Permit CITY OF TIGARD MASTER PERMIT
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COMMUNITY DEVELOPMENT Permit #: MST2012 -00284
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/21/2012
Parcel: 25103BCO5800
Jurisdiction: Tigard
Site address: 12275 SW TIPPITT PL
Subdivision: TIPPITT PLACE Lot: 8
Project: Loewer
Project Description: Replacement of existing deck in same location
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: $10,000.00 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
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
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Fum > =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:
LOEWER, STEPHEN CREATIVE FENCES & DECKS INC Required Items and Reports (Conditions)
12275 SW TIPPITT PL 14782 SW FERN ST
TIGARD, OR 97223 TIGARD, OR 97223
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. PHONE: 503 -453 -5377 PHONE: 503 =969 -8850
FAX: 503- 521 -9840
Total Fels: $484.67
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code all other app le law. All work will
be done in - accordance with approved plans. This permit will expire' if work is not started within 180 days of issuan -, o if work is su nded for more the 180
days. ATTENTION: 'Oregon law requires you to follow the rules adopted by the Oregon Utility Notification r e to . T :• . rut— : • are set forth in OAR
952- 001 -0010 thou• • •AR 952- 001 -0090. You may
4 obtain a copy of the rules or direct questions to OUNC by calling 503. . 967 or 1.: • ., .
Issued B Permittee Signature:
' Call 503.639.4175 by 7:00 a.m: for the next available inspection d V
• This rmit card shall be kept in a conspicuous place on the job site until comp n of the project Pe P P P I P -' ect P 1
Approved plans are required on the Job site at the time of each inspection.
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Building Permit Application
Residential RECEIVED Ft>li OFFI(1.1 USE ONLY
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City of Tigard OCT 2 2 2012 Rec Dat ived e/B : 10 / 0 ,� '11 Pen' A /aZ p
13125 SW Hall Blvd., Tigard, OR 97223 Pl Revie
0 Phone: 503.718.2439 Fax: 503.598.1960 cm, Of I/GARD Date/B : O t I ®i Other Permi
T I G A It D Inspection Line: 503.639.4175 �i tINJ Date Ready : y: / y� lures: ®fie Page 2 for
Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: lI l / a4 t' 1 / f/ 7 Supplemental Information
A po it C te/
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate tlit value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipme!a, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: $10,000.00
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: STEVE LOEWER New dwelling area: square feet
City/State /ZIP: 12275 SW TIPPITT PL. TIGARD OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: LOEWER Covered porch area: square feet
Cross street/directions to job site: SW 121ST Deck area: 433' square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 5800 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S103BCO5800 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.
REPLACEMENT OF EXISTING DECK IN SAME LOCATION Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: STEVE LOEWER Type of construction:
Address: 12275 SW TIPPITT PL Occupancy groups:
City/State/ZIP: TIGARD OR 97223 Existing:
Phone: (503)453 -5377 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: SIMPL HOME DESIGNS (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: MIKE MONTGOMERY
FLS plan review fee (if applicable):
Address: 5531 SW BUDDINGTON ST
City /State /ZIP: PORTLAND OR 97219 Total fees due upon application:
Phone: (503) 515 -6495 Fax:: (503) 719 -4825 Amount received: X4'4.77
E -mail: mikewmontgomery@gmail.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: CREATIVE FENCES & DECKS Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 14782 SW FERN STREET Solar Installation Specialty Code checklist.
City/State /ZIP: TIGARD OR 97223 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 969.8850 Fax: (5023) 521.9840 State surcharge (I 2% of permit fee): $21.60
CCB lie.: 14 483
--..see Total fee due upon application: $201.60
A , ./ This permit application expires if a permit is not obtained
Authorized si
Ao/r2 / y within 180 days after it has been accepted as complete.
Print name: MIKE MONTGOMERY 0atg:,g9/041i1 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Perrnits\BUP - RESPermitApp.doc 02/2 0 -4613T(II /02 /COM/WEB)
Received: Oct 29 2012 12:44pm
' M MONTGOMERY
5531 SweuddingtonSim EZPermits.biz / Simpl
Portland OR 97219
Phone: 503515.6495 Home Designs
Fax 503-7194825
RECEIVED
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OCT 29 2012
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CITY OFTIGARD
BUILDING DIVISION
To: City of Tigard Building Department From Mike Montgomery -
Fax 503 - 684 -7297 Dates October 29, 2012
Phone: 503 - 718-2439 Pages: 2
Ric BUP2012 -00202 12275 SW TIPPITT PL CC: •
1?1 Urgent ❑ For Review ❑ Please Comment; ❑ Please Reply ❑ Please Recycle
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'Comments: Please attach to our building permit review.
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. _ Received: Oct 29 2012 12:44pm
r A la-, 00(-¢
• r . e .,, , -:Ogees
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- M . „. ;
O lI �T I O �1 R . ; „ , Clean Water 9endcee file Number
I r OCT 2 2 2012 !eanWa1 Services [ 1 a' On z'� y
S . :. "live Area Pre- Screeniflg Site Assessment RECEIVED
1. . -,• C16i ef- TI a,
1 Property i information (ahcamate 1 3. m
3. iOMner lnfoudlen OCT 2 9 2012
TeX lot ID(a): 281038005800 Name: STYE LOEWER CITY OFTIGARD
Property ID W268884 Company, ai II NG D1V 1SION
AN Account al R413®Og _ Address: 12275 SW Tl
Site Addre ar 12276 6Wl WPM. PL . , state, , , TTGARD OR 9
City, state, Zip: TIGARD OR 97223 PhonslF®c
Nearest Cross Street 1216T E-IItad.
