Permit (100) pF CITY OF TIGARD MASTER PERMIT
i
!e" COMMUNITY DEVELOPMENT Permit#: MST2018-00276
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2018
Parcel: 1S125DB02600
Jurisdiction: Tigard
Site address: 9130 SW 74TH AVE
Subdivision: BOULEVARD HEIGHTS Lot: 4
Project: RASMUSSEN
Project Description: (1)new aboveground storage tank in garage for heating oil.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $2,400.00 Rear: 15
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 addl 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:
RASMUSSEN TRUST SOIL SOLUTIONS Required Items and Reports(Conditions)
BY RASMUSSEN,MONA V TR 3540 SE 28TH AVE
9130 SW 74TH AVE PORTLAND,OR 97202
TIGARD,OR 97223
PHONE: PHONE: 503-234-2118
FAX: 503-331-7133
Total Fees: $212.21
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 OA' 952-001-0090. c of the rule:- r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
q c ,
Issued By: ' — � - / Permittee Signature: `
C 0 .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.
Buildin Permit A licatio cEiv
Residential FOR OFFICE USE ONLY
City of Tigard18 Received
ff�((' S O O`1 I(1 Date/By: /tith , Permit No. Ct,,�
r 13125 SW Hall Blvd.,Tigard,OR 97HY ,S
ai Plan Review ��
Phone: 503.718.2439 Fax: 503.598 7iDate By: Q ,� f I ti "' Other Pennit:
Inspection Line: 503.639.4175 t�� �1 TIGARD Date Ready ® See Page 2 for
TIGARIa y t !Luis
Internet www tigard or.gov �p ii I �y�I� T1( C4 otified/Method. 3
a IL DIVISION
ION ` 7 ^G Supplemental Information
,, 1 TYPE OF WORK h� ( Th- REQUIRED DATA:1-AND 2-FAMILY DWFLLING
❑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
0 Addition/alteration/replacement ®Other:Install AST equipment,materials,labor,overhead,and the profit for the
g CA''FGOR'Y OF wC'ONSTRU TION'` work indicated on this application.
® 1-and 2-famil Y dwellin Valuation: $2400
g ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
Or k JOB S"IT E INFORMATION AND LOCATION, N. Total number of floors: IN
Job site address:9130 SW 74th Ave New dwelling area: square feet
City/State/ZIP:Tigard Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:-913ii01eLa {�_ Covered porch area: square feet
Cross street/directions to job site:SW Taylors Ferry Rd Deck area: square feet
Other structure area: square feet
REQUIRED DA is COMIlMERCIAL-IISE CHECKLIST"
Subdivision: 1 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
1 Y. equipment,materials,labor,overhead,and the profit for the
' :A� DESCRIPTION TION OF WORK -. work indicated on this application.
Installing a new aboveground storage tank t e forheating oil Valuation: $
Existing building area: square feet
New building area: square feet
r,:-1)...,:,,P I'ROPFRT'0 OWNER, ❑ TENANE Number of stories:
Name:Mona Rasmussen Type of construction:
Address:9130 SW 74th Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(N/A) Fax:( )
New:
,i -4'.1„,►e APPL,ICA.NT - , 0 CONTACT PERSON "' BUILDINGPERMIT FEES*
Business name:Soil Solutions,Inc. {Pieereertaesckef7uFe)
Structural plan review fee(or deposit):
Contact name:Nick Thornton
FLS plan review fee(if applicable):
Address:3540 SE 28th Ave
City/State/ZIP:Portland,OR 97202 Total fees due upon application:
Phone:(503)2342118 Fax: :( ) Amount received:
E-mail: nick@soilsolutionsenvironmental.com P3TOOEIAICSOLAR-PANEL SYSTEM FE *
CONTTtACTOR Commercial and residential prescriptive installation of
R° roof-top mounted Photo Voltaic Solar Panel System.
Business name:Same Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:
4 7 ) State surcharge(12%of permit fee): $21.60
CCB lic.:I &t 3 i1_/ / I �/
T
//1 _
Total fee due upon application: $201.60
Authorized signature: if °Il This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Nick Thornton Date: 10/3/18
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RCEIVE1)
OCT - 8 2018
CITY OF TIGARD
To Whom It May Concern:
BUILDING DIVISION
Please find attached the building permit for the installation of a new aboveground heating oil
tank at 9130 SW 74th Avenue. Please contact Nick Thornton at Soil Solutions with any issues or
questions.
Thank you
Nick Thornton
503-234-2118
Nick@soilsolutionsenvironmental.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9130 SW 74TH AVE, TIGARD, OR, 97223 October 26, 2018 at
10:29:46 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00276
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor