEAVERTON,OR 97007
TIGARD,OR 97223
PHONE: 925-818-2069 PHONE: 503-735-5650
FAX:
Total Fees: $185.79
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA -001-00 .. Yo ay obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
,7/7C'� /I
�i
Issued By: / Permittee Signature: Y--�k Gr--e 11/C t----r‘-----C
Call 603.639.4176 by 7:01 -. .for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit .TIECEIVED
E I V E
Residential I OR OI'V ICE USE? ONLY
FEB (�`r 2019
City of'Tigard Received Date/By: fic /c,
, / pPo , -avoA1..,
111111 13125 SW Hall Blvd.,Tigard,OR 9 '$Y OF TIGARD Plan Review
■` Phone: 503.718.2439 Fax: 503. Date/By:
p� / /t Other Permit:
�@Ji@SING DIVISION y
i i t A h i) Inspection Line: 503.639.4175 Date Ready/By: /L/Juris: 0 See Page 2 for
Internet: www.tigard-or.gov •tified/Metho. /' I Supplemental Information
<LLr. _ 'mit
/,
TYPE OF WORK P• mit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑New construction ❑Demolition
equipment,materials,labor,overhead,and the profit for the
}l Addition/alteration/replacement ❑Other: work indicated on this application.
CATEGORY OF CONSTRUCTION Valuation: $ �c�v
1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms: —
❑Accessory building ❑Multi-family Number of bathrooms: —
❑Master builder ❑Other: Total number of floors:
JOB SI'm INFORMATION AND LOCATION New dwelling area: square feet
Job site address: /2.. '5 7 4- L c e s/ TJr' Garage/carport area: square feet
City/State/ZIP: 7-1 G A(2-'7 t"
1 7 .2-2-3 Covered porch area: square feet
Suite/bldg./apt.no.: I Project name: Deck area: square feet
Cross street/directions to job site: Other structure area: --- square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST'
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Subdivision: I Lot no.:
equipment,materials,labor,overhead,and the profit for the
Tax map/parcel no.: work indicated on this application.
DESCRIPTION OF WORK Valuation: $
/1_,..--r--,--1 o ( / • Existing building area: square feet
G GA--,e,,cJ- -w New building area: square feet
Number of stories:
PROPERTY OWNER El TENANT Type of construction:
Name: ,4 it C Sut.--1 (C,c.)
/ Occupancy groups:
Address: /2 S-1 4 41 e ...
S
io
r
Existing:
City/State/ZIP: -17&�,ti
New:
Phone:('/ ( e 2_,,,,.,„ Fax:( ) BUILDING PERMIT FtkS*
0 APPLICANT 0 CONTACT PERSON (Please refer to fee `
Business name: - - r ci ' ' vVcc_. /Dr-,.S Structural plan review fee(or deposit):
Contact name: J' C,. c--e . FLS plan review fee(if applicable):
Address: 4-54'4. p ( .)i s----t-L, -- Total fees due upon application:
City/State/ZIP: / 'y y 0 6'' 2/i Amount received:
Phone:( 57).2 ' 2. 0.90 L- Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: . c k Lo(,,,,c e._ 5`7 3 6.)4,..,,,,,_,(4.,. /• co-L , Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
CONTRACTOR Submit two(2)sets of roof plan with connection details
Business name: t.e-✓() �rd,e-L, leo„0\iAv c-,<71-,s and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Address: Permit Fee(includes plan review $180.00
City/State/ZIP:
and administrative fees):
-p'3 State surcharge(12%of permit fee): $21.60
Phone:(5--°.. ) - }S- 5-6 ax:( )
t Total fee due upon application: $201.60
CCB lic.: /g(,!��(, Gl/l pZ
??Ill
This permit application expires if a permit is not obtained
Authorized signature: (/- c/<-4 within 180 days after it has been accepted as complete.
f *Fee methodology set by Tri-County Building Industry
Print name: Je4-C•�- <<--t(- Date: - • Ca 1.S Service Board.
REQUIRED DATA:1-AND 2-FAMILY DWELLING
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12974 SW ASCENSION DR, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00022
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor