Permit CITY OF TIGARD MASTER PERMIT
III
I COMMUNITY DEVELOPMENT Permit#: MST2013-00233
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 2S103DB04500
Jurisdiction: Tigard
Site address: 11140 SW NOVARE PL
Subdivision: GENESIS NO.2 Lot: 43
Project: Darland
Project Description: Repairing existing foundation and using helical piles.
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: $12,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=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 l 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 8 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:
JEFF DARLAND RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions)
11140 SW NOVARE PL PO BOX 11701 1 Special Inspection(see
TIGARD,OR 97223 EUGENE,OR 97440 plans)
PHONE: 503-929-2880 PHONE: 541-501-8940
FAX:
Total Fees: $454.51
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all they 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 irk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce or
rules are set forth in OAR
952-001-0010 throu 2-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 i:, - y-. ••.
O
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.
Building Permit Application
Residential RECEIVEt.L rc�li nl llc 1 uSrCot�r;,'
City of Tigard t �.. T •f ,�",
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
,'r
ii 8"- Phone: 503.718.2439 Fax: 503.598.19600 CT 31 2013 Date/By: I/ /p/3 Other Permit: ��J
-liL�.:;\,H,t:li inspection Line: 503.639.4175 DateReadyBy: ;• ® See Page 2 for Di lIJ�� (/
ti Internet: www.tigard-or.gov Notified/Meth..:,a /3 /3' I• 1/ .6 Supplemental informa Ion /� ':�t'y[1-•
CITY OF TIGARD / q�L i mr P9.fifewrFi-2y— ' .'7• ='/
TYPE dp INUItNGINEERINQ • REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed. �y
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:Repair equipment,materials,labor,overhead,and the profit for the p
CATEGORY O_F CONSTRUCTION_ work indicated on this application.
4
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $12,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION • Total number of floors:
Job site address:11140 SW Novare Court New dwelling area: square feet ql kri
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
''...‘
- Suite/bldg./apt,no.: Project name: - - - - Covered porch area: - -square feet- - -
Cross street/directions to job site:cross street Genesis Loop 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 map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
S.
- -
DESCRIPTION OF WORK work indicated on this application.
Repair existing foundation using helical piles.
Valuation: $
No new construction Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jeff Darland Type of construction:
Address:11140 SW Novare Court Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)929-2880 Fax:( ) New:
LI APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ram Jack of Oregon (Please refer roleesraedaty
Structural plan review fee(or deposit):
Contact name:Michael Adams
FLS plan review fee(if applicable):
Address:P.O.Box 11701
City/State/ZIP:Eugene,OR 97440 Total fees due upon application:
Phone:(541)688-7177 Fax::(541)688-4991 Amount received:
E-mail:info@ramjackor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR - roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Ram Jack of Oregon Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:P.O.Box 11701 Solar Installation Specialty Code checklist.
City/State/ZIP:Eugene,OR 97440 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(541)688-7177 Fax:(541)688-4991 State surcharge(12%of permit fee): $21.60
CCB lie.: 146906
6,4 � 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.
*Fee methodology set by Tri-County Building Industry
Print name:Michael Adam I Date: /6/3///5 Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
From:Ramjack of Oregon 541 688 4991 11/12/2013 10:59 #000 P.001/002
RECEIVED
NQJ 12 2013
CIT1 OF TIGARD
BUILDING DIVISION
jAcK3t.
CCB # 146906
PO Box 11701 Eugene, OR 97440
Phone: 541-688-7177 or 866-4-RAMJACK Fax: 541-688-4991
To: Tigard Community Development From: Michael Adams
Fax: 503-598-1960 Pages: 2
Phone:503-718-2439 Date: 11/12/13
Re: CC Auth Payment CC:
Attn:
Here is our—credit card authoriratiio- pay building permit fees of
$287.97 for permit #MST2013-00233.
Please hold the permit for pickup at the office.
If there are any questions please call our office 541-688-7177.
Regards,
Michael Adams
Ram Jack
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11140 SW NOVARE PL, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2013-11-25 00:00:00
MST2013-00233
PASS - No C of O
NOTE engineering report provided
Violation Summary:
Inspector Contractor