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Permit , CITY OF TIGARD MASTER PERMIT I N .: C OMMUNITY DEVELOPMENT P ft: MST2011 -00169 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 10/13/2011 Parcel: 1S134CB03700 Jurisdiction: Tigard Site address: 12510 SW SUMMER CREST DR Subdivision: SUMMER HILLS PARK Lot: 35 Project: Seaver Project Description: Addition to rear of home, expanding covered porch to create dining room and expand and enclose front entry BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 0 First 285 sf Basement 0 sf Left 0 Parking Spaces 0 Height 21.5 Bathrooms 0 Second 359 sf Garage 0 sf Front 0 Smoke Dwelling Units 1 Third 0 sf Right 0 Detectors Yes Total 644 sf Value $65,623 60 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 Bckfiw 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'l 500 sf 0 201 -400 amp 0 201 -400 amp 0 W/O Svc/Fdr 7 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: ADD SF VB R -3 644 Owner: Contractor: SEAVER, DEBORA OWNER Required Items and Reports (Conditions) 12510 SW SUMMER CREST DR PORTLAND, OR 97223 PHONE 951- 231 -3157 PHONE. FAX Total Fees: $2,352.65 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 through 0' : 952- 001 -0090. You may obtain a copy of the rule questions to OUNC by calling 503 232 1987 or 1 800 332 2344 D� Issued Bye _i _7_, / sue •ermittee Signatur • /4t/ ( ,2 Call 503 ablette :00 a.m. for the next available nspection e. This permit card shall be ept in a conspicuous place on the job sit un ' mpleti of the project. Approved plans are required on the job site at the time of each inspection. building Permit Application Residential � p� �J FOR OFFICE USE ONL ' City of Tigard .jam Q E J Q Dat / £/ Permit No' r / yr(jthQ /c U 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review g Phone 503.718 2439 Fax 503 598 1960 SEP 2 9 Date/ : /f�ji �j Other Permit. T I G A R D Inspection Line 503 639.4175 2 0 11 Date Read. s y. •�. El See Page 2 for Internet: www.tigard -or go' CI Nottfed/Method1 r Supplemental Information BuI1 p vajjGARn % . n, sr� �, � , • 'V , r", a'ao { _ "'�", ' �. ns •, (. G - TYPEOF.WORK' '� • c Df'l!ISI , Q � - " _ err', REQUIRED 1AND"2= FAMILYW �r,;^ ,..�.�..�tV`,. .m,`� .,. w, a•,: � �.•,. <., °et, ^' _.... xaa^� °�r� °*� - ._ ' D "�'w.w.- ,.� -:�•.. ❑ 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 OF " , �,r,- s work indicated on thus a ^, � .., gym. ,_.° PP lication �,,, ..• -�; . k •,F CA'TEGORI'; -OF pCUIVSTRITCTION �9- "�`'��, ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: �, 2_ O ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms' INFORMATION : INFORIVIATION : °.�.A1VD�LOCA1?ION Total number of floors '`: r<� "`� ^. Job site address: 12510 SW Summer Crest Drive New dwellmg area. square feet City/State /ZIP' Tigard, Oregon 97223 Garage/carport area: square feet Suite/bldg. /apt. no: Project name Remodel Addition Covered porch area: uare feet� Cross street/directions to job site. 121st Deck area: square feet�j� 217 to Scholls ferry (W) to 121 (S) to Summer Crest (W) 2.5 blocks on L Other structure area: square feet N-_�, N 1,- '�- .- F & ,. w.,- > `o -' iX k•.� ''yN •p ' v �.. y a- , • f REQUIRED;'. DA_ TA' �; COIVIMERCIAi := USECI3ECKL`IST,,z� Subdivision: Summer Place Lot no.: 35 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 ss- s , - ,c' .�+ ,aro- . a.a ., �„ v &. ^`nr . , ,.-. ,s „' - P - DESCRIPTION° W '�'' :3 . -* v work indicated on this application Addition to rear of home on NW corner to expand covered porch to make dining rrr' Valuation: $ Close in and expand front porch entry to develop mud room Existing buildmg area: square feet New building area: square feet y° 1— 5,. =r.' av ... .:y„ �ti -_ ; � s *%s „ ;?, ";�_�'r. •._ - x^ fi._ ° _ w a' �`��'•. ® >PROPERTY.