Permit (2) CITY OF TIGARD MASTER PERMIT
`i _ COMMUNITY DEVELOPMENT Permit#: MST2021 00254
Date Issued: 09/08/2021
T I G A R L7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1126600200
Jurisdiction: Tigard
Site address: 14010 SW HALL BLVD
Subdivision: WILSON ACRES Lot: 1
Project: Guiin
Project Description: Add 9 sq ft addition to kitchen&unconditioned enclosure of basement stairs. Remove interior
bearing wall&add beam. Relocate washer,bathroom sink,and toilet.9/22/21: REPRINT to add 49
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 58 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 58 sf Value: $7,102.68 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 2 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
Fum<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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 58
Owner: Contractor:
GURIN,CHRISTINA J&TED A OWNER Required Items and Reports(Conditions)
14010 SW HALL BLVD 14010 SW HALL BLVD
TIGARD,OR 97224 TIGARD,OR 97244
PHONE: PHONE: 503-866-4281
FAX:
Total Fees: $670.18
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
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Issued By: HOU4J Va'"'P We9e Permittee Signature: Ow AplakitA9-iillvt•
Call 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.
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
r i c,A t< t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Matt Greiner SEP 1 5 202
COMPANY: Lx Design OTY OF TIGARU
3UILDING DIVIS1Q ' -,t.
PHONE: 503-866-4281
EMAIL: Ixarchdesign@gmail.com
RE: 14010 Southwest Hall Boulevard,Tigard,OR MST2021-00254
(Site Address) (Permit Number)
Gurin
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
5 pages Beam calculations. Engineer's calculations.
4 sheets Other(explain):A1.0, S1.0&S2.0(ALL REVISED); S3.0(ADDED)
REMARKS: 5�
FOR/OFF CE USE ONLY
Routed to Pe it Tec 'cian: Date: 0/� Zf Initials: Ak
Fees Due: YCe ❑No Fee Descriptio : Amount Due:
I/2/ pi[c0 ft,VVI e.,0 $ Li 4.--
Special
Instructions: /�
Reprint Permit (per PE): Yesv ❑ No ❑ Done
Applicant Notified: _Ad Date: g /,1.A ).l_,1 _ Initials: