Permit (44) CITY OF TIGARD MASTER PERMIT
` .. COMMUNITY DEVELOPMENT Permit#: MST2016 00303
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2016
Parcel: 2S112CC03900
Jurisdiction: Tigard
Site address: 15735 SW 80TH AVE
Subdivision: BOND PARK NO.3 Lot: 68
Project: PELOSI
Project Description: Foundation repair with 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: $26,200.00 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
Drywell-Trench Drain: 0 Other Fixtures: 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'I 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:
PELOSI,CAROL A RAMJACK OF SOUTHERN OREGON LLC Required Items and Reports(Conditions)
PENNO,COLIN PO BOX 11701 1 Special inspection
15735 SW 80TH AVE EUGENE,OR 97440 required...Pilings,Drilled
TIGARD,OR 97224
PHONE: PHONE: 541-501-8940
FAX:
Total Fees: $848.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and - •t applicab- 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, • if r is .. •ed • n•' e 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification nter. . .0 set forth in OAR
of t
952-001-0010 through OAR 952-001-0090. You ma obtain a copy rules direct questions to OUNC by calling 50 • 2.198 .
// /
Issued By: t/ _ Permittee Signature:
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Ca.0.1•',,x r.75 by 7:00 a.m.for the next available inspection d. e.
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 1'SE ONI.I
City of Tigard f "" Received
II g Permit No.:V G t 1j' ")
13125 SW Hall Blvd.,Tigard,OR 97223 1
S Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 J U L. 2 d+-� Z 016 Date/By: 8 - a- c 7-TOther Permit:
T[G ARD Inspection Line: 503.639.4175 Date Ready/By: r/ Turis: lil See Page 2 for
Internet: www.tigard-or.gov z R I la Notified/Method:
/(6 p•-• Supplemental Information
:-.111`! Thi ^' My 't, ✓j— iv
7 ....6 1 v e�
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
0 Addition/alteration/replacement ®Other:Foundation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
►� 1-and 2-family dwelling 0 Comercial/industrial Valuation: $26,200
m
I
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: `i`l;l
Job site address:15735 SW 80`h Ave New dwelling area: <07 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Pao //2> ; - Covered porch area: square feet
Cross street/directions to job site: 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
DESCRIPTIONOF WORK work indicated on this application.
voluntary repair of existing foundation using helical piles Valuation: $
Existing building area: square feet
New building area: square feet
®.PROPERTY OWNER 0 TENANT Number of stories:
Name:Chris Penno Type of construction:
Address:15735 SW 80`h Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(503)473.1683 Fax:( )
�1 New:
K*t APPLICANT J .CONTACT PERSON BUILDING PERMIT FEES*
Business name:RamJack West (Please refer to fee schedule)
Structural plan review fee(or deposit): 34,1 g
Contact name:Curt Klein
Address:PO Box 11701 FLS plan review fee(if applicable):
City/State/ZIP:Eugene,OR 97440 Total fees due upon application:
Phone:(503)278.5570 Fax:;( ) Amount received:
E-mail:curt@ramjackor.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:RamJack West Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO 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)393.8151 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 146906
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
1' within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Curt Klein Date:7/26/16
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)