�OW,NER �� , �, `” ' � � "w., •.�� ® "TENANT „� -�' �' �y� fir, Number of stories. 7s"., t, �• :r�'j ,.fi',�,+`- `�.. ^:..,' °t�^"1' h: a!”- „n^' = ':»,� „ e'Jw:'.. , -_a �'; ,c. ^ =. -. .,.,'na�': ��:o Name: Bonnie Reynolds Type of construction: Address: 12510 SW Summer Crest Drive Occupancy groups: City /State /ZIP: Tigard, OR 97223 Existing: Phone (951)231 -3157 Fax. ( ) New: \ ?;'.:.i,';"r a •; 4 r �;.- ;; •. :,.•ar'v„' °;'•.. �ti;,a... ;�;, t �^ >•e.' -�•ws, - e ►1 APPI;IGA,NTr;�'`i.,- ;�;� � „` ,® - GONTr1CT.,PERSCIN,, ;� h � - ? 'w�'� ��k� FEES ���'? -.. s •?st �� , .`•tire " �a >.;. ,. .>at. _•ae,, a'`, ralwtr'` � Vin, � „+„�"� e -•. a.� -, -. ..� : -n h.. , <f,� rA,F '�t't'„T. ..i €r ^R ;'pis ^�`�;;% °` ^'(Please refer to fee schedule) Business name: Bonnie Reynolds Estate Structural plan review fee (or deposit): Contact name: Debora Seaver (Daughter I caregiver/ POA)/ FLS plan review fee if applicable): Address: 12510 SW Summer Crest Drive City/State /ZIP Tigard, Oregon 97223 Total fees due upon application: Phone: (951) 237 -0507 Fax' ' ( ) Amount received. / d . E -mail ddseaver @conadserv.com PHOTOVOLTAIC'SOLAR PANEU$YSTEM FEES �',°rR. « fit a= „rdH: °y. 1✓' "asF -i , .,•,,,- I = -` ;w -, - - - .•.3: :� • :, � , �,n >.,, � - �, . = Commercial and residential prescriptive installation of v • t .' kCONT R 'r = sRACTO_” .r ; ",, s = a,, . �� � t �k '� � ? � y *�,aFt ' Q �'�: `l� roof -t+ . mounted Photovoltaic Solar Panel System. Business name: Self perform t I ' N f (d Submii . o (2) sets of roof plan with connection details and fire dep..�i ent access, along with the 2010 9 Address: Solar Installaho .ecialty Code ch- Permit Fee (inc . s • review City/State /ZIP. $180.00 and . t. i s' :- ve fees): Phone' ( ) Fax: ( ) S : -« c arge (12% of permit $21.60 CCB lic Total fee due upon application: $201.60 Authorized signature. / This permit application expires if a permit is no obtained / , / /� � within 180 days after it has been accepted as complete. * Fee methodology Print name: Debora Se set by Tn County Budding Industry ver Date' 9 -29 -2011 Service Board I:\ Bu tlding\Permits\BUP- RESPermitApp doe 02/24/2011 440- 4613T(1 l /02 /COM[WEB) Jlectrical Permit Appli'caltion ;R f r).- , \, FOR OFFICE r s O Ni -a R eceived /t / ,�� ` �g lig City of Tigard 9 ®/ ��. �� Permit No 7 e 13125 SW Hall Blvd , Tigard M097•223) i- Date /Bv v y r °t ' ? % } , ; Plan Review Other Permit Phone 503.718 2439 Fax 598 1960 "-- Date /By TI G A R D, Inspection Line 503 4 - 17S•.: F r Date Ready/By. lures ® See Page 2 for , w Internet ww tigard -pr gt t � yy+ -rr i I Notified/Method Supplemental Information IR 11 1 VA TYPE OF WORK "r" .li PLAN REVIEW . ❑ New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w/items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other' where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi - family ❑ Master builder ❑ Other. ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system ���J � ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address (A5/0 ) H m e... w'' 1001-1P or more occupancy ( ❑ Six or more residential units ❑ Recreational vehicle parks City /State /ZIP: ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg /apt no . Project name: ----6 00L7)tS ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site Description I Qty I Fee I Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision. Lot no 1,000 sq ft or less 168.54 4 Ea add'! 