Permit CITY OF TIGARD MASTER PERMIT
°i s COMMUNITY DEVELOPMENT Permit#: MST2016 00117
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 04/13/2016
TI[_ Ali1� 9
Parcel: 1S125DD09100
Jurisdiction: Tigard
Site address: 9674 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO.3 Lot: 99
Project: Wood
Project Description: Remodel daylight basement,add partition wall.
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: Yes
Total: 0 sf Value: $42,650.00 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
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 SNC/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add l 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:
RYAN,ROBERT T DAVE SQUARED ENTERPRISES LLC Required Items and Reports(Conditions)
WOOD,SARA G PO BOX 877
9674 SW VENTURA CT NORTH PLAINS,OR 97133
TIGARD,OR 97223
PHONE: PHONE: 503-936-6886
FAX: 503-647-5084
Total Fees: $1,160.09
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 •rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio . - er hose rules are set forth in OAR
952-001-0010 through•A R 952-001-0090. You Is- •btain a copy o - .es o • = t questions to OUNC by callin• 0 /7 •' . .8.0.332.2344.
Issued By."111111.11111111: alarall.��._....," LAP•-rmittee Signature: I / 14 I
Cal 4151!!•• '75 by 7:00 a.m.for the next avar .• :inspec••n•ate.
This permit card shall be kept in a conspicuous place on the job site until corn•leti• of th//project.
Approved plans are required on the job site at the time of each ins - tion.
Building Permit Application
Residential RECEIVED I OR 01 1 1( I 1 .1. ON1 1
Received /[ 3 /
City of Tigard DateBy: oy � Permit No.: M ��'/�/fj��l/7
14 u 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 3 2016 Plan Review ✓ �`� `�
Phone: 503.718.2439 Fax: 503.59 Date/By: ' Z3/) Other Permit-
/ i \)L I) Inspection Line: 503.639.4175 Ui I Y OF f I CARD Date ReadyBy: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:e/g, I Supplemental Information
Et Lir—
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $42,650.00
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9674 SW Ventura Ct New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 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 all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remodel daylight basement,add partition wall Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY~au 0 TENANT Number of stories:
Name:Robert Ryan&Sarah Wood Type of construction:
Address:9674 SW Ventura Ct Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Dave Squared Enterprises (MOW neer wfee xiedrk}
Structural plan review fee(or deposit):
Contact name:Dave Saalfeld
FLS plan review fee(if applicable):
Address:PO Box 877
Total fees due upon application:
City/State/ZIP:North Plains,OR 97133 /�
Phone:(503)936-6886 Fax::(503)647-5084 Amount received: t( a( .
E-mail:dave_saalfeld@msn.com PHOTOVOLTAIC SOLAR PANEL MUM'FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Dave Squared Enterprises i.t- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 877 Solar Installation Specialty Code checklist.
City/State/ZIP:North Plains,OR 97133 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)936-6886 Fax:(503)647-5084
//�s/ / State surcharge(12%of permit fee): $21.60
CCB lic.:188575 r I Total fee due upon application: $201.60
Authorized signature:0 if f/; / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Dave Saalfeld / Date:3-21-16 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9674 SW VENTURA CT, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00117
Jeff Grove
Violation Summary:
Inspector Contractor