Permit (68) CITY OF TIGARD MASTER PERMIT
II: ` COMMUNITY DEVELOPMENT Permit#: MST2018-00153
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2018
T[ a14(�'- g Parcel: 2S103DB10300
Jurisdiction: Tigard
Site address: 13220 SW GENESIS LOOP
Subdivision: GENESIS NO.3 Lot: 72
Project: CUTONILLI
Project Description: Push pier foundation repair.
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: $12,581.07 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'l 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:
CUTONILLI,STEPHEN&DIANA TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
13220 SW GENESIS LOOP 7910 SW HUNZIKER ST
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 541-492-2436
FAX: 503-491-5301
Total Fees: $488.93
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: •{egon law requires you to follow the rules adopted by the Oregon Utility N..'fication Center. Those rules are set forth in OAR
952-001-0010 thro .h OA: 9 •01-0090. You may obtain a copy of the rules or direct questions to OUNC by c=lin.503.232.1987 or 1.800.332.2344.
7 a
Issued :ell i' Permittee Signature: ) i ,i /I . �
S
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 RECEIVED FOR OFFICE USE ONL\
City of Tigard Received
2 Date/By: w._.__ Permit No.: --.
111 " 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 4 2018 l �S�Jz�e' '`G�ls 3
S Plan Review 1 A
Phone: 503.718.2439 Fax: 503.598.196 Date/By: c �/� Other Permit:
Inspection Line: 503.639.4175gg �'
l I G A Ft I7 p ���OF��qi���� Date Ready/By. Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING O' Islo. , No' -d/Method: jt/f fit, I Supplemental Information
TYPE OF WORK REQU ED DATA:1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
ir1-and 2-famil dwellin Valuation: $ j %) ) 0
Y g ❑Commercial/industrial I e (,t
.7
ElAccessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:09a0� YSO,, (1 e.. .13 Lc New dwelling area: square feet
City/State/Z113711CIA l \ �a "1 TD-a3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:CtAI V J J I\
1 —de, pa. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
� i 7 pt4çAl
PM
Valuation: $
`�' Existing building area: square feet
New building area: square feet
IP PROPERTY OWNER ❑ TENANT Number of stories:
Name:gVAIC ( i I 1 1 Type of construction:
Address: ''y?C) �C �Ci�n1s LQ Occupancy groups:
City/State/ZIP: J 0 �1 ci 7 Existing:
Phone:
iibL —q , • 1
Fax:( ) New:
tiPAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business nameTra f-'i rm `a�y'Ia t �{ Sk 1a /�C� (Please refer to fee schedule)
"� v r M f�l.� Jh I r ►� Structural plan review fee(or deposit):
Contact name: 0 i
Address:I - F .4
FLS plan review fee(if applicable):
City/State/ZIP: 0 4 di' 0 r q 2).- Total fees due upon application ��
Phone:( 1) ,. g ...., Fax::( ) Amount received:
62)\-‘e.YYR-ii V06_ COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: (tea A ov�vta5S�-C/Vv�.S
Submit two(2)sets of roof plan with connection details
' and fire department access,along with the 2010 Oregon
Address: 1 q(0 St,tJ i- 2-li €42- geoat.A Solar Installation Specialty Code checklist.
City/State/ZIP: in,,"`-F1 l d z �7 22.?� Permit Fee(includes plan review $180.00
and administrative feesL
Phone:( ) 4,12, �71 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 7 3 Lj to Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
,�, i within 180 days after it has been accepted as complete.
Print name: t1 • 't I s I Date:�r l r *Fee methodology set by Tri-County Building Industry
�', • ' ! vv�� Service Board.
1
I:ABuilding\Pennits\BUP-RESPennitApp.do 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:
13220 SW GENESIS LOOP, TIGARD, OR, 97223 July 19, 2018 at 9:05:06 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00153
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Special inspection report received as noted on previous inspection.
Violation Summary:
Inspector Contractor