Permit (213) CITY OF TIGARD MASTER PERMIT
8 '- COMMUNITY DEVELOPMENT
Permit#: MST2016-00540
Date Issued: 12/22/2016
TE a, 1d L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S125DB01300
Jurisdiction: Tigard
Site address: 7080 SW TAYLORS FERRY RD
Subdivision: SHADY DELL Lot: 14
Project: RANKIN
Project Description: Voluntary underpinning.
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
No
Dwelling Units: 1 Third: 0 sf Right: 0
Detectors:
Total: 0 sf Value: $9,000.00 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 RainStorm 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
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 N
Ecompasing:
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
RANKIN,SCOTT TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
7080 SW TAYLORS FERRY RD 7910 SW HUNZIKER ST
PORTLAND,OR 97223 TIGARD,OR 97223
PHONE PHONE: 503-443-6866
FAX:
Total Fees: $380.24
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug :
Building Permit Application riv ''',Fk.
Residential j, i'T. ' I OR OFFR F t .l.OyL1
Received
Ci of Tigard Perms,No.:
�` 016 Date/By:: I�- I� I(,1 �r�
13125 SW Hall Blvd.,Tigard,OR 97223 { c 1 ) Plnn Review) Other Permit tl� 5 r
Phone: 503.718.2439 Fax 503.598.196N Dal e )a')3" )C l'
.1 1 t,A r 0 Inspection Lane: 503.639.4175 i Alii.;?I° Dale Ready/By: r 0 See Page 2 for
Internet: www.tigard or.gov if° 1 v NoiifiedlMcthod:/? � ' )�^_ 1 Supplemental Information
AOC$ . L- it'9/G— .S( 67 '"
TYPE OF 1111.111‘'" REQUIRED DATA:I-AND 2-FAMILY DWELLING
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
CATEGORY OF N work indicated on this application.
0 1-and 2-family dwelling ❑Commercial/ndustrial Valuation: $ -1 1 000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
A`> OB SITE INFORMATIQ AHD LOCATION Total number of floors:
Job site address: j0$O SW TAy k b Y S F{YYy 1�rr+ New dwelling area: square feet
City/State/ZIP: POYflc 1. 1 0 Cl i-ZZ 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATAi,CO ERCLAL-IJSE 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.
\iCit:nk'-1 9,e'alAt,.„Victk Ur'A2( n
ti,,,,:, 1 ) ii;,,'�
. a, Valuation: $
( 5- 1 v, e 4`) Existing building area: square feet
New building area: square feet
rif PROPERTY OWNER 0 TENANT Number of stories:
Name: 5c 0'}'4 u n frei r1 Type of construction:
Address: 7080 S f,.1 T ay t o t/5 Fr Vt(y ea Occupancy groups:
City/State/ZIP: PD r41 Ie cI a It CITZ2,7 Existing:
Phone:( ) Fax:( ) New:
AI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer infer schedule)
Business name: ?rYYa F;(0," IOun Cyst iLs S-r S-1-ev,AS Structural plan review fee(or deposit):
Contact name: 5(04-.1- }( ci I i K
Si".1 FLS plan review fee(if applicable):
Address: 3/113 SW HuwZtXf✓ JT. ��
Total fees due upon application: g-r)
City/State/ZIP: r] t 5t;*,,,c1 r QR. +1+223
tSyl ) 8t}-- 48L3 (9153) 94I-5301 Amount received:
Phone: Fax: :
E-mail: S Kov a tI 14 f frdp 'Are.. .'S, c 001
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR t roof-top mounted PhotoVoltaic Solar Panel System.
Business name: '�"t,r rc ct rims c, Fpt.1r tJ ,Lttr►w, S Y,5 Tr>M S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4110 5 w H u n Z,e4r r 51-. Solar Installation Specialty Code checklist,
City/State/ZIP: Permit Fee(includes plan review
t tJ a l t 2 Z 3 and administrative fees): 5180'00
Phone:(5t)/i ) L/1.(3- b84C Fax:(SOS) `1 ill— 5 3 O State surcharge(12%of permit fee): $21.60
CCB hc.. 17 3?i4 Total fee due upon application: $201.60
Authorized signature: � / This permit application expires If a
permit is not obtained
e'
♦ within 180 days after it has been accepted as complete.
I Print name: 566-61" j["'0, .t(, Date: 1?,..-l g.-I f 'Fee methodology set by Tri-County Building Industry
v" Service Board.
I:1Building\Perrits\BUP-RESPermitApp.doc (12/24/2011 440-4613T(11/02/COM/WEB)