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Permit i a rg ��� CITY OF TIGARD MASTER PERMIT q ' COMMUNITY DEVELOPMENT Permit #: MST2010 -00075 T I C ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2010 Parcel: 25101 BCO3000 Jurisdiction: Tigard Site address: 12361 SW KNOLL DR Subdivision: Lot: 0 Project: Costa Project Description: Permit 93 square foot attached shed. 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: sf Value: $1,743.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea addl Br Cir: 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: Owner: Contractor: Required Items and Reports (Conditions) COSTA, CLAUDIU & EMILIA OWNER 12361 SW KNOLL AVE TIGARD, OR 97223 PHONE: 503 - 746 -5544 PHONE: FAX: Total Fees: $169.26 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 OA' . - 001 -0100. You may obtain a cop rules or .. -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: _���� Permittee Signature: Building Permit Application Re k �,�� � , �;. [ ,,n � �,� I ��ri or, Icl a� �� � �,��t t ., -� City of Tigard Date/By: y ,?9 ,o fl , Permit No.: f f6/ 04 7 Phone: s 03 639 4 7 1a Tigard, F 03 598 19&A P R ev e w f b84 J y 1,0 Other Pest: I . . < 2 9 2 010 P ®See 2 for T: CG C R D Ins Line: 503.639.4175 Date Ready/BY : . Internet www. or.gov CITY OF TIGAR� Notifi. j4f� Supplemental Information • o� to BUILDING DIVISION l till e TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. / Indicate the value (rounded to the nearest dollar) of all 130 Addition/alteration/replacement ❑ Other a-/a( peep( J ki equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. VI 1- and 2- family dwelling 1:1 Commercial/mdustrial Valuation: $ (/ �{3 ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE s INFORMATION AND LOCATION Total number of floors: Job site address: ' ,q. ) 1 . S ti IL n 0 )1 t f" • New dwelling area: square feet City/State/ZIP: TI 6 4 ( - 1 1 D [ Q / 01(12_ 1J Garage/carport area square feet Suite/bldg/apt. no.: Project name: S A eee( Covered porch area square feet Cross sbocl/directions to job site: �P 1,1 -F V rke) u ° ek Deck area: s feet *' LI 1 n r 1 1 tA.t - Other structure area: (1- 6 square feet REQUIRED DATA : COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel Indicate the value (rounded to the nearest dollar) of all no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. i tkran i t O ( I _ _ I - 1 _ , _ I valuation: $ h �' (J� e'er old Existing building area square feet New building area square feet 4 PROPERTY OWNER I ❑ TENANT Number of stories: Name: e rj il`G L • CCS-1-0t. p Type of construction: Address: I &( S �ki Kroll A r Occupancy groups: City/State/ZIP: 7,- cp r c k . ` O P. u 9 2. 2 3 — Existing: Phone: (� 7411 6 5 Fax: (��) 7-4 11 New: ot APPLICANT IA CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State/Zl}': applicant is exempt from licensing, the following reasons aPP y Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: +k 01.-1 0 111 kJ (ni2 BUILDING PERMIT FEES* Address: (Please refer to fee schedule Structural plan review fee (or deposit): City/ State/ZIP: FLS plan review fee (if applicable): Phone: ( ) I Fax: ( ) Total fees due upon application: CCB lie.: Amount received: Authorized signaUue: \\„4\ \ This permit application expires if a permit is not obtained � r within 180 days after it has been accepted as complete. //?? Print name: CYh r A L �",Slk Date: air/21(20( ° * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Petmits\BUP -RES PennitApp.doc 10/01/09 440-4613T(11 /02/COM/WEB) APR 2 5 2010 l . . -... - c 'l 1 ! i • ^ • V _ / CITY OF TIGARD - SITE PLAN( REVIEW BUILDING PERMIT NO.: 9-r • Da,75 PLANNING DIVISION: Required Setb�hs: 2 �] 0 Not Approved y,. ,. Side: Street Side: e Z. From. -�`. . C�: . r�Qe: __ . Rear: ! (- I / Visual Clearance: Approved 0 Not Approved - 7. Maximum Building Height- 30 feel_ CWS Service Urovider Letter Required: 0 Yes ❑ No 0 0 Received ems: 1 ENGINEERING DEPARTMENT: Slope: n % 0 Approved 0 Not Approved Site Plan t` EL Approved ® Approved t Not .PP roved y. iii v Date r' ,� _ _ " :� . y / Notes: L'- . :vl�� Ltt.Gl- j�.- E -L -x:> `��,L�tr . n • r: \ Z o c° . _ CITY Oi TdGAlftiD v SI"I' 1'II, AN r" VII W o BUILDING PERMIT NO: Street Trees: tApproved ❑ Not Approved Protected r s: p o ed �� .. A -.4 P:. t PPrnved B n� �' l> �' C o � S TA-NA cry c^a (�L A $ W ASV�� �■is t p J G t. ..- Date: I CA, '; Notes: _ . __ __ tla } S 4 ', O N TN MA T� Q E d F TH SCcS P*r a l (A A N i) S s TE V- 1 p L& R 1 Cc CITY OF TIGARD . Approved 1).<1- Conditionally Approved [ l See Letter to: Follow [ l Attached [ l Permit Number: MSTAr;49 - fop -ZJ Address:t •4 1 ..S4.„) le too t B ms „/ Da re: HEU-1VEU APR 29 2010 CITY OF TIGARD BUILDING DIVISION , I ' CITY OF TIGARD - SITE PLAN REVIEW ki ,;, _1 BUILDING PERMIT NO.: �t 9-r ,gpr0 + Deb75' PLANNING DIVISION: Required Setbacks: Er Approved,- ❑ Not Approved Side: 1 Street Side: G pP Front._ Gy ra17 /.S R ear: 't (t.(, Visual Clearance: 0 Approved ❑ Not Approved r- _ " Maximum Building Height • 3y fret " �� CWS Service !'rovider !.otter Required: ❑Yes 0 No ❑ Received 0 B`: I ENGINEERING DEPARTMENT: Actual S o e: ° p .._ /o iZI Approved ❑ Not Approved ` Site Pla : M A roved I'\- PP Not Approved y / / _ By: Date: �y ©O�t Notes: P--""" s i o C o CITY O, TIGARD - SITE PLAN VIEW BUILDING PERMIT NO: _ .. Trees: Protected, tApproved Street J } _ 4 (2.1(C � ed T , :I P e �Q� ❑ Not Approved `'° Notes: O G ,, Date: v /a proved 1 i ,_l