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Permit IN v CITY OF TIGARD MASTER PERMIT la COMMUNITY DEVELOPMENT Permit #: MST2012 -00294 TIGARD 13125 SW HaII Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/21/2013 Parcel: 2S104DC04400 Jurisdiction: Tigard Site address: 13563 SW CLEARVIEW PL Subdivision: BENCHVIEW ESTATES Lot: 44 Project: Cain Project Description: Replace existing deck BUILDING Floor Areas Required Setbacks Required Stones: 1 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 0 sf Value $10,116 36 Rear 0 PLUMBING Sinks 0 Water Closets 0 Washing Mach' 0 Laundry Trays 0 Rain Drain 0 Unnals. 0 Lavatories 0 Dishwashers. 0 Floor Drains 0 Sewer Lines: 0 SF Rain Storm Sewer. 0 Tubs /Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines 0 Drains 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 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'I 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 Descnption 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: CAIN - RUECK, DORSEY ADRIANS QUALITY FENCING & DEC Required Items and Reports (Conditions) 11894 SW 125TH CT 21225 SW TV HWY TIGARD, OR 97223 ALOHA, OR 97006 PHONE PHONE' 503 -848 -8233 FAX • Total Fees: $508.59 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 m accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or rf work is susp= •ed for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent Those rule - e set forth in OAR 952- 001 -0010 throe AR 9 -0 1- 090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1 1 800 332 23 Issued By: Permittee Signature: ( � ( t/I QZ.--/ Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 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 ., . Fire Protection System FOIZ Ol. h : ICE USL ONLl . . Fi R Receive City of Tigard Date/By 12- Cr / A 13125 SW HaII Blvd, Tigard,OR 97223 DE 06 2012 Plan Review ►., Ili q Phone. 503 718 2439 Fax. 503.598 1960 DateB Awe HI\ -3 Other Permit TI G R Inspection Line 503.639.4175 Date Ready : y ' j°� ® See Page 2 for Internet www tigard- or.gov CITY OF TIGARD Notified/Method I 1 V Supplemental Information BUILDING DIVISION 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 ( rotded to the nearest dollar) of all ,ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. s. - and 2- family dwelling ❑ Commercial /industrial Valuation: t Oj 11 C .3,,S a - - D N El Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND L CATION Total number of floors Job site address: 13 56 3 5 41 at (// au) "p/ New dwelling area: square feet City /State /ZIP: Tl6 4-/e Q l Q,e 9'7 2 2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area square feet Cross street/directions to job site: Deck area: "513 square feet Other structure area. square feet `` REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: c_LQi tw g - Lot no. Permit fees* are based on the value of the work performed. 7T� C 641,OO Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 2 5(0 4 iL '7 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK / work indicated on this application. „ , „ / ��► / Valuation: S i �`^ ccc ���� Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: ��Q //V' C o' l /' ( • /l ®� Occupancy of construction: /G 3 5' cc.' � (/( tital �/ upancy groups: City /State /ZIP: 7 /6 /e D d, 9 ) 22 3 ` Existing: Phone: ( ) Fax: ( ) New: / - 7 . A. APPLICANT ❑ CONTACT PERSON NOTICE Business name: ha&hlH r 5 4 (,( - � t ' y - t iec .,, d f All contractors and subcontractors are required to be Contact name: A / D�(A /7E 7e(So licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: Z l ZS S Cc/ re/ hic4.1 7 jurisdiction in which work is being performed. If the City /State /ZIP: 19(0-4 Q © le 9 lop 6 applicant is exempt from licensing, the following reasons apply: Phone: (J�D' 8 44 - Gr z 3 3 Fax:: ( 503 d 4&- Q D 7 2! E -mail: G100 / - G s.a n4 pc/" /Q 1.4 s - C1Yu'I CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Address: 2c ;(............. a., cz40% .9 Permit fee: State surcharge (12% of permit fee): City /State /ZIP: FLS plan review (40 %ofpermit fee): Phone: ( ) Fax: ( ) (Due upon application.) CCB He.: , 6 0 --(q / 0 Total permit fees: � Amount received: Authorized signature: • C ..„.. a`� �� This permit application expires if a permit is not obtained Print name: 19 61 fi& / 56s>‹ Date: l2 /6 /Z.,, within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board 1 \Buddmg\Permits\FPS- PermitApp doc Rev 01 /05/2012 440- 4613T(I I /02 /COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: _ 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Arca K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. I: \ Building \Permits \FPS- PemvtApp.doc Rev 01/05/2012 2 Ph a Building Division Development Code Provision Review T i c A R D Residential Projects Building Permit No.: M , -aT ani 2 . - 00 a� , , ie Site Address: I ? 5 ( p 3 Ato (1j-c42 ✓f EA.) R "1'� • Project Name & Lot No.: Ca i i) CWS Service Provider Letter Required: Yes ❑ No' Received: Yes ❑ No 7_ Routed Plans: Original Plan Submittal Date: /Z 4 /� _ /� �"' // 1st Revision Submittal Date: AIM_ ' 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 along left only if approved. (1 Planning Review (contact at 503- 718 -2V/ or @tigard - or.gov) Land Use Ca - o. Zoning t ) ❑ Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height: Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: ❑ Street Trees ❑ Protected Trees .�iy�nifc�i�Poi�v� �,; Dedz Notes: �� �� - . Cif MI ' / Original Plan: Approve • ' Not Approved — lt Date: 1z/z 77� Revision 1: Approved ❑ Not Approved ltd' Date: — / / 3 Revision 2: Approved, a , Not Approved ❑ Date: 2/1 t 3 e (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- orgov) )2r Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: 6 v Revision 1: Approved Not Approved ❑ Date: / 3 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 : • Pte *Le, 1/2/ ,c Go v t t 6 v e p_a . lea � 4> Original Plan: Date Sent to Applicant: Revision 1: Date Se o Applicant Revision 2: Da ent to Ap. cant 2 1s• ,3 Okay to Issue Permi . es n No E / Date Routed to Building: 1 2-74. — t Z 2 / / 5 Page 2 of 2 Albert Shields • From: Albert Shields Sent: Thursday, February 14, 2013 4:59 PM To: Dan Nelson; Debbie Adamski Cc: Gary Pagenstecher; Mark VanDomelen Subject: MST2012- 00294, 13563 SW Clearview Pl. Dan, Planning has just approved the site plan for this project but please note that the approved site plan, submitted as a revision on 2/13/13, has the SE corner of the deck mitered in order to meet the 15 ft. setback requirement ... but the various elevations have not yet been revised to show that mitered corner. In order to ensure that the approved plans reflect that mitered corner I have told the applicant to submit revised elevations to Building. Please let me know if you have any questions. Albert. /I 2 c/ �0, 00 /35 G2ec4-4vc L-e-t- Gw E_ GdZ 1444 ygl?d) 2Eb VO Psi it i4.e_._.7 • Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/18/2013 00:00 MST2012-00294 PASS - No C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/18/2013 00:00 MST2012-00294 PASS - No C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/18/2013 00:00 MST2012-00294 PASS - No C of O Violation Summary: Inspector Contractor 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 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 05/13/2013 09:00 MST2012-00294 PASS Violation Summary: Inspector Contractor 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 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 220 Slab 04/01/2013 11:00 MST2012-00294 CNCL Violation Summary: Inspector Contractor 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 13563 SW CLEARVIEW PL, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 05/13/2013 09:00 MST2012-00294 PASS Violation Summary: Inspector Contractor