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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2005 -00276 X1 il DEVELOPMENT SERVICES DATE ISSUED: 7/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102CA -00400 SITE ADDRESS: 09750 SW FREWING ST ZONING: SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 018 JURISDICTION: TIG Project Description: 512 square foot in- ground swimming pool w /safety cover. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: POOL : sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,000.00 Owner: Contractor: JULIE EGGERT BLUE MOUNTAIN POOLS 9750 SW FREWING 14235 SE STEELE TIGARD, OR 97223 PORTLAND, OR 97236 Phone: 503 - 684 -7026 Phone: 503 - 760 -4554 FEES Reg #: LIC 23950 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 6/29/2005 $208.52 [BUILD] Permit Fee 7/27/2005 $320.80 [TAX] 8% State Surcharp 7/27/2005 $25.66 [CDCPLN] CDC Pin Rey 7/27/2005 $42.00 (additional fees not listed here) • Total $602.98 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 than 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 OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 0 1- 800 - 332 -2344. Issued By: , >, r_ Permittee Signature: /ek�. Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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 FOR OFFICE USE ONLY . City of Tigard . Dar ;Bed , . , !b1 �al Permit No.: 1 �i / � � � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . Phone: 503.639.4171 Fax: 503.598.1960 DMa,n' lji'I • D ate/By. fIR �✓ / I/� O S ' Other Permit: Inspection Line: 503.639.4175 s Li. Date Ready/By: JIM ' El See Attached Checklist for Interne w.ci.tigard.or. / n Notified/Method: I - i / ) j ?�� /6. Supplemental Information �9 7 d �/C - ,q kJcc.d 4 _la_ /i esti5 42- /Az/ s ' 1 e ) — ..1 rta c '/ - 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: equipment, materials, labor, overhead, and the profit for the CATE GORY OP CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ID Commercial /industrial Valuation: $� — ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION . Total number of floors: Job site address: X 1750 ,, (u rkEw New dwelling area: square feet City /State /ZIP: 77 6be l 0§'. 9 72.211 Garage /carport area: square feet Suite/bldg. /apt. no.: PI name: Covered porch area: square feet Cross street /directions to job site: t J e t C7 Deck area: square feet 7 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. Valuation: $ �A..) / fe0 N CcAl M ;Ale) POf9 ( Sid M CdCige / Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER. 0 TENANT Number of stories: Name: Z.-LEA t E., E-N EJE4.- Type of construction: Address: 975 s - ) Jr r Occupancy groups: • City /State /ZIP: - 77 9 "be." Q ") � . ^ G " f � 7I-2.3 Existing: Phone: (5) s g 70.94 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) 5 E -mail: CONTRACTOR © ryi. BUILDING PERMIT FEES s / . • Business name: c�� etoth RA A okr * Address: / 3 . . %.. e /' _ ee !e_ s- 7--. /� n � Please refer to fee . schedule. City /State /ZIP: /� - ae , q .5 ,`I, Fees due upon application (9,€)53 Phone: ) 7i2:9-• 7 �/ Fax: () 76e) --A7(2,91 Amount received CCB lic.: Z3 Date received: Authorized signature: This permit application expires if a permit is not obtained �� 05... ., within 180 days after it has been accepted as complete. � Print name: U S‘ • j Date: ,_Q * Fee methodology set by Tri- County Building Industry 7 Service Board. i:\ Building \Pennits\BUP- 11- PermitApp.doc 12/03 440- 4613T(I1/02 /COM/WEB) .„ Building Division u x Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and` alterations.) Required at Submittal • Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 • Building 1* Fire Protection System 3 ** Mechanical 2 • Plumbing (building fixtures) 2 • Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of,plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Pennits\BUP- TI- PetmitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) CleanWater Services Our •lit � X111 nI' r�r July 18, 2005 Blue Mountain Pools 14235 SE Steele Street Portland, OR 97236 Re: Service Provider Letter for 2S102CA00400; CWS File 05 002812 Clean Water Services has reviewed your proposal for the above referenced activity on your site. Staff has conducted a pre- screen review and requested completion of a Sensitive Areas Certification Form. Following review of submitted materials it appears that Sensitive Areas do not exist on -site or within 200' from your project. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This concurrence letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you hh questions, please feel free to call me at 503 - 681 -3613. Since ly, a ey Enylronmental Plan Review E:\Development Svcs \SP 00 -7 \SPR Letters \2SIO2CA00400_BlueMtnPools CWS File 05002812.doc 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org NIP RE CITY OF TIGARD -SITE PLAN REVIEW BUILDING PERMIT NO.: a" " 11 W, a . ► PLANNING DIVISION: k 4 . S JUN 2 2005 Required Setbacks: gl Approved ❑ Not Approved d Side: 5 Street Side: CITY OF TIGAR �4� Front. 20 Garage: — BUILDINC VISIt 4.tetv,..i.iailitaiWtyjvRequirgl:A Visua! Clearance: Rear: 1� 0— NA ❑ Approved ❑ Not Approved IJb P�rw! s Maximum Building eight .. , feet , Known n�wn 2a- remeti-E -g. 0 Z 'A: I ! ❑ No B Q - .7 • . ece rr Date: 7- - -p5' 0 w ENGINE "' ING DEPARTMENT: Actual Slope:% ; in Approved ❑ • Site Pla : " '' )J I of :ppro I }- B Date: • ) a T-" Q • e Z III ILI ui __1 A-\ i I In n z Ii e N MECHANICAL AREA "' Li L OUTSIDE GARAGE z 47' -0" I � oc ( � 16' x 32 � 4 / GARAGE POOL ..--„, O I AUTOMATIC — C I OVER M N RESIDENCE } a a W H GC 0 N Z " H( PROPERTY LINE 203' 1— 3 + 0/ Lii w 0 ILL 0 u_ O SITE FLAN 3 a SCALE: I ° -40' -0° ' , ,, ill I S 1 J erld ' J( H t & <1 1)a plzL ,N otz h? )1 s 4/2Ktviz_ r H h0 1 TO 6 t (L ` + ' 7 •