Permit I •
II p CITY OF TIGARD MASTER PERMIT
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2 ' • COMMUNITY DEVELOPMENT Permit #: MST2009 -00197
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2009
TIGARD Parcel: 25111 BB00800
Jurisdiction: Tigard
Site address: 14265 SW 100TH AVE
Subdivision: TIGARDVILLE HEIGHTS Lot: 16
Project: Birney
Project Description: Replace and enlarge existing deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 20 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 20 Detectors:
Total: sf Value: $6,000.00 Rear: 20
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! 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)
BIRNEY, JEFFREY ALL SERVICES CONTRACTORS &
14265 SW 100TH AVE HOME INSPECTORS INC
TIGARD, OR 97224 535 E MAIN ST
Yamhill, OR 97148
PHONE: PHONE: 971 - 237 -0559
FAX:
Total Fees: $239.30
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 - . _ - . • e 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. TENTION: Ore• •n law 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 • •2 -' • -01 r0. • may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.33 J 344.
Issu By: _ / L • °I i .di Perm ittee Signature:
Building Perknit Application d
Residential RECEIVED
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- City g of Tigard Permit No.:
Date /By �.1 , lt� I ZCJ�4 obl 4 1
'I 13125 SW Hall Blvd., Tigard, OR 97223 2009 Plan Review /
Phone: 503.639.4171 Fax: 503.598.116 3 0 L Received
Date /By: . f o o r Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: �i 111 Juns ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified /Method: ..,40,...„. t, Sup_� Information
I D IVISION Iffj , p' . ■ w !, . , -',1 _ 1 ►o i 617
A TYPE OF WORK t TA: I- 2- FAMILY DWELLING
4 ❑ New const ❑Demolition ' e. it fees* are .. ed 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.
t. ® 1- and 2- family dwelling El Commercial /industrial Valuation: $6000
• E 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: 14265 SW 100 Ave New dwelling area: square feet
�ty /State /ZIP: T igard OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Jeff Birney Covered porch area: square feet
Cross street/directions to job site: x of McDonald Deck area: 230 square feet
Other structure area: squaze feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: - , - - fl � e„f eliaJ l !It tte k A I Lot no.: (C Permit fees* are based on the value of the work performed.
Tax map /parcel no.: (�
� ill Bl� o 800 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.
Demo existing deck on front of house. New deck to be contstructed approx. 4' Valuation: $
wider but same length per engineering dots. Existing building area: square feet
New building area: square feet
N Ct ® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Jeffrey Birney Type of construction:
Address: 14265 SW 100 Ave Occupancy groups:
4 City/State /ZIP: Tigard, OR Existing:
Phone: (503)367 -5613 Fax: (503)620 -8675 New:
0 APPLICANT ® CONTACT PERSON NOTICE
Business name: All Services Construction 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 /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: (971) 237 -0559 Fax: : ( )
E -mail:
CONTRACTOR
Business name: All Services Coasteueliou C.„riu•c_rbe T Pori. /IJ *tCrp25 BUILDING PERMIT FEES*
Address: 535' t. r m' I t..) ,..r' / ue (Please refer to fee schedule).
Structural plan review fee (or deposit): / 8 '$9:00
City/State /ZIP: yt I. , r l.l•. 62 ' Q 7 i ti 8
Phone: (971) 237-0559 Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application: $292.00
CCB lie.: 153768
i i tit
� Amount received:
Authorized signature: ,))/-\\----------,' Th is permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: Jeffrey Birney Date: 9/3a /d , * 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)
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RECEIVED
SEP 3 0 2009
CITY OF TIGARD
BUILDING DIVISION
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: TZa( -GOt Q
PLANNING DIVISION.
Required Set ck
'r • ❑ Not .A. moved
/ Side ., _ c p
I2' From 0.0,
Visual Ciert Rear I,� _
rant : .,
Maximo,,: ??:;;!, ` ,.� N ot Approved
.. '_, r:e: , •..equrred: ❑ Yes tZINo
13,: r7 ��:,.:. .
ENGINCIritIN. " =
\'LENT:
Actual lope: /' ";o Approved
Site PI ❑Not Approved
B . 0- Approved ❑ of ' pproved
Notes: Date: () p
I
CITY OF T IGARD BUILDIN P ERMIT SITE PL
NO: � � z a.' RE V[E W
Street Trees: " 7
Protected Tr • •
Appr
8 : 40 �r � v Approved 0 Not Approved
Notes: 't ; .ro
04 Date: /D P