Permit (128) CITY OF TIGARD MASTER PERMIT
2: 'S COMMUNITY DEVELOPMENT Permit#: MST2017 00076
T(GA p D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017
Parcel: 2S103DB01800
Jurisdiction: Tigard
Site address: 11475 SW VENUS CT
Subdivision: GENESIS Lot: 12
Project: Carlson
Project Description: Tree strike repair to roof trusses.
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: $8,000.00 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
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'I 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:
CARLSON,RICHARD A&JUDITH S GREAT WESTERN RESTORATION Required Items and Reports(Conditions)
11475 SW VENUS CT PO BOX 489
TIGARD,OR 97223 OREGON CITY,OR 97045
PHONE: PHONE: 503-655-4739
FAX: 503-655-5845
Total Fees: $348.83
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 Ljma -• -in a •• •f the rules or direct questions to OUNC by calling 5' - . •r .:r". '4.
Issued By: /L_ g' `e ,tom'" Permittee Signa • A
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 OFFICE USE ONLY
City of Tigard Received permitNo.: }� D/7-'6°
g Date/By �� //��� 7
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' C Phone: 503.718.2439 Fax: 503.598.1940 .fid ?0,17
�� DateBy: • Other Permit:
CIGARD Inspection Line: 503.639.4175 Date ReadyBy: 7uris: See Page 2 for
Internet: www.tigard-or.gov A #i Notified Method: of 7 r� Supplemental Information
ys
' ,:d. .d.....i2 ,s7. .......t ,;r.. e . ce s.a ,.
El 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: equipment,materials,labor,overhead,and the profit for the
. ' i i ®` � r work indicated on this application.
i�E
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ �D ern,
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
i a , t 1 11 i .,� Total number of floors:
Job site address:11475 Southwest Venus Court New dwelling area: square feet
City/State/ZIP:Tigard,OR 97233 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Post Tree Strike Repairs Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Ott structure area: square feet
Subdivision:Genesis Lot no.:12 Permit fees*ar don the value of the work performed. .,
Indicate the valu "rounded to the nearest dollar)of all
Tax map/parcel no.:2S13DB 01800
equipment,materials,labor,overhead,and the profit for the
, 1 Jr ® '°• t work indicated on this 7.2
application.
Repair of(6)roof rafters.
Valuation: $
Repair of deck post and sill plate. Existing building area: square feet
Repair of south post of header support on east wall at upper level. New building area: square feet
- E # ten,
/ RO kR, e .I" i , r i Number of stories:
Name:Richard Carlson Type of construction:
Address:11475 Southwest Venus Court Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
81 ^.. 7 s # 't 19 1 [ `d t '� 1 e 04. rl�.li,, ":r;:
at_
_, ::.: �'�.... . , ;..: „..,:. r. '?;'¢ :r,,.t,�ee ` .... s ,fir t
Business name:Great Western Restoration "{'t `'' l`X't ire
Structural plan review fee(or deposit):
Contact name:Ryan Dale
FLS plan review fee(if applicable):
Address:13863 S Lazy Creek Lane
City/State/ZIP:Oregon City,OR 97045 Total fees due upon application:
Phone:(503)655-4739
Fax::(503)655-5845 Amount received: fl p'`?-Da
E-mail:ryas@greatwesternrestoration com ;- �.,,:
.• a « '',§ <_' Commercial and residential prescriptive installation of
®► r >
,iE =,47,,',, roof-top mounted Photovoltaic Solar Panel System.
Business name:Great Western Restoration Submit two ets of roof plan with connection details
and fire departure access,along with the 2010 Oregon
Address:13863 S Lazy Creek Lane Solar Installation Sp shy Code is.
City/State/ZIP:Oregon City,OR 97045 Permit Fee(include-. an review $180.00
and a. nistrati'; ees):
Phone:(503)655-4739 Fax:(503)655-5845 State Burch.-.e(12%of permit fee $21.60
CCB lic.:99149
Tot. fee due upon application: $201.60
Authorized signature This permit application.expires if a permit is not obtained
within 180 days after t has been accepted as complete.
Print name: Cil,a//,,41---(3)�� Date: 212 ZDj�— *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)