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Permit CITY OF TIGARD MASTER PERMIT = COMMUNITY DEVELOPMENT Permit#: MST2022-00032 T F G A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2022 Parcel: 2S109AD02800 Jurisdiction: Tigard Site address: 14661 SW 130TH AVE Subdivision: WOODFORD ESTATES Lot: 20 Project: Campbell Project Description: Install (2)beams 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: $2,500.00 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 add9 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 0 Owner: Contractor: CAMPBELL.STEVEN TROY&HEATHER DREAMLINE RENOVATIONS Required Items and Reports(Conditions) 14661 SW 130TH AVE 17633 SW MANDEL LN TIGARD,OR 97224 SHERWOOD,OR 97140 PHONE: PHONE: 971-276-0847 FAX: Total Fees: $217.21 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. ATTENTIO4 Oregon law r ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are stet forth in OAR oc9_nnt nflin fhrni inh c9_n non w nht a of tha'lilac nr rlirart ni iocTinnc fn( I InI(t by Tallinn rin4 9 'IQR7 nr t Ann'3'29 9'3dd Issued By: #./��2// _ Permittee Signature: r� /C- ! 9 C,I�� 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. Building Permit Application AECEIVED "� Residential FEB 21022 FOR OFFICE:USE 0\I 1 City of Tigard Received 0 e ✓ s PermitNo.: 81-3:22-0X3Z 13125 SW Hall Blvd:,Tigard,OR 9722?I i Y OF I i(thARL It uw �1tI..DING DIVISION' Z 11.Z.- A DthetPennit: ` Phone: 503.718.2439 Fax: 503.598.); Dare/Bg: {{y , _ t t, Inspection Line: 503.639.4175 t Date Ready/By ® See Pate Z for Internet: www.tigard-or.gov Date Srppkmentallnformatian lkV"( TYPE OF WORK REQUIRED DATA:1.AND 2-FAMILY DWELLING 0 New construction 0 Demolition — Permfees*are based on the value of the work performed. --•. --•.• Indicate the value(rounded to the nearest dollar)of all / 90Itddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OP CONSTRUCTION work indicated on this application. M -M Valuation: $ 2- fa�1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder D Other: Number of bathrooms: Total number of floors: 2.-- ,,... JOB SITE INFORMATION AND LOCATION Job site address:,q;;2g/ .5 /�i 6-wwe '� New dwelling area: square feet City/State/ZIP: � 4 z Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ..Ar e Covered porch area: square feet Cross street/directions to job site: R v Deckarea: / square feet Other structure area: ,, square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of r- Tax map/parcel no.: equipmen ,aterials,labor,overhead,and the p t for the DESCRIPTION OF WORK work indica : n this application. /' �) Valuation: $ 1?, Existing building ar f 7 ' square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: 2 -.Names , / Type of con• tion: Address: `4/bp( ' ,G/ZA„,) j3 e_ a :,... ps_ `J groups: City/State/ZIP: QYf',i,.4 c Cl7 . ' g, Phone (g 0i) -' 7/8 Fax ( ) New: a APPLICANT © CONTACT PERSON BUILDING PERMIT FEES* / t..- _Please e!er to fee sckeduk, Business name: ')(-4'a/y1[ ll .. !'21 ._�-,� f,2! '?r Structural"plan review fee(or deposit): 77.56 Contact name:�2,h 11G,fv-5 Address: /-7(Q 3 ) terZe..f LN FLS plan review fee(if applicable): } Total fees due upon application: City/State/ZIP: ' p�-� , Amount received: Phone:(f7/)�„'�'p..j.5( 7 Fax ( ) . ,/ 1 t._._.-..._ _.._ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: j[�EILC'I�dAe,7►'i lJe I 4 3. ( 7}'i Commercial and residential prescriptive installation of c t O TRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: � atat, Submit two(2)sets of roof plan with connection details f' /iZfQ- I �/ -- „-..- ..:,--n- and fire department access,along with the 2010 Oregon Address: /74 J '� ,, -) /2/t] IN Solar Installation >eciall"Code checklist. City/State/ZIP: 'rj� 3r- a C Permit Fee(includes plan review - � $180.00 -� _ and administrative fees): Phone: y ) .-t Fax ( ) State surcharge __ �.�. w _... .. L , ?t .._., (12%of permit fee) _ $21.60 CCB lie.: �" ... —_---- _ .. „__ _ _ _w _ Total fee due upon application: $201.60 Authorized signature: ",'7:004Z.--- *This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nan►e:-"'f 7 fN'"�''a ,r } Date: Fee methodology set by Tri County Building Industry 1�1. "�/ ? 1IG� 1 /.. I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613 1 l/02/COM/WEB)