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Permit
Ir CITY OF TIGARD MASTER PERMIT 2 a COMMUNITY DEVELOPMENT Permit #: MST2009 -00168 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/26/2009 Parcel: 2S104CA10100 Jurisdiction: Tigard Site address: 13721 SW JENNA CT Subdivision: Lot: 0 Project: White Project Description: Replace existing deck with larger. ' 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: Total: sf Value: $19,000.00 Rear: 0 PLUMBING Sinks 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc /Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 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: Owner: Contractor: Required Items and Reports (Conditions) WHITE, KEVIN M & KIMBERLY S JP QUALITY CONSTRUCTION & 13721 SW JENNA CT REMODELING TIGARD, OR 97223 7608 CHAROLOIS CT Gladstone, OR 97027 PHONE: PHONE: 503 - 939 -5885 FAX: Total Fees: $488.50 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. rules are set forth in OAR 952- 001 -0010 throu. OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 46.6699 • 1.800.3 2.2344. i Issued By: _ . ♦ A ! l . I Permittee Signature: tBuildivi ; Permit Application E 1'PEv tr 4 - Commercial FOR OFFICE USE ONLY - I q City of Tigard RE """ , c , r R eceived 0 `J i d f ° 9 ) 0 Permit No.: �Q g"QC/ 13125 SW Hall Blvd., Tigard, OR 9722 Date/By: g� G 1 3 2009 Plan Review t 1 �, Phone: 503.639 4171 Fax: 503 598.1 Date/By. V g (z ( Other •ermrt: Inspection Line: 503.639.4175 �}, OF � � py� Date Ready /By• f 7 ® See Page 2 for TIGARD Internet: www.tigard- or.gov CITY 1� OF i IGARD � /0 Notified/Method• g �ft Supplemental Information + BLJUUDING DIVISION [[ r o e ',, -_ : . , , , $ t : a ; r ;,. TYPE4(OF' WORK. li ,4 .. .: ti RE ®U E• i °°DA A't1 AND FA11II14 't1)W$'LLING ;, �t.AY; =. ,..a.e. ^2,. . ., ..+. .. ;; 3 drA. ' _ L - -`,. , + :, �✓-- .- 5,�+'' „w,..._,...h�,e„ �n,� .ry,.e,: r �x . v. . . .t . . 'b ❑ New construction ❑ Demolition Permit fees . e 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 ,, ; 5 ' �;, r~ `e'ATE roi 4 OF” .i!Nk RUCTIp w anig - t work indicated on this application. ,, . .. ., , c .�., � .,: .�'�� : _.a = zI a. ;: 4g a? 0 tai ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ (G1/ ©00 ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder A Other: DeL, Number of bathrooms: ,, _' '' , ,JOB S I T E IN AND LO � � ��� � � �� � � Total number of floors: Job site address: I ?., 7i i 6 . e nd c-4- • New dwelling area: square feet City /State /ZIP: i ,cJq y e, o2 �l Z 23 Garage /carport area: square feet Suite/bldg. /apt. no.: 1 Project name: Covered porch area: square feet Cross street/directions to job site: Cro65 511 5w 'a x DC Deck area: 560 square feet Other structure area: square feet QU3ItE 1,16aA 10,i 1Eii U itiiECKLIS 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 _�� «° ,'Te€'- �2.� ": m, S': �a" � :,- °- M - .q'l�t*ay.w.u,.��ays: �: . :�� -z �;,',,#;k;�?A`S: >N;: "�:=1;,. ' < =� .�'v� , .Ai ":"�'�= ` xr :� -�.� -. x ^ :. r e e , t:N "DESCRIPTI y w v6IV _ �`` le ' 0 Y t work indicated on this application. CA) nifruG� KjC� 'c � e � Valuation: $ Existing building area: square feet New building area: square feet t . re;- -. `f' : � :. :,�,=�' _ ' 'rs ;r'° .xy ' " -f :iiib ER_ 4 U " ' " :13 liii t� N`Ia `" ' . ' Number of stories: Name: v s e V i h 4 ( . - f 1 Lekil-c_. Type of construction: Address: i 3 i 5W 37tnn0,, C.4-• Occupancy groups: City /State /ZIP: T\00, Cd r ©Z. q722.3 Existing: Phone: (5 -719 - Z i l i Fax: ( ) New: 4'. w,, Al?P.,LIC i , "<;' . j , '','..' 0 s .t,, re '',''''' , , ,, >. , f , � t...,.� ,.�_, : ... .. �", ., ��. � , ; .. ' :��' CON ETi:S�®N try °,�.. �;,�• ,�' - ��. ,,,w1,,:::,..