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4. Development Acthrty (check all that apply) In/otmretlon
Oil Ammon to Single Family Residence (rooms, deck garage) Name; MIKE MONTGOMERY •
01 Lai lino Adjustment C] Minor Land Partition 8. compelty, SIMPI. HOME DESIGNS
❑ Residential Condominium C) Commercial Condominium 5631 SW BUDDINGTON ST
13 Resldentlel Subdivision ❑ Commercial Subdivtslon A dars �.
❑ Single Lot Commatdel 0 Multi Lot Commercial c , st Zip PORTLAND OR 97219
Other ph M.515-8498 O / 603 - 719 -4826 F
t =-Map: rnlicrwmwhtyonnery ®8mae7.com
a. Will the preface involve any Watts wm*? ❑ We ® No h Urdrrtown
Location and desatpeon of off-eke work
7. Additional comments or lnfeerm do n that may be needed to understand your project
DECK REPLACEMENT OF EXISTING DECK IN SAME LOCArT1ON AND SIZE
This application does NOT replace Grading and &mien Cordial Porn lb, Caeasdfpn Pont* %Ocher Permits, Bits Development Parma, owl
1200 -C PermR or ether pain*, as Issued by the Depart ant of Enviroblottillt1 Rue Depatesnt of Satin Lends andfor Depattnment of the Army
COE All required pencils and approvals must be obtained and auriplstd ruder eppllaDN loaf, stele, and federal laic
By signing this farm, ms Owner Of Osiers rum cv ma agent Of reprised iNe, eovgMedgee and epees died ehptployert of Clean water services have aumaMy
to enter the protect de el all reasonable Amos for the plumose of Inspecting project alto *bone end Washy iruoroation related to he prejece dta. I ea*
Nil an faelar Mb the healthfully' contained in tide dissonant and to the be d ny levelsdpe and Wet Ibb moan allon Is Due anmptele, end amrale.
Piintf1 rps Name Mike Montgomery _ • p bjtnvpr m gent for owner .
Signature _ _ - • p 10/20/12
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FOR DISTRICT UBE ONLY
❑ Sonata areas potentially filet on sate or wAhpt 7gRof the atm. THE APPUCARr iwpr PWORld A Off tA ,r PRIOR TO JSSUAIICA Op A
SERVICE PROVIDER LETTER. If Swett/vs Ares edit on the rho or wihhh a00 felon adjacent proper** a Newel ResauroasAseeaarnent Repoli
may also be required,
❑ Owed on tes4ew of t submitted materials and be available Information 8anedhre a18a do not appear to axial on cite or walk! 200' of the Dire This
Seneltv,Arma PreSaserthrg Site Are esament doer NOT olbrdnaie the need to we0sete and point water queer de ne5Ars awe If they We subsequently
dleooveret Tba doaoner( wm ewe as your Service Prodder letter as regal", by Reeektion end Order 07-.7Q Section 302,1. M requited peadls and
*Provide meet be obtained and completed under applicable local, State, and (yderd bw.
❑ Based on review of (Re submitted medals and bast imitable Infctmalian the above referenced project sail not ilgnaleeradr impact Ito skiing or patine*
earradve wee(s) fend Herres alb. This Starr Area PreScrmnitp Site Assseemel does NOT rail dub Ors need to weeds end poled addl6end wafer
Tidily seraito arses I they are secs qua,►tiy discovered. TNs document all awe ae your Santos Prodder letter as tequbrd by Reedufien end Older
07-20, Section 3.021. AU (aquired Fannie and epprovels moat be obtained end completed under apygai le local, Mb and federal law
hla Service Provider Letter Is nut vrlld amteas _CM , , , site pip ) Ili alfached.
The proposed eof)Ry does col mesa the definition of development • the lel was palled ellet 819196 ORS 92.040(2). NO WE A66E6SMENT OR
SERVICE PROvl08R • 18 REQ*I
Reviewed by I% . �_��� Dente 6 • '1 /Z
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11 1 1 11 o ° Building Division
Development Code Provision Review
r i c n ii Residential Projects
Building Permit NI I•4 (0)-- jp ..)--S 4
Site Address: I d...X7S ` -1 1 pp, 1T DL
Project Name & Lot No.: I..DE W E R-
CWS Service Provider Letter
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Routed Plans: ,� ,,r
Original Plan Submittal Date: I Dili la-
1st Revision Submittal Date: ❑ Site Plan Only
2 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 (1) 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.
Planning Review (contact at 503 -718- or @tigard - or.gov)
Land Use Case No.
❑ Zoning
❑ Setbacks:
Front Rear Side Street Side Garage
❑ Maximum Building Height Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
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: cyo
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- or.gov)
❑ Street Trees
❑ Protected Trees
Notes:
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Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved 0 Not Approved ❑ Date:
Revision 2: Approved 0 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 •
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Okay to Issue: Permit: Yes ❑ No ❑ •
Date Routed to Building:
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Page 2 of 2
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FOR OFFICE USE ONLY — SITE ADDRESS:
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
7 4 . ' Transmittal Letter
TI G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: 4 //V /1/6GVO,i( DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
�/
; , ; V 19 2012
FROM: /Xe /10/Y7(1ol'7GCLv
CITY OFTIGARD
COMPANY: BUILDING DIVISION
PHONE: 03 ;5/5 - .5t9.5 By
RE: /22 Pl r/py777 04 no, pi ti- cozo Z
(Site Address) (Pernut Num er)
G0aHG,--- S & 7 2o/ 7 — 00„2epy
(Project name or subdivision name and lot number)
4
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: I Description:
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. Engineer's calculations.
Other (explain):
REMARKS:
FOR FFICE USE ONLY
Routed to Permit Technicians Date: I 1 Q I 12 Initials: OW
Fees Due: ❑ Yes Di go Fee Description: Amount Due:
$
$
$
$
Special .
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: - Date: Initials:
(:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012