Permit CITY OF TIGARD MASTER PERMIT
:IN a H COMMUNITY DEVELOPMENT Permit#: MST2013-00207
T i GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S104AC14000
Jurisdiction: Tigard
Site address: 12902 SW HILLSIDE TER
Subdivision: HILLSIDE ESTATES Lot: 5
Project: Martinez
Project Description: Repair existing foundation at steps.
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: $6,800.00 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 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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'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: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
MARTINEZ,STEPHEN E RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions)
12902 SW HILLSIDE TER PO BOX 11701
TIGARD,OR 97223 EUGENE,OR 97440
PHONE: 503-807-7962 PHONE: 541-501-8940
FAX:
Total Fees: $328.40
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 ,ork 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. Ypu a�aya6 ' of the rules or direct questions to OUNC by calling 503.232.1987 or�.:r. c .2344.
Issued B Permittee Signature: Rue
/
C 175 by 7:00 a.m.for the next available Inspection date.
This permit ca s all be kept in a conspicuous place on the Job site until completion o
Approved plans are required on the job site at the time of each Inspection.
•
Building Permit Application
Residential RECEIVED ,.-0,,(),...,E ( SE(),,,,, .,,
City of Tigard DaRece
t iv ed yffarra Penoit No.:
,57-Aw5e0,9,0
:. 13125 SW Hall Blvd.,Tigard,OR 92�3P 1 6 2!113 Plan Review �J,tltt� / Other Permit -
Phone: 503.718.2439 Fax: 503.59 . 60 pmt : /jf�,E�
1.i it t Inspection Line:8503 63 8.4175 CITY OF TIGARD Date Ready: : ' aY S7'. 11°": S See Page 2 for
Internet: www.tigard-or.gov ov 11 11 Notified/Method: Supplemental Information
BUILDINGDIVISION ceg- X75,
TYPE OF WORK REQUIRED DA A:1-AND 2-FAMILY DWELLING
❑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/replacemem V.1 Other: (2,E P P k(.. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
VI-and 2-family dwelling ❑Commercial/industrial Valuation: 1 4806
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total:number of floors:
Job site address: 1 rL'10 Z, Su N\l L S ,De -re-a A cc:: New dwelling area: ^ square feet
City/State/ZIP: "(l(AA(2.0 0 () ¶223 Gat/age/carport area: s -- square feet
Suite/bldgJapt.no.: I Project name: Covered porch area: -- square feet
Cross street/directions to job site: e-;w (,JAG 0-1,U T CT• 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit f.- e
DESCRIPTION OF WORK work indicated on this application.
V_eepok g x i ST i N4(fi 'c o U,t&D A---(13M� Valuation: $
.-C-15-/-C s• Ft 0 N6,0 0_,Orks „`u(Xl 3 p.4 Existing building area: square feet
New building area: square feet
Vi PROPERTY OWNER I ❑ TENANT Number of stories:
Name: '1--- P} 4 `M4 i‘A (Z f� ���� Type of cons) 'on:
Address: kg-CI 0 Z S0 iA\t-5 ID ( E-1 tC.t'to._ ' Occupa. groups:
City/State/ZIP: \ 6 MJ) D 2 cl1 223 Existing:
Phone:603) B 01 i•19 io 2_ Fax:( ) New:
❑ APPLICANT ‘Qft CONTACT PERSON BUILDING PERMIT FEES*
Business name: �A� J /1[CA‹ Cc C)ft 6-O0 review fee(or to deposit):
Contact schedule)
Contact name: VA\CH- L. �t)Aim
S Structural plan review fee(or deposit):
Address: ` 0 )C l\1 D` FLS plan review fee(if applicable):
City/State/ZIP: Et), LI ,4 p 2 �'14 LID Total fees due upon application:
may► 6 g 9 - 1 t11 (5 4 e 9_14.19 Amount received: I/7 '� .
Phone: ) Fax:: 1)
E-mail: VA`\�4 A e 1- @-, wk�A-CA[0 y.... PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation.f
- roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Vt/\ 3A (�z.,_ (jF p 0_6-4 o 0 Submit two(2 s of roof plan with connection de Is
and fire departm• t access,along with the 2 I : •regon
Address: t\D. "7 0 y \, I^0‘ Solar Installation .ecialivCode . i1st.
City/State/ZIP: n Permit Fee(inc •.- • review
L(� Otte 1(P p l C 14'40 and m ve fees): S180.00
Phone:(j•0)�"a es-111 Fax:6t{I ) b D ej -q 4'�j( States •t arge(12%of permit S21.60
CCB lie.: 1 Cl O Total fee due upon application: \$201.60
Authorized signature: ki/id.
i This permit application expires if a permit Is not o ained
I within 180 days after it has been accepted as complete.
L, �yA CI •Fee methodology set by Tri-County Building Industry
Print name: t Cl Lr l� '•t I Date: 1 l 3 •
Service Board.
I:,Building,Permils,BUP-RESPcrmitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
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