Permit CITY OF TIGARD.IN MASTER PERMIT
. COMMUNITY DEVELOPMENT Permit#: MST2017-00371
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2017
`� ' Parcel: 2S104BD01400
Jurisdiction: Tigard
Site address: 13665 SW FERN ST
Subdivision: OBRS HEIGHTS Lot: 1
Project: GIBSON
Project Description: Repair garage roof and framing due to fallen tree.
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
1 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:
GIBSON,ALEXIS&NATHANIEL PORTLAND CONSTRUCTION SOLUTIONS Required Items and Reports(Conditions)
13665 SW FERN ST 14915 SW 72ND AVE
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: PHONE: 503-908-9822
FAX: 503-336-6557
Total Fees: $351.33
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 folio, fh= rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-00 . obtai - •• oft e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
s
Issued By !co ---
. +�' Permittee Signature: 4Je' —
. 503.639.4175 by 7:00 a.m.for the next available inspecti 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 / / �7L
bDate/By: `v( (�T PermitNo.:415T I� 003/
III . 4.11- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (/
- Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J O ")O. Other Permit:
f 1 G A.R D Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method:tv/r v/, A -+'C/' Supplemental Information
'
TPE..^. 'si..:+r::: vi� y :t r<.5 s ..
REI1IREI1133A'I'As'IPANb Z.fAMII,'Y I'iWs IISf,INO>:.:".:::'
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on
thisapplication.CAT G4Ry OEoNTRucneN
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $8000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 3
SOB $1T INFORMATION AND".OGATI II~I Total number of floors. N/A
Job site address:13665 SW FERN ST. New dwelling area: N/A square uare feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: 440 square feet
Suite/bldg./apt.no.: Project name:GIBSON RESIDENCE Covered porch area: N/A square feet
Cross street/directions to job site:SEE ABOVE Deck area: N/A square feet
/ ))
tl4 -c- c- h. L 6/M/e_ Other structure area: N/A square feet
,
wwwfoogullowtiftmomomicummimotooriiig
Subdivision:OBRS HEIGHTS I Lot no.:1400 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S104BD01400 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
E�III�'TIt) E�oW4IIIK ;:: work indicated on this application.
II
REPAIR OF DAMAGE GARAGE ROOF AND WALL FRAMING DUE DAMAGE Valuation: $
CAUSED BY A FALLEN TREE
Existing building area: square feet
THERE IS NO CHANGE TO THE FOOTPRINT OF THE STRUCTURE.
New building area: square feet
„.;..... Number of stories:
1�IIi�01�.'I`�`;�1rWI�IE f ❑ TENANT` ;.::`::: '
Name:ALEXIS&NATHAN GIBSON Type of construction:
Address:13665 SW FERN ST. Occupancy groups:
City/State/ZIP:TIGARD,OR 97223 Existing:
Phone:( ) Fax:( ) New:
N::: PLICA` s:
1iG#1r1tI�I'I'ACT PRSt?18
S1LT1111SG 1►M1*M*
Business name:TM RIPPEY CONSULTING ENGINEERS Structural plan review fee(or deposit):
Contact name:KYLE KRUGER FLS plan review fee(if applicable):
Address:7650 SW BEVELAND ST. Total fees due upon application:
City/State/ZIP:TIGARD,OR 97223 Amount received:
Phone:(503)03)443-3900 0
Fax: :
MP110113ViitTz iw tki PANEI,Nei ESE8
E-mail:KKRUGER@GMAIL.COM
Commercial and residential prescriptive installation of
MilinlinareISMINEIMEEMAkftiAMINIEViiiMilEigigiiiMigiiiiiiMilllillliiiiingiani!iroof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:PORTLAND CONSTRUCTION SOLUTIONS and fire department access,along with the 2010 Oregon
Address:14915 SW 72ND AVE. Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP:PORTLAND,OR 97224 $180.00
and administrative fees):
Phone:( )503.539.5652 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:174542 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: Z.--......... within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:KYLE KRU R Date:10/4/2017 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)