Permit (44) CITY OF TIGARD MASTER PERMIT
.ipi :'' COMMUNITY DEVELOPMENT Permit#: MST2019-00289
Date Issued: 08/01/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111 CA04300
Jurisdiction: Tigard
Site address: 9720 SW LAKESIDE DR
Subdivision: SUMMERFIELD NO.12 Lot: 663
Project: FUNICELLO
Project Description: Modifying existing wall framing for new windows and doors.
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: $3,800.00 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'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:
FI HCELLO-KATHLEEN-MARY T6 REMODEL AND-CONSTRUCTION INC Required Items and Reports(Conditions)
9720 SW LAKESIDE DR PO BOX 1996
TIGARD,OR 97224 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-984-2783
FAX:
Total Fees: $446.23
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 OAR 952-001-0090. • • •• -in a cop direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By: -- ee Signature:
C ' i'..• 9.4175 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
Residential FOR Off K I. 1 Sl. O\1.1
City of and Received Tigard r /(4..„.. Cl t/ Permit No.: _ i i,1f,
II 13125 SW Hall Blvd.,Tigard,OR 97223 i r I n t7,7:
Ian Review -MIME Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 _ Date
B
T i,,ARD Inspection Line: 503.639.4175 (* )rI r, Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov i�t1 L U 1<) Notified/Method: T-. i t +I ` ill Supplemental Information
AId
.a,sMa P%n n 5 .T sx `atnn
. . , . ' _, ci µ11N - i `a.~ 1 4 k ,-'1:'-,.'":. I L- ,t i ., ...
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
OATEGORY.+dF?1WUTiiU�"�'ION
work indicated on this application.
►t
Valuation: $3800
1-and 2-family dwelling 0 Commercial/industrial
Accesso buildin Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
1 e .*TION-Ar D }CA Total number of floors:
Job site address:9720 SW Lakeside Dr. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Katie Funicello Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
I ()l(11D=D4rwO1v1 tt41:-;ISE CHECKLI
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
, D � O '91t ,` work indicated on this application.
Modifiy exisitng exterior wall framing for new windows and doors.Drop down ADA Valuation: $
Shower per plan Existing building area: square feet
New building area: square feet
"t � O. -. Number of stories:
Name:Katie Funicello Type of construction:
Address:9720 Sw Lakeside Dr Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(818)438-2766 Fax:( ) New:
AP►LI±cA� -r � �
Business name:TL Remodel&COnstruction Inc
Structural plan review fee(or deposit):
Contact name:Tim Labunsky
FLS plan review fee(if applicable):
Address:25030 SW Parkway Ave.Suite 110
Total fees due upon application:
City/State/ZIP:Wilsonvile OR 97070
� - E
984-3 Fax::( )
O O'V '' K SO14t *ASKSYT:z S'` ;:
E-mail:Timl@tlremodel.com ,,.
Commercial and residential prescriptive installation of
-" �°" � � '5",''..'r, =, ,. Z I• roof-top mounted Photovoltaic Solar Panel System.
Business name:TL Remodel&COnstruction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:25030 SW Parkway Ave.Suite 11 Solar Installation Specialty Code checklist.
City/State/ZIP:Wilsonvile OR 97070 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)9842783 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:191214
Total fee due upon application: $201.60
Authorized signature: (>' This permit application expires if a permit is not obtained
./+r` 2,-- �"�^` within 180 days after it has been accepted as complete.
Print name:Tim Labunsky Date:7-10-19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)