Permit '. CITY OF TIGARD MASTER PERMIT
t : COMMUNITY DEVELOPMENT Permit #: MST2011 -00118
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/21/2011
TIGARD . , Parcel: 25101 DB00501
Jurisdiction: Tigard
Site address: 7505 SW CRESTVIEW ST
Subdivision: Lot:
Project: King
Project Description: Replace some joists and decking; add 50 sq ft of new deck and stairway.
CWS Service Provider Letter not required per Shirley Treat. Owner Responsibility Form to be
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: No
Total: 0 sf Value: $2,000.00 Rear: 0
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
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =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 add9 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:
KING, EDWARD A & SONYA M G IA, t.a g (L Required Items and Reports (Conditions)
7505 SW CRESTVIEW ST
PORTLAND, OR 97223
PHONE: 503- 624 -9483 PHONE:
FAX:
Total Fees: $260.29
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 do . n accordan - .ith approved plans. This permit will expire if work is not started within 180 days of issuance, or ' • is s.spended for more the 180
day.. ATTENTION: Oregon law : .uire you to follow the rules adopted by the Oregon Utility Notification C. er. odes are set forth in OAR
9 , - 001 -0010 through OAR 95 11 -01 • t. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .1987 • 1. • s I 32. 4, .
Is ued By: K. - . ((2 Permittee Signature: // /�/ /.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. r' i/
This permit card shall be kept in a conspicuous place on the job site until completion of the pr.
Approved plans are required on the job site at the time of each inspection.
I r .
Building Permit Application ' ' i
Residential FOR OFFICE USE ONLY
IN City of Tig JUL 2011 Date/By: ' ? /3 /„ i Permit NoitB-7 o / / — DO //
° 13125 SW Hall Blvd. Tigard, OR 97223 Plan Review `♦
l Other Permit:
• `- Phone: 503.718.2439 Fax: 503.598.19 0 DateB :
TIGARD Inspection Line: 503.639.417 t 1' V� �S' %tA D Date Ready/By: � VI See Page 2 for
Internet: www.tigard-or.gov BU ILDING D'�VIS ON , ified/Method: / r ti igis lirM Supplemental information
TYPE OF WORK 4 Print name: Sonya King
❑ New construction ❑ Demolition
REQUIRED DATA: 1- AND 2 - FAMILY DWELLING
❑ Addition/alteration/replacement ® Other: Permit fees* are based on the value of the work performed.
" CATEGORY,, OF CONSTRUCTION " . Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
® 1- and 2- family dwelling ❑ Commercial/industrial work indicated on this application.
❑ Accessory building ❑ Multi- family Valuation: $
❑ Master builder ❑ Other: Number of bedrooms:
. JOB SITE INFORMATION AND 'LOCATION Number of bathrooms:
Job site address: 7505 SW Crestview Street Total number of floors:
City /State /ZIP: 97223 New dwelling area: square feet
Suite/bldg. /apt. no.: I Project name: Deck Extension and stairs Garage /carport area: square feet
Cross street/directions to job site: Yarns and 76 Ave. Covered porch area: square feet
Deck area: 50 square feet
Other structure area: square feet
Subdivision: 1 Lot no.: .
Tax map /parcel no.: 2S101DBOO5OI REQUIRED DATA: COMMERCIAL -USE CHECKLIST •
Permit fees* are based on the value of the work performed.
DESCRIPTION OF WORK' Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Install additional deck and new stairs and replace some joists and decking. work indicated on this application.
Valuation: $2000
Existing building area: square feet
® PROPERTY OWNER' ' ❑ TENANT New building area: square feet
Name: Ed and Sonya King Number of stories:
Address: 7505 SW Crestview Street Type of construction:
City/State /ZIP: 97223 Occupancy groups:
Phone: (503)624 -9483 Fax: ( ) • _ , Existing:
❑ APPLICANT ONTACT PERSON ;. New: '
Business name: BUILDING PERMIT, FEES *,
Contact name: 1 6 k-74, - -, . , (Please refer lo fee schedu le)' •-
Structural plan review fee (or deposit): 6 7 , 6 .cr
Address:
FLS plan review fee (if applicable):
City /State /ZIP:
, � Total fees due upon application:
Phone: tdD v 94 -- 006, 4, Fax:: ( )
E -mail: Amount received: 6 °j ,
' P
' CONTRACTOR HOTOVOLTAIC- SOLAR.PANEL F EES*
Business name:
l � O t Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Address: Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
City /State /ZIP: Solar Installation Specialty Code checklist.
Phone: ( ) Fax: ( ) Permit Fee (includes plan review $180.00
and administrative fees):
CCB lie.: State surcharge (12% of permit fee): $21.60
Authorized signature: A Total fee due upon application: $201.60
y�%'/G% / /�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
t:\ Building \Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11 /02 /COM/WEB)
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11 1111 Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: /// — tcT //O
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A '' =•
No r /N B - vy /1.6 a /L SE in f -E /°672. - ,
Routed Plans:
Original Plan Submittal Date: 02/1/
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 *1 'LW
�1 at 503-718- c; or @ tigard or.gov)
Land Use Case No. Name ? 11J
Er Zoning 1Q 3 - 5
EKSetbacks:
Front D7 Rear t 6 Side Street Side d Garage
Er Maximum Building Height 30 Actual Building Height
E / Visual Clearance
El Easements
er Sensitive Lands Type: A.)/
Notes:
Original Plan: Approved 12r
2 Not Approved ❑ Date: 1 (1 I l
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: vo
Notes:
Original Plan: Approved /Er Not Approved ❑ Date: 7 I I 1
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Cii borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
treet Trees
DT Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: 7 -/ a °i
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 'R No ❑
Date Routed to Building:
Page 2 of 2
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