Permit n CITY OF TIGARD MASTER PERMIT
11114 ; COMMUNITY DEVELOPMENT Permit#: MST2014-00223
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2014
Parcel: 2S 111 AD03100
Jurisdiction: Tigard
Site address: 8925 SW PINEBROOK CT
Subdivision: PINEBROOK TERRACE Lot: 28
Project: PAULAT
Project Description: Voluntary residential underpinning using (6)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: $6,000.00 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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 Tvoes 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
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
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:
PAULAT,DEANNA K TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
8925 SW PINEBROOK COURT 7910 SW HUNZIKER ST
TIGARD,OR 97224 TIGARD,OR 97223
PHONE: PHONE: 503-443-6866
FAX:
Total Fees: $301.98
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: aregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thr• gh:•• -.2-r 01-0'90. You may obtain a copy of the rules or direct questions to OUNC by calling 3.232.1987 or .800.332.2344.
Issued B : _.%/r, - Permittee Signature: 4/7 i
�
Cal l 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
Residential CE1VE FOR OFFICE LSE OM.\
Received
City of Tigard ��,B : ,�� I Permit No.: 0 `
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Da" : Other Permit:
Inspection Line: 503.639.41 75 DEC 1 $ 2014 Date Ready y: / ® See Page 2 for
T I G A R D Notified/Methodl Oyu Supplemental Information
41i rmation Internet: www.tigard-or.gov AR
s41 77-
TYPE OF WOR REQUIRED DATA:I-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/replacement Other Art equipment,materials,labor,overhead,and the profit for the
Vp(OArtfl `' ma
CATEGORY OF CONSTRUCTION J work indicated on this application.
I-and 2-family dwelling ❑Commercial/industrial
Valuation: S ( OW
❑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: ff�� 560 C.* New dwelling area: square feet
City/State/ZIP: --r-; a.7��I.� Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: P,,j 4 IkeslfAnto 04,4 et I10� Covered porch area: square feet
Cross street/directions to job site: r Deck area: square feet
j �Qtk c.b��o�- C a v�'� 4'�
OF q-t &4 #'l(& R-nclwas9k 4-. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 4,.1&broe lL -Ievi .ems I Lot no.: �g Permit fees*are based on the value of the work performed.
R Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: rj 10 q equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Vat v� -(A.r R' e,`, t��L vt� Set/toe Gl,"—
V S //x ri .1 -, Existing building area: square feet
e 10� I New building area: square feet
lg PROPERTY OWNER I ❑ TENANT Number of stories:
Name: fi� P 0. Type of construction:
Address: if el as 5u p ..,th no (4. Occupancy groups:
City/State/ZIP: "T e i O 1 2.- el 7)2 y Existing:
Phone:(5 7)3) 64s_- oci73 ( Fax:( ) New:
p.APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
Business name: F• fav �in J
(Please refer to fee schedule)
Terra rwt �YIIDD�W71 .5 � Structural plan review fee(or deposit):
Contact name:
//5D r t'�S "(�
FLS plan review fee(if applicable):
Address: 7K I D s 4 14.,,,,17 L KT 54-
City/State/ZIP: 1 J 0 ( 7 �a, Total fees due upon application: �a7
I a J Amount received:
Phone:(5n)` 43_ 6866 Fax::( )
E-mail: 5!-_t5 v�..�,( c. 1 .. 5 � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Grr"` `rte Commercial and residential prescriptive installation of
CONTRACTOR
�S- roof-top mounted Photo Voltaic Solar Panel System.
Business name: ''rCe �`� „ �OVV1r�7`� 5�SS Submit two(2)sets of roof plan with connection details
,L and fire department access,along with the 2010 Oregon
Address: 74 t v 5 w �v n z(c'- Solar Installation Specialty Code checklist.
City/State/ZIP: Q p Permit Fee(includes plan review
$180.00
( l � and administrative fees):
Phone:(561)1-0.1 3 6 5',(o Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 17 3•511 7 kz/DI//f c, . Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3 i+ 11 Date: (1�'! / 5 *Fee methodology set by Tri-County Building Industry
�\O faVK 1� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)