Permit CITY OF TIGARD MASTER PERMIT
N . . COMMUNITY DEVELOPMENT Permit#: MST2021-00068
T f(,A R l 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2021
Parcel: 1S134DA07500
Jurisdiction: Tigard
Site address: 11230 SW BUFFALO PL
Subdivision: DAKOTA MEADOWS Lot: 8
Project: Butori
Project Description: Replace fire damage roof trusses, sheathing, floor and deck framing. Replace rated walls and
interior finishes.
BUILDING
Floor Areas Required Setbacks Required
Stones: 3 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: $75,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Drains: 0
Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 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<1o0K: 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:Y Square Feet:
ALT SFA VB
R-3 0
Owner: Contractor:
BUTORI,EUGENE R TRUST& PURE ENVIRONMENTAL NW Required Items and Reports(Conditions)
BUTORI,VIRGINIA A CREDIT 8206 N FESSENDEN ST
SHELTER TRUST PORTLAND,OR 97203
BY BUTORI,EUGENE F TR
7645 SW CEDAR
PHONE: PHONE: 503-569-8425
FAX:
Total Fees: $1,632.33
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
\
Issued By: T \A`-"\\VQ�' �)�C+�Q Permittee Signature: Ol N q1 ,I' (��L�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application /
Residential REC '�I Gt iUk ,i I t i i ,i ii., ,
City of Tigard JAN 1 4 2
4
9.F, „.4
13125 SW Hall Blvd.,Tigard,OR 97223 Pho aev,,
' e ' Phone: 503.718.2439 Fax: 503.598.1960 CITY Or �'rGAR� Datc/B : Afallinll °tilerPemat:
i I .,,I, inspection Line: 503.639.4175 t UILDUP fI$IQN DataReady/By. Jura: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:1. BAMII Sapplementat Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 pQ Other: fi(2E DAtm,,,,,,E equipment,materials,labor,overhead,and the profit for the
Err:
� CATEGORY OF CONSTRUCTION work indicated on this application.
' and2-family dwelling 0 Commercial/industrial Valuation: $ �Sr�d _[�
❑Accessory building 0 Multi-family
Number of bedrooms:
`\,.k 0 Master builder ❑Other. Number of bathrooms: 3
U JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: I I Z 7 SW (sUt~Fa1'(o Pc_ , New dwelling area: /4, square feet
City/State/ZIP: 'r't G Aim el e l is 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 1 - I- I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
- / _ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECIQ.iST
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.: i S 1.N/Jr- T AO 4 S OO equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
"QEPIItGE F t Mt IJh Gp iwtr ( P 'r ico tzosseS t S eVeAliktval Valuation:Existing building area: $ square feet
FWt9Q A►Jo QECr.- P1204reitN4 . tiL>~P,M IL (TJI-TAD WRL►Ss
AND Hi Tf pt,oQ 1-t r►i'we'
S New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,21lniw4' j5 il.-y L. l Type of construction:
Address: ►1z.3 D SW 3uFfkta 1'C Occupancy groups:
City/State/ZIP: 7;c.„4.1.p> t7 R. II*'2,7-3 Existing:
Phone:( ) Fax:( ) New:
�( APPLICANT ( CONTACT PERSON BUILDING PERMIT FEES'
Business name: '1'DS I„,„1.C. (Pl e,Pifer ireselre6ds)
Structural plan review fee(or deposit):
Contact name: 'Rp Ise Q;( 1 AI'D614 FLS plan review fee(if applicable):
Address: 3 3 4 e - 1-LE 25 A"t-
0 S 5 1 R.. Total fees due upon application:
City/State/ZIP:
�b2r 4Nn.
Phone:(�?s) 4 80 . 10 S 9- Amount received:
Fax::( )
E-mail: (Z d}} PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
h(}GN1rd
TT� F 4 OT Mhi L . fJv►u Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ?Otte. Fi N v t Q otJ(� A l Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: g Ld6 N p e S,auEi sr Solar Installation Specialty Code checklist.
City/State/ZIP: ?pier i. ks4. cI A,. c(1.ya 3 Permit Fee(includes plan review S180.0 1
and administrative fees):
Phone:(S,3) t 65 • 5 4 vs Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 7_2,1 48,6 3 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.
*Fee methodology set by Tri-County Building Industry
Print name: f�/.. Date:M.i 11 f 2d2.( Service Board.
1:\Building 'ts\BUP-RESPermi pp.doc 02/24/2011 440-4613T(11/02/COM/WEB)