�� -rte _ ,<..., .. Business name: �A�;� Cnr \Roc -IJ _ j a A t n � All contractors and subcontractors are required to be 7• licensed with the Oregon Construction Contractors Board Contact name: � �' ) ` ) GtA e , 6 3 v%Ac under ORS 701 and may be required to be licensed in the Address: 7 c ICAI 5 CA , jurisdiction in which work is being performed. If the City /State /ZIP: 6-1 ei,�t, / © , cocc , applicant is exempt from licensing, the lowing reasons apply: Phone: ( 603 ) Ci 3q_ s-o _6 I Fax:: ( ) E-mail: 3 ' RC-10 OA tIt , CC) 1""N = , S > 1 s, ,`,� ' CONT � - ie I n,lk r . .., s� 3 : >.. .. «wM .a�i .,. ,�„- "skk���a . ..5 ra.. a a? s : _.?w:' ���.:3 ' x Business name: .3 p t velA.i - c,1+1(i uch 4 72emoc Ul ,N ' , >vt P J mrrTEES� °�°'�� ;, / Q Address: `766p 6 1, 10 - G . .. u /'i.x; (FleaseirI je j schedule7." egt*, g,:;,:::.,,* City /State /ZIP: &\(AA S\ AL / 0 q702 Structural plan review fee (or deposit): /L�3 v q 8� ( ) FLS plan review fee (if applicable): Phone: J Fa x CCB lic.: ' 7 A ,Z 3 Total fees due upon application: Amount received: °/1/v, 7 Authorized signature: ,, — This permit application expires if a permit is not obtained '' j within 180 days after it has been accepted as complete. Print name: � ` L �6 � Date: ?/ ` 10A * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB) i ` r Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ 1: \ Building \ Permits \BUP -COM PermitApp.doc 06/25/08 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. n BUILDING DIVISION T I G A RD TRANSMITTAL LETTER TO: l_l� 1 DATE RECEIVED: DEPT: BUILDING / DIVISION L g- RECEIVED AUG 1 2 2009 • FROM: J� 1�.�Lce�� �vY1e CITY OF Tit3ARD COMPANY: ;S? (3a30+` ‘ )-1 Con` PLANNING/ENGINEERIN PHONE: 5 33 —q3q °5 885— By: Sr RE: 23121 3 Senn c H ? -00 /6f (Site Address) (Permit/Case Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copres Description: „ . . : :CO e is" <Descrptionc , P :. Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other (explain): C\clA n 4c, % r 61.N +ct s c.ccep . ►^e-\ REMARKS: .a. 6 FOR; OF ICE SE Routed to Permit Technician Date: 26) Initial Fees Due: ❑ Yes ['No Fee Description: Amount ue: A '.4 q r $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No E Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 Building Division Plan Submittal Requirements TI.GARD Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). • D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 v t Building Division • i s Plan Submittal Requirement Matrix TIGARD Commercial & Multi- Family - New, Additions or Alterations r' $: : er * ,: ;e ;,�_: -:,' ".<��,�, °�°*".� >. « C��'? y z t �� Type of Submittal , rile# of Plans ` y Y i R t (Includes n adds ons and alterations _ Regmrecl at f .. ' `_� � ��� � �� � s � � , iK t � M t x Subrrut al it_.. Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 2 Fire Protection System 2 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) • I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 AUG. 13. 2009 3:27PM Nit, 1484 P. 1 ,` 0 l, U 1 C Clean Water Services File Number AUG 1.3 2 , — s. C Number _ . Wat er Services S ensitive Area Pre - Screening Site Assessment ' , 1V 1. Jurisdiction. (s l (1 1 to A 2. Property Information (example 1S234AB01400) 3. Owner Information R \a.r" ,...11.\‘ Tax lot 1D(s): I (3 C ____ N Name: Weut r f Le.w f "C. , a _ 10 () Company: ,,Qtt,:('�,i Address: ji.