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Permit (104) CITY OF TIGARD MASTER PERMIT I.' ' COMMUNITY DEVELOPMENT Permit#: MST2018-00277 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2018 T['O t •L Parcel: 2S112CA12400 Jurisdiction: Tigard Site address: 15595 SW 76TH AVE Subdivision: RENAISSANCE WOODS NO.2 Lot: 48 Project: SCHELLER-WIENS Project Description: New footings in basement and crawlspace for kitchen remodel. 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 Yes Dwelling Units: 0 Third: 0 sf Right: 0 Detectors. Total: 0 sf Value: $30,000.00 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 RainStorm Sewer: 0 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: SCHELLER-WIENS,ERIN B RUPP FAMILY BUILDERS INCORPORATED Required Items and Reports(Conditions) WIENS,DAVID 29030 SW TOWN CENTER LOOP E 15595 SW 76TH AVE SUITE 202 BOX 429 PORTLAND,CO 97224 WILSONVILLE,OR 97070 PHONE: PHONE: 971-264-9392 FAX: Total Fees: $927.02 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 .' _ = not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to •low the rules adopted'-'*,-,,the Oregon Utility Notifipebpn Center. Those rules are set forth in OAR 952-001-0010 throu R 952-001-00•:. 'ou ma •• : • - opy of the rules or direct estions to OUNC by callincl 50 . • 198 •r 1.800.332.2344. eyK % . I/ 1 f Issued ��.��+ Permittee ig re: 03.639.4175 by 7:00 a.m.for the next available inspection."e. �7 This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFF ICF t Sl: 0\1.1 City of Tigard Received �,,, `� 1 v� Permit No.: II 't 13125 SW Hall Blvd.,Tigard,OR 97223 cl r 'J,=�'"Plan Reviey�,.y. / s)-/�``�� ��yy �' t7 il Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 1� 'J I�-V Pl f) Other Permit: Inspection Line: 503.639.4175 1 1' Date Ready/By: Juris: ® See Page 2 for ncnRt) p �. 1��� Internet: www.tigard-or.gov Not' ed/Method: D l2.31/AG, I Supplemental Information TYPE OF WO 1 LD!NG OMM S O N REQUIRED DATA:I-AND 2-FAMILY DWELLING 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 lyfzI Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. t" 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ jUI ODD /❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15 SQ - S LJ -7 ,+-11 A i. New dwelling area: square feet City/State/ZIP: -c-,g A,rA og. ci -7 22-.1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: SL(,1e(i.e. , Covered porch area: square feet Cross street/directions to job site: 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. n n I o Valuation: $ 4-t'-t-r-L - R • 1R.i c cv 4 j IA-r S J1.L-C Sir✓ V'�"� r -G Oi . .. - µ4 d;9feY`-1.(A., /.(A />B�r t g Existing building area: square feet I /v‘.., J (pak. 15 -- G^ r IS ms piiCcM. D New building area: square feet A PROPERTY OWNER 0 TENANT Number of stories: Name: ,D�.vt'n� �'rdv1.S .y � Gh.k 5l�k//[.tl�rType of construction: ` I / YP Address: 4, A. K 5 J c9 5r�- Occupancy groups: City/State/ZIP: Existing: g Phone:( ) Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* name: g J '( r 1h I'(o(�,/'S tI°tecser�er ee eArcr te) Business '``Y Fi(M 1 Structural plan review fee(or deposit): Contact name: /' 'e(14.... 6.'rr,•,,Li- FLS plan review fee(if applicable): , Address: 7 SS 5 w 1-1? s 1Prtil-{ Si--G ZD I /� 117 G�D 70 Total fees due upon applications . City/State/ZIP: � J W 1r/'3t9'�u/i l k— eirf ! Amount received: Phone:(5b3 ) 8-(o C,_ f 4 f Fax::( ) — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: 'vt0� ' ' r�� 7 �a Qf/. Cf�H'L— ti Commercial and residential prescriptive installation of CONTI CTO roof-top mounted PhotoVoltaic Solar Panel System. Business name: 5 � 4,„9 cL Submit two(2)sets of roof plan with connection details �� ( and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 2© I 7 73 � Total feedueuponapplication_ $201.60 Authorized signature: / This permit application expires if a permit is not obtained I6,-),,....c '14- within 180 days after it has been accepted as complete. Print name: /�n L/_. (�►�-Gi v`.�✓ Date: b//�i/(E( *Fee methodology set by Tri-County Building Industry ��I't ! Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15595 SW 76TH AVE, TIGARD, OR, 97224 March 11 , 2019 at 1 :04:15 PM Record Type: Record ID: Residential - Master Permit MST2018-00277 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15595 SW 76TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00277 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor