Permit (105) CITY OF TIGARD MASTER PERMIT
lig i . 'z COMMUNITY DEVELOPMENT Permit#: MST2018-00296
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2018
T r[;A I<.C� 9 Parcel: 1S133DC12300
Jurisdiction: Tigard
Site address: 13367 SW SHORE DR
Subdivision: ARI GREEN Lot: 14
Project: Watson
Project Description: Foundation underpinning with(4)push piers.
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: $8,000.00 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'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:
WATSON,MEGAN TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
13367 SW SHORE DR 7910 SW HUNZIKER ST 1 Special Inspections Piles/
TIGARD,OR 97223 TIGARD,OR 97223 Cassons
PHONE: 541-941-3306 PHONE: 541-492-2436
FAX: 503-491-5301
Total Fees: $357.33
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 952-111-00'0. You may obtain a copy of the rules or direct questions to OUNC by calling 503:;?3 .1987 or 1.800.332.2344.
6 )
Issued By: r .._...�C 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 RECEIVE."
Ire
Residential .
FOR OFFICE LSE ONLY
City of Tigard OCT 2 2 2018 REiew' 2
hone550HallBlvd,Tigard,OR 972231,1
t</ I+O 'Z
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD uate.'By; 1 Other Permit:
I i(i A it iD Inspection Line: 503.639.4175 BUILDING DIVISIONate Ready.By: Juris: H See Page 2 for
Internet: www ngard or gov otitied Metho.: , I f/ , Supplemental Information
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0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
� I'Vr;;Vs ; +., fat wi IN work indicated on this application.I3tterr .:in01;;;; Att< •t.4, . u14,1, 1Witertitaitt tV
® 2-familyI-and dwellingValuation: $ OC
0 Commercial/industrial �/ r
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
f
4 ` -�_ S..1t4r lm �i ` iMe _ Total number of floors
h3C;fi , e, W1Tamau-r>::,y „ ,.,,i, _4,kk. td , 3et
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Job site address: / 367 j v1/ �tf0R .0lZ New dwelling area: square feet
City/State/ZIP: Ti4 j9-,1) , t
7 2�3 Garage/carport area: square feet t
Suite/bldg./apt.no.: ) Project name: kij iiTSow Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet I
Ii
Other structure area: square feet t
i
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
� �^ tk'�- "r ' `2.�' t` •+t r..: faz I,,::`y;"a `' �s'ti�a: ^� ¢ 2. x� t:
til work indicated on this application.
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OGi w p 4T/ l/ / 111V p e-,L P//WV IA/A Valuation: $ I
W/ 4 r /,(f H l71 --c Existing building area: square feet
it
New building area: square feet 1.
� Q
x i.
n s `' k.,, `,-,=4 v.. °t r,. ll �� Number of stories: a'
Name: /i4 e of All./ W/I-T Sa N Type of construction:
Address: /5 3/-7 5 G J l/-.,/G;,e—&-- De_ Occupancy groups: t
City/State/ZIP: T( 6C 4 Zi, oe 6t722---,..? Existing:
Phone (J7/() rti,/ '3 U Fax ( ) (�;s x 2 :P ".u '� v`az �^ .i"z r "`',��- f �, `4�e'a" tr New„x °g4,4til s .;,4 $,c� -k,-,S„,,, .JaWX*q _ �35 . Ba.A,u-A ' ",',?,'”a ,,`,,t4 t ,R$ g ''''. ` y,'"A, '? `„ i,.. ," .
tri' $sw, t ''kf --,1:-'..--','
:a 6*iu3;. ei0 ..
Business name:I.E.STRUCTURAL LLC
Structural plan review fee(or deposit):
Contact name:DIMA SHEMETOV
Address:6975 SW SANDBURG ST.SUITE 160 FLS plan review fee(if applicable):
City/State/ZIP:TIGARD,OR 97223 Total fees due upon application:
Phone:(971)322-3130 Fax::( ) Amount received:
E mail SHEMETOV@IEENGINEERING COM i a . , t
4 k..
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� a5t,: id rar _ " ok tezf Commercial and residential rescri tive installation of
: ,44,gt. frAr x.kOsi °I 4,. , ;U y > ttN,VV.;. `t",
roof-top mounted Photovoltaic 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.
City/State/ZIP:TIGARD,OR 97223 Permit Fee(includes plan review
and administrative fees): $1$0.00
Phone:(541)492-2436 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:173547
Total fee due upon application: $201.60
Authorized signatur ' This permit application expires if a permit is not obtained
within ISO days after it has been accepted as complete.
Print name:DIMA SHEMETOV Date: (o/2 -/i ff *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24;2011 440-4613T(11/021COM/WEB) •.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13367 SW SHORE DR, TIGARD, OR, 97223 February 11 , 2019 at
9:25:22 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00296
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Final summary letter from EOR and drive log report received.
Violation Summary:
Inspector Contractor