Permit (109) CITY OF TIGARD MASTER PERMIT
III • COMMUNITY DEVELOPMENT Permit#: MST2018-00259
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2018
T f C,;ti R f") 9 Parcel: 2S103AA03400
Jurisdiction: Tigard
Site address: 10470 SW CLYDESDALE PL
Subdivision: CLYDESDALE Lot: 14
Project: NICOLI
Project Description: Voluntary repair of existing foundation using driven piles.
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: $18,000.00 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 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:
NICOLI,EDNA SUZANNE REV LIVING RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions)
10470 SW CLYDESDALE PL PO BOX 11701 1 Special Inspection Piles/
TIGARD,OR 97224 EUGENE,OR 97440 Cassons
PHONE: PHONE: 541-501-8940
FAX:
Total Fees: $625.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other'"appticable 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„)L-Work is. suspended for more the 180
days. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Ce . These rul- - set forth in OAR
952-001-0010 through OA -001- 090. Y. ay obtain a opy of the r or direct questions to OUNC by calling 503.2 .1987 or,1 8!, =—,:,
Issued By: 4/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection
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 Ap lication
Residential ECEIVEDFOR OFFICE USE ONLY
City Of Tigard SEP 1 7 2018 Received �/ 7 /y-,---A
Pen 4i 7?ol r-00,0,/�
m 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: !(��`'��
g Plan Review i
Phone: 503.718.2439 Fax: 503.598.y�pry- OF
° 1 ! A Pc Other Permit:
1 I G A R D Inspection Line: 503.639.4175 66 p l �. tl l l O N Date Ready/By ( 1 Julis: ® See Page 2 for
G Internet: www.tigard-or.gov p"! t '' '' ° fied/Method: (, ((C(/� Supplemental Information
TYPE OF WORK REQUIRED DATA: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:Foundation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $18,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10470 SW Clydesdale PI New dwelling area: square feet
City/State/ZIP:Tigard,OR 97233 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 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.
voluntary repair of existing foundation using driven piles Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Susie Nicoli Type of construction:
Address: 10470 SW Clydesdale P1 Occupancy groups:
City/State/ZIP:Tigard,OR 97233
Existing:
Phone:(503)18,000639-7432 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:RamJack West
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Curt Klein
FLS plan review fee(if applicable):
Address:PO Box 11701
Total fees due upon application:
City/State/ZIP:Eugene,OR 97440
Amount received:
Phone:(503)278.5570 Fax: :( )
E-mail:curt@ramjackor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:RamJack West Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 11701 Solar Installation Specialty Code checklist.
City/State/ZIP:Eugene,OR 97440 Permit Fee(includes plan review $180.00
7 and administrative fees):
Phone:(541)393.8151 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 146906
` Total fee due upon application: $201.60
Authorized signatur -/ This permit application expires if a permit is not obtained
CC within 180 days after it has been accepted as complete.
Print name:Curt Klein Date- 6!'1� i.7_ *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)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10470 SW CLYDESDALE PL, TIGARD, December 14, 2018 at
OR, 97223 10:42:59 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00259
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
No engineers final summary on site.
Left message prior per inspection message.
Violation Summary:
Inspector Contractor