Permit n CITY OF TIGARD MASTER PERMIT
: COMMUNITY DEVELOPMENT Permit #: MST2013 -00107
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/13/2013
Parcel: 25111 BC01700
Jurisdiction: Tigard
Site address: 10265 SW VIEW TER
Subdivision: WOODHAVEN CROSSING CONDO SUPPLI Lot: 22838 -202
Project: Stack
Project Description: Replace and add to existing deck. Total deck is approximately 300 sq ft
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: 0 sf Value: $6,500.00 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
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 Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R -3 0
Owner: Contractor:
STACK, RICHARD W JUDITH C RICK'S CUSTOM FENCING & DECKING INC Required Items and Reports (Conditions)
10265 SW VIEW TERR 4543 SW TV HWY •A
TIGARD, OR 97224 HILLSBORO, OR 97183
PHONE: 503 - 639 -4537 PHONE: 541 - 648 -7830
FAX:
Total Fees: $402.40
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. ATT . • e . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent- . Those rules are set forth in OAR
952 -00 9010 through • . - 95 ; • • -00 • I. You may obtain a copy of the rules or direct questions to OUNC by calling 501232./ or 1,80%.3 - .2344.
Iss •d By: , Permittee Signature:
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Date /B : k � , Permit No.: ii, z ,/5-60/0 7
I IIII 13125 SW Hall Blvd., Tigard, OR 97 p Plan Revte iii a Phone: 503.718.2439 Fax: 503.5981 3 2013 3 Date/By: . � ' I Other Permit:
Inspection Line: 503.639.4175 Date Rea. • ■ y: Juris: ® See Page 2 for
TIGARD
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Met oa d: ✓ /'�[ ( Supplemental Information
BUILDING DIVISION � fR
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
a Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1 -and 2-family dwelling Valuation: $ 6 I s c_) il
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: (a zg - s--- 5, 1 „ 4 " • (/•c w 7 - ,■ - o - cc New dwelling area: square feet
City /State /ZIP: % , Cs Gam f 71 Z 11 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: p "T '(` Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet �a
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
R1#..0{ f1 f /
(J .-.�
. Yx dee E' . ,..p/ ,44' -.a A 5 Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ks r4 1 5,..„,,% Type of construction:
Address: . J , v 3 - �f/zc e - Occupancy groups: �
l0 k
City /State /ZIP: T6 6 or 977 2 4 / Existing:
Phone: ($c ') 6' 3 9 _ t /y3 7 Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: e., I, y , G` ped r All contractors and subcontractors are required to be
Contact name: e 5 G -,d 1 licensed with the Oregon Construction Contractors Board
,r- under ORS 701 and may be required to be liensed in the
Address: /15'G/ 3 5 w , Ti) /`*r"' jurisdiction in which work is being performed. If the
City/State /ZIP: lJ ; ,4 ,/ , --D 4 7/L applicant is exempt from licensing, the following reasons
apply:
Phone: (5 1) 6i'/0 _ 5I/ 3 > Fax:: ( )
G `,
E -mail: , 6 D �,G+� „,t0�1� i) P t s -�-p f t't rte, , 4,7,..r. J CONTRACTOR U BUILDING PERMIT FEES*
n J / l (Please refer to fee schedule)
Business name: 'L ' G�f s ` , -1] 7' -Peci }U Permit fee:
Address:
State surcharge (12% of permit fee):
City/State /ZIP: FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: SDO 8 Total permit fees:
Amount received: �a .q0
Authorized signature: �
This permit application expires if a permit is not obtained
Print name: G '. A ��, � - Date: 07/43 within 180 days after it has been accepted as complete.
l ' * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits \FPS- PermitApp.doc Rev 01 /05/2012 440 -4613T(11 /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 Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Mann
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.
1 \Buildin \Permits \FPS- PermitApp.doc Rev 01 /05/2012 2
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: `'1 lamaOl 3- 00
Project /Subdivision Name: r P - C1l , Lot #:
Site Address: < ( - )4 L S ` off t £ tJ ILEA - Crate
CWS Service Provider Letter:
Required: Yes ❑ No "R
Received: Yes ❑ No pt-
Plans Routed:
Original Plan Submittal Date: 4 //'6o1/ 5 Routed Fc
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2 Revision Submittal Date: ❑ Site Plan Only Routed By:
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.
Planning Review (contact k J S t-O 2CL at (503) 718- 2-42:1 or GlOr1PS1 @ti
or.gov) �v
Land Use Case No.
Zoning R 3.5
Setbacks: , ,
Front 2. Rear � Side 5 Street Side '2.6 arage 0
["Maximum Building Height: �jD� Actual Building Height IJ�`
13 Clearance N /1k
❑ asements
Sensitive Lands Type: Wd(JE
CY56eet Trees N I a
Protected Trees N I Pr
Notes:
Original Plan: Approved , Not Approved ❑ Date: 1 1
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov)
Actual Slope: .1 Q
Notes:
Original Plan: Approved Not Approved ❑ Date: 4 h46/1
Revision 1: Approved ❑ Not Approved ❑ Date:
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 :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ►% No •
Date Routed to Building:
Page 2 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RGS.doc Rev. 01/16/13
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
10265 SW VIEW TER, TIGARD, OR, 97224
Residential - Master Permit
205 Footing
06/28/2013 09:00
MST2013-00107
PASS
Violation Summary:
Inspector Contractor