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Permit
CITY OF TIGARD MASTER PERMIT II COMMUNITY DEVELOPMENT Permit #: MST2010 -00186 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2010 Parcel: 25101 BC01900 Jurisdiction: Tigard Site address: 8335 SW HUNZIKER RD Subdivision: TIGARDIA TERRACE Lot: 3 Project: Westphal Project Description: Construct (3) separate accessory structures. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 14 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: NO Total: sf Value: $59,015.25 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 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'I 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'I 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) WESTPHAL, ED & PATRICE ECON 0 FAB BUILDINGS, INC. 1 BUP Ersn Cntrl 681 - 4444 8335 SW HUNZIKER RD 14255 SW PARMELLE TIGARD, OR 97223 GASTON, OR 97119 PHONE: 503- 781 -4217 PHONE: 503- 985 -1808 FAX: Total Fees: $1,563.41 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. A • • ' I• : : -'on la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -01 -0010 through OAR • 101-01 • r You may obtain a copy of the rules or direct questions to OUNC by calling 503.2' •.6 - :9 or 1.800 2.2344. is_ / / `I .«r _ " `' \ j r / ' % / // Issue. =y: • Perm Signature: 4i/ %/ ∎ Building Permit Application Residential 5°3 - 71? -Z- )1,17: ' 1;012 Orhlc•: IJS•: ONLY City of Tigard r.' DateBy: fo /0 A / Permit No.: �lsi�aoro 1,11 v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �/� C Phone: 503.639.4171 Fax: 503.598.1960 0 Cl 20 n Plan Re : �,�/ i I I9, i© e'er Permit: I'I Gi�RD g g I y Inspection Line: 503.639 Date Ready/By: 0, Juris: ® See Page 2 for Internet: www.ti ard - or, oV ,_ --r 9 a p Notified/Method: W L0 7 f Supplemental Information �,, _ ctrl �,- 1 .- try, W TYPE OF WORI3 -1 - " �,1�,1S1� REQUIRED DATA: 1- AND 2- FAMILY DWELLING X 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling P t- VAccessory building ❑ Commercial /industrial ❑ Multi - family Valuation: Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: J JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ' '33SS 5 r FFit j z-1 IKEZ_ kb, New dwelling area: square feet City /State /ZIP: '7) &A P0 OL % 7 22- Gazage /cla�eFLarea: i 7'J square feet N Suite/bldg. /apt. no.: My__ Project name: 1�,tt5 nom 1 L Covered porch area: square feet Cross street/directions to job site: �j, / .. yi® 7.,c I f NZ 1kE2 Deck area: square feet 1 eLO To g 33r $w' ff t,C to z4kfzdt. ao - Other structure area: square feet se REQUIRED DATA: COMMERCIAL -USE CHECKLIST Iii Subdivision: MI &A2 e3 1 A Tcp.e. 4 I Lot no.: '# 3 Permit fees* are based on the value of the work performed. Tax map/parcel no.: 2_ 1/ g� - O / C ®� Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work in.' ated on this application. a. 4e.e. f /2 , 4'I L M.) - A - g - C Valuation: $ • 0 Existing buildin: • ea: quare feet New building area: square feet r (PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Ed /) i i #► #,, fL Type of constru . '.n: r Address: / 7 A A Occupanc oups: •1/ A ' City /State /ZIP: )0047- p .C,Cn */ 7ZZ7 'sting: Phone: (j 3) 7 �� ? — Li , j 7 Fax: ( ) New: APPLICANT CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be 73 Contact name: Ed e5,4 h 44. licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / g/r y !7 yi,l / jurisdiction in which work is being performed. If the City /State /ZIP: /042 2 re _ ,, , Oi 17z,.9 appl ant is exempt from licensing, the following reasons apply: Phone: (6 i3) 7g''/ _ y Z/ 7 11 k» I Fax. : ( ) E -mail: /)) ') 3 4' -� t O!1') CONTRACTOR Business name: EeD/j.,J ,c-, A 6 Lf /L,OI /u6- i( ,D� BUILDIlVG PERMI FEES * Address: , Li ZS� S / / inpi j t 6c' 7 z4 (Please refer [o fee schedule) O /1 Structural plan review fee (or deposit): City/State /ZIP: .c p j 04 '97// Phone: (53) G/�'S 1 g. e I Fax: (97/) ZSS OZ t f O S plan review fee (if applicable): Total fees due upon application: CCB lic.: # 57 q Z _ , /1 Authorized signature: /�� This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. u Print name: J /14 ( Date: /O / -// O * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB) OCT 0 8 2010 Clean Water Services File Number B CleanWate Serv 1 1.0 -00 x 33 6 I Sensitive Area Pre - Screening Site Assessment 1. Jurisdiction: 41 71 O F 77 6-AR.O 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Go 7 '° 3 o Name: 4i //M ici 44644 75 7 ftioP 0 ,25 //R — /9 e 0 Company: Address: • /e1/ AIGJ 93P4 PL site Address: $3 3_C SG.1 /•(u.v Z.I1�E/! 4 d City, State, Zip: 1 .411ne OQ f 72 City, State, Zip: 17ere•.4-/1 !p/L y - 7 -= -z_3 _ Phone/Fax: 42 3 — 2 -7(0 419 Nearest Cross Street /AAr' $L 1,0 E -Mail: !fl k" 1153 . AO(. e° /K 4. Development Activity (check all that apply) 6. Applicant Information ❑ Addition to Single Family Residence (rooms, deck, garage) Name: Ii/4772J' ec 4.442....47701/.4.4. ❑ Lot Line Adjustment . ❑ Minor Land Partition Company: -.----' Q Residential Condominium Q Commercial Condominium Address: / f/( aAI qv, . ❑ Residential Subdivision 13 Commercial Subdivision City, State, Zip: /p44TL4.44 6te 079 l Single Lot Commercial ID Multi Lot Commercial , zZ, Other. . if ZC44S1". i� � 41./ILQlr✓6r Phone/Fax: ,Gc 2f3Z -76 4./4' E -Mail: fl km 11 34' f 44f,/ . eorx.r 6. Will the project involve any off-site work? ❑ Yes No LI Unknown Location and description of off-efte work 7. Additional comments or Information that may be needed to understand your project l Sa.2e-/ 4111491/1/ of 4 2 1NSiOZ. 1 024 d 6 P6,2scb JAL T4 S This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Pemdts, Site Development Permits, DEG 1200•C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands andlor Department of the Army COE. AU required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, admowiedges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the Information contained in tiris and to the best of my knowledge and belief, this information is true, complete, and accurate. Prtntltype Name F d We s 4404 z/ Print/Type T1tie 7GLJ/1/G� Signature Date /o //a // o FOR DISTRICT U E ONLY . ❑ Sensitive areas potentr exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRiOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report jz( may also be required. Based on review of the submitted materials and best available (formation Sensitive areas do not appear to edst on site or within 200' of the site. This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.021. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best avaiable information the above referenced project will not sgnificaniy impact t the existing or potentially sensitive area(s) found near the site. This SensBveArea Pre - Screening SteAssessrtent rises NOT eliminate the need to evaluate and protect additional wa ter quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.021. All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ Thlo Servke Provider Letter Is not valid unless CWS approved site plans) are attached. 0 The proposed activity does not meet the definition of development or the lot was platted after 919195 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PR S 0 ER LETTER I - EDUIRED. Reviewed by i.11 i, , . 4 L s/ .. u. Date 0 0 IIIIIININ 25.00 5%, i - iillst;oiu I ) :i.:;r; • 1 iillsl!oitr, 0;t , ; , .n, ( i • 'hone: i,5O3i so i -5100 • , : . (5(1 "1,) [�F;1- .:4,30 ....,..cIo . .'ic:s.uin - -. (80.16' RECORD PLAT DISTANCE) x -„-----i f ,'335 - 6. w'. Nut./ 2./ee/(4 1i1) 1 , Di 9 sir cfa 6 -76 9 hM ol _ w ul' II . 56 7I/- 1/217 cea_ 525'' ` \' a z 525 52S � � . D ° -- - -- A°, �.: R EE i E U (6) -F1f _t-eJ1 __I-0,i- utters r �. �' g 4) R W_ CCVC `5 2010 vv - I1 ( ) clowFl - CITAR' TIGARD spout s i� I-) � BUILD DiVI�` Splash 13106k5. \7 s \ EXISTING HOUSE 8336 SW HUNZIKER ST ‘: ,. f t 1 I i -2', ., ` 141 01 K! I ii . % • } \ ' evnt WINOS 'att« i' Q / I o U i . ,� TANCE) 9 b..,. , . RECORD P \ 03 , I - A T DIS i ' SIDEWALK 0 co CURBLINE S. VV HU N ZIKER ROAD ti • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: I•-( 5T aeld_Q O,' / l/ PLANNING DIVISION: Required Setbacks: Approved, ❑ Not Approved Side: .5 Street Sid: Ad/e4 Front. 4,4- Gar.:; : L Red,. Visual Clearance: rd i _ • : \`n' gnproved Maximum Buildiu :• :.:�: , /S' r, - - C' wS Serv• •'rovider Lett...* • � ; y )No .� id/7 I/ a ENGINEERIN DEPARTML Actual Tope: °/ :11 Approved ❑ N t Approved Site PI : ►. pproved of proved By: Date: 7 /O Notes: MY OF TIGARD- SITE PLAN REVIEW BUILDING PERMIT NO: Seise Wow Approyod ❑Not Approved ItMQ T� Approved ❑ Not Approved 7s .Tu 1 Dote: Notes: