Permit - lh -' '''' CITY OF TIGARD MASTER PERMIT
.' ' COMMUNITY DEVELOPMENT Permit #: MST2009 -00104
Date Issued: 06/09/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S125DA01601
Jurisdiction: Tigard
Site address: 6770 SW TAYLORS FERRY RD
Subdivision: Lot: 0
Project: Layton
Project Description: Install retaining wall and fence. Total height not to exceed 8'.
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: $2,000 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
Furn<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'I 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)
LAYTON, DAVE V & TERESA D OWNER s' VLIJ Co A _ p 0 /1 __ O Nyr ,• ci
6770 SW TAYLORS FERRY RD c
TIGARD, OR 97223 �.07D— leg l[ ) — 4141 tiV
PHONE: PHONE' .L
FAX:
Total Fees: $205.53
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an. - other applicable law. All work will
bea do nce with approved plans. This permit will expire if work is not started within 180 days of issuance, o if wo,k i suspended for more the 180
day ATTENTION: egon law requires you to follow the rules adopted by the Oregon Utility Notification Cent Th.se rules are set forth in OAR
95 - 001 -0010 through OA 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66: • or 1.801.3 2.2344.
ling � . •
Iss d By: Permittee Signature: roll.
I
'' / Buil1ing Permit Application -•
f Site Work RECEIVED FOR OFFICE . - . NLY °'
REV 1 d c ' ..
x V h Received
City of Tigard Date /B : _ ....c.- a Permit No.: d` , 411 d+
13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 7 2 009 P lan Review ` /} f�/
`' :_ Phone: 503.639.4171 Fax: 503.598 1960 Date /By: J D7 ' L Other Permit:
TIGAR c
a: b' Inspection Line: 503.639.4175 Date Read /B Juris: RI See Page e 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified etho.. Le / Q 4 . i ;' Supplemental Information
81111,DINGDIVISIO ' iffkl,9 A IAgri _. _,
TYPE OF WORK ' ' QUIRED DA P • :.1— AND 2- FAMILY DWELLING
]'New construction El Demolition Permit fees* are based on the value of the work performed.
11 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.
41 1- and 2-family dwelling Valuation: $ O
'` y g ❑Commercial /industrial
❑ 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: 6077 bi SU ' fit (7.5 .
7
4e4 44:3 New dwelling area: square feet
City /State /ZIP: `Tiec, r -� 0-.,_(J Garage /carport area: square feet
t/
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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.
�J 7 y f p _ (7 Valuation: $
J�a��L� �� l�lo/°` Existing building area: square feet
New building area: square feet
I 1 ROPERT OWNER ❑ TENANT Number of stories:
Name: Lire, / ,' .-/ Type of construction:
Address: "7i, r5 -, ,x) /Qc�jlt�'7,��y L . Occupancy groups:
City /State /ZIP:' i l� ,d // � 7�; Existing:
Phone: j ,3) /". Fax: ( ) New:
❑ APPLICANT I ❑ 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:: ( )
E -mail:
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Nt./llifu Structural plan review fee (or deposit): 140 • lo�
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
j Amount received:
Authorized signature: --J This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: T Lad`r �-t✓ Date:c_51c0.74 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \SIT- PenmitApp.doc 12/27/06 440 4613T(II /02 /COM/WEB)
City of Tigard: Site Work Permit Checklist
Page 2 - Supplemental Information
Commercial, Multi- Family and One- and Two - Family Dwellings:
No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will
not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If
fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review
(SLR).
Please complete all items below, unless otherwise noted.
Excavation Volume: cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be
compacted to 90% of maximum density) cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all
buildings, sidewalks, and paving: sq. ft.
Site Utilities Plumbing Work:
Complete the Plumbing Permit Application for site utilities plumbing work.
Plans Required: See "Site Work Permit Application - Plan Submittal Requirements"
attached. The following must accompany this application:
❑ Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and
ADA compliance Lighting Plan
❑ Grading Plan and details ❑ *Landscaping Plan
❑ Erosion Control Plan and details ❑ Soils Report (if required)
❑ Retaining Structures
*Does not apply to One- and Two - family dwellings.
# of Plans
TYPE OF SUBMITTAL Required at
(Includes New, Additions or Alterations) Submittal
Commercial 2
Multi- Family R -1 Occupancy 2
One- & Two - Family Dwelling 2
I: \Building \Permits \SIT- PermitApp.doc 12/27/06 2
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' - CITY OF' TIGARD
BUILDING DIVISION
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: •!a • • • •
PLANNING DIVISION: Approved ❑Not Approved
• Required Setbacks: ( App
Side: St e Side:
Front. Garage: Rear: —
Approved Visual Clearance: ❑ pp roved ❑ Not Approved
Maximum Building Height feet
CWS Service Provider Letter Required: ❑ Yes ❑ No
❑ Re eived
B Date: (o 0
ENGINEERING DEPARTMENT: Approved
Actual SI pe : % Approved ❑ Not App
Site Pia • Approved ❑ ' o Approved
B Date: G S 69
Notes: N0 or_
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: mg\ 30QC • COQ l O
Street Trees: Approved ❑ Not Approved
Protected Tre Approved ❑ N t proved
BY �A�n�/ Date: 5 v1
Notes:
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, : Z4 Y71:„;) t •:" ,A1,14.,/___ : ,44',',
RECEIVED --
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CITY OF TIGARD
BUILDING DIVISION
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OFFICE COPY
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CITY OF TIGARD - SITEPLANIZIEYlilEW
BUILDING PERMIT NO.: u : , • _ ilOc-
PLANNING DIVISION:
Required Setbacks: Approved 0 Not Approved
Side: ______ St ..e Side: -
Front. -- Garage: - Rear:
Visual Clearance: 0 Approved 0 Not Approved
Maximum Building HeiK•ht _2.... feet
CWS Service Letter Required: 0 Yes 0 No
. n 0 Received
---) 'K.---e-f---'r7---j . Pate:.
...
ENGINEERING DEPARTMENT:
Actual SIppe:_.1.- 4 Approved 0 Not Approved
Site Plari.., Approved 0 IslovApproved
B. : PA-1 / f--- Date.
• _ ..._
. _. .
Notes: NO 12-0•A-3 (A...r071- .
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CITY OF TIG A.!!! ,-.) - S. E PLAN NI' VIE'
_____........_
BUILDING PERMIT NO: • !viz_ m g - : 'r, ' - 1
. Street Trees: `41: Approved 0 Not Approved ,,
- Protected , r , * Approved 0 Nit A4proved ,
/ I
Bv:. Date: r.
Notes: _ __ .._. _ -