Permit (31) CITY OF TIGARD MASTER PERMIT
111
'' COMMUNITY DEVELOPMENT Permit#: MST2017-00242
T[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2017
Parcel: 1 S 134AD05700
Jurisdiction: Tigard
Site address: 10710 SW PONDEROSA PL
Subdivision: BLACK BULL PARK Lot: 22
Project: McCormick
Project Description: Remove interior main walls and support existing ridge with new post and footing. Raise sunken
living room. Add(3)new window openings. Trade work to be pulled under separate permits.
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: $10,000.00 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 Drains: 0
Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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:
MCCORMICK,ROBERT C/JEAN L METKE REMODELING&WOODWORKING IN Required Items and Reports(Conditions)
10710 SW PONDEROSA PLACE 17428 SW BOONES FERRY RD
TIGARD,OR 97223 LAKE OSWEGO,OR 97035
PHONE: 503-806-9620 PHONE: 503-534-0985
FAX: 503-534-0983
Total Fees: $404.17
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 the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . :72.0..4.-x.„2",_ Permittee Signature:
all 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received / n
Date/By ce Permit No.WCf/ /7-Za-
6 13125 SW Hall Blvd.,Tigard,OR 97
Plan Review
Phone: 503.718.2439 Fax: 503.59 . 2 17 Other Permit:
Date/By: - / /
T I G A RD Inspection Line: 503.639.4175 Date Ready t y: / Juris: See Page 2 for
Internet: www.tigard-or.gov CITY OF VICAR) Notified/Method:ie.C / 7iftI ®Supplemental Information
Y i1 i f ti i s • !
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
I Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
' � ! �� work indicated on this application.
dwellingValuation: $10,000
1-and 2-family ❑Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
El builder ❑Other: Number of bathrooms:
- Ja ei*FT*Ai A l 1 Total number of floors:
Job site address:10710 SW Ponderosa PI New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:McCormick Covered porch area: square feet
Cross street/directions to job site:SW North Dakota St;North on SW 160th; Deck area: square feet
Left on SW Black Diamond Way;Right on SW Ponderosa PI Other structure area: square feet
F � A IA S> T
c,. ..�? erg � ...
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
JtIP� OR� '14e work indicated on this application.
Remove interior main floor walls and support existing ridge with new post&ftg. Valuation: $
Raise sunken living room to be flush with main floor Existing building area: square feet
Three new window openings New building area: square feet
Number of stories:
Name:Robert and Jean McCormick Type of construction:
Address: 10710 SW Ponderosa PI Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)806-9620 Fax (
.. i- New
B* • 4/41-644 -C4 1 Q GT ft trBusiness name:Metke Remodeling&Luxury Homes
Structural plan review fee(or deposit):
Contact name:Jeff Metke
Address: 17428 SW Boones Ferry Rd
FLS plan review fee(if applicable):
City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application:
Phone:(503)534-0985 I Fax: :( ) Amount received: A.
E-mail.jeff@metkeremodeling.com •‘60.
Yssss � '1111% S*
Commercial and residential prescriptive installation of
' roof-top mounted Photo Voltaic Solar Panel System.
Business name:Metke Remodeling&Luxury Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17428 SW Boones Ferry Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)534-0985 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:67917 7/5I/I 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.
Print name:Crystal EI er Date:6/19/2017 *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)