500 sq ft or portion 33 92 1 Tax map /parcel no.. Limited energy, residential 75 00 2 DESCRIPTION OF WORK (with above sq ft ) L � 1 Limited energy, multi- family 75 00 2 /in/ ki- 41 2 7 )/ 06 N 14�P 5- residential (with above sq ft ) f �" /` ,/ Services or feeders installation, alteration, and /or relocation 200 amps or less 100 70 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 2 401 amps to 600 amps 200 34 2 Name: 13 /34 E e ¢ yon_t g 601 amps to 1,000 amps 301 04 2 Address t A5-10 sw Au ray f 2 02ty r w • Over 1,000 amps or volts 552 26 2 /State /ZIP' Temporary services or feeders installation, alteration, and /or Ci ° s AQ.� l 0 2 q '7A.2 3 relocation Phone: (9 67 ) a 37- 05-07 Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, re or ex huge, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 168 54 2 � Branch circuits — new, alteration, or extension, per panel Owner si ature: w ` /�lY�L l Date: /O' /3 A Fee for branch circuits with PLI t ANT ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B Fee for branch circuits without service or feeder fee, first I 56 18 2 Contact name: branch circuit Each add'I branch circuit d„ 7 42 2 Address: Miscellaneous (service or feeder not included) included) City /State /ZIP. Each manufactured or modular 67 84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67 84 2 Pump or irrigation circle 67 84 2 E - mail Sign or outline lighting 67 84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: 060 N "2.. panel, alteration, or extension Page 2 2 Each additional inspection over allowable in any of the above Address. Additional inspection (1 hr min) 66 25/ hr City / State /ZIP' Investigation (1 hr min) 66 25/ hr Industrial plant (1 hr mm) 78 18/ hr Phone' ( ) Fax: ( ) Inspections for which no fee is 90 00/ hr specifically listed (% hr min) CCB Lic.: Electrical Lic.. Suprv. Lie: ELECTRICAL PERMIT FEES Supry Electrician signature, required. Subtotal Plan review (25% of permit fee) Print name Date: State surcharge (12% of permit fee) TOTAL PERMIT FEE. Authorized signature: This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Print name' Date. * Number of inspections allowed per permit I \Building\Permits\ELC- PermitApp doe 07/01/10 440- 4615T(11 /05 /COM/IVEB - - - RELIVED 20' SEP 2 9 2011 N CITY OF TIGARD B UILDING DIVISION PROPOSED j APPROX. 232' TO 2- STORY REAR PROP LINE ADDITION ////l// 1 OWNER / PROJECT MANAGE TO VERIFY SETBACK N O T E COMPLIANCE EX ISTING TI-IE INFORMATION PROVIDED SINGLE FAMILY FOR TI-115 SITE PLAN WAS RESIDENCE ACQUIRED FROM TI-I I RD PARTY / R E S O U R C E S A N D S U B J E C T T O VERIFICATION PROPOSED ENTRY REMODEL / ADD 'N / \ ..../...**\ 7' F A T 14L // S PL N [_ SCALE:I /16 " =1' -0" i LE DESCIRIPTION 1215 S.W. SUMMER CRE ST,PORTL AND 9122 SUMMER HILLS PARK, LOT 35,ACRES .53 MAP / T A X LOT : 1 5 1 3 4 C B/ 0 3 T 0 0 WASHINGTON COUNTY, OREGON 1, B uilding Division Development Code Provision Review TtGARD Residential Projects Building Permit No: M yT o90 It-Co t .o I /q� CWS Service Provider Letter Received: No N/A ❑ J1#- .0 a I"' Routed Plans: ���` Original Plan Submittal Date: 9 l � (/, 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 alon left only if a approved. Plannin Review (contact ri �j G / e f 1414,01 at 503 -718- Z @tigard-or.gov) Land Use Case No. Name S 4' © - Zoning Q -Y•S GL-Setbacks: Front 2-0 Rear I r Side f Street Side / 5 Garage B- 'Maximum Building Height 30 Actual Building Height Z/ Er Visual Clearance Q' Easements GA/Sensitive Lands Type: Notes: Original Plan: Approved Not Approved ❑ Date: Pi / f / 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: I Z cy Notes: f Original Plan: Approved$ Not Approved ❑ Date: __I Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City A Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) © Trees © / / Protected Trees Notes: • Ori nal Plan: A roved . , Not A roved ❑ Date: U 3 11 bn Pp pP 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 w . . Date Routed to Building: / . i Page 2 of 2 J ..' { a i - Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing per mits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I: I will be performing work on property I own, a residence that I reside in, or a residence that I w ill reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this hom eowner statement is true and accurate. --i-iAk.u.4 LI fr_..,„, if_se....., Pr Name f ermitA•plicant i 0 -cam y Z� /7a 0 Sign r of Permit Applicant Permit #: )-1 t 'o I (06 I asto 4 . rr�rf2 . 5 r - W - Address: : r Ole. g7a.9..3 , ,- -. -6-,-;.-q Issued by: 6,1 - Date: 10/13// ( tr` This Copy for Permit Offices ,% • • CleanWater Services October 07, 2011 Expires: October 6, 2013 DEBORA & JOHN SEAVER 12510 SW SUMMER CREST DRIVE TIGARD OR 97223 RE: 133 SF Addition onto House CWS file 11- 003990 (Tax map 1S134CB Tax lot 03700) Clean Water Services has received your Sensitive Area Certification 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. District standards require that the Vegetated Corridor shall be enhanced. Enhancement shall include scraping away and filling of ruts caused by vehicles, seeding all bare ground with native plant seed, and planting a combination of native shrubs and trees. See attached planting plan. 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 Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at (503) 681 -3639. Sincerely, 7_4 Laurie Harris Environmental Plan Review Attachments (2) 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • cleanwaterservices.org 7p e Cpl ` ' j PROPOSED ` REAR PROP LINE ADD ON -- OWNER / PROJECT MANAGE TO VERIFY SETBACK COMPLIANCE N O T E : EXISTING I THE INFORMATION PROVIDED SINGLE FAMILY FOR THIS SITE PLAN WAS i ACQUIRED FROM THIRD PARTY RESIDENCE RESOURCES AND SUBJECT TO VERIFICATION PROPOSED ENTRY —,� REMODEL / ADD'N ' _ r c SST �N �,,/'�t .4■•'''.°°\ . PARTIAL 17 A a '' . � 1' .(A).5 Fie, j'f . Il_OZ, 360o ./ '� Approved N Ej SC VI6 = I' -o" '' Clean Water Services /� - e vi v 1vrh 144 e - ( p tttvt vet 1 2a2 - BY i,-14/44-- Date i'q /1-4( ■ LEGAL DESC IFTION 12150 S.W. SUMMER GREST,PORTL AND 9122 � SUMMER HILLS PARK, LOT 35,ACRES .83 /� ' MAP /TAX LOT: 15I34GB /03 r WASHINGTON COUNTY, OREGON' . v. • .".-2.*: :11:1: . ' _ s .1.r'- "1 milli fl ' 1 ' 4-' 'lc. ' ' ' : . 8' ' ' . ,.: 41' . . ::::. - . * ., >! cl ,r :, i.„. A 5 ! -.r"i - @. • 4, - t i a f \ • ► ��3F \ .. , . rf D TE = 1evvtvt `(arz Approximate 50 foot Vegetated Corridor Boundary* .4e/6i/is fyv''v' V }e -_ , Approximate Sensitive Area Boundary* C�3Yr� r�u`r,if s Au-0,A/ Yewuc? . * Boundaries identified from aerial photograph Enhancement Area (approx. 400 s.f.): 20 native shrubs and 4 native trees Recommended shrubs: Scouler willow (Salix scouleriana) Red -osier dogwood (Cornus sericea) y Clustered rose (Rosa pisocarpa) L (spy Douglas spiraea (Spiraea douglasii) CIS Fie /. i1 -6D 3 '?'?C Approved Recommended trees Clean Water Se ICs l 7 Pacific crabapple (Malus fusca) 244,U 1vrytiV(E By wyt ei Date / a it Sitka willow (Salix sitchensis) Pacific willow (Salix lasiandra) 5PG A 4weG> - 2 C12 Douglas hawthorne (Crataegus douglasii) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 12510 SW SUMMER CREST DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 2013-11-07 00:00:00 MST2011-00169 PASS - No C of O Violation Summary: Inspector Contractor