Permit (2) 1
CITY OF TIGARD MASTER PERMIT
_ . COMMUNITY DEVELOPMENT Permit#: MST2022-00092
Date Issued: 04/25/2022
TIC=Al.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S125DA07600
Jurisdiction: Tigard
Site address: 9295 SW 69TH AVE
Subdivision: KINGS VIEW Lot: 77
Project: Kieft
Project Description: Stairway reversal
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
IHeight: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
i Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $10,000.00 Rear: 0
f
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
Bckflw Prevntr: 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
Other Fixtures: 0
Drywell-Trench Drain: 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!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
j Owner: Contractor:
KIEFT,BREHK W&MARGARET A LAMONT BROS LLC Required Items and Reports(Conditions)
9295 SW 69TH AVE 2050 S BEAVERCREEK RD STE#101-305
PORTLAND,OR 97223 OREGON CITY,OR 97045
PHONE: PHONE: 503-367-0188
'(/ FAX:
Total Fees: $425.17
fi
I 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
ri 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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1
Issued By: '.- --1/1-e-1/7 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection da J /yy.
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 VED
CC a
Residential MAR ���� FOR OFFICE USE ONLY
City of Tigard Received Date/By:tJ✓,/ 2_ Permit No.:/Nr20�-CQ0 92
n 13125 SW Hall Blvd.,Tigard,OR 97223�J 1 Y UN 'IGARD Plan Reviewy:
Phone: 503.718.2439 Fax: 503.598.1 ��-DING Date/B Li �Q Ak Other Permit:
TIGARD Inspection Line: 503.639.4175 DIVISION Date Ready/By: ur' /, ® See Page 2 for
Internet: www.tigard-or.gov itdotified/Method: u� I Ir.I Supplemental Information
-42
TYPE OF WORK R QUIRED D :1-AND 2-FAMILY DWELLING
0 New construction ❑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 0Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1
$
0 1-and 2-family dwelling ❑Commercial/industrial Valuation:
�� �'
I ❑Accessory building ❑Multi-family Number of bedrooms:
Master builder Number of bathrooms:
❑ CI
JOB SITE INFORMATION AND LOCATION Total number of floors: 2„
Job site address: 9 2 i 5 S W GA ti„ Ave New dwelling area: 0 square feet
. L City/State/ZIP: ficaa i 0 '?2 Z 3 Garage/carport area: 4(Z square feet
Suite/bldg./apt.no.: Project name: K ieffi Covered porch area: AM square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: A/A 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 all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
5 la <u•Voky itVeiS4( Valuation: $
Existing building area: square feet
New building area: square feet
4 PROPERTY OWNER ❑ TENANT Number of stories:
Name: aceL K GI A ci{ ?CGq v Kt t -1- Type of construction:
Address: 92.15 5 w Gq t Avt. Occupancy groups:
City/State/ZIP: ;i4Grot. / oiR °C7 U 3 Existing:
Phone:(S'4 I ) 1101 3 Z28 Fax:( ) New:
id APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: LA,,no„,,1fa j Structural plan review fee(or deposit): /7�,77
Contact name: Jo✓tr'^ ?IA,KMAA..
FLS plan review fee(if applicable):
Address: 19675 1('at".Ckkt !)r Total fees due upon application:
City/State/ZIP: Wit- LiK" / OR 91068
Phone:(503 ) 71 2 - 2{e 7 Fax: :( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
je(tkv b[AC14�a0\@ .t,N Ict. 0-64.s.Cow.
�• CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: L kww„,.1- (p f Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 166,75 \i((q,,,, 4-.ff e Dr Solar Installation Specialty Code checklist.
City/State/ZIP: west- L i / 04 I7 Oc$ Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 ) 732—4,41'7 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 104 500 II
/I�/l.Z Total fee due upon application: $201.60
Authorized signature: C' �2 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: J ev c .v y 'G C KyyZco� Date: 3�ZQj/'L 2 *Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T((11/02/COM/WEB)