Permit CITY OF TIGARD MASTER PERMIT
°7 s ! . COMMUNITY DEVELOPMENT Permit#: MST2020-00106
TtGARL3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2020
Parcel: 2S102DC00400
Jurisdiction: Tigard
Site address: 9265 SW EDGEWOOD ST
Subdivision: EDGEWOOD Lot: 16
Project: Blauer
Project Description: Removing existing beam and installing a new glulam beam.
BUILDING
Floor Areas Required Setbacks Required _
Stories: 1 Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $500.00 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:
Fum<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: WI Svc or Fdr:
Ea addl 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
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
Owner: Contractor:
BLAUER,MARC Required Items and Reports(Conditions)
9265 SW EDGEWOOD ST
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $95.79
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 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 503.232.1987 or 1.800.332.2344.
Issued By: 'yz�--.� G. Permittee Signature:
al 03.639.4175 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 FOR OFFICE USE ONLY
City of Tigard RECEIVE 4..eivea
•t D DatdBy: 3 Perini[No.: ]A. is"-
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r rw7•' (�(P?�_t,�/
Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 4 2020 Da
teJB : Other Permit „pp 1(1(a
I I G n R U Inspection Line: 503.639.4175 Date Ready/: • ` 7/ ' m� ®See page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
LI 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
f(l t '"'r; work indicated on this application.
1 P 11 rm�te^r't r
CATEGORY OF CONSTRUCTION .1.,im fir
,❑ I-and 2-family dwelling ElCommercial/industrial Valuation: $ 5—e, O
❑Accessory building LI Multi-famil y Number of bedrooms: —7r
El builder ❑Other: Number of bathrooms: -2,_
JOB SITE INFORMATION AND LOCATION Total number of floors: / .,i_ ha se fry.r_61,1
Joh sin:address: 7 2_6,s 3 VN..) L[76- 1 u6 0 Sr New dwelling area: square feet
City/State/ZIP: I I(J'/_'�42v V I` q''222 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 5j a u_e�! Covered porch area: square feet
Cross street/directions to job site: ` (4 U.,. r2 Q�4 e4- Q Deck area: square feet
O GOOD Other structure area: 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.. 2 S 1 D 00�6, 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.
Replo,r .-19 ari Valuation: $
py i i 5/z '^, r? c V /1 b I'a F/I ea r i'n S 1t' Existing building area: square feet
m 5-6-0 ±t-/; New building area: square feet
PROPERTY OWNER '[,� TENANT Number of stories:
Name: 114 G"tl i r^ Type of construction:
Address: 9 Z , F' 5� Jr€ 7 0od 5�
J �f' ccupancy groups:
City/State/ZIP: 'rj� a rdJ 6 1e 9'7'ZZ'-5 Existing:
Phone:(5-03 9 S -3 O?6 9 Fax:( ) New:
,APPLICANT - CONTACT PERSON `'' ` BUILDING PERMIT'FEES*
(Please refer to fee schedule)_
Business name:
Structural plan review fee(or deposit):
Contact name:
5 a✓d1..e., as -ab )&'e
Address: FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fax:;( ) Amount received:
E-mail: /-a 5 I L. !si47�J2 tr C%,47 7 G,r �• d, 1,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
[,Etz..it roof-top mounted PhotoVoltaic Solar Panel System.
Business name: .'9+7 Submit two(2)sets of roof plan with connection details
.L.,Lit-' and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180 00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: Total fee due upon application: $201.60
Authorized signature: VVVV v lit This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1_ N Ltl a�'( B i--a_IA,e Y' Date: 3/2 1 /"i .(1 o *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)