Permit CITY OF TIGARD MASTER PERMIT
'' 2 COMMUNITY DEVELOPMENT Permit #: MST2011 -00031
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2011
Parcel: 2S115AD00600
Jurisdiction: Tigard
Site address: 16740 SW 108TH AVE
Subdivision: WILLOW BROOK FARM Lot: 30
Project: Hackett
Project Description: Exterior upper level deck removal and new upper level deck installed, with new stairs to lower
level concrete walk way.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 of Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $10,000.00 Rear: 15
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
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: 0 201 -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:
OTR SF VB R -3 0
Owner: Contractor:
HACKETT, JULIE A & BRUCE E SUNSET BUILDERS LLC Required Items and Reports (Conditions)
16740 SW 108TH AVE 16552 SW SUNSET BLVD.
TIGARD, OR 97224 SHERWOOD, OR 97140
PHONE: 503 - 995 -9392 PHONE: 503 -425 -9934
FAX: 503 - 625 -9273
Total Fees: $479.67
This •- •• ' - ued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applica• e aw. All work will
b= done in accordan with appr• -d plans. This permit will expire if work is not started within 180 days of issuanc if work is susp ie for more the 180
•ays. ATTENTION: Oregi)• -w re uires you to follow the rules adopted by the Oregon Utility Notification e-, - i . Tho rul j ar= set forth in OAR
:52 -001 -0010 hrough OAR • '- 001 -0. • i . •u may obtain a copy of the rules or direct questions to OUNC by calling 50 440 uj :7 or 1.8 . "•44
Is ed By: _ �_ . ,�:+i Permittee Signature: 1 /_..,Ci. : / r r E! , //_ �;(od
Call 503.639.4175 by 7:00 a.m. for the next available inspe • �
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each 1 pection.
Building Permit Application
Residential RECEIVED ‚Ott t ) 1 I 1( 1.1.1
City of Tigard - ,
�► � Permit N s /
• 131 R eceived SW Hall Blvd., Tigard, OR 97223 FEB 2 2 2011 Date /B view 0•?2 / o.:�5� / it t?��"l1 pc'
Plan R
1 11 s/
503.639.4171 Fax: 503.598.1960 Date/By: ! i. , / 31 Other Permit:
- T — ®
�. GAR D w Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: l 7uris: , See Page 2 for
I
Internet: ww.tigard or.gov BUILDING DIVISION Notified/Method: �/ / C/78 �7 Cr Supplemental Information
rr
Cal , SpeVe kin' Q+ Ct;(
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
❑ Addition/alteration/replacement Other: E z e,t equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applicaf
. gr1- and 2- family dwelling ❑ Commercial/industrial
Valuation: " C O6/
❑ 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: /6/J ) /gg / 51 i /F ... New dwelling area: square feet
City/State /ZIP: '7 De Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: tE71*-, , Covered porch area: square feet
Cross street/directions to job site: Deck area: r� /,,;2„ square feet
Other structure area: square feet
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.
EaC7 kibk , 1)Fcit iC E z 1.E Valuation: $
iAl !/ ,0y t ,c'. E72. t- 1/'E L.— Existing building area: square feet
New building area: square feet
PROPERTY OWNER - I ❑ TENANT Number of stories:
Name: • A* Type of construction:
Address: /6 ; e, jl 4�. E Occupancy groups:
City/State /ZIP: 7 ,- f ., 00 ,.., `�AC Existing:
Phone: ( j 9 9.�- p 3 rZ Fax: ( ) New:
�i —J APPLICANT CONTACT PERSON NOTICE
Business name: syA/S.+ f - lees LL- All contractors and subcontractors are required to be
Contact name: ex ,9
I licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / z �' x/56/ � jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
�
City/State /ZIP: - � ��l ?five q apply:
Phone: 0 1e z.6 � ` r / / Fax: : &/al - & 927, ?
E-mail: � E f-- 4i i - //E' Q 0,// • Gfo/j7
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State /ZIP: oiliff Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: /62. ?6 7 /' dV/_3 Total fees due upon application: `y6 , 77
Amount received: /YID 77
Authorized signature:
This permit application expires if a permit is not obtained
Date: within 180 days after it has been accepted as complet
Print name:
/ A �� 1, * Fee methodology set by Tri- County Building Indus
Service Board
I: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 613T(1 02 /COM/WEB)
Building Division
Development Code Provision Review
T i G n ti Residential Projects
Building Permit No: /1Si o .0003/
CWS Service Provider Letter Received: Yes g No ❑ N/A ❑
Routed Plans:
Original Plan Submittal Date: a,�. ///
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (■) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact Xr O h t fe fa - w.c r) at 503 -718 - t Y S'Z or kr6.1 , a @tigard - or.gov)
Land Use Case No. Name
Er Zoning Q - y.5
00—Setbacks:
Front 2.0 Rear 1 Side / Street Side /0 Garage ZV
Maximum Building Height .3 D Actual Building Height I✓ /A
C -
, V Visual Clearance
W Easements
C- Sensitive Lands Type: 6 04 f 5 S • /,1 , C J .. plc ,44) h
Notes: D errs 1 y - NWT .:1 34 s, tr J a+ iCt la el4A4 •
Original Plan: Approved LB Not Approved ❑ Date: 2j2 /1/
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review ontact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov)
C� Actual Slope:
Notes: ! t1/4) tA)ti 4 - - _ J 5 72a Td541
Original Plan: Approved ,r Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 - 2700 or todd @tigard - or.gov)
❑ Street Trees
❑ Protected Trees
Notes: Vo '` �,� a^c e D/3 4 � } ) CV'
Original Plan: Approved Er Approved ❑ Date: 41,91 O
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes No •
Date Routed to Building:
Page 2 of 2
CleanWater Services
RECEIVED
MAR —3 ?oil
CITY OF TIGARD
February 25, 2011 BUILDING DIVISION
SUNSET BUILDERS, LLC
16552 SW SUNSET BLVD
SHERWOOD, OR 97140
RE: CWS file 11- 000352 (Tax map 2S115AD Tax lot 00600)
Deck replacement/expansion
Clean Water Services has received your Sensitive Area Pre- Screening Site
Assessment for the above referenced site. District staff has reviewed the
submitted materials including site conditions and the description of your project.
Staff concurs that the above referenced project will not significantly impact the
existing Sensitive Areas found near the site. In light of this result, this document
will serve as your Service Provider letter as required by Resolution and Order 07-
20, Section 3.02.1. All required permits and approvals must be obtained and
completed under applicable local, state, and federal law.
This letter does NOT eliminate the need to protect additional Sensitive Areas if
they are subsequently identified on your site.
Clean Water Services recommends that the property owner continue to remove
invasive plant species and plant native plant species within the Vegetated
Corridor. The property owner is eligible to receive 20 free plants from Clean
Water Services. The Property Owner Plant Request Form is attached.
If you have any questions, please feel free to call me at (503) 681 -3639.
Sincerely,
i .
re
Laurie Harris
Environmental Plan Review
Attachment (1)
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123
Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • cleanwaterservices.org
IA 21
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1 N OoNCEAtEp L.-NVE
1- q. H kV, SYNTHESIS DESIGN
Custom Homes • Additions • Remodels • Furniture
Andrew McNie • Phone: 503.977.5174 • Fax: 503.977.5179
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RECEIVED
FEB 222011
f CITY OF TIGARD
BUILDING DIVISION
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