Permit CITY OF TIGARD MASTER PERMIT
`ri I COMMUNITY DEVELOPMENT Permit#: MST2016 00351
T f G.' f 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016
1 R.
Parcel: 2S103AD05000
Jurisdiction: Tigard
Site address: 12840 SW 107TH CT
Subdivision: PATHFINDER Lot: 40
Project: O'KEEFE
Project Description: Voluntary repair of existing foundation using helical and deep driven piles.
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: No
Total: 0 sf Value: $16,943.00 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
Bckflw Prevntr: 0 Catch Basins: 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:
O'KEEFE 2014 FAMILY TRUST RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions)
BY O'KEEFE,MICHAEL J&JACKIE PO BOX 11701 1 Special inspection
L TR EUGENE,OR 97440 required...Pilings,Drilled
651 CABRILLO AVE
CORONADO,CA 92118
PHONE: PHONE: 541-501-8940
FAX:
Total Fees: $600.62
,,,,,,--
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, pr'if work is su nded for more the 180
days. ATTENTION: Ore••• law requires you to follow the rules adopted by the Oregon Utility Notification 9eill " Tho u -'are set forth in OAR
952-001-0010 through• 2-00 1090.,.ou may obtain a copy of the rules or direct questions to OUNC by calling 503. 32.1987 0 . 344.
117
g t
l
Issued By: ; Permittee Signature:
Call 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 ' : '`
` FOR oFFICF t SE oNEv
City of Tigard Received p
PanRev 1 Cc. e77.._
Permit No.: + -,
13125 SW Hall Blvd_,Tigard,OR 9721 -a"w /�S� l(o r I.;
■ ' Phone: 503.718.2439 Fax: 503.598.1960 ' ,-'‘'k` Placa Review
Date/By: �" f 3 -j C Other Pemtit:
f 1(li A R t, Inspection Line: 503.639.4175 \: Date Read /B la See Ps 2 for
Internet www.tigard-or.gov � ' -.,Nofified/Method: / �(2 (VI Juris:
1. / �{,', I Supplemental Information
OF W 1 ��DATA 1
❑New constructionlitio
❑Dtion Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
P ®Other:Foundation
eqmaterials,
overhead,and theprofit for the OF CO STR CTION; '' work indicated on hisapplicatio
CI 1-and 2-family dwelling 0 Commercial/industrial Valuation: $16,943
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
o i n � TIOi Total number of floors:
Job site address:12840 SW 107`k Ct New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name: Ut
Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
� 3ATAMMERC -� REC Y `
� ... ��;
Subdivision:
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
. � - 0 work indicated on this application
voluntary repair of existing foundation using helical and deep driven piles Valuation: $
Existing building area: square feet
New building area: square feet
0,- pgo Ty OW1 " "._ , ,, t s q �" o Number of stories:
Name:Jackie 0'Keefe
Type of construction:
Address:12840 SW 1071k Ct
Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:(619)972.3476 Fax ( )
New:
1' 1CAi 1
z.r` �...,. : -L. ., C 19` 4 l .*tr
Business name:RamJack West .,, . , f'Ye a fyo a ,
Contact name:Curt Klein Structural plan review fee(or deposit):
Address:PO Box 11701 FLS plan review fee(if applicable):
City/State/ZIP:Eugene,OR 97440 Total fees due upon application: XI S',`l 0
Phone:(503)278.5570 Fax::( ) Amount received:
E-mail:cort(c- J 1'1 OTOVOLTA fcsOl(� �`
ram ackor.com
l'
! O+ A 1t h Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name:RamJack West Submit two(2)sets of roof plan with connection details
Address:PO Box 11701 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Eugene,OR 97440 Permit Fee(includes plan review $180.00
Phone:(541)393.8151 Fax: and administrative fees):
( ) State surcharge(12%of )
CCB lic.:146906 ,�
g permit fee): $21.60
-r .- Total fee due upon application: $201.60
Authorized signature: �'' t
This permit application expires Na permit is not obtained
t/` �r ,, within 180 days after it has beenaccepted
Y as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Curt Klein Date:9/6/16
Service Board.
I:\Building\Pemvts\BUP-RESPemutApp.doe 02/24/2011 440-4613T(I1/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12840 SW 107TH CT, TIGARD, OR, 97223
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00351
Inspector:
Jeff Grove
Contractor