Permit (83) CITY OF TIGARD MASTER PERMIT
IN1• COMMUNITY DEVELOPMENT Permit#: MST2018-00312
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2018
T t c_; h 1) g Parcel: 1S135DB06700
Jurisdiction: Tigard
Site address: 11245 SW 94TH AVE
Subdivision: O'NEEL ACRES Lot: 7
Project: Gering
Project Description: Installing walls to frame bathroom addition in the garage. Installing flooring as well.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: 75 sf Basement sf Left: Parking Spaces:
Height: Bathrooms: 1 Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: 75 sf Value: $8,883.75 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
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 75
Owner: Contractor:
GERING,JEANNE ARELLANO PAVERS Required Items and Reports(Conditions)
11245 SW 94TH AVE 3166 SW BLACK BUTTE LN
TIGARD,OR 97223 REDMOND,OR 97756
PHONE: PHONE: 541-280-8976
FAX:
Total Fees: $412.42
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 52-001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �/r Permittee Signature: l ‘7`-'L"�`r . --Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Applica > °
Residential FOR OFFI("E CSE OyI_l �.t
a
City of Tigard
Date/ByReceived Gv , f,/1 III P�'v 0V�/��
Ill 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
11` Phone: 503.718.2439 Fax: 503 59$.1960 Date/By: 1/0Iei! At D 'e .air.0, /
1"1 C; ii) Inspection Line: 503.639.4175' Date Ready/By: `,�� )oris: ® See Page 2 for
Internet: www.tigard-or.gov � /Notified/Me .i- 6 ll Supplemental Information
TYPE'OF WORK i ' RQJRED 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
X'Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit foyhi -.,
CATEGORY OF CONSTRUCTION work indicated on this application. LL11A��
kf 1-and 2-family dwelling 0 Commercial/industrial Valuation: S $,g gZ
o 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: i'q. Li(5 Cs L_�. ( L lJ. : , New dwelling area:' ,Mfr. square feet�S
City/State/ZIP: t \c (-:,,,,,k.--6k„ l -`I Li '7 4- j Garage/carport area:"•,,„,----a;'- square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
OL1 !�A.,t`±- („�-4 k\ LA-cti Other structure area: square feet
CI .2'`y -11: (\ ,.-.'''C-:r- fi�1 i t:A K-Li 's REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l 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.
._1 \e7-(Itk'v IN e CC(t_t. .' rt, k'1�C�✓}l .. : -Lbti1 L„'Y1 Valuation: $
c Existing building area; square feet
f�C C'`ti (AA to AA-,. ( c ace_, -73'1 v1
CLa 0 New building area: square feet
S'PROPERTY+OWNER Q TENANT Number of stories:
Name: e e a.-rt V\; . (—��-1 (\ c Type of construction:
Address: k t r;-�! ,5 SL,-,. 9(-1 1 Occupancy groups:
City/State/ZIP: 1 ,
�v”Gk i ti K i �t�-D.�J Existing:
Phone:(50) q 5(.1;Q c y q Fax:( ) New:
APPLICANT 13 CONTACT PERSON Btjf.DING PERMIT FEES*
(Please rtferto fee scheduf)
Business name:
Structural plan review fee(or deposit):
Contact name: ,j U fx b- -i r1 c,
1. FLS plan review fee(if applicable):
Address: k, �-(cJ �l` Total fees due upon application:
Ci /State/ZIP: .. t
City/State/ZIP: ��tCL. L t "\ 3 Amount received:
Phone:(5c3) L 1 L)i;— C,li Fax::( )
E-mailCL. PHOTOVOLTAIC SOLAR PANEL SYSTEI FEES*
Commercial and residential prescriptive installation of
CONTRAC1 OR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ( (}l,{,� ,-104-12..,5,----` Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation S ecial Code checklist.
'21i , 3.1 Ave. P
City/State/ZIP: c f\ ,,, t„%I e"1 ,' Permit Fee(includes plan review $180.00
(� ` 1 f , and administrative fees):
Phone:( ) C7 1 j"- (,,:,2/7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: ti 11'�2 Cl 3(o2A/24- Total fee due upon application: $201.60
Authorized signature: t < ' This permit application expires if a permit is not obtained
1-'11,7‘.(-- ' 'LL'.--< ?( within 180 days after it has been accepted as complete.
Print name: ,,Q.l x111 (.._5—e-_,/i.,1 c� Date: $' I Q' *Fee methodology set by Tri-County Building Industry
C� Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11245 SW 94TH AVE, TIGARD, OR, 97223 April 5, 2019 at 11 :38:49 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00312
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor