Permit CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2019-00400
T l G A R[) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2019
Parcel: 2S104BA01300
Jurisdiction: Tigard
Site address: 12254 SW WESTBURY TER
Subdivision: COTSWALD MEADOWS NO.3 Lot: 94
Project: PARK
Project Description: Vehicle damage repair: Replacing damaged foundation and floor framing.
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. Yes
Total: 0 sf Value: $60,000.00 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:
PARK,RAY H CORNERSTONE DISASTER REPAIR Required Items and Rep s(Conditions)
PARK,OKJOO C 5331 SW MACADAM AVE SUITE 377
12254 SW WESTBURY TER PORTLAND,OR 97239
TIGARD,OR 97223
C
PHONE: PHONE: 503-295-0108
FAX: 503-295-1896
Total Fees: $1,427.91
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all othe -pplicable law. All work will
be done in accordance with approved plan This permit will expire if work is not started within 180 days of issuance, or if work s suspended for .re the 180
days. ATTENTION: Ore..-'law re.uires •u to f. ow thz piles adopted by the Oregon Utility Notification Center. Thos- rules are set forth in OAR
952-001-0010 through O''- s 2-0. +090. ,u may o ain a •. of the rules or direct questions to OUNC by calling 503.23 or 1.800. 2.2344.
Issued By: / /J/ `. -- Permittee Signatur • _.-- —L./ 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
Residential hoR OI Fici: ISI.ONFv
City W Tigard '�� Received
/O�17 i . -'- Permit No.: M,.rAi/9•C):)1Y )
;74 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
Phone: 503.718.2439 Fax: 503.598.1960 OCT 1 7 2019 Date/By: it Other Permit:
1-1 C;A R r, Inspection Line: 503.639.4175 Date Ready/By: hills: Fa See Page 2 for
Internet: www.tigard-or.gov CITY OF 4'R.7 N ied/Metho Supplemental Information
TYPE OF R'f3RR REQ1 IRI i)P 1T X: I A'D2 T+'A-i'TIt 1,f-0G ,-"
❑New construction ❑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
C ATE6O''''''Y''''44'-'6:t45TRI CT10N` work indicated on this application.
Valuation: $560,000.00
® 1-and 2-family dwelling CICommercial/industrial
ElAccessory building CIMulti-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2
JOB SII L 1,k)1. A I"1 TIS Total number of floors: 1
Job site address:12254 SW Westbury Terrace New dwelling area: 0 square feet
City/State/ZIP:Tigard Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
49ai ry_.^., r, /cii,,,r 4j 7,2.,,i..yj2 Other structure area: square feet
,�'�s:, t�y� ,7-, ,1*, ` :c 1VIERCIAL-(SEC71LCT{1,15t =
Subdivision: AV/]/!T 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
E , ( s work indicated on this application.
vehicle damage repair.replace damaged foundation,floor framing,and interiors Valuation: $ `
Existing building area: square feet
New building area: square feet
a0VtEgktg ,r010s..0,4444N44pjt506000,000A000tte*1490,00r0000000° Number of stories:
Name:Ray Park Type of construction:
Address:12254 SW Westbury Terrace Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing:
Phone:( ) Fax:( ) New:
El APPLIC.ANTC CONT.- T 1'FRS:5k I NG PERMIT F
Business name:Property Damage Solutions,LLC "` `.444
( / seit � ��� �
Structural plan review fee(or deposit):
Contact name:Christopher Nestlerode
FLS plan review fee(if applicable):
Address:2850 SW Cedar Hills Blvd.#106
City/State/ZIP:Beaverton,Oregon 97005 Total fees due upon application: ) .
Amount received:
Phone:(503)341-6802 Fax::( )
E-mail:Chris@pdsllcnw.com t L A i€ - : EI4` � o ..z
-z a
Commercial and residential prescriptive installation of
CON1'R'C 1.(-)11 roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Cornerstone Disaster Repair Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5331 SW Macadam Ave.Suite 377 Solar Installation Specialty Code checklist.
City/State/ZIP:Portlnd,Oregon Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)295-0108 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:159758
r/(71
Total fee due upon application: $201.60
Authorized signature: 6.. This permit application expires if a permit is not obtained
< < within 180 days after it has been accepted as complete.
Print name:Christopher nestlerode Date:10/15/19 *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)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 N
Transmittal Letter
T 1 G A R ID 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ww .tig_ai d_or.2,ov
/
TO: ,/' � D E RECEIVED:
DEPT: BUILDING DIVISION
Qii ti ,,
FROM: e..411IS .1,.Tsn.A_c(2<,0C- OCT 2 9 2019
COMPANY: Pc c,e(--1z.r-f & "et✓Aitcsuvs L. L. CITY OF 1 ;!Li,k ;
PHONE: 3• . (-H. d, t `,Q i By:
RE: i22.6'. S tk--, .e s.-4a:TV-+ e r>r to,'C-Ze t`f— <541 o
(Site Address) (Permit Number)
i
(Project name or subdivision', :a i)of number)
1111
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ATTACHED ARE THE FOLLOWh► if 1,E
Copies: Description: • Copies: Description:
Additional set(s) of pl. :. L Revisions: -A-0 t 1 it 6v A L 01wma.in C�
Cross section(s) and d' ails. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculation Engineer's calculations.
Other(explain):
REMARKS: +I--r c- MA E- c+-t= PErtno IT 6-)eS Kart--0 A C L -c(€--D -r laus5 .
T s 5 yz e w. r . 440 0 IgEms �3 - c2,-E-0A-t rz ,,it. T7-i- r `rti . 5
FOR FF CE USE ONLY
Routed to P: i 'ec ' 'an: Date: 1b 30 (4 Initials: 1`��,
Fees Due: EE No Fee Desc ptio : Amount Due:
(1- (A.,„ r ;. _,/
$
Special _ ___
Instructions:
Reprint Permit(per PE): ❑ Yes i❑ No ❑ Done
C ��Applicant Notified: Date: 0 /3(. Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc