Permit (39) CITY OF TIGARD MASTER PERMIT
IN ii
i COMMUNITY DEVELOPMENT Permit#: MST2018-00151
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2018
Parcel: 1 S125DC00201
Jurisdiction: Tigard
Site address: 9720 SW 74TH AVE
Subdivision: BOULEVARD HEIGHTS Lot: 26
Project: Steffll/Lassiter
Project Description: Remove wall between living room and dining room and install a beam.
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: $2,500.00 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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:
LASSITER,JOSEPH J&JESSICA GARDEN HOME INTERIORS Required Items and Reports(Conditions)
9720 SW 74TH AVE 8409 SW 57TH AVE
TIGARD,OR 97223 PORTLAND,OR 97219
PHONE: PHONE: 503-780-4010
FAX:
Total Fees: $215.71
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 co the rules direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - =_te ►aittee Signature: 7 , �E(; /--,„."-- 4,,,.......
C 0+.4175 by 7:00 a.m.for the next available inspec ion 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
ResidentialRECEIVEDFOR OFFICE USE ONLY
. City of Tigard MAY t� O Q Received �`
13125 S W Hall Blvd.,Tigard,OR 97223 J 0 Date/By: ...7„,„//,'j XPermit No�� j/, �l J%57
Phone: 503.718.2439 Fax: 503.598.1 9t Plan Review / / �/
BUILDING
(} "�I ' Date/By: J� AA' Other Permit:
T I G A R D Inspection Line: 503.639.4175 1 1 i .� Date Read/B .
Internet: www.ti and-or. ov �,l LD I N G f IV1 S I O\ti y J S See Page 2l nr
- --- g g otified/Me od: ,S� `�//� InformationSupplemental
' -- .1/-0.•
TYPE OF WORK - a IRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this appli
❑✓ 1-and 2-family dwelling ❑Commercial/industrial Valuation$2,500 '
—
❑Accessory building ❑Multi-family Number.of bedrooms:3
JOB SITE INFORMATION AND LOCATION Number of bathrooms:2
Job site address:9720 SW 74th Ave. Total number of floors:2
City/State/ZIP:Tigard, Oregon 97223 New dwelling area: square feet
Suite/bldg./apt.no.: Project name:Joe&Jessica Steffil Garage/carport area: square feet
Cross street/directions to job site: Covered porch area: square feet
Plan No. Reissue: Yes[ ] No [ ] Deck area: square feet
Subdivision: Lot no.: Other structure area: square feet
Tax map/parcel no.: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
DESCRIPTION OF WORK Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Take out wall between living room and dining room and install a beam equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
0 PROPERTY OWNER ❑ TENANT Valuation
Name:Joe and Jessica SteffIl/Lassiter Existing building area: square feet
Address:9720 SW 74th Ave. New building area: square feet
City/State/ZIP:Tigard, Oregon 97223 Number of stories:
Phone:( 97E11275-5236 Email: Type of construction:
El APPLICANT ❑ CONTACT PERSON Occupancy groups:
Business name:Garden Home Interiors Existing:
Contact name:Bill Fletcher New:
Address:8409 SW 57th Ave. NOTICE
City/State/ZIP:Portland, Oregon 97219 All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Phone:( 5(ki)780-4010 Fax:( 5 )78O4010 under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Email: applicant is exempt from licensing,the following reasons
CONTRACTOR apply:
Business name:Garden Home Interiors
Address:8409 SW 57th Ave.
*
City/State/ZIP:Portland, Oregon 97219 BUILDING PERMIT FEES
Phone:(5c )780-4010 Fax:( 5Cli)292-6660 Please refer to fee schedule
Email:ghibill@hotmall.Com CCB lie.:162912 Fees due upon application S 77, .Seo
ENGINEER ARCHITECT Amount received S
Engineer: Architect: Date received:
Address: Address:
This permit application expires if a permit is
City/state/ZIP: City/state/ZIP: not obtained within 180 days after it has
Phone:( ) Phone:( ) been accepted as complete.
Email: Email:
/1----_____&44 * Fee methodology set by Tri-County Building
Authorized Signature:b. i/ Industry Service Board
2
Print name:Bill Fletcher Date:05-23-2018 440-46137(8/06/COM/WEB)