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Permit
sg' MASTER PERMIT t n ; CITY OF TIGARD t a COMMUNITY DEVELOPMENT Permit #: MST2010 -00099 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/10/2010 Parcel: 2S102DD04900 Jurisdiction: Tigard Site address: 8391 SW ARTHUR CT Subdivision: BRIDGEPARK Lot: 9 Project: Miller Project Description: Deck replacement. BUILDING Floor Areas Required Setbacks Required Stories: 1 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: NO Total: sf Value: $4,518.00 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 Bckftw 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 Fum > =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 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 add 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) MILLER, BARBARA A RICK'S CUSTOM FENCING & DECKING 8391 SW ARTHUR CT INC TIGARD, OR 97223 4543 SW TV HWY #A HILLSBORO, OR 97183 PHONE: PHONE: 541- 648 -7830 FAX: Total Fees: $265.06 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 or more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification nter. Thos es ar et forth in OAR 952- 001 -0010 through 04R 952 - 001 -0100. You ma • . I . co • of . - . - • direct questions to OUNC by calling 503. 699 0 0.332 Issued B ° ` /i Permittee Signature: �� Building Permit Application aCjI2 .Ex -of ,=k 0 ,,. Residential el 1 a #I >i + 0H i(? i o� .1 ; ' • _ City of Tigard CBI- o ` ' , P ermit No 1 • D _coy/ . r:� y 13125 SW Hall Blvd., Tigard, OR 97223 '1 \ C Plan Revi All ` .' }1: Y + ' Phone: 503.639.4171 Fax: 503.598.19. i DateiB : fair Permit: Inspection Line: 503.639.4175 A1 4 o Date Ready/By: Juris i [ / El See Page 2 for '44‘..A V A k y Ju lV Notified/Method: ( 7 / / / 7I b Supplemental Information €, Internet: www.tigard- or.gov pFT1c OnT4 � n e u'/ "o,' 1 TYPE OF WORR1 I C' ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ t ` %. 1 16hon Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all • ►ddition/alteration/teplacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. .rf1- and 2- family dwelling ❑ Comercial/industrial Valuation: $ m 1- /' 1) ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: p 3 q / 5' (i 0 A -2 (/J 2` New dwelling area square feet City / State/ZlP: j 1 G 4 5L7 O C I) )— 3 Garage/carport area: square feet Suite/bldg./apt. no.: I Project name: ,/1 1 t- L (Z Covered porch area square feet Cross street/directions to job site: S c) / 4 ,¢}- L L_ Deck area: square feet / e f 0 Other structure area: 5r t ?S square feet g, 2 Q (./- (-) 3 3 9 REQUIRED DATA: COMMERCIAL -USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. R E ?c - lACc- DEC—- 5 C' 11 E 4✓1' i7 Valuation: $ (TO 1 S 7 R- .) D 7 AT L.011 n ) . , (�� Existing building area square feet �l A New building area: square feet Er PROPERTY OWNER I ❑ TENANT Number of stories: Name: 3 1 -4` B1 4 64 t L L E2 Type of construction: Address: C 3 9/ 7 ) e_7--- Occupancy groups: City/State/ZIP: I 1 Cy.i4 rz_D O F_ 9-1 Existing: Phone: (s ) 6 o .-- / 2 Fax: ( ) New: APPLICANT CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: 2 2� licensed with the Oregon Construction Contractors Board A 1 t ( under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons / apply: Phone: ( 5 2- S O 2--6 S r9- I Fax:: ( ) E -mail: CONTRACTOR Business name: t C +=S c ., 0 7 b 4 '1 T p v -e 4 D 3 BUILDING PERMIT FEES* Address: u - G s E _ / I / � r t,� m refer m fee schedule) Structural plan review fee (or deposit): City/ State/ZIP: g aa_ 5 t e a Off' 9 2 „2 oZ FLS plan review fee (if applicable): Phone: ( 503 ) 6 `fit, .5 if 41 I Fax: ( ) 6---(... O Total fees due upon application: a 7. 3 V CCB lic.: l S Amount received:mit / 3 ( Authorized signature: k ?L9---- This permit application expires if a pe is not obtained within 180 days after it has been accepted as complete. Print name: ,� 71.04 20 12-CA -j I Date: c _ 3 ___, 1 * Fee methodology set by Tri-County Building Industry MaJun. 1. ?107 1.55PM Riok's Custom Fencing Hi1 (5031648-ENO. 996 P. 2/2 z o F 3 Q T RECEIVE " . iDIT MAY 2 6 2010 Clean Wider Service9,Fl a Numb 010 Clean water Services D ISIOIV ay ttstQ6ve Area Pre- Screening Site Assessment 1. Jurisdiction! '1 • 2. Property Information (exam l 15234A201400) • 3. Owner information T a x lot 10(s): t.5 t 0 1 0 , 1 4 1 / 0 Nome: /3 di-t2 RA- ht IG L € 1 . Company: A d d r e s s : ( tJ R / 1 0 F• aT Site Address: c33 ei [ .5 cJ i:r tivV... •`r _ Cit State, Zip: TIC.- 4 LD c:SL. Ch . 3 City, Male, Zip; - f') C -i o2 9 7 2.2-3 Phone/Fax: 41 ti 2 0 - .2 l •7 Nearest Cross Street: L L . VI t,...11 E -Mail: 4. Development Activity (check all that apply) 6. Applicant Information a 0 Addition to Single Family Restdenos (roor7 garage; Name' l� lay 1 D K j. c i:= l: O Lot Ltne Adjustment Mfnor Land Partition Company: ti - ' U = - 1 J" a to Resldenttel Condominium E CommerciatCondo�m • ' - . f I Residential Subdivislon O Comnieclei Subdivision Address: S S(3 5.� 7 ff (.4./ y © Single Lot Commercial O - Multi Lot Corium obit City, Stale' �P _ j{(L'LS (3 Py� 0 f'`` y2lX3 Other 2f. ?c,L4-c.G 7,, e k v' Phoney 5 r 4 10 .. t/3 1 .1/ / _S"'o3 4 4'0(.3y7 s (- ' _ . E -Mail! 0. Will the project involve any off- sltework? . ElYes QNa QUnknown Location and description of off-site work • 7'. Additional comments ortnformationth'atmay he needed to understand your project fie.. 04C fr.-'_.t _ — 4 ,Q '6 CL:. ` ' r✓ • r{,1 ( 0' ■ - G' Thla application does NOT replace Ore Ong and Erosion Controt Penults, Connection Penults, Blinding Permits, Site Development Permits, D£Q 1200•C Penult or other permits as issued by the Qepatbnant of EnvironntentaLQuallty, Department of Slata Lendeondior Department of the Army COE, AU required permits and approvals must be obtained and completed under applleable local, stale, and federal law. By signing this form the Owner or Owner's authorized agent or representative, acknowledges and agrees That emptoyaea.of Clean Water Services have authority to enter the prefect site at ell reasonable limes for Melanoma el inspecting project site ionditIone and gathering information reisted lo Lie prolecl site. 1 certify Ual 1 am familiar with lila information contained in this document, mid le the best filmy knowledge and betel, this information Is true, complete. and accurate Prig T)/.�:t1•i y `-`/ — tlType Noma �E�.. R. � C j � y— ! psinttiype Title t4,O rN 146-f 2.- . Signature s Date . -- z 5 -M /b FOR DISTRICT USE QNILY .. ... 0 Sensitive arose potentially oast on site or within 200' of OIe site. 1NE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER.- 0 SenslttveArees exist on the sileor within 200 feet on adjacent properties, a Natural Resources Assessment Report may also bo remitted, Q Based on revtew el the submitted matelots and best avoltabie information Sensitive areas do not appear to elder ensiles within 201101 the site. Thle Sensitive Area Prescreening Site Assessment does NOT eliminate the need to evaurate end protect water quality sensitive areas d they are subsequently discovered. This document will serve as your Service Provider Teter es molted by Resatuaon end Order 07.20, Section 3.02.1. AN required permits and /approvals mustbe obtained and comfdated under applicebie beak- S1e1e, snd•federatlaw 1 Based on review ofthe subtitled mantlats andbest available information lie above referenced protect w1U not signincantly impact the existing of potentially sensitive anea (s)lbundnetu toads Inn So ant Pc needasSite Assessment does WG Tatlminete teavetuele and protect eddfdonelwater qtiality sensitive areas If they are subsequentiy discovered. TMs document uniti serve as your Service Ptovlder letter as required by Resoludon and Order 07 - 20. Section 3.02.1. AU required permits and approvals must ba obtained end completed under applicable loaat,stete end federal taw, 0 This Service Provider Letter Is not valid unless CWS approved sfte plan(s) are attached. ® The proposed activity does not meal the definition of development or the tot vies platted attar 919195 ORS 92040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETT • IS REQUIRED Reviewed by .a Date L (t (s 4 4y ftlk-'' - tr � 4Ym.f. two • ffy *.rf ale L p,- s )' d�ir r :: y s )t 1/;;ID a , F l ._ r'k"'�' p h t, r+ x i a " r ' ) F' ry �r�. '? , L2 x. rt �� 3l t ' o! .}. , d',��_ w p + J�; SI j t1 D N 1 S.HidSborn C ■Cu'un `�71 ?' P l+c m z ($Q9) f h 1 1 a : + . +)0D�p r i` ! p I q 1o) I ° 1 1 129 y n anYYJICr : yI ,,, 19; ; .+ � 1 ti -` tzAi .a ;.. ''... 1. .. Yi...aa ,.6-. ..4 r.�,g- ,A „.1:oz,'a oft ;, 94 �, ?0,4,4, -14 are "` k - ,.,.:. k = , y : 4221.4,..,+ (. czz R 4 ivi 1 c& c rs c__ K E g i - / . • ...7 e P 83 ce I i,J P- (3 R. Cr RECEIVED c c ...... i. ...„. -...),..... co ;-.- 3 JUN 0 4 2010 CITY OF TIGARD BUILDING DIVISION . . NV ,,,,, ri ., •.- . , .. . • -• . • 1 ...." ."--:-------.,.. , • / '1 .---........... i . i ;..- / / :-.,..-• - 1 -....„...... - ,.. 1 c-.. • ....., .a-:--- .., / i • (.. / CD • (75) i is• / 1 . 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CITY OT1GARD - SITE PLAN REVIEW BULI,pING PERMIT NO.: fi1,51 i(J= tz 441 R r PLANNING DIV1S1O■: Required Setba_cks: (1]tpproved ❑ Not Approved Side: Street Side: Front. 0 . Garage: Rear: Visual Clearance: /I/A n .4. pi , r ved j Not Approved Maxim«r. F feei s � ;, *B CWS Se; �i��c: "� � v do ENGINEEKINt_ .N1EN Actual Slope: _% ❑ Approved ❑ Not Approved Site Plan: ❑ Approved ❑ Not Approved B Date: Notes: TIG,ARD -SITE PLAN 'VIEW B TIDING . WINO: M T Sweet'Mes: ❑ Approved ❑ Not Apprxrced Protected Trees: ❑ Approved ❑ Not Approved Date: Notes: