Permit CITY OF TIGARD MASTER PERMIT
111 11 _ -, COMMUNITY DEVELOPMENT Permit#: MST2021-00030
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2021
Parcel: 25111 DB07200
Jurisdiction: Tigard
Site address: 15480 SW ALDERBROOK DR
Subdivision: SUMMERFIELD NO.7 Lot: 389
Project: Prosser I
Project Description: Interior renovation:Wall demolition and new partitions.
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: $110,000.00 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
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: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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
Fum>=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:
PROSSER,WALTER MCTUNE REV LIVIF'EUGENE ZURBRUGG CONSTRUCTION Required Items and Reports(Conditions)
15480 SWALDERBROOK DR 380 SE WASHINGTON ST
TIGARD,OR 97224 HILLSBORO,OR 97123
PHONE: PHONE: 503-681-0912
FAX:
Total Fees: $2,202.44
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: HoWY VA41,LVezWP.g€ Permittee signature: O ill APPliCart.011
Call 503.639A175 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 IECEIVED 2 4 24
Residential FOR OFFICE USE ONLY f�
City of Tigard FEB Et 2021 Rece Plan Reivived A r9 I '7 Permit No.�67202/'00036
Dat
91 13125 SW Hall Blvd.,Tigard,OR 97223 ev
eview n� Other Permit:
Phone: 503.718.2439 Fax: 503.598.196CITY OF I"IGARD Date/By: 11 21 NA
Inspection Line: 503.639.4175 Date ReadyB . lures. ® See Page 2 for
1'1GAILll int mil: www.tigard-or.gov 3UILDING DIVISION I bir Supplemental Information
Notified/Method. /lt �'�,
`.'},1P, r F^.•4 Ai :e.".
TYPE OF WORK , REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
jiit her: equipment,
Addition/alteration/replacementCATEGORY OF CONSTRUCTION
OIRUCTION work
a ka indicated edterials,on thislabor,application. and eprofitfor
rji 1-and 2-family dwelling ❑Commercial/industrial
El Accessory building El Multi-family
Number of bedrooms: ,a ( 1 dy y�,
❑Master builder ❑Other: Number of bathrooms: Z CEx, `J
y t
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: i S T e b 5 IA) .i4 Lp E.g8Rzotc p.2._ New dwelling area: 0 square feet
City/State/ZIP:rj , q 722.4, Garage/carport area: square feet
Suite/bldg./apt.no.:J Project name: Peik U120 Covered porch area: square feet
Cross street/directions to job site: ANY f Ste Ph04/kr�-1'.p. Q 1...� Deck area: square feet
Ovv-ef) Std% tV-La4 I/� M adePP2. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: SIA.1M 4vl A.s--P-i,etc() 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
C(,LJ ) _n_ awl) mot
_ ni91 �. Existing building area: square feet
gowteUti� G an�a e>A: IJ �ApP` exS New building area: square feet
E.PROPERTY OWNER 0 TENANT Number of stories:
Name: OS'Ta'OAT h)A/�J i'ik s•p(2l�$sFR- Type of construction:
Address: I S d s'U.i ) fki4gr1arb.*_ Dtz.. Occupancy groups:
City/State/ZIP: 'rf' j (712._ 0722-61
Existing:
Phone:(5o3) 7 t O_i bC17 Fax:( ) New:
LW APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):751.13
Contact name: (R a A
^'�=++ RaSSE2 , � FLS plan review fee(if applicable):
Address: S2 g ), N C�.ch
ty Q £) ` do 1 Total fees due upon application:
Ci /State/ZIP: �iRvuL 1 IJQL C (�
Amount received:
Phone:(2,3) 7!0_.4)vi Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: SZ.E.41 PCUft-I£I ✓°.1s_J r
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ZL, p_it Q� s"" CT jpN Submit two(2)sets of roof plan with connection details
� �+�i�/ and fire department access,along with the 2010 Oregon
Address: 3Bo S.LQ t
- Y As Id-IN o"i " 'L Solar Installation Specialty Code checklist.
City/State/ZIP: 41�LSga/0 I q-j 122 Permit Fee(includes plan review $I80.00
and administrative fees):
Phone:(SOS 6 3 1 _0 R 1 Fax:(503) G 8(—q5 t Z State surcharge(12%of permit fee): $21.60
_b5
CCB lie.: Total fee due upon application: $201.60
Authorized signature: "� � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
��� 1 Date: Vz 6 J I *Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Branden Taggart
From: Branden Taggart
Sent: Thursday, February 11, 2021 11:05 AM
To: fred@trusscomponents.net
Subject: Building Permit: MST2021-00030 - 15480 SW Alderbrook Dr.
Attachments: Invoice.pdf
Hi Fred,
The Building permit for your renovation is ready to issue now. The balance due is$2,202.44,and I have attached an
invoice above for you to reference. The fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number M5T2021-00030 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once the fees are paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may
issue this permit and make it available for pick up.We will send you another email when this permit has been issued.
Thank you,
Brandon Taggart
City of Tigard
■ " Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449
brandent@tigard-or.gov
1