Permit (205) s �8�
CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2016-00554
T G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/20/2016
Parcel: 2S112CC13800
Jurisdiction: Tigard
Site address: 15633 SW 84TH PL
Subdivision: TANIA PARK Lot: 13
Project: SCHLYPER
Project Description: Tree damage repair to a two-story single family home.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 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: No
Total: 0 sf Value: $15,132.00 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
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:
SCHLYPER,WILLIAM R OREGON HOME IMPROVEMENT CO INC Required Items and Reports(Conditions)
PARKER,TAMARA S 17255 SW PILKINGTON RD
15633 SW 84TH PL LAKE OSWEGO,OR 97035
TIGARD,OR 97224
PHONE: PHONE: 503-635-6248
FAX: 503-636-7183
Total Fees: $568.20
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 r R 952-O.81-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,-4.ice —' Permittee Signature: .. ./i4,‘--- y
Call 503.639.4176 by 7:00 a.m.for the next available inspection date. .2-
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 pp Permit A licatio
Residential �g r 0 FOR OFFICE USE ONLY
City of Tigard ��C ! Received
IN - a Permit No.: �¢
yC`(� 1 Date/By: � / l��Y ins—Ai��S �Vt�J�
13125 SW Hall Blvd.,Tigard,OR 97223 oL�f t b�}` t anpReview /
Phone: 503.718.2439 Fax: 503.598.1960 meq^ iF �} St,� Date/By: f l q '/� Other Permit:
fIGARD Inspection Line: 503.639.4175 t.�� DateReadyBy: Jun�s:� Q See Page 2 for
Internet: www.tigard-or.gov '`31'.el Notified/Method: „.,— -C,i— Supplemental Information
'T' `Jl'E +13T+WORRIIMMMMMMIIIIIIIIEIIIMNIIMMNMM !!!!!!lililftisitartitkittiSANitiaxstivativottEriaggin
0 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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CAT CORY#JVECtiSTRCCtai,)I
work indicated on this application.
® 1-and 2-family dwelling 111Commercial/industrial Valuation: $ 1 S, l32...n)
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2.1
Totalnumberoffl 2
.1OB SITE IN OR1t ATIO II 1.00A:TIO . .. ...: floors:
Job site address:15633 SW 84th Pl. New dwelling area: 0 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 0 square feet
Suite/bldg./apt.no.: Project name:Schlyper Residence Covered porch area: 0 square feet
Cross street/directions to job site: Deck area: 0 square feet
Other structure area: 0 square feet
. .........................................................................................................................................
.................................. ........................... ..........................................................................
.,. 1IIIIl. .IftI A.`A.':CO ROUNT�....;:C.1`..3..C'I:I,e l`,:.;:I
Subdivision:CPO 4M Metzger Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S112CC-13800 Indicate the value(rounded to the nearest dollar)of all
::::::::::o.:::::::::::::::::::::::::::::::::::::::--..........................:................................................................................................................ equipment materials,labor,overhead,and the profit for the
l ?SCTIPTIL `t3F # ; work indicated on this application
Repair of tree damage to an existing 2-story,single family dwelling Valuation: $
Existing building area: square feet
New building area: square feet
�. P'R PERTY t W ER '` ' :❑ T IZNB Number of stories:
Name:William Schlyper Type of construction:
Address:15633 SW 84th P1 Occupancy groups:
City/State/ZIP:Tigard,Or.97224 Existing:
Phone:( ) Fax:( )
New:
i,I
� APi�t'��i..... ..:. ' wi',fiCT Il*ERSQN : :;:: B1j1L13TNwP:E1aIFag:MMI :,:,::::;:.
Business name:TM Rippey Consulting Engineers ?: :::: ::::::igiNlT iiia t4ta i '>i»:i:::: s
Structural plan review fee(or deposit):
Contact name:Ralph Turnbaugh
FLS plan review fee(if applicable):
Address:7650 SW Beveland St.Suite 100
Total fees due upon application: 1r,)/.(Jct
City/State/ZIP:Tigard,Or.97223
Phone:(503)443-3900 Fax: :(503)443-3700 Amount received:
:>:;>'':ac> ':
E-mail:RTurnbau h tmri a .com
g @ PP Y :.
+CONTRAC `Of ' ;;i;
Commercialandresidentialprescriptive installation of
roof top mounted Photovoltaic Solar Panel System
Business name:OHI Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:17255 Pilkington Road Solar Installation Specially Code checklist.
City/State/ZIP: Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)635-6248 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:34908
Total fee due upon application: $201.60
Authorized signature: `- This permit application expires if a permit is not obtained
�r�— within 180 days after it has been accepted as complete.
Print name:Ralph Turnbaugh Date:12/14/16 *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)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15633 SW 84TH PL, TIGARD, OR, 97224
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
March 1, 2017 at 9:15:21 AM
Record ID:
MST2016-00554
Inspector:
Aaron Cillo-Gobel
Contractor