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Permit A • CITY OF TIGARD , �, - � II MASTER PERMIT 1111 - • COMMUNITY DEVELOPMENT Permit #: MST2011 -00164 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 10/03/2011 . Parcel: 25111 CAl2400 Jurisdiction: Tigard Site address: 9724 SW OAKS LN Subdivision: SATTLER PARK Lot: 9 Project: THOMPSON Project Description: 140 sq. ft. deck replacement and shear installation during residing (10/11/11, reprinted to correcct project description, deb) 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 $15,000.00 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 Drywell- Trench Drain 0 Other Fixtures 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 add! 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: ALT SF VB R -3 0 Owner: Contractor: THOMPSON, JONATHAN V & KRISTIN A MR MAINTENANCE LLC Required Items and Reports (Conditions) 9724 SW OAKS LN PO BOX 25267 TIGARD, OR 97224 PORTLAND, OR 97298 PHONE PHONE' 503 - 643 -9001 FAX Total Fees: $611.77 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 - 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 day ATTENTION Ore• • n law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 9 2- 001 -001 r through OAR •• •0 -0090 You may y o as copy of the rules or direct questions to OUNC by calling 503 .1987 •r 1 800 2 2344 y: Is ed B ,/ ' / U4- -, �I � r / lJc/1 Permittee Signatu v ��. _ j • ._ Call 503.639.4175 by 7:00 a.m. for the next available inspection • ate. i This permit card shall be kept in a conspicuous place on the job site until complet" • •f the project. Approved plans are required on the job site at the time of each inspe • r . � , CITY OF TIGARD MASTER PERMIT mg IL 2 •., COMMUNITY DEVELOPMENT Permit #: MST2011 -00164 Date Issued 10/03/2011 TLGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel. 2S111CAl2400 Jurisdiction: Tigard Site address 9724 SW OAKS LN Subdivision: SATTLER PARK Lot: 9 Project: THOMPSON Project Description 140 sq ft deck addition 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 $15,000 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 Drywell- Trench Drain 0 Other Fixtures 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 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. ALT SF VB R -3 0 Owner Contractor: THOMPSON, JONATHAN V & KRISTIN A MR MAINTENANCE LLC Required Items and Reports (Conditions) 9724 SW OAKS LN PO BOX 25267 TIGARD, OR 97224 PORTLAND, OR 97298 PHONE PHONE 503- 643 -9001 FAX Total Fees. $611 77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 throu h OA 9 0 -009 ou may obtain a copy of the rules or direct questions to OUNC by call2 -503 232,1987 or 1 800 332 2344 Issued By: h Permittee Signatur ✓�"' � i��� a1Y5 03.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection Building Permit Application Residential FOR OFFICE USE oNw City of Tigard (,n ,� � Receiv eiv 2,.. ��� Permit No ,......0 Vi "'VO 1fDi� - ard, 99223 q 13125 SW Hall Blvd., Ti g 3; ' ) Plan Review Q. ' Phone: 503.718 2439 Fax' S(�3 59$ 9b9Q ' �� ° Date/B �� � I 1 Other Permit T I C A R D Inspection Line 503.639.4175 N C NO Date Ready : y IZI See Page 2 for Internet: www.tigard-or gov c5 �� Notified/Method ,r. �� �� Supplemental Information e0 .rla 7P. ZOJ . , . TYPE OF WORK. 4,4' / ' )1 UIRED DATA:.1- AND 2- FAMILY DWELLING v ❑ 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. .51- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 15 CO O ❑ Accessory building ❑ Multi- family Number of bedrooms: L f ❑ Master builder ❑ Other: Number of bathrooms: a 1/ Z JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: / - 7z/4 , (-,_) 014 4 S . / t_J New dwelling area: square feet City /State /ZIP: Tr- A ©E_ , 7 ZZ (--/ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: _to i9 Qy) Covered porch area square feet Cross street/directions to job site: cr t _ Deck area: 14° 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. Tax map /parcel no.: 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. 2& 1)/ _ _ G C 0-, K A ile^^ I s Gf ny� Valuation: $ Existing building area square feet G New building area. square feet ,PROPERTY OWNER ❑ TENANT Number of stories: Name: 3o iv 4 +t16, ,) IT-fl) A419oko Type of construction: Address: c1 7 Z 1-I C t'J 014 --k.S L) Occupancy groups: City /State /ZIP: `re!' ,-J--(4/412,6 0 - Ot '7 2,7-- y Existing: Phone: (cjS ) 70S 5 6./41 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 4- v" t ‘ /1- 6o ✓E Structural plan review fee (or deposit). Contact name: FLS plan review fee (if applicable): Address: Total fees due upon application• 1 f- (f' -1 � City /State /ZIP: Phone: ( ) I Fax:: ( ) Amount received: Ic - E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 1 D CONTRACTOR Comm- cial and residential prescriptive installation of roof -top nted Photo Voltaic Solar Panel Syste p+ Business name: �� Z L � Submit two (2 of roof plan with connec,' details and fire department :: _-ss, along with • 010 Oregon Address: Pr) 8 a Z l z. 6 7 Solar Installation S.ecia erode ch: ist. City /State /ZIP: �fyQ TG ��la D GJ Permit Fee (includes pla $180.00 and admini -•:Sve fee-"Ill Phone: (.b3) e t- ray Fax: ( ) / / State surcharge /o of permit fee): $21.60 CCB lie.: �i i /� Or- T. al fee due upon application: $201.60 Authorized signature: f J This permit