Permit (12) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00231
-F r GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2017
Parcel: 1 S135DB01600
Jurisdiction: Tigard
Site address: 11560 SW 91ST AVE
Subdivision: CHARBEN Lot: 4
Project: Ramirez
Project Description: Voluntary residential underpinning using(10) 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: $20,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 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:
RAMIREZ,JOSE C/MARIA TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
11560 SW 91ST 7910 SW HUNZIKER ST
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: 503-443-6464 PHONE: 503-443-6866
FAX: 503-491-5301
Total Fees: $676.39
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 t ...h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 7 or 1.800.332.2344.
Issued B �� �
y' ���-1—� Permittee Signature: Ara/z/
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 _ Foll OFFlcl": l sI:ONI.N
City of Tigard Date/By:Received ( 77/7 (ZIP f-157---:;6/7-60 3\31
- VED yPermit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Q01N 1 Plan Review
Phone: 503.718.2439 Fax: 503.598.17 1 O 1� Date/By: • -') 1-1'-.1-7 Other Permit:
T I iJ�1 R Il Inspection Line: 503.639.4175 Date Ready/By: J j7. kris: ra See Page 2 for
Internet: www.tigard-or.gov Notified Method: �� pc
I Supplemental Information
CITY OF TIGARI
BUILDING DIVISION
� v
TYPE OF WORKREQUIRED DA3A:1-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 ®Other:Repair equipment,materials,labor,overhead,and the profit for the
`AV qr *., A Y Off'9 .C(fl , ,; r?
,,r. work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $20000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
'`" 1:-. .. , O. I. M OR : e ',.114,#„z-
.. . .i .," r -:„ Total number of floors:
Job site address:11560 SW 91"Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Ramirez Underpinning Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
.CO-.:.144 RCIAL-USE .t'';.7..a 1$1;,:
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:W264637 Indicate the value(rounded to the nearest dollar)of all
f w.
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION "OF VOID :; work indicated on this application.
Voluntary Residential Underpinning using(10)Helical Piers Valuation: $
Existing building area: square feet
New building area: square feet
:. ®®® P, ' T'OWNER p ;:`
'TtANF Number of stories:
Name:Jose Ramirez Type of construction:
Address:11560 SW 915 Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)443-6464 Fax ( )
Nea APP IC,li! '" =5 C NTACT PERSOI . W" "BUILDING PERMIT~ ES?` :: I'::; w
Business name:TerraFirma Foundation Systems ." '.' ," f?Je�aF /ettofe: Ir "u .•
Structural plan review fee(or deposit):
Contact name:Scott Kovalik
Address:7910 SW Hunziker St.
FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
Phone:(541)817-4873 Fax::(503)941-5301 Amount received: a�s ��
E-mail:skovalik@terrafirmafs.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mo -d Photo Voltaic Solar Pal System.
Business name:TerraFirma Foundation Systems Submit two(2)s- of roof plan with nnection details
and fire department a• ess,along; 'th the 2010 Oregon
Address:7910 SW Hunziker St. Solar Installation Specie. Co! checklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(includes p,in review $180.00
and admi ':rativ- ees):
Phone:(503)443-6866 Fax:(503)941-5301 State surcharge(l-/o of permit fee'. $21.60
CCB lic.:173547
Tota -e due upon application: $201.60
Authorized signature: DD�9� This permit application expires if a permit is not obtained
ei/�/7/ within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Scott Kovalik Date:6-14-17
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11560 SW 91ST AVE, TIGARD, OR, 97223 September 1 , 2017 at 7:52:51
AM
Record Type: Record ID:
Residential - Master Permit MST2017-00231
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Piles complete, final summary letter received.
Violation Summary:
Inspector Contractor