Permit (129) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00375
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019
Parcel: 2S 102 D D02000
Jurisdiction: Tigard
Site address: 8536 SW MERLYNE CT
Subdivision: FINLEY PARK Lot: 4
Project: GEORGIEV
Project Description: Repairing rear wall from car damage.
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: $8,500.00 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
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'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+am p/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:
GEORGIEV,FIUP&MARIA _ .__ FIRE INDUSTRY RESTORATION EXPERTS l Required Items and Reports(Conditions)
8536 SW MERLYNE CT PO BOX 2133
TIGARD,OR 97224 OREGON CITY,OR 97045
PHONE: 503-490-4906 PHONE: 503-305-7285
FAX:
Total Fees: $381.74
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of 6R. Specialty Codes and all of - -..lica ale law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180.= s of issuance, or if wor spe .ed for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not! . .411r enter. Th..- . -s - e set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the direct questions to OUNC by callin;50%4.1987 or 1.80 !:2.234,
� A 7
Issued By: . 9.��> � _ / Permittee mature: ��" .-
Call 5 rLgu.ra by 7:00 a.m.for the next available inspecti.• date.
This permit card sha I 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 , 3 1t/R OFFICI:USI:()N1.1City of Tigard o s ,... RDate/8y
e ea ...2.1.5
2 /pro; P�� �d`v/�7 7�
Ihil 13125 SW Hall Blvd.,Tigard,OR 97223 -II Plan Review a2 ., w
Phone: 503.718.2439 Fax: 503.598.1960.. Date/By: J p,4..Other Permit:
1 t,A R D Inspection Line: 503.639.4175 ` ' Date Ready/By: t Jam: ®See Page 2 for
Internet: www.tigard-or.gov 1:)V19„_.L.,„s i 4 t^;'•e„. ,ti%N Notified/Method: Gt/ 4 0:7)._ I Supplemental Information
jk TYPE OF WORI1 REQUIREI)DATA 1-AND 2-FAMILY DWELLING
0 New construction Demolition Permit fees*are based on the value of the work performed.
n Indicate the value(rounded to the nearest dollar)of all
// 0 Addition/alteration/replacement Other: ylp�, r r- equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION •,• work indicated on this application.
�
d 2-family dwelling
t1-s),n
❑CommerciaUindustrial Valuation:
t J V`y�
�
ccessory 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: 5 (,0 /V t (2.L ?r1 v -r New dwelling area: square feet
City/State/ZIP: -r, � , 1 0 7 .. , Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Cj eC.)Ir-- i C1,1 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
," 'y / (. Other structure area: square feet
4/413// /3*j REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: rmit fees*are based on the value of the work performed.
Tax map/parcel no.: In ' ate the value(rounded to the nearest dollar)of all
equip t,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indic don this application.
k n '•_/ C ► 1► I, 7P 6� 6-Ei) Valuation: $
',iltk (L - . -Is(4k)ICK
YV J t�/ l' l 1. r !'[�G�J Existing building area: / square feet
New building area: square feet
' PROPERTY OWNER 1 0 TENANT Number of stories:
Name: ii2, {i�� 7.. 1 y1,.,:lt, Type of construction:
Address: 0`�' � � coOccupancy groups:
City/State/ZIP:�i,6-4),(�n . 1 cii'L Existing:
g
Phone:( /57/'3y i.4.,4 Q Fax:( )
New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT SES*
Business name: ti/ (6 kilt) �/� fFteaserdernTaesshadeils)
�� �i Structural plan review fee(or deposit):
Contact name: ,GO 6 '�!1 "'�(�e1,�
Lo..(.,
�(� •t FLS plan review fee(if applicable):
Address: r L�
�'�I" Total fees due upon application:
City/State/ZIP: V�� j - Icy 6)100it)
Phone: I1 i i ,2,-�. �V'._,) —_ _ -
E-mail: 4j u/i 1 �� ,' f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
"`�I'� Commercial and residential prescriptive installation of
CO CTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Y g, $ Submit two(2)sets of roof plan with connection details
' and fire department access,along with the 2010 Oregon
Address: n
City/Stat IP:DaE l , Solar Installation Specialty Code checklist.
�� Permit Fee(includes plan review $180.00
�� t k C7+_ 9'i0and administrative fees):
Phone:( l ' f Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: �� / •
2 ,.. Total fee due upon application: $201.60
Authorized signature: * ,. This permit application expires if a permit is not obtained
< <�--- within 180 days after it has been accepted as complete.
(2)„,..,,,,,i...eirt,,,,),„ Date: *Fee methodology set by Tri-County Building Industry
Print name: �� "�1/�j c Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)