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Permit
CITY OF TIGARD MASTER PERMIT IIf COMMUNITY DEVELOPMENT Permit#: MST2020-00225 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 17 2020 12:00AM T[t.-'A 9 Parcel: 1 S136AB04900 Jurisdiction: Tigard Site address: 10349 SW 71ST AVE Subdivision: MAPLELEAF Lot: 7 Project: MICHAEL Project Description: Voluntary underpinning using (2)push piers. 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: $4,899.00 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: 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 add1500 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 a Owner: Contractor: MICHAEL,JOHN W&LEESA I TERRAFIRMA FOUNDATION SYSTEMS INC Required Items and Reports(Conditions) 10349 SW 71ST AVE 13110 SW WALL STREET TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 971-205-5223 FAX: 503-491-5301 Total Fees: $282.56 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 952-001-0090.rYouu may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,, Issued By: /✓i ce�.i Permittee Signature: Of/kJ /}7° �C w"/ Call 503.639.4175 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 �y �`�. FOR OFFICE USE ONLY �ry7 City ofW Tigard 1°•J- !x Received te/B a 7 /i� Permi[No.: �<] /� W RE 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 7( ✓! vi/'^� Er Phone: 503.718.2439 Fax: 503.598.1960 JUL 1 2020 DateBy: /D Other Permit: Inspection Line: 503.639.4175 Date Ready/B 9rt `�/� Jane: ® See Page 2 for TIGARD Internet: www.tigard-or.gov ��� ^ '}•g l`�,ay�l� Notified/Method: �IY/�IJ 'vim " Supplemental Information TYPE OF WO'12 Y IEED DATA:I-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. © I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 4,$99,00 Number of bedrooms: ElAccessory building El Multi-family❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10349 SW 71st.Ave New dwelling area: square feet City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Michael 36364 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: R2028778 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Voluntary Underpinning Using 2 Push Piers Valuation: $ Existing building area: square feet New building area: square feet ❑PROPERTY OWNER ❑ TENANT Number of stories: Name: Leesa Michael Type of construction: Address: 10349 SW 71st Ave. Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone: ( 503)890-4321 Fax:( ) New: ❑,APPLICANT © CONTACT PERSON : BUILDING PERMIT FEES*.- (Please refer to fee schedule)„ Business name: TerraFirma Foundation Systems Structural plan review fee(or deposit): Contact name: Elenita Ronquillo FLS plan review fee(if applicable): Address: 13110 SW Wall St City/State/ZIP: Tigard OR 97223 Total fees due upon application: Amount received: Phone:( 503 )718-4533 I Fax::( ) - E-mail: eronquillo@terrafirmafs.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: TerraFinua Foundation Systems 1 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 13110 SW Wall St Solar Installation Specialty Code checklist. City/State/ZIP: Tigard OR 97223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 971)205-5235 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 173547 12/21/20 Total fee due upon application: $201.60 Authorized signature: 1143-1 . e This permit application expires if a permit is not obtained 11 """ within 180 days after it has been accepted as complete. Print name: Elenita Ronaquilloil Date: 7/20/20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\I3UP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)