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Permit CITY OF TIGARD111 MASTER PERMIT I ' COMMUNITY DEVELOPMENT Permit#: MST2020-00046 T j G A p o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2020 Parcel: 2S 103AA01908 Jurisdiction: Tigard Site address: 12355 SW 106TH DR Subdivision: COTTONWOOD PLACE Lot: 11 Project: WILEY Project Description: Wall removal and beam installation. 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: $1,373.88 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 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+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: WILEY,JESSICA&DEREK PROJECTS PLUS LLC Required Items and Reports(Conditions) 12355 SW 106TH DR 10855 SW SUMMER LAKE DR TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-816-6900 FAX: Total Fees: $154.29 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. Thi termit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon n require you • follow the rules -dopted b the Oregon Utility Notification Ater. 'Those rules are set forth in OAR 952-001-0010 through OAR :'701-00 You ma a•tain a copy oft;'rules or dir- t questions to OUNC by c ' 50 . 2.1957 or 1.800.332.2344. Issued By: ar .A '' Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available ins ecG date. This permit card shall be kept in a conspicuous place on the job site until com let on of the project. Approved plans are required on the job site at the time of each ins ction. DocuSign Envelope ID:AB4EA82C-3122-4613-92D9-E742DE17F456 Building Permit Application Residential ffi F�. FOR OFFICE USE O LN City of Tigard w FD Ravened ll i_`irn' 111/ ) _ `.r . ► Data%Bv 1 �I t'crmit No 13125 SR'Hall Blvd.,Tigard.OR 97223 Plan Review Phone: 503.71 R.2439 Fax: 503.598.196 AftOther Peron: BAN 2 8 2020 DarerN 1 1 r i A R I) Inspection Line: 503.639.4175 Date heady:Hy /3 ' . H Sec Page 2 for Internet: www.tigard-or.gov Girl/ tiaa`� OF y pr tl4 y � P nlicd - o Supplemental Information TYPE e mill? QTJIRED DATA:1-AND 2-IFAMILY DWIELI diN( , 0 New construction 0 Demolition Permit fees*are based on the salue of the work performed. Indicate the value(rounded to the nearest dollar)of all (5t1 Addition alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY,bx CbIVSTRi.rpOIV , ® I-and 2-family d�sc1lm� (� Valuation: S fr ?3 Commercial/industrial ���vvv ❑Accessory building ❑Multi-familyNumber of bedrooms: T 0 Master builder 0 Other: Number of bathrooms: SUB SITE INNFOiiMATION AND LOCATION Total number of floors: Job site address: /1 5 D S L 100 � New dwelling area: square feet City;State,,ZIP: Ii6e4 =I) ,,QQ. el-7Z Z> Garage/carport area: square feet Suite/bldg.apt.no.: Project name: Covered porch area: square feet Cross street directions to job site: Deck area: square feet Other structure arca: square feet .REt1UIRED DATA 04,4MERGIAL.USE CHEC C;IST` ; Subdivision: ('077.0 nl s/.7 a r) PL..r'!r' Lot no.: 1/ Permit fees*are based on the value of the work performed. Tax ma trcei no.: e, Indicate the value(rounded to the nearest dollar)of all p p` L ' - equipment,materials,labor,overhead,and the profit for the DESCR1P'TION of WORK - work indicated on this application. / Valuation: S IA AtC. eY!`nVvE G11r7 8.Y: E,in f 1.flf'i 1.1 Existing building area: square feet New building area: square feet PROPERTY OWNER ;Q TEiNANT Number of stories: Name: 0 i'Tc'r k i t.S-,t( a; (r,/:L. f-,/ Y Type of construction: Address: r G s c-i 5 s W (s .tit l.., Occupancy groups: Ci€y;'State;7.IP: 7{ti,w,i'/1 t j -, C ; .j4 Existing: Phone:(C/7 f )5:y06-, _10 `a Fax:( ) New: ^= AP OT..... fl CONTACT PEESO'4 SUii , . I]1i�11GP FEES* Business name: (t'laaaerel'ei iiisehedukJ .. . - Structural plan review fee(or deposit): Contact name: i 1? t, — V FLS plan review fee(if applicable): Address: (C.g c,i ;-„mod ;1(s)L'T fl f k'- City/State/ZIP: c! r Total fees due upon application: {-1{v LCb Phone:Ornii )so47„ Fax::( ) Amount reserved E-mail: PHHTOVOLTAIC 5„ PANEL SYSTEM I,.EES* - = — Commercial and residential prescriptive installation of C©fV"rRACTbR. roof-top mounted Photo Voltaic Solar Panel System. Business name: hv� A., L c..6 Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon il-jL-.-1 �(4Kr Se.-,4,,„//J /0v, /e.,k // Solar Installation Spccialr0'Code checklist. City/State/ZIP: ✓,° q /4°7')5 7 Permit Fee(includes plan review g1R0.00 and administrative fees): Phone:( 3 ) Fax:( 1 / l+ `fir,k� �j/ State surcharge(12%of permit fee): 521.60 C:CB lie . Total fee due upon application: S201.50 1 Authorized signatur : Vtrit. R4LtAi This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Dere 17Pe r"3c6(54Ab_ .. Date: 1/28/2020 I 1f.:01 FANtatIFISilology set by Tri-County Building htdustry Service Board. IP\Building'PermirsiBt P_RtSPermitApp.doc 02/24i201 i 440-4613T(11 021COM W'EB)