�72I �Te 1....5 Site Address: ,1; I 6w StG■ c-N- City, State, ZIP1-15t:- 1Loi cr 22S City, State, Zip : 'Ti o� c,§., 4?..or/123 . �123 Phone /Fax: 5O5 — T'(�''7 t 1 Nearest Cross Street: :5t.,3 le SSr,nc NI C% . E -Mali: 4. Development Activity (check all that apply) 5. Applicant Information t r Addition to Single Family Residence (rooms, deck, garage) Name: " ,,,,19_,.._1_21s,1_,6_,) ine '• __ Lot Line Adjustment ❑ Minor. Land Partition Company: IT I .1.11 CcoeytruchcA 4 ..9 , ❑ Residential Condominium ❑ Commercial Condominium Address: - 7F►6$ G Cr3r; Cri ❑ Residential Subdivision ❑ Commercial Subdivision Cit �� , '1 nC 42g. g7OZ7 ❑ Single Lot Commercial ❑ Multi Lot Commercial y, State, Zip �r'°'c�� Other Phone/Fax: 3[a3 ( 1 - ' 6-8 E.-Mall: . 3%515A.1 $dec ) Z' %', Cc9J 6. Will the project involve any off -site work? ❑ Yes t No 0 Unknown Location and desoription of off -site work , - 7. Additional c meets or Information that may be needed to understand your project J ( 4 C`Gi ^y e ' L rear d eck L,. . tf'1to f., . This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Sits Development Permits, DEQ 1200.0 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 end completed under applicable local, state, end 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. t certify that lam (antler with the information contained in this document end to the best of my knowledge and belief, ,t this information is true, complete, and accurate. Print/lype Na • : Yo o , U -C.16t Printft�rpe Title t_.r� rvirGctdo( Signature ta � bate Pi t 2 i 6 7 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OP A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report ma - - . be required. rased 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 SiteAssessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered. This document will serve as your SeMce 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. ❑ Based on review of the submitted materiels and best available information the above-referenced project will not significantly impact the existing or potentially sensitive areas) found rear the site. This Sensitive Area Pre- Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensNve areas If they are subsequently discovered. This document will serve as your Service Provider loiter 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, slate and federal law. ❑ This Service P . Letter is not valid .less \ CWS approved site plan(a) are attached. ❑ The proposed a , oes not meet Iii d: ; nitio of deve . , li t or the lot was platted after 9/9/95 ORS 92,040(2). NO SITE ASS SMENT OR SERVICE - : e 3 . LETTER IS REQ 'ED. At Reviewed b � /' , . . s Date ik , " •l — illb 2550 SW f- ;iilsbarc H gh�:•ay H1II5b_ro. C.)r•gpn 07' 2.`_', Phone .'(50") 681' -51 uu F. (503) 6:31-.±.4 tti,Af C,amvat.qsa;v ic:,.:crg - " r- F3Ar l% gr l --______ _ __.___ ________ ._.____________________ . 16- 1 4 r,. AUG 1 3 2009 it Igner: my OF TIGARD Ryan Zink t 7 ',. , Bth DING D6VlS0ON 3111 - II Ile 11/11 Ct CITY OF TIGARD -SITE PLAN REVIEW Linn, OR 97 " BUILDING PERMIT NO.: i.&± � ' �� — ' C 9.4213 PLANNING DIVISION: .__ Required Setbajks: ❑ Approved O 0 Not Approved Side: T Street Side: Client: Front. Garage: Rear: Kevin & 10m ¢" 5v ;: Visual Clearance: 0 Approved 0 Not Approved Maximum Height . feet I e Deck CWS Service Provider Letter Required: (6 Yes ❑ No i p„At way PO `�`j] Received 13721 �I7 na a B) : �; � Date: 8(r f �� n mv �am�ea as ®a "Tigard, 97223 _ _ - - -- ENGINEERING Actual Slope: /0 '' Approved 0 Not Approved Site Plan: A 1 OAT: 101 By: /14 ,O/Y iti,1e '� Date: 8-/57-99 proved ❑ Not Approved _2 R : �� i Tyr Lot 2SfllB�fl�O1011a Notts p•�-` 111_ _ ID' : Prop • I — I I \ I PERMIT NT 08/11/09 1 J , CITY OF TIGARD - SITE PLAN REVIEW COVER SHED BUILDING PERMIT N: Street Trees: L1 pproved ❑ Not Approved Protected T roved pilot Approved — J J ENN A CT By . � 1/ i9 A r -Iaet � / yogi . NO. 08 -13721 Notes: \ . . 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