Permit (101) CITY OF TIGARD MASTER PERMIT
11,...„
; 2.. .., COMMUNITY DEVELOPMENT Permit#: MST2017-00039
G13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2017
T t1� Parcel: 2S104CD04400
Jurisdiction: Tigard
Site address: 13799 SW BENCHVIEW TER
Subdivision: HILLSHIRE ESTATES Lot: 44
Project: Putzier
Project Description: Voluntary underpinning of(1)column with(2)helical 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: $3,600.00 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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:
OTR SF VB R-3 0
Owner: Contractor:
PUTZIER,RICHARD A&DONNAJO TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
13799 SW BENCHVIEW TERRACE 7910 SW HUNZIKER ST 1 Piles/Caissons
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-443-6866
FAX: 503-491-5301
Total Fees: $248.13
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: 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. = -- -in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800.332. 3,44.
Issued By: /.iIi ..,.,iciPrAmm.- '•rmittee Signature: ...51401A/111 Z"...
#4049.4176 by 7:00 a.m.for the next available inspection date.
This permit card sh. .ee 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.
Buildin2 Permit Application-— •-•—yl-uf, r
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Etc El)
Residential I014 01-r H I 1 1 0\1 1
City of Tigard Received
Dates : ,Artryijim Ar 7:
III 13125 SW Hall Blvd.,Tigard,OR 97223JAN 3 0 2017 Plan Review Pennit No.: 0 7--005?
' Phone: 503.718.2439 Fax: 503.598.1960 Da telB : ' 0— 1 rialll
Inspection Line: 503.639A 1 7 5 CITY OF TIGARD Date Ready/By: lill 0 See Page 2 for
i it.Attn
Internet: www.tigard-or.gov Notified/method Supplemental Information
BUILDING DIViSION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
I4 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF onpuucrpN
work indicated on this application.
, -C
fiz 1-and 2-family dwelling 0 Commercial/industrial Valuation: S 3 ()()
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND k134TION Total number of floors:
Job site address: 1 3?-cii \,./ (36,,,,,/4 vit... Teiv- New dwelling area: square feet
City/State/ZIP: T , og cryzz 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Ay.zic(-- Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMY-RCIAL-AUSE 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.
Undfr flolpt, 04; la.) 2 j7,1/:, 4-•/ Valuation: $
p;rys. Existing building area: square feet
New building area: square feet
Eg PROPERTY OWNER 0 TENANT Number of stories:
A.
Name: Po_z;,r i pic, Q. Ulf Type of construction:
Address: 13 iici 5W e11 ,et,„,- icoyy. Occupancy groups:
City/State/ZIP: ---nietycl, o R q-?-22. 3
Existing:
Phone:( ) Fax:( )
New:
,f5) APPLICANT , 13 CONTACT PERSON BUILDING PERMIT FEES'
(Please refer to fee schedule)
Business name: T C V VA Pi rVIA". Foy,' cici.J..0., 5 v s 11'1'0 Structural plan review fee(or deposit):
Contact name: 5c Of.i_ Koo.UK
—
FLS plan review fee(if applicable):
Address: 3/ID s vi f-i up,et KfY' S+.
Total fees duc upon application:
City/State/ZIP: 1‘1 5c.v44, 0£. 4=1+223
Phone:(541 ) 31T- 4371 Fax::(51)3) till 1- 5 3c.I Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail. 5 Kovktix g -ffrec, -A,..... 4s. (001
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: Tr,re,c;Km ca Fa,,,,,ciA ,14.0 5 ys 1(0,5-
and fire department access,along with the 2010 Oregon
Address: .1-110 SAT .1-km z'I err 5'1'• Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: 1,‘ ctici Olt 6[1221 3180.00
. _________ and administrative fees):
Phone:(56 Z ) WI 686 68‘6 Fax:( 5015) 91 Y/- 5301 State surcharge(12%of permit fee): 321.60
CCB lic.: I/ 3 cq 7
Total fee due upon application: 3201.60
•
Authorized signature: ,a- av
f. , / k-- 21- t 1 Thls permit application expires If a permit is not obtained
,,,
,
within 180 days after it has been accepted as complete.
-0 . ,,
Print name: 5c4s-4- LDate: •Fee methodology set by lin-County Building Industry
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Service Board
1:1Building\Permits,BUP-RESPermitApp dor 02/24/2011 440-46131(11 !COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13799 SW BENCHVIEW TER, TIGARD, February 26, 2018 at
OR, 97223 10:41 :18 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00039
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide final summary report for final inspection.
Work on site complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13799 SW BENCHVIEW TER, TIGARD, March 19, 2018 at 8:07:51 AM
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00039
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Special inspector final summary letter received.
Violation Summary:
Inspector Contractor