Permit CITY OF TIGARD MASTER PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MST2020-00181
T f i A I'.r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2020
Parcel: 2S103BC03200
Jurisdiction: Tigard
Site address: 12270 SW ALBERTA ST
Subdivision: CANOGA PARK Lot: 6
Project: Gaskins
Project Description: Removing a load-bearing wall and reinforcing the roof. Installing beam in attic above bearing wall
at kitchen.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: of Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $2,000.00 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:
Fum<100K: Vents: Woodstoves: Gas Outlets:
Fum>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add?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: Eeompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group
:y Square Feet:
ALT SF VB R-3
Owner: Contractor:
GASKINS,BRIAN&LINNEA ASHLEY OWNER Required Items and Reports(Conditions)
12270 SW ALBERTA ST BRIAN GASKINS
TIGARD,OR 97223 10773 SW DOGWOOD STREET
TUALATIN,OR 67062
PHONE: PHONE: 971-409-5555
FAX:
Total Fees: $188.79
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. T is permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oreg requires yo to follow the r es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through -001-009 ou y obtain a copy he rules or dir questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • Permittee Signature: _
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.
Bu,ildp Permit Application
Residential RECEIVED li,Ktll.i it I t "I p\, ,
City of Tigard Received Permit No.:
g MAY 2 0 2020 ade/Re 6�� . T r'1 L1n-eV/ i
II I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.122, AA Ocher Permit:�j��y,,,,�v�p
�PCY OF TIGARD Hauler: tt�• ,!'W" C/Y/`�O
It`ARD Page 2 for
IntemetnLine:gard-or.gov5 BUILDING DIVISION �fieea _ / 1�: SSupRI pementalInformation
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TYPE OF WORK REQURED DATA:1-AND 2-FAMILY DWELLING
1 ElN w construction 0 Demolition Permit fees*are based on the value of the work performed.
�/ Indicate the value(rounded to the nearest dollar)of all
Ad dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
and 2-family dwelling 0 Commercial/industrial Valuation: S ) ��l.t � �
❑Accessory building 0 Multi-family Number of bedrooms. (J
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: - 0— S IN ��j St. New dwelling area: square feet
City/State/ZIP: 4 ` .kilt 0(4... /� ,3 Garage/carport area: square feet
•
Suite/bldg./apt.no.: f Project name: 6,01c Y L.('L.6 1 „5 Covered porch area: square feet
Cross street/directions to job site: 'f Deck area: square feet
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 m / Indicate the value(rounded to the nearest dollar)of all
ap parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK 1 S c work indicated on this application.
0. Valuation: $
r Out!
y c 11� C j ill 1116 ` p �l to Existing building area: square feet
""1 ���IU ► (� 11 V ��i "' W V New building of stories:
area: square feet
�pP PROPERTY OWNER ❑ TENANT Number of stories:
Name: QR Yi A �/�J�f�1���((�L Type of construction:
Address: ti � �!V l/U l� ��. Occupancy groups:
City/State/ZIP: (1{ tfI 0 ( o To( Existing:
Phone:orti) j 1(_�`+ 5 c ¶ Fax:(l6. x))/v+/_ New:
LICANT7 �Q c,'ONTACT PERSON BUILDING PERMIT FEES'
Business name: j (Please Wee la fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) I pax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 0.2 11 e*tt ✓' i S l —0 'a Le I SPI1 4 Pe • ec,144
Commercial and residential prescriptive installation of
CONTRACTOR
{ roof-top mounted PhotoVoltaic Solar Panel System.
0 Business name: !N Submit two(2)sets of roof plan with connection details
Yi 1� and fire department access,along with the 2010 Oregon
Address: 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.: �/ Total fee due upon application: $201.60
Authorized signature: �Jf.,1114116
ry wi 80 da s after it has been as permit application expires if a ce t is not obtained
/ /�,( /f/I y cepted as eom lete.
Prim name: B t t(i S I Date: e/b.I/Vtipigitel *Fee methodology set by Tri-County Building Industry
vc Service Board.
I:\Building\Permits\BUP-RESPertnitApp_doc 02/24/2011 440-4613T(1 I/02/COM/WEB)