application expires if a permit is not obtained panTN �OW(►os &k within 180 days after it has been accepted as complete. Print name: v � � Date: ' d 1/ * Fee methodology set by Tri- County Building Industry Service Board. L \Building\Pe 4113 UP- RESPermitApp.doc 02/24/2011 440 , 613 (11/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling . , FOR OFFICE USE ONLY" City of Tigard Received Permit No Er 13125 SW Hall Blvd , Tigard, OR 97223 Date/By Phone: 503.718 2439 Fax 503 598 1960 Received permits: TIGARD 24- Hour Inspection Line 503.639.4175 El Electncal ❑Plumbing ❑Mechanical Internet. www ttgard -or gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED ,FOR PLAN 'REVIEW Yes N° N7 I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and /or any beam /joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oreton and shall be shown to be applicable to the .ro under review. JURISDICTIONAL SPECIFICS . ` r. l ( ' 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ _ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1,A Building \Permits \BUP RESPermitApp doc 02/24/2011 440- 4613T(11/02/COM /WEB) III Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: X$7 /4 — LX) /(o y CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑ Cic f C--- 145//, a, Routed Plans: Original Plan Submittal Date: 1/21// , - 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. i Planning Review (contact S R�r at 503 - 718 - a'`FSI or @ tigard- or.gov) Lard Use Cas�)o. ' Name 0-10Q, 0 Zoning d Setbacks: �/ r 1 Front 13 Rear I Side S Street Side / Garage (:)- or Maximum Building Height 335 Actual Building Height ® Visual Clearance EY Easements ism P , r , v ACCESS KG+ J T O Sensitive Lands Type: Notes: Original Plan: Approved 421 2 Not Approved ❑ Date: 6,147( 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: S Notes: Original Plan: Approved�� Not Approved ❑ Date: .2 " 1 ( ‘1 ( Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page .1 of 2 City Qrborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- or.gov) Eli Trees Gill Protected Trees Notes: Original Plan: Approved 0 Not Approved ❑ Date: 9 "- - -d- / 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 Ap. /cant Okay to Issue Permit: Yes' No ❑ Date Routed to Building: '10 Page 2 of 2 RECEIVED _ • I L 4 ED /y� S E P 27 2011 ' STc) U U — co ( G i-1 n iC _ V u (T ur t ;‘,..741-k u E u � e Clean Water $erviceaONumbeN i S E F' 2 6 2 0 11 C \' Services i l'O °1 `5 _ S: nsitive Area Pre - Screening Site Assessment 1. Jurisdictio v o " T ' 1 j t • 2 Property Information (example 1S234AB01400) 3. Owner information• --�f ' Tax lot ID(s): Name: ._.4 t`) Gvn/A�• / . tz/ ', j0- Company: � Q J Address: C Site Address: / 7 2- t g O/-x.5 Gar" City, State, Zip: City, State, Zip: \'r-r- 17 22 1 Phone /Fax: Nearest Cross Street: 7c711nr' E -Mail: 4. Development Activity (check all that apply) 5. Applicant IInnJormation : i ( Addition to Single Family Residence (rooms, . garage) Name: 1"'(' \ J C/ 'N✓ 1 6 0 4_3 C _ o Lot Line Adjustment ® Minor Lan. • artition Company: A/1 pt 1 A /4 dT -4` w ^^ t' • Residential Condominium Commercial Condominium ® Address: '7 1 .-,. LS -.a'7 111 Residential Subdivision 0 Commercial Subdivision ��^ 0 Single Lot Commercial 0 Multi Lot Commercial City, State, Zip;'�U G� j r I Z � d Other /�1 ,� Phone /Fax: !TITS ,g - e. ) 7 t�.lf '5 .s /4l S `t ' - E -Mail: i/ A f 4/7 1 ` I r ` `4- 6. Will the project involve any off -site work? El Yes-E 0 Unknown Location and description of off -site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as Issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All 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, acknowledges 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'nformatjon cont ined in this document, and to the best of my knowledge and belief, this Information is true, complete, and accurate. Print/Type Name tt �� ) ' � � S ar - � " Print/Type Title CM-T1 17)4 1- `.77- " --- - Signature 41 -, IMF Date iff FOR DIST CT USE ONLY ❑ Sensitive areas potentially 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 may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist 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 3.02.1. All required permits and • 4 approvals must be obtained and completed under applicable local, State, and federal law, Based on review of the submitted materials and best available information the above referenced project will not significantly Impact the existing or potentially sensitive area(s) found near the site, This SensitiveArea Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional 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 3,02.1. All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2), NO SITE ASSESSMENT OR SERVICE PRO I' R LETTER IS REQ IRED, --.,,, Reviewed by , • „ • 'mli, ,. . Date 2 I .i ii�i 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • Phone: (503) 681 -510D • Fax (503) 681 -4439 • www.cleanwaterservices org REC SEP 2 3 2511 GI `r° OF TIGPR BOLDING OIVISi ,1 , _1.... _ __IL -- _ n _el_ _ I • i • _ 4,,. it . 1 1 ,,........„.....,,,.___==_=,......,....„...„...„.______ .____„-, .i. _100 , , , , ____,_____ . . 5c2u l--1 t.. 2 E LIter v4 = l! c 1 7 1 Le / /tom ,c c Li , « 7 41, t . 54,C, ' ! 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