Permit (163) CITY OF TIGARD MASTER PERMIT
;.IN ---'II COMMUNITY DEVELOPMENT
Permit#: MST2019-00069
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2019
TIr;AI<:I� 9 Parcel: 2S102BB01000
Jurisdiction: Tigard
Site address: 10085 SW JOHNSON ST
Subdivision: NORTH TIGARDVILLE ADDITION,AMENDE Lot: 10
Project: Buzzard Lake Properties
Project Description: Repair(3)headers above windows.
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: $250.00 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
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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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:
BUZZARD LAKE PROPERTIES LLC BUZZARD LAKE PROPERTIES Required Items and Reports(Conditions)
6708 SE OVERLAND ST 4207 SE WOODSTOCK BLVD 493
MILWAUKIE,OR 97222 PORLAND,OR 97206
PHONE: PHONE: 503-890-0391
FAX:
Total Fees: $299.39
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 requir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-009ou may obtain a copy of 7ithe,,.,-s or direct questions to OUNC by g-51:13.232.1987 or 1.800.332.2344.
Issued By: g:' Permittee Signature: j
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. ttt
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED tot,oFFI( ►: SiFO\l.5
Cl of Tigard Received
;� 13125 SW Hall Blvd.,Tigard,OR 972 AR 2019 Date/By /y/� PermitNo1�'7 O�?—QCjD6/
S Plan Reviedv
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 3 f s / ey Other Permit:
T ICA K 1) Inspection Line: 503.639.4175 CITY OF TIGARD ate Ready/By: i�' Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION otified/Meth . / ��IF i Supplemental Information
i/�
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 0 Other: 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: $ <
�1 . f:dr�
N.-Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: f : �.� 5 L,a j` f n s-- New dwelling area: square feet
City/State/ZIP: /`T6,,,r,,I (f e LI7 d ,. Garage/carport area:r' '' square feet
Suite/bldg./apt.no.: Project name:
5 c,t'\ Covered porch area: square feet
Cross street/directions to job site: C:1".L ` , Deck area: square feet
p-...15-(--p-...15-(-- 6J ill
lyb i-I�, `'�� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Valuation: $
r,e.4), ..e- - xi s—f, g eAro
-P.
) . Y— (.�,t, C,Y��-' A czr Act F, Existing building area: square feet
-- l c rk i} 1----__ New building area: square feet
PROPERTY-OWNEI Q TENANT Number of stories:
Name: .,, t
7,7,, I y�-(C t't~:f.i� -`. Type of construction:
Address: t fr9ti7 5c L,1),1,` i ii B —/_ iic.. Occupancy groups:
City/State/ZIP: F t("�-- / f; ( g:
ry�,- t� .�-1J�; Existing:
Phone:lam , S j f-1 --C.,z C) I Fax:( )
New:
IAPPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee ached-alai .
�` Structural plan review fee(or deposit): 3 6 o?,
Contact name: -'' sem 1�-'r SYS
FLS plan review fee(if applicable):
Address:
City/State/ZIP: 'A y Total fees due upon application:
Phone:(9).3) S'3 -
A-0 1 Fax::( ) Amount received:
E-mail: ith j (' ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
S C l'Q'/c1, T i'`c °`Li Y' \ Commercial and residential prescriptive installation of
O g� roof-top mounted PhotoVoltaic Solar Panel System.
Business name: -ZZ 0 � r� 1 ). r C Submit two(2)sets of roof plan with connection details
�' C T' �'r� and fire department access,along with the 2010 Oregon
Address: 5 Aln l 2 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: t 1 t! 3
ali ,-..
Total fee due upon application: $201.60
Authorized signature:---- �J £ This permit application expires if a permit is not obtained
C L Y``t I�` --� within 180 days after it has been accepted as complete.
C
Print name: �j� Date: a *Fee methodology set by Tri-County Building Industry
fU`7 t`s4 lV�C 11'5 !d-S -J) �! Service Board
I:\Building\Pemuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) - n
'n
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10085 SW JOHNSON ST, TIGARD, OR, 97223 March 14, 2019 at 9:30:03 AM
Record Type: Record ID:
Residential - Master Permit MST2019-00069
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved trade rough in inspections and framing inspection prior to final
inspection. R109.1 .6
Not ready for final inspection at this time.
Violation Summary:
Inspector Contractor