Permit CITY OF TIGARD MASTER PERMIT
illl s. COMMUNITY DEVELOPMENT Permit#: MST2014-00051
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2014
t'A R g Parcel: 1 S 136ACO2800
Jurisdiction: Tigard
Site address: 10700 SW 72ND AVE
Subdivision: METZGER ACRE TRACTS Lot: 4
Project: Russell
Project Description: New concrete driveway and portch. Portch to include thickened edge for posts.
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: $3,400.00 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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 TemD Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0
Ea add'I 500 at 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 0
Owner: Contractor:
RUSSELL-HARRIS PROPERTY TRUST RUSSELL RESTORATION LLC Required Items and Reports(Conditions)
8857 SW EDGEWOOD ST 20915 SW 105TH AVE
TIGARD,OR 97223 TUALATIN,OR 97062
PHONE: PHONE: 503-692-9002
FAX: 503-692-9008
Total Fees: $238.63
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 a copy of •- • . •'ect questions to DUNG by calling 503. 2.1987 or 1.800.332.2344.
Issued By: •erml'=e Signature:
Call _ 7:00 a.m.for the next available inspection da
This permit card shall be kepT1Tr conspicuous place on the job site until completion of the roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential �� FOR OFFICE USE ONLY
City of Tigard �`� Received —
114 --- 1 i Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 (� Plaan Revie ~♦�_ -�i�� ' )�
Phone: 503.718.2439 Fax: 503.598.1 ,�� Date/B A 111-7-11r4 � a
TIGARD Inspection Line: 503.639.4175 ,`I�_y (��� Date Rea.y/: ® See Page 2 for
Internet: www.tigard-or.gov �'`"J •\ N tified/Method: Supplemental Information
TYPE OF WORK �� 41 REQUIRED DATA:1-AND 2-FAMILY DWELLING
l
❑New construction ❑Demoli � `�) Permit fees*are based on the value of the work performed.
�V Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: 0 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3 Cl/�,+^ �b
❑Accessory building ❑Multi-family Number of bedrooms: V
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10700 SW 72"d Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Norma Harris Driveway Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Located on SW 72"d Ave between SW Pine St and SW Spruce St. 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
DESCRIPTION OF WORK work indicated on this application.
New concrete driveway and portch.Portch to include thickend edge for posts. Valuation: $
Silt fence to be used for erosion control Existing building area: square feet
New building area: square feet
4t+ v
® PROPERTY OWNER El i i■x N,I =2 r Number of stories:
Name:Norma Harris Type of construction:
^
Address: 10700 SW 72"Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)244-6646 Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Russell Restoration LLC (Please refer ro fee schedaly
Structural plan review fee(or deposit):
Contact name:Rick Myron
FLS plan review fee(if applicable):
Address:20915 SW 105th Ave
City/State/ZIP:Tualatin,OR 97062 Total fees due upon application:
Phone:(503)519-2676 Fax::( ) Amount received:
E-mail:rmyron @russellconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Russell Restoration LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20915 SW 105'h Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit Fee(includes plan review $180.00
- and administrative fees):
Phone:(503)519-2676 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:157721 Total fee due upon application: $201.60
Authorized signature:V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Rick Myron Date:4/15/14 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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