Permit q CITY OF TIGARD MASTER PERMIT
1 • COMMUNITY DEVELOPMENT Permit#: MST2015 00129
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2015
Parcel: 2S111AA03101
Jurisdiction:
Site address: 8665 SW GREENSWARD LN
Subdivision: GREENSWARD PARK Lot: 7
Project: VANARCKEN
Project Description: Removing(2)non-bearing walls,and installing a glulam to transition flat ceiling to existing vaulted
ceiling.
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: $1,900.00 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 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 addl 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:
VANARCKEN,MARCUS C J AND BEARTOOTH CONSTRUCTION LLC Required Items and Reports(Conditions)
SANDRA 19137 SILVER SALMON DR
8665 SW GREENSWARD LANE OREGON CITY,OR 97045
TIGARD,OR 97224
PHONE: PHONE: 503-449-4805
FAX:
Total Fees: $179.79
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 don- ...rice 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
d- ATTENTION: • :.on la equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
•52-001-0010 through OAR t5 X01-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1 Permittee Signature: �Q
Call 503.639.4175 by 7:00 a.m.for the next available ins action 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 RECEIVE FOR OFFICE USE ONLY
City of Ti and Received /,, permit No.: M
`J g Date/By 7 1 V /'N'r O`O1 z Id-f
- 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 16 2015 Plan Review .�l,
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J(r 4-1 Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: �v+ Y Juris: H See Page 2 for
TIGARD Internet: www.tigard-or.gov CITY p�T�(�AKU Notified/Meth� ��7 � Supplemental Information
TYPE OF W REQ P' D t ATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit f es*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
01 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
1-and 2-family dwelling ❑Commercial/industrial /l'Ut)
❑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: 6Gc„5 5 New G 2 11,,,5 us. L>d New dwelling area: square feet
City/State/ZIP: --r c,..,a 42,D Z Garage/carport area: square feet
1
Suite/bldg./apt.no.: Project name: + �ii2PAl Covered porch area: square feet
Cross street/directions to job site: S, mN BALL- TO 00 Deck area: square feet
( 2EEt\ S LJ -"Co AD) -5 O(V p 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
REM6uE.. E,.>p KyoN-(3EAI23iVG i-.JAL.-S t -2-KisTP.cc_ Valuation: $
Existing building area: square feet G�,.4-A"'�"' Td tosm--rtP1J FL AT « toV
-ro ST.∎.)6. e- t LTA N �Z � New building area: square feet
PROPERTY OWNER ❑ ENANT Number of stories:
Name: VA (2,C(c..c .) Type of construction:
Address: gcow5 5i> C.(2�1�.v.)5sJA-7 / Aice- Occupancy groups:
City/State/ZIP: (ZC, 7 v� Existing:
Phone:C7 (4,9.0- 50 77 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name:
Cam. Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 46, y 7
City/State/ZIP: Total fees due upon application:
Phone:(1173) 3 2_0 5 34 Fax::( ) Amount received:
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: cikazo� �N5 S-TR��-�t LL � Submit two(2)sets of roof plan with connection details
�J and fire department access,along with the 2010 Oregon
Address: !q( 3 4 E . '5Jl N -Dl- Solar Installation Specialty Code checklist.
City/State/ZIP: ,,n ) efj Permit Fee(includes plan review
moo_€.c . � l 'O� � � and administrative fees): $180.00
Phone:(S03) .4-(t4 z-01•0 S. Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: LO 5 ... Vol 7 Total fee due upon application: $201.60
Authorized signature: /1(6 Gi' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
��/�i ~ �� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= Transmittal Letter
T I G A It 1 125 SW Mall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: (L DATE )tbWE1 r
DEPT:\ BUILDING DIVISION
AUG 4 2015
FROM: 4:72 • CITY O*TIGARD
COMPANY:_ -■•■%
_ Cb BUILDING DIVISION
PHONE: k
RE: ?Lv He' c9io/5-vola9
(Site Alddress) (Permit Number)
(Project name or subdivision ame and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: I 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.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: • . , ��� 1. __Pc _ 4
i v
FOR OM FE USE ONLY
Routed to Permit Technician: Date: G_./A ' 3 Initials:<
Fees Due: ❑ Yes II ,o Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012