Permit (25) ..-- F
CITY OF TIGARD MASTER PERMIT
71 N COMMUNITY DEVELOPMENT Permit#: MST2017-00206
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
T[ '' � 9 Parcel: 2S103DB04800
Jurisdiction: Tigard
Site address: 11155 SW NOVARE PL
Subdivision: GENESIS NO.2 Lot: 46
Project: MILLER
Project Description: Replacing trusses,wall and beam due to tree damage.
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: $22,000.00 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''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:
MILLER,DARYL R&DEBORAH H PACWEST RESTORATION Required Items and Reports(Conditions)
7 VIA ARRIBO 13732 SW MARCIA DR
RANCHO SANTA MARGARI,CA TIGARD,OR 97223
92688
PHONE: PHONE: 971-229-9463
FAX:
Total Fees: $728.23
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. You may obta' y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 4.
Issued By: y j: �-- Permittee Signature: / `
Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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 1 ,'it/it it1 iii i. t 1. 0° 1.1
IIICity of Tigard_ 4 �� Peoria: a
13125 SW Hall Blvd.,Tigard,OR 97223 i Plan Review lj
Phone: 503.718.2439 Fax: 503.598.1960 i � , Date/B : •- 6 — )7 11 Other Permit:
I i c,.A R D Inspection Line: 503.639.4175 , %`111 Date R� A till see P 2 far
Internet: www.tigard-or.gov q O A ifcec/Method:W /z /2 4 � Supplemental Information
J v.' A 1/C4 LLQ ie-e-.64-'-:72-1
' PE OF YORK (SriAli-‘41.31‘..)' IlitD DATA:I-AND 2-FAMILY DWELLING
0 New construction 0 Demo* :g `" `."°''" Permit fees*are based on the value of the work performed.
t t°"' � ladicate the vahm( to the newt dollar)of all
0 Addition/alteration/replacement [Other:1-ke•ce )A 1,./A4dE equipment,materials,labor,overhead,and the profit for the
�-,/
CATEGORY OF CON TRUCTIION work indicated on this application.
E t-and 2-family dwelling 0 Commercial/industrial Valuation: Z Z O d d
0 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: 1 1,1 s c s w Ktom.peR.E- ?L New dwelling area: square feet
City/State/ZIP: T t c1,j-stz, Q Q Cl -2.-.1.-3 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 CIItCKLIST
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,DSCRIPTION OF WORK work indicated on materials,
� and the profit for the
application.
E
P 1A C, E ')lA MAAG,� -9-190 c T2-u5S V S/ Yaluatian: $
C.E. 1 R
W XkL..l g e-A4N, Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: M t Lr Le,_Q. Type of construction:
Address: 1 I l 5 s s VO l-1 0114(0,E D L Occupancy groups
City/State/ZIP: -nD 6�2... q l 2Z.7,4 Existing:
Phone:( ) Fax:( )
New:
Er PLICANT
a"CONTACT PERSON BUILDING PERMIT SEES*
Business name: -p-t)s LL G fage' '
Structural plan review fee(or deposit):
Contact name: (Z.0 , F Q-T- 4-(A-c I N
FLS plan review fee(if applicable):
Address: 3 4 ek- tit( 25 Phi .
City/State/ZiP: Total fees due upon application:j A 5-i it f
I?e ei O2. 1 Z-
Amount receive&
Phone:( c p 3) (a S 0 l 0 '31 Fax: ( )
E-mail: 0 e e4t)u Air T e(Tr' T OPA-i L . PHOTOVOLTAIC SOLARPANEL SYSTEM FEES*
CONTRACTOR Commercial and residential.prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TA C Submit two:(2)sets of roof plan with.connection details
W 5 I R.EsTeitPsito ij and fire
Address: department-access,along with the 2010 Oregon
2S�O SW 14,,(U... IS`( i4- 15 0 solar Installation Specialty Code checklist.
City/State/ZIP: Permit,Fee(includes plan review
Ti js t o-�2. 9.22,
S180.00
Phone:(spa) ¢4 Z• q 5 4k4 Fax:;( ) and administrative fens):
State surcharge,(12% permit fee): $21.60
CCB lic.: 11-0o 343
Total fee due upon application: $201.60
Authorized signatur / r,�(�,/'�^ This permit application expires if a permit is not obtained
t'(�' within 180 days after it has been accepted as complete.
Print name: 2 (hdvDate: G S (tIcir-1. *Fee methodology set by Tri-County Building Industry
t' �(i ' (e' Service Board.
I:\Building\Penxtits\BUP-RESPeimitApp;dae 02/24/2011 440-4613T(1.1/02/COM/WEB)