Permit IiiCITY OF TIGARD MASTER PERMIT
ffi '' COMMUNITY DEVELOPMENT Permit#: MST2019-00379
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2019
Parcel: 1S125DD04800
Jurisdiction: Tigard
Site address: 9765 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO.2 Lot: 56
Project: VANDEGRIFT
Project Description: Removing (1)wall for kitchen remodel. Trade permits pulled separately.
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: Yes
Total: 0 sf Value: $50,000.00 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 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+a m 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:
VANDEGRIFT,GREGORY PORTLAND CONSTRUCTION SOLUTIONS Required Items and Reports(Conditions)
MERKL,JULIE 14915 SW 72ND AVE
9765 SW VENTURA CT TIGARD,OR 97224
TIGARD,OR 97223
PHONE: 971-808-9106 PHONE: 503-908-9822
FAX: 503-336-6557
Total Fees: $1,298.62
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 952-001-0090. You may obtain- -••• • rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23
Issued By: 2 l 6 .rt erjIttee Signature: -•e---!'�- .�
C-'x'% .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 Application
Residential FOR OFFICE USE ONLY
Cl of Tigard L Received ��� �j-/,� 7
`J g SEP t 2 Date/By: V L! "1 7/p / LC/�/ 7
13125 SW Hall Blvd.,Tigard,OR 97223 -'',. Plan Review (�
Phone: 503.718.2439 Fax: 503.598.1960 C' s Date/By: Z _i i Other Permit:
Tit_ I`l� Inspection Line: 503.639.4175 BUIL utf
, a, - :0 Date Ready/By: 5: See Page 2 for
Internet: www.tigard-or.gov -a;y �ptifie 6 ethod:/ kris: H� Supplemental Information
,V
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
f120 Addition/alteration/replacement 111Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
2 �-�
Valuation: $ V Q O O
gi 1-and 2-family dwelling 0 Commercial/industrial /
❑Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: -Z
Job site address: 176 5 ,w VEAr1'ii(-aQ c-r New dwelling area: square feet
City/State/ZIP: -77 64��/ o (Z ''-7 ZZ 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 3-1q_®Zy( Covered porch area: square feet
Cross street/directions to job site: 5ra vEiU7G', 4 C-T(.51A) �(L$Qg.A t,) 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.
Valuation: $
KIT H-rJ ,2ci440 DE I_ , A mi- /Arra 2ao t i,•/02 K
��//z Existing building area: square feet
5'747-r4---- New building area: square feet
OPERRTY OWNER 0 TENANT Number of stories:
Name: VA/1/ ,, E_ ((2l FT- Type of construction:
Address: q 7G 5 5CV VEw y214 c-r. Occupancy groups:
City/State/ZIP: 71&4 c,® 0 i2.,._ 87113 Existing:
Phone:(ll I ) 5og -9/86 Fax:( ) New:
p"'-APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
po��t.,,,,,7D Lo wS7,-4C `.: ' "'� Structural plan review fee(or deposit):
Contact name: 6y s.-77,,/ .5-"c.1 „"--z_
FLS plan review fee(if applicable):
Address:/yq/5- 3?,t/ -7 7 iv1 A(,/�
City/State/ZIP: PDxT`,p,a/p 0 2 9 7 2:Z-Li
Total fees due upon application:
Amount received:
Phone:(5 3) 908=0 '72- Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:t"Ifr7-AJ. S-CK2AN`ZCP. POKcy".CO,M
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: ,)0‘..4/�(J,jG,d,v,D CoC0 nST ccT10A/ Jv .t�ita,r', and fire department access,along with the 2010 Oregon
Address: /!'g/f 54v -7Z^"D AdE Solar Installation Specialty Code checklist.
City/State/ZIP: A(2,_-TLAfq/D/,OP_ I7ZZ y Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 ) jog_ 0 g Z z- Fax:( ) State surcharge(12%of permit fee): $21.60
7'Y_5
CCB lie.: / "Z �l' _I
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.
71(5-7-----;;,1/ 5yY ,® - Date: ?/(2_510:i *Fee methodology set by Tri-County Building Industry
Print name:
PeService Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)