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Permit CITY OF TIGARD MASTER PERMIT N --- 11 . `' COMMUNITY DEVELOPMENT Permit#: MST2020-00268 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2020 TIGARD Parcel: 2S109DA00500 Jurisdiction: Tigard Site address: 14996 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.2 Lot: 41 Project: Fuchs Project Description: Voluntary repair to existing foundation 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: $41,000.00 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: 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<10OK: 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 Veccuum 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: FUCHS,SHIRLEY K TRUST RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions) 14996 SW SUMMERVIEW DR PO BOX 11701 1 Special Inspection-Pilings, TIGARD,OR 97223 EUGENE,OR 97440 Drilled Piers ans Caissons PHONE. PHONE: 541-501-8940 FAX: Total Fees: $1,141.58 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 160 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 952-001-000090. 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: `03 V GV1 1 V 12 � ( � CCl- 'Permittee Signature: On. A 1; O eit 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. DocuSign Envelope ID:A8E587C0-509D-4855-861 B-2C6277F7FB8F Building Permit Application Residential RECEIVES FOR OFFICE USE ONLY City of Tigard Date/B �` a2o.rr ;� Permit No. ��-twzg t 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 1 1 2020 Phone: 503.718.2439 Fax: 503.598.1960 PlDate/Baniew b jV© Other Permit: _ Rev TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris.ris: I See Page 2 far Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method/0 q t �u Supplemental Information Lam"I/97 TYPE:OF WORT . ," 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 `7 ❑Addition/alteration/replacement ®Other: Repair _ equipment,materials,labor,overhead,and the profit for the CATEGORY;OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑ Commercial/industrial Valuation: $ 41,000 IDAccessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 14996 SW Summerview Dr New dwelling area: 0 square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: 0 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 0 square feet Cross street/directions to job site: Deck area: 0 square feet Other structure area: 0 square feet REQUIRED DATA:COMMERCIAL-USE:CHECKLIST Subdivision: 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. Voluntary repair to existing foundation Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑TENANT Number of stories: Name: Arnie and Shirley Fuchs Type of construction: Address: 14996 SW Summerview Dr Occupancy groups: City/State/ZIP: Tigard,OR 97224 Existing: Phone:( 503 ) 307-4028 Fax'( ) New: M APPLICANT ® CONTACT PERSON ' BUILDING PERMIT FEES* Business name. IZanl,lack West (Please refer la fee schedule) - — Structural plan review fee(or deposit): zio-' <Oy Contact name: Kelsea Rossow FLS plan review fee(if applicable): Address: PO Box 11701 City/State/ZIP: Eugene,OR 97440 Total fees due upon application: Amount received. Phone:( 541 ) 525-5882 Fax: : ( ) E-mail kelsea o;ramjackwestaim PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Ram Jack West Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: PO Box 11701 Solar Installation Specialty Code checklist. City/State/ZIP: Eugene,OR 97440 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 541 )525-5882 Fax:( 541 )688-4991 State surcharge(12%of permit fee): $21.60 CCB lic.: 146906 Total fee due upon application: $201.60 l—noeo$igned by: Authorized signature: �� ,�oldow This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Kelsea Rosatw A5FC31C305764F9... Date: 9/11/2020 *Fee methodology set by Tri-County Building Industry Service Board. h\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)