Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2013 -00115
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2013
Parcel: 2S110BA02900
Jurisdiction: Tigard
Site address: 11580 SW CLOUD CT
Subdivision: SHADOW HILLS Lot: 35
Project: Dempsey
. Project Description: Construct 400 sq ft upper level deck, 10 feet above ground.
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: $8,124.00 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
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =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 +ampNolt: 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
ADD SF VB R -3 0
Owner: Contractor:
DEMPSEY, JOHN P & RUTH P OWNER Required Items and Reports (Conditions)
11580 SW CLOUD CT DEMPSEY, JOHN & RUTH
TIGARD, OR 97223 11580 SW CLOUD COURT
TIGARD, OR 97224
PHONE: 503 -620 -8301 PHONE: 503-620-8301
FAX:
Total Fees: $265.79
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ot, applica• - law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issue, , •r if w• is suspende• for more the 180
days. TENTION: ■ egon I:w requires you to follow the rules adopted by the Oregon Utility Notificatio Cente . hose rules are s-t forth in OAR
95 01-0010 rough OA - • • - 081 -00 • I. You may obtain a copy of the rules or direct questions to OUNC by calling 50..232.19; 0 1.800.332.2344.
Is ued By: „ Permlttee Signature: �uit
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.
Build iag Permit Applica; irC
Residential ���
9 FOR OFFICE USE ONLY
of Ti and MAY 9 2013 Received /�
g Date/B • T / ID, � Permit No.: NG 0 IO r
a 13125 SW Hall Blvd., Tigard, O n Plan Revie �� r4,.
Phone: 503.718.2439 Fax: 503 6D TIGAR DateB : Other Permit:
TIGARD Inspection Line: 503.639.4175 DIVISION Date Ready',: y: luris ® See Page 2 for
Internet: www.tigard- or.gov Notified/Met od: (Q// �3 s. Supplemental Information
l//`1 ■ A/&.
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 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.
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation`s $2 .6J ( 24_,(30 ,
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11580 SW Cloud Court New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: McFarland /Cloud Court Deck area: 400 square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar
Tax map /parcel no.: ( dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Upper level Deck - 10ft / 1J H 6tt T Valuation: $2500
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: John and Ruth Dempsey Type of construction:
Address: 11580 SW Cloud Court Occupancy groups:
City /State /ZIP: Tigard, Oregon 97224 Existing:
Phone: (503)620 8301 Fax: ( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: )
Structural plan review fee (or deposit): J-Ll'
Contact name: John Dempsey
Address: 11580 SW Cloud Court
FLS plan review fee (if applicable):
City /State /ZIP: Tigard, Oregon 97224 Total fees due upon application:
Phone: (503) 620 -8301 Fax:: ( ) Amount received: 05
E -mail: rdempseycpa@comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation o
CONTRACTOR roo -top • nted PhotoVoltaic Solar Panel .
Business name: John Dempsey Submit two (2 • of roof plan with a ection details
and fire department a • • s, alo• _ ith the 2010 Oregon
Address: Same as above Solar Installation Special • •: •e checklist.
City /State /ZIP: Permit Fee (ii des plan re '••w $180.00
. , • administrative fees):
Phone: ( ) Fax: ( ) State . charge (12% of permit fee): $21.60
CCB lie.:
C.______ Total fee due upon application: $ s .0
Authorized si ure: This permit application expires if a permit is not obtained
4 within 180 days after it has been accepted as complete.
Print name: John Demps Date: 05/03/2013 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I I /02/COM/WEB)
rw
Building Division
Development Code Provision Review
T I G r\ R D Residential Projects
Building Permit No.: 1 l�� 1 00 L ( J
Project /Subdivision Name: r,H P` . )( , Lot #:
Site Address: 115 $O o w C1 of C
CWS Service Provider Letter:
Required: Yes ❑ No vg-
Received: Yes ❑ No E
Plans Routed:
Original Plan Submittal Date: 5191/3 Routed By:C
1st Revision Submittal Date: ❑ Site Plan Only Routed By:
2n 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 (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 i\fS OG(C-Z- at (503) 718 - 242_1 or ars\ @tigard-
or.gov)
Land Use Case No.
Zoning Z - 2
❑ Setbacks: I I
Front 1 Rear25 Side S Street Side N I Garage 20
❑ Maximum Building Height: 3D Actual Building Height N / A-
❑ Clearance l--
❑ Easements
❑ Sensitive Lands Type: 2.5% SIO3D°S
O Trees u�A
G Protected Trees r1
N tes: Sl: � lA ►�' 1S r)(31--to �CC.,J i PiA VA f 1 oir, tG1 I phOh 6t(i,�
C11OPS NOT A pear fro
Original Plan: Approve d ❑ Not Approved ' Date: 9
Revision 1: Approved Not Approved ❑ Date: 5 m`
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)
.2' Actual Slope: /0
Notes:
Original Plan: Approved Not Approved ❑ Date: 1 4/t ■
Revision 1: Approved JQ Not Approved ❑ Date: S 22 //3
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albeit @ 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 j 14 �
Date Routed to Building: � _
I r
Page2of2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
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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
11580 SW CLOUD CT, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
06/28/2013 00:00
MST2013-00115
FAIL
No one 18 years old home
Violation Summary:
Inspector Contractor