Permit (245) CITY OF TIGARD MASTER PERMIT
IN ■ COMMUNITY DEVELOPMENT
Permit#: MST2019-00304
T I i A K r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2019
Parcel: 2S112C606500
Jurisdiction: Tigard
Site address: 15484 SW 82ND PL
Subdivision: ASHFORD OAKS NO.2 Lot: 79
Project: WHALEY
Project Description: Load-bearing kitchen wall demolition and beam installation on the first floor to form a second story
open game room above.
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: 88 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 88 sf Value: $10,776.48 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 88
Owner: Contractor:
WHALEY,CODY M&ANDREA K OWNER Required Items and Reports(Conditions)
113410t i$ ff¢L - -- 1/VHAttY,COM-fol&ANDREA 1K - _
TIGARD,OR 97224 15484 SW 82ND PLANCE
TIGARD,OR 97224
PHONE: PHONE: 503-839-0941
FAX:
Total Fees: $632.69
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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1{987 or 1.800.332.2344.
Issued B —,•(?...1. 27 -Z-e.„..: 1 "�Z9 Tc.-' ..--' Permittee Signature: ��jV ������
Y
Call 503.639.4175 by 7.00 a.m.for the next available inspection
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 immismingliamm_, _ , __ _ _ _ _ __ , , _
Residential ..
'City of Tigard .��� 1 ,. a -„' Received
may:
7/0X/if/el' 1EttuftPt:f`^,V.--,,&;1/I/— rjL .
13125 SW Hall Blvd.,Tigard,OR 97223 ply ; „
` I Phone: 503.718.2439 Fax: 503.598.1960 �y ;".j Datdsy. it 11 Other Permit:
� !i �tt n Inspection Line: 503.639.4175 Date Ready/By:{{l ^� i2�/,��-t s: H See Page 2 for
Internet: www.tigard-orgov /l �i� /' "� Supplemental Information
a .
TYPE OF WORK RE DATA:I-AND 2-FAMILY DWELLING
❑New construction ®Demolition Permit fags*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
Work indicated on this application
CATEGORY OF CONSTRUCTION
®I-and 2-family dwelling 0 Commercial/industrial
Valuation: a "�" gt-Y
Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15484 SW 82nd place New dwelling area: 5- square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: ' square feet
Suite/bldgJapt.no.:N/A I Project name:Whaley Covered porch area: square feet
Cross street/directions to job site: Deck tura: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHLCKLIST
Subdivision:Ashcroft 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Removing the wait that separates the dining room from the kitchen, Valuation: $
Adding floor space to second story above existing kitchen space Existing building area: square feet
1i.,vii" _,AN -3p t-:,_. c? tis„/j) ,-4 v j it rix:,'- New building area: square feet
IN PROPERTY OWNER 0 TENANT Number of stories:
Name:Cody WhaleyType of construction:
Address:15484 SE 82"Pt Occupancy groups:
City/State/ZIP:Tigard,Or 97224 Existing:
Phone (503)839-0941 Fax ( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: 3,4-1---e. l (Pleaserefer re fee schedule)
`,S ``.�• Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon
City/State/ZIP: application:1 ` E%
Phone:( ) Fax :( ) Amount received:
E-mail: („ 6•F of l,J 4j t 1- Lys PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
i� CON CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Owner Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( ) State (12%of permit fee): $21,60
CCB lic.: Total fee due u application: $201.60
Authorized signature: �/J This permit application expires if a permit is not obtained
((((L n.fr+(�� I 1
within 180 days after it has been accepted as complete.
Print name: y Date: *Fee methodology set by Tri-County Building Industry
rr���,(� �1 Service Board.
I:\Building\Permits\BUP-RESPermitt4pp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
Plulmbini Permit Annlication
Building Fixtures I Oil ()I 11( 1 1 •l (1vI.1
City Of T1 rd givers
Date/Br Permit tilt.:fili1—r>Z`i el—cv 3,;,T
is 13125 SW Hall Blvd.,Tigard,OR 97223 , , , , Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 , A l.( may; Other Permit No.:
I }(;,+z t Inspection Line: 503.639.4175 Date Ready/fly: huts 0 See Page 2 for
Internet: www.tigard-or.gov • Notified/Method: Supplemental Information
TYPE OF WORK ft 1SS LONG i:Hlti i R.>at: FEE SCHEDULE
❑New construction 0 Demolition For special information use checklist
Description I Qty. Ea. I Total
►ii Additton/alteration/relacernent ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
181 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 50032
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:15484 SW 82 PI Catch basin or area drain 18.76
City/State/ZIP:`Tigard,Or 97224 i�ryweli,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Whaley Manufactured home utilities 50.03
Cross street/directions to job site: holes 18,76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
- - —
Sterna►sewer(no,linear ft-;_ ) Page
Water service(no.linear ft.: ) Page 2
Subdivision:Ashcroft 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Move sink and dish washer approximately 5 feet. Dishwasher I 25,02
Drinking fountain 25.02
Ejectors/sump 25.02
k.J PROPERTY OWNER 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:Cody Whaley Floor drain/floor sink/hub 25.02
Address:15484 SW 82 PI
Garbage disposal 25.02
City/State/ZIP:Tigard,Or 97224 Hose bib 25.02
Phone:(503)839-0941 Fax:( ) Ice maker 1 12.51
CI APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25,02
Business name: �' 2�k, Medical gas(value:$ ) Page 2
,, r�. NOW 1351
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 1 25.02
City/State/ZIP: Solar units(potable water) 62,54
t Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
F'-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: 2l-1/,t/z 1 Water piping/DWV 56.29
Address: Other: 25.02
ICity/State/ZIP: Subtotal permit '
Phone:( ) Fax:( ) �
Minimum fee: $72.50 '
Plan review (25%of permit fee)
CCB Lic,: n ? Plumbing Lic.no.: State surcharge(12%of permit fee)
Authorized signature: 1 i TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name:(� tot< Date: Z��C after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IaBuitdineermitsAPLMU-PermitApp.doc 10/01/09 440.4616T(I0/02/COM/WEB)