Permit (223) CITY OF TIGARD MASTER PERMIT
1 ' COMMUNITY DEVELOPMENT
Permit#: MST2019-00319
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2019
�' I:1) 9 Parcel: 1S134CA01500
Jurisdiction: Tigard
Site address: 12035 SW SUMMER CREST DR
Subdivision: BURLWOOD Lot: 8
Project: Bankhardt
Project Description: Remove interior wall and add support beam in attic.
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: $1,500.00 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
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
201-400 amp: 0 201-400
Ea add 500 sf: 0 amp: 0 W/O Svc/Fdr: 0 p
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:
r
BANKHARDT,BENJAMIN__ _ S&S RUSSELL CONSTRUCTION LLC Required Items and Reports(Conditions)
12035 SW SUMMER CREST DR PO BOX 3395
TIGARD,OR 97223 CLACKAMAS,OR 97015
PHONE: PHONE: 971-275-4727
FAX:
Total Fees: $164.79
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: Ore.•n law requiresu to fol the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throu•• •A' •52-001-0090. Yoh ay ob n a cop the rules or direct questions to OUNC by calling 503. 2.1 87 or 1.800.332.2344I
Issued By: � Permittee Signature:
� _
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. CCC
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
Residentiall'01(OfFICI, tsl.0 L)
City of Ti and REC����� Received / /�
g Date/By:6/i 17 Permit v-07-02c/R9—D as/C�
• 13125 SW Hall Blvd.,Tigard,OR 97ipil 12019
Phone: 503.718.2439 Fax: 503.59 Plan Review
Date/By: �� Other Permit:
T I G A R D Inspection Line: 503.639.4175 f TIGARO Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY O DIVISION Notified/Method:gL�t 4,.., 77.c. I Supplemental Information
BUILDING /(� ,9 v
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
1 CATEGORY OF CONSTRUCTION work indicated on this application.
�J 1-and 2-familydwellingValuation: $ / r
\ 0 Commercial/industrial 1r, (�V
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 3s sNew dwelling area: square feet
City/State/ZIP: 1 i.er -,.d.) i 1` ,, q -7 7- 2--,2) Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: "'Ace.,I,_IL, I Le.,_,C i2 {— Covered porch area: square feet
Cross street/directions to job site: I 1" Deck area: square feet
t..% .) 1 s 7 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
- R Valuation: $
�e et-(C t .27, �;--.I,,,_,{. e).(4--1,ti L ,tip Existing building area: square feet
New building area: square feet
0-PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address:g C. .� '-..--)C t% )i C. /1,1,41'11.td (1-.2(2-1 t" /- Occupancy groups:
City/State/ZIP: /f r,
1 t.c��-mak Ll q7 i.,-Z3 Existing:
(66)Phone:(� ' (-) _� - 7 7 C Fax:( ) New:
(/APPLICANT 0 CONTACT PERSON ' BUILDING PERMIT FEES*
Business name:�' A f 1 (Please refer to fee schedule)
- --,-).-1;- -/-- j l L- (.- Structural plan review fee(or deposit):
Contact name: 5,X c S
Address: ` C a FLS plan review fee(if applicable):
e' Total fees due upon application:
City/State/ZIP: Voy- ,_tao/ , 0 k 9 ---/,;)a ,
Phone:(/7/) )"7,S-_ Li-7,) 7 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail5c,(4 6`-J r L S(''/i Co;") -
h cc-h 011 , 0,42 z.)`7
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: c c ,e _ i e.,,,,,, / Submit two(2)sets of roof plan with connection details
'`( ( °I £ / C' and fire department access,along with the 2010 Oregon
Address:./ , 0 , ? fix j (..,:j)CI Solar Installation Specialty Code checklist.
City/State/ZIP:'pLryc .2,t j ev. �'1 7 Z Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(C ]1) j - (f 7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: e- if,
7' f Total fee due upon application: $201.60
Authorized signature: , ,/ ` This permit application expires if a permit is not obtained
�`t! Ze'`` '�I �' l within 180 days after it has been accepted as complete.
Print name: I, �" Date: *Fee methodology set by Tri-County Building Industry
�7►'I" (�'JCJ )-`,s(- t!'C� (�1 1 g Service Board.
I:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB)