07-July (3) iiii . CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00203
T[,GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2017
Parcel: 2S103CC07300
Jurisdiction: Tigard
Site address: 13620 SW 124TH AVE
Subdivision: WHISTLER'S WALK Lot: 20
Project: Yoder/Meyers
Project Description: Convert 750sf of crawl space into game room/theater. Install stairway from main floor to crawl
space. Trade work under separate permits.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 0 sf Basement: 2055 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 Yes
Right 0 Detectors:
Total: 2055 sf Value: $231,495.75 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 0 Sewer Lines: 0 SF Rain
Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains:
Bckflw Prevntr: 0 Catch Basins: 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!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:Y Square Feet:
ADD SF
VB R-3
2055
Owner: Contractor:
YODER,CORI REVIVE LLC Required Items and Reports(Conditions)
MEYERS,LAURA R 8532 SW ST HELENS DR STE 210
13620 SW 124TH AVE WILSONVILLE,OR 97070
TIGARD,OR 97223
PHONE: 408-623-1694 PHONE: 971-285-0770
FAX:
Total Fees: $5,262.79
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 - .-nce 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. ' TENTION: • -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-'1,1-0010 through OA' 95 0 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 •87 or 1.800.332. 344.
�- A:-/
Iss ed By: Permittee Signature: �
Call 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 liECFAVEP
City of Tigard Received /
w 13125 SW Hall Blvd.,Tigard,OR 97223 .J O N i Ha i DateBy: (Q 5 / Permit No.: role,/,QD�3
C' Phone: 503.718.2439 Fax: 503.598 1960 DaPlan Review
Inspection Line: 503.639.4175 , Date/By: 6-� 1 f 1 Other Permit:
TIGARD � { `" p Date Read B /
Internet: www.tigard-or.gov " °`t t Notified Method:�! RI See Page 2 for
II
(i? I Supplemental Information
iII,IiN .t DiVIS11 , 1:4-L
TYPEOF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*arc based on the value of the work performed.
El 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 CONSTRUCTIONwork indicated o a plication.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $2 , 0 23' it 9�
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: .2_,_0s '/
Job site address:13620 SW 124"'Ave. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Yoder/Meyers
Covered porch area: square feet
Cross street/directions to job site:SW Talon Lane and SW 12401 Ave.
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2 S 103CC07300 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.
Convert Oversized Crawl space into Game Room and Theater Valuation: $
Install Stairway from Main floor to Crawl space Existing building area: square feet
New building area: square feet
►Ze PROPERTY OWNER t 0 TENANT Number of stories:
Name:Cori Yoder/Laura Meyers
Type of construction:
Address:13620 SW 12401 Ave.
Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223
Existing:
Phone:(408)623-1694 Fax:( )
New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Revive LLC Residential Remodeling (Please refer tofee schedule)
Contact name:Don Isaacson Structural plan review fee(or deposit):
Address:8532 SW St.Helens Drive Suite 210 FLS plan review fee(if applicable):
City/State/ZIP:Wilsonville,Oregon 97070 Total fees due upon application:
Phone:(971)28540770 I Fax: :( ) Amount received: ZCJd� % 3
E-mail:info@reviveremodeling.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Revive LLC Residential Remodeling Submit two(2)sets of roof plan with connectio u.• ..i s
Address:8532 SW St.Helens Drive Suite#210 and fire de ent access,along with 10 Oregon
Solar Installa Specialty Co ecklist.
City/State/ZIP:Wilsonville,Oregon 97070 Permit Fee'' c < plan review
Phone:(971)285-0770 Fax:( )
• an 'strative fees): $180.00
Sta e surcharge(12%of pe' •' fee): $21.60
CCB lie.:166165
Total fee due upon application: $201.60
Authorized signature:)<642/671 This permit application expires if a permit is not obtained
/` ______ within 180 days after it has been accepted as complete.
Print name:Donald A Isaacson l Date:6-5-2017 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)