Permit CITY OF TIGARD MASTER PERMIT
11114 = w . w
1. COMMUNITY DEVELOPMENT Permit #: MST2011 00123
13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 08/05/2011
TIGARD 13125 1S125DB11200
Jurisdiction: Tigard
Site address: 7460 SW ELMWOOD ST
Subdivision: Lot:
Project: Fox
Project Description: Replace existing deck with same.
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: $3,238.00 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
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-ramp/volt 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
asin N
Other: N Other Description: Ecom P g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
FOX, BRUCE J /MARTHA J RICK'S CUSTOM FENCING & DECKING INC Required Items and Reports (Conditions)
7460 SW ELMWOOD ST 4543 SW TV HWY #A
PORTLAND, OR 97223 HILLSBORO, OR 97183
PHONE: 503 - 245 -0772 PHONE: 541 - 648 -7830
FAX:
Total Fees: $314.63
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are t forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may ob . - • • o • - • - -ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ `_ �
Issued : 441 . 1111-
-.- / % - —'/ Permittee Signature: 3_...,---.:s.--.. kr
Call 503 jf .y 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application -. a /'� ire, K__*--
Residential RECEIVED 1 OR OFFR E 1 SF O' 1.\
City of Tigard RDaTeZed, 7 me mil Permit No.: ` ��0/ %inv!1 Other
• Phhone: 503.639.4171 T Fax: 03.98 11 L 2 2 2 011 P D�e/B . s�t ' •�1 �1�i Permit:
� - : ` _ r D Inspection Line: 503.639 CITY OF 11GARD Hare Read a kris: ® See Page 2 for
Internet: www.tigard- or.gov Notifie dlMethod : 3 - 7 I� Supplemental Information
BUILDING DIVISION 4 a4 it y .4.4/-4.
TYPE OF WORK REQUIRED ATA: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. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
fia 1- and 2- family dwelling ❑ Commercialfmdustrial
Valuation: $ S 2 3 3 8 , u d
❑ 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: 7q6° Q v im' L) + t'1lA I,) -c %-k- New dwelling area: square feet
City/State/ZiP: I (5 t - ci-7 �� Garage/carport area: square feet
Suite/bldg./apt. no.: 1 Project name: Covered porch area: square feet
Cross street/directions to job site: 7 1+IA b y I: Deck area: 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.
IR.Y1'LE �s p,c.�c_ `e-.S .% ';'D 0VC1`C— Valuation: S
J Existing building area: square feet
New building area: square feet
SI PROPERTY OWNER ' ❑ TENANT Number of stories:
Name: {u L_e_ F-- x Type of construction:
Address: 7 Y( ) 5 W E 1 m l�seitz& c't Occupancy groups:
City/State/ZIP: 'C C , A sr 9[7 22-3 Existing:
Phone: (6t?,) ,V - O 7? Fax: ( ) New
Et APPLICANT ❑ CONTACT PERSON NOTICE
Business name: j_ L F� A , '- 0 e �c �✓t3 All contractors and subcontractors are required to be
Contact name: ��� licensed with the Oregon Construction Contractors Board
r e , under ORS 701 and may be required to be licensed in the
Address: t. f 5q -a S G T■( 1/45 )� t �� jurisdiction in which work is being performed. If the
Fi \ ✓'u o�� 7�
applicant is exempt from licensing, the following reasons
Crty/StatelL)P
�i /zs
P h o n e : ( 5 5 6 3 ) ( v hi 3 54 3L.1 I Fax: : ( g t ; 3 ) ( K y-" ( c ( 7
E -mail:
CONTRACTOR
Business name: Ck,c_ (— C' v r yti ' - V __C_IS �'ic.1 BUILDING PERMIT FEES*
Address: N 5 U 3 5 /= T v 1-1- c �l� (.N.\.) J (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP: 4., ik 7 ZS r ? 712 -
Phone: (* ob, ctk3 L( I Fax: (5' 03) 6 ^ C9 3"C7 FLS plan review fee (if applicable):
CCB lic.• by-t gs— _ Total fees due upon application:
(� Amount received: A '7, `'f 5.
Authorized signature: , 2 b- 4 _ 1\ \ I This permit application expires if a permit is not obtained
( 1 VCk1� within 180 days after it has been accepted as complete.
Print name; n �`' ^ l� �c-\\ 1 Date: 7 _ 1 ( I + Fee methodology set by Tri- County Building Industry
" Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: H O1 t —O l e`
CWS Service Provider Letter Received: Yes ❑ No ❑ N /A,
Routed Plans:
Original Plan Submittal Date: 7 ' (//
1st Revision Submittal Date: ❑ Site Plan Only
2 °d 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 at 503-718- Wg or Sir @tigard - or.gov)
Land Use Case No. / Name __4 O
❑ Zoning 24, C, •
❑ Setbacks: /
Front v-' Rear / 5 Side S Street Side ( Garage
❑ Maximum Building Height .W) Actual Building Height
Visual Clearance
❑ Easements r' ! i
Sensitive Lands Type: i0
Notes:
Original Plan: Approved Q Not Approved ❑ Date: /10 I I
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: 7
Notes:
Original Plan: Approved 4. Not Approved ❑ Date: 2, 6 I (
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
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City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
❑ Street Trees r
❑ Protected Trees pia
Notes:
Original Plan: Approved ,k Not Approved ❑ Date: Z q( «l_%
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 N ❑ i
Date Routed to Building: ((
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