Permit (29) CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2018-00160
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2018
T t�;.41 T7 9 Parcel: 2S104CA01900
Jurisdiction: Tigard
Site address: 13739 SW LAUREN LN
Subdivision: HILLSHIRE Lot: 19
Project: Collins
Project Description: Voluntary under pinning using(40)push pins and(6)tie bracings.
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: $92,000.00 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
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
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:
COLLINS,ERIC A&STASHA D TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
13739 SW LAUREN LN 7910 SW HUNZIKER ST 1 Piles/Caissons
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 541-492-2436
FAX: 503-491-5301
Total Fees: $1,888.91
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throu.r+ -952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. � � - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildin2 Permit ApplicationiL
Residentialtr.-0:40 Vif
FOR OFFICE ESL ONLY
-438N,,,
City of Tigard Received �( � i Permit No.: �A�a�
DatelB
13125 SW Hall Blvd.,Tigard,OR 97223 Ay I�'� Plan Review
11111
Phone: 503.718.2439 Fax: 503.598.1960 \\`v + bare;By: ,3 �� other Permit:
I 1 G A i2 I> Inspection Line: 503.639.4175 l,� r. eady;E3y: / yp Juris: Fa See Page 2 for
Interna www.tigard-or.gov s 0 f� �C r Method. tea-f1� I Supplemental Information
4 3F o , .i�.. 0 ,a i�" 444-`k�spa H�,s..s�z` S ry ,�` r A, n�. 7sA m t '§�.' t r*,..�'
,r�,:i s? g, k .' e':a r,a.�t.':aG s ,-., ,. V,-0,-;''-' c tte4,.. 1 3 : :�4 ', -u-t w� kANCV, 1
0 New construction 0 Demolition Permit fees*are based on the value of the work performed. f
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
y l� ``y`e o � "` a" a i+ r > x, work indicated on this application. :
kks tom'$.,r?at .k "Wirdg`ak,.:'...fl :n.5', •.Y ..ter, . . 3r - x ,A ri- p ��; .
�� 9 rr .,a Valuation: $ 1? Ci00
® I-and 2-family dwelling 0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
w �tia„ f..33 s' W3,>kx;.wP' ."i' zzil .,+ ,. t T `�2'y M 4»' g
�� r��� Total number of floors:
eA za,**Art 4 §w.,� . �.T ...'�,i 4 7-: ,.«. r. .t' ,a {e04iO4N R�p."T`kT ik, €
Job site address: 13 3.3`t 51„i (,q vVtw LV,. New dwelling area: square feet (
City/State/ZIP: ' ` 0a q.327 5 Garage/carport area: square feet
t
Suite/bldg./apt.no.: Project name: 7' f J 1. J Covered porch area: square feet
La Cross street/directions to job site: Deck area: square feet r:
r:
Other structure area: square feet t
`�a a i s ? t ,� ; :,,g 4am !:
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. t
Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
,, 7mr + t
`a k ttiti ,�)� }} ,Y. .' ,1,-,,,;‘_!4k4,,,; . t:t �,a�, . } work indicated on this application.
U0IUvt'✓y Vhdev etnl; V�;;ti-5 t✓(o r p'er7 Valuation: $ —
Gt,,, ) b I i e –t3rAc K S• Existing building area: square feet
New building area: square feet ,
atowifo 3* {. -fid'} c �Y"�^�,' "v''r i r :"'�" r f ul Number of stones
Name: Ev i c i Sint Sit C61/;"- Type of construction: £
Address: i333ci s I..a�,,;� r,
�. Occupancy groups: ,
City/State/ZIP: T'cyky d,, 0 a c13-223 Existing:
Phone: ) Fax ( )
New:
0,141,010: z. a i-.***Y ,>
Business name:I.E.STRUCTURAL LLC
Structural plan review fee(or deposit):
Contact name:DIMA SHEMETOV
FLS plan review fee(if applicable):
Address:6975 SW SANDBURG ST.SUITE 160
City/State/ZIP: fees due upon application:
TIGARD,OR 97223
Phone:(971)322-3130 Fax::( ) Amount received: .`
E-mail:SHEMETOV��.IEENGINEERING.COM :f �'� ' :; 9;sM
0r -a: Commercial and residential prescriptive installation of
e),s:4/ 1 tli . . *X , .:• "Xt ti' ',z, i '�,� btt roof-top mounted Photo Voltaic Solar Panel System.
Business name:TERRAFIRMA FOUNDATION SYSTEMS Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:7910 SW HUZIKER ST. Solar Installation Specialty Code checklist.
t.
City/State/ZIP:TIGARD,OR 97223 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(541)492-2436 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:173547
oi Total fee due upon application: $201.60
Authorized signatur ' * This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DIMA SHEMETOV Date: *Fee methodology set by Tri-County Building Industry
��(� Service Board.
•
I:\Building`.Pernits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02-COMiWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13739 SW LAUREN LN, TIGARD, OR, 97223 February 7, 2019 at
7:24:35 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00160
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Final summary letter from EOR received.
Violation Summary:
Inspector Contractor