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Permit CITY OF TIGARD MASTER PERMIT III II. . COMMUNITY DEVELOPMENT Permit#: MST2021-00351 T i G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2021 Parcel: 2S111CB04900 Jurisdiction: Tigard Site address: 10286 SW LADY MARION DR Subdivision: MARION ESTATES Lot: 22 Project: Conroy Project Description: Voluntary underpinning using 10 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: $23,450.00 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 Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 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<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 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+ampNolt: 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: CONROY,JOHN D JR TERRAFIRMA FOUNDATION SYSTEMS INC Required Items and Reports(Conditions) 10286 SW LADY MARION DR 13110 SW WALL STREET 1 Special Inspection-Pilings, TIGARD,OR 97224 TIGARD,OR 97223 Drilled Piers and Caissons PHONE: 503-791-1314 PHONE: 971-205-5223 FAX: 503-491-5301 Total Fees: $799.32 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 flans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTIO k: Oregon law , ires you`ttr -'adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR gS9_n01_nnln fhrnnnh q59-Or _noon may nh}ain r nr rlirnrf nnnctinnc in fll WC by rallinn sm/ 1gk7 nr I ROn a'39 9'idd �� //�/ Issued By: .r/�i t��L�� •ermittee Signature: /�L 4 17 ' Call - 5 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 Applicatio; ECE1VED Residential " FOR OFFICE USE ONLY SLR r.. Received 1 City of Tigard A 2 1202 Date/By: 7o7/ I4 ' ' ' � � III I • 13125 SW Hall Blvd.,Tigard,OR 97223 �/ Plan Review Phone: 503.718.2439 Fax: 503.598.10TY OF TIGARD , Other Permit: Date/By: T l ct A R o Inspection Line: 503.639.4175 D e Read /B An is: Internet: www.tigardor.gov See Page 2 for BUILDING DIVISION ified/Me/thod: toe. S plemental Information TYPE OF WORK REQUIRED HATA:1-AND 2-FAMILY DWELLING 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling IIICommercial/industrial Valuation: $23,450.00 IDAccessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: /;1 JOB SITE INFORMATION AND LOCATIO 1 Total number of floors: ` Job site address: 10286 S W Lady Marion Dr New dwelling area: square feet City/State/ZIP: Portland OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Conroy 102178 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no,: 2S 11 1CB04900 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 Underpinning Using 10 Push Piers Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: John Conroy Type of construction: Address: 10286 SW Lady Marion Dr Occupancy groups: City/Stale/ZIP: Portland OR 97224 Existing: • Phone:( 503)791-1314 Fax:( ) New: ® APPLICANT © CONTACT PERSON $ ..... BUILDING PERMIT FEES* Business name: TerraFirma Foundation Systems (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Elenita Ronquillo Address: 13110 SW Wall St FLS plan review fee(if applicable): City/State/ZIP: Tigard OR 97223 Total fees due upon application: Phone:( 503 )718-4533 Fax::( ) Amount received: E-mail: eronquillo@terrafirmafs.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* • CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: TerraFirma Foundation Systems Submit two(2)sets of roof plan with connection details 13110 SW Wall St and fire department access,along with the 2010 Oregon Address: Solar Installation Specially Code checklist. City/State/ZIP: Tigard OR 97223 Permit Fee(includes plan review and administrative fees): $180.00 Phone:( 503)718-4533 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 173547 JJ��,,��.,� ��QQ Total fee due upon application: $201.60 Authorized signature: avtri� a This permit application expires if a permit is not obtained VV within 180 days after it has been accepted as complete. Print name: Elmira Ronquitlu *Fee methodology Date: 8/27/21 set by Tri-County Building Industry Service Board. / I:1Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 l/02/COM WEB)