Permit (3) CITY OF TIGARD MASTER PERMIT
IllCOMMUNITY DEVELOPMENT Permit#: MST2018 00328
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2018
Parcel: 2S 104 BA05600
Jurisdiction: Tigard
Site address: 13760 SW NORTHVIEW DR
Subdivision: CASTLE HILL NO.2 Lot: 89
Project: FERLITSCH
Project Description: Voluntary foundation underpinning.
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: $7,500.00 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
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!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:
FERLITSCH,GORDON M&JAYNE M TERRAFIRMA FOUNDATION SYSTEMS Required Items and Reports(Conditions)
13760 SW NORTHVIEW DR 7910 SW HUNZIKER ST 1 Special Inspection Piles/
TIGARD,OR 97223 TIGARD,OR 97223 Cassons
PHONE: PHONE: 541-492-2436
FAX: 503-491-5301
Total Fees: $354.83
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"Is ded for more the 180
days. ATTENTION: Oregon law requires you to follow t'- ru es a.•. by the Oregon Utility Notification Cenjer:' ho ales are set forth in OAR
952-001-0010 through OAR 952-001-0090. You - -. - - o. of the rules or dir- t questions to OUNC by calling 503.232.'7987 or : 0.332.2344.
Issued By: —,...,-, , _�_ . - - tee Signature:
C,,1'0'.. 19.4175 by 7:00 a.m.for the next aval .. - ' spection date.
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard Ri ceivea
DateB : i d .1rr II Permit No.: .___- '�.I,
III
' 13125 SW Hall Blvd.,Tigard,OR 97223
Date B view �� f� `
Phone: 503.718.2439 Fax: 503.598.(960 Date;Bv: Other Permit:
1 1(i A 1;1 Inspection Line: 503.6394175 Date ReeadyBy: loris: ®See Page 2 for
Intemet: Line:g .gov otified'Metl /��G`�� --P, suppiementat Information
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ac
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❑New construction 0 Demolition Permit fees*are based on the value of the work performed. r'
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the a
i ..;j .j.+i r z `s�' t3 - w'd'aa� 'Pzt *, s�-t aa: k �3 a - tu3 :Y p+
t „ a _. a 3FI;,, _ zn b work indicated on this applicatioy i
Valuation: /' -% ' --7, 6/62,,, (30
® I-and 2-family dwelling 0 Commercial/industrial > //'-'
❑Accessory building 0 Multi-family Number of bedrooms: I
❑Master builder 0 Other: Number of bathrooms:
if" i,M �i' i p * ' - " ' Total number of floors:
Job site address: /5 7/' 5�-i/ 0 jam[1--)-1// A/ piz . New dwelling area: square feet
City/State/ZIP: T/(:7 /l G p 9 72,2__j f / Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: it-4.4 rT ,671L Covered porch area: square feet
r.
Cross street/directions to job site: Deck area: square feet
t
Other structure area: square feet I
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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 t
c , » t r «zn equipment,materials,labor,overhead,and the profit for the a
F i.' 4 x r work indicated on this application. i,
t-/NP ,-F-72_12/NN /\f' 6: Uw to 4 71 C//`1 Valuation: $ i•
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Existing buildingarea:
square feet
New building area: square feet 1
"
na § sw �m a � 5V � : ' 4 $, rg Number of stories: I:ur, tiRz.a _ µ x s � , _ ,A"„f„a= .+tn4-A 2r ;kIV
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Name: IA//A/ e 5 G 2 ,N/ }� f E L / ' Type of construction: t
Address: /5-7/ 5' v A/ ieT//t//z-''J /7,e . Occupancy p y groups:
City/State/ZIP: T/ DC/- ��` Existing: 4'
z K ,
Phone (52-.);,) tif�P y/4 7�ax ( ) 9
`va %, t� ars. j a�-4. a ,� - ,�* >5e .° New
,,� li4tItf na', ,�rc-a lifer. �..” i . 9.@ 7�, a� , s`_ e�,a ,aTye'"`s"t " d 1P ty f' .n*,,-. A xa,
Business name:E.E.STRUCTURAL LLC hvg "w ..,' , .4' 144/ ti maga' ,
Structural plan review fee(or deposit): t;.
Contact name:DIMA SHEMETOV
FLS plan review fee(if applicable): ,:
Address:6975 SW SANDBURG ST.SUITE 160 x
application:
City/State/ZIP:TIGARD,OR 97223 •
Total fees due upon �I ""
I.
Phone:(971)322-3130 Fax::( ) Amount received:
E-mail:SHE141ETOYC.fEENGINEERING.COM ik'S4 ,�,,, a 'iA��� re..s. �
�, �� a( residential
prescriptive
installation
of
* sa,m` 0 - s n . s . roof-top mounted SoarPanelSstem.
Business name:TERRAFIRMA FOUNDATION SYSTEMS Submit two(2)sets of roof plan with connection details lj•
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 $180.00
and administrative fees):
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 1...7"-.7.-
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DIMA SHEMETOV /;.2--/1/ *Fee methodology set by Tri-County Building Industry i
Date: d Service Board.
l:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440.4613T(I 1702%COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13760 SW NORTHVIEW DR, TIGARD, February 22, 2019 at
OR, 97223 7:51 :51 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00328
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Final summary letter from engineer of record received.
Violation Summary:
Inspector Contractor