Permit (57) CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2018-00202
13125 SW Hall Blvd.,Ti Date Issued: 07/30/2018
Tl( I-1:1) and OR 97223 503.718.2439 9
Parcel: 2S114BB18600
Jurisdiction:
Site address: 10319 SW PICKS WAY
Subdivision: RIVERVIEW ESTATES Lot: 32
Project: GILLINGHAM
Project Description: Creating a new opening in dining room for a new window.
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: Yes
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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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!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:
GILLINGHAM,AARON L METHOD CONSTRUCTION INCORPORATED Required Items and Reports(Conditions)
10319 SW PICKS WAY PO BOX 33822
TIGARD,OR 97224 PORTLAND,OR 97292
PHONE: PHONE: 503-688-8298
FAX:
Total Fees: $216.71
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 • k 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 m• e 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notif n Center. Th./a rul are t • • in OAR
952-001-0010 through OAR 952-001-0090. You may o tain a copy of the rules or direct questions to OUNC by call'•• 232.1987 or 1 '/.33 X44.
„ \
Issued By: �� Permittee Signatur : 4 A I�1
Call 503.639.4175 by 7:00 a.m.for the next available inspec,• . W
This permit card shall be kept in a conspicuous place on the job site until co •etion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application � � '
Residential 4"Itt.ts' FOR OFFICE l SE ON LI
Received
City of Tigard , 1 6 ` Permit No.:
1 DateBy: 7//�f! I, — / ' 117—)eiY W �f
13125 SW Hall Blvd.,Tigard,OR 97223 � g&Vs?PlanReview
ti 1 t. ' cn �eBy: Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 _ 7 (�
T I(;A R t7 Inspection Line: 503.639.41751 a 13\‘i Date Ready/By: /� Ju H See Page 2 for
Internet: www.tigard-or.gov t 11� vri � otified/Method:7 !!!/l/ / i A.Z.Cy Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
V Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
s.1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 2,500-
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
1 3 i mow' �iGi,CS i�&� —
City/State/ZIP: 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
191006-":"712-1-7 i 3 1/J "24 7 65 2 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.: 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.
G(Zl5AA- 1�C iq f J t'1=ii i,--a c 0-4. t:.) i 1...1% --F& Valuation: $
'�Q ) ; FCS A %'' •‘`� t; ---4413C� Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: A,I124)i,,.l &I L(,"i 1--1(� /V 1 Type of construction:
Address: i v`3 t CI.' S` A 4.42..s (..../A-1 Occupancy groups:
City/State/ZIP: TT(_7•412.0 C(2. Existing:
Phone:( 7)5) —75-3 -- 2 t (..) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:4.$7 7 5/7
Amount received:
Phone:( ) Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: ✓V1 l;- f� --.0's---1 S r12,1/4)C-4-1‘0,--.1
Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (2 ( , (2�(j j J�,a 22 Solar Installation Specialty Code checklist.
City/State/ZIP: (2j /) � Z (-7 29Z Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(.:U$ op W .- Y� 7 9 9 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: I' C'y La 9eTotal fee due upon application: $201.60
Authorized signature: ...______„.."--171 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: i___/A.(2(2.,-1:' S 4/4-t,�/ Date: '7//Vtv *Fee methodology set by Tri-County Building Industry
Crv���I Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)