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Permit
- • • • CITY OF TIGARD MASTER PERMIT 114 q COMMUNITY DEVELOPMENT Permit#: MST2013-00212 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2013 Parcel: 2S104AC13100 Jurisdiction: Tigard Site address: 12810 SW 135TH AVE Subdivision: 1997-031 PARTITION PLAT Lot: 2 Project: Sadler • Project Description: Replace existing deck 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: $12,500.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckfw 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+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: N Other. N Other Description: 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: SADLER,JAMES&PAULA CREATIVE FENCES&DECKS INC Required Items and Reports(Conditions) 12810 SW 135TH AVE 14782 SW FERN ST TIGARD,OR 97223 TIGARD,OR 97223 • PHONE: PHONE: 503-969-8850 FAX: 503-521-9840 Total Fees: $570.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cods :nd all other - _ . . All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua = or if ,ork is . ••=nded for more the 180 days. ATT 1 •N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification: e ■=r. •-= rtes are set forth in OAR 952-00 1010 throug •R 95. ::•-009x0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23'.1:; • ;10.33 2344.• Issu-• By: QGZ�Z Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available Inspection.ate. This permit card shall be kept in a conspicuous place on the Job site until completion. the projec r Approved plans are required on the Job site at the time of each Inspection. Building Permit Application � • Fire Protection System RECEIVED ,:(),, (),:,.,,c,:. lisl ONLY City of Tigard Received Date/B : 9 0� �j �� Permit No.: 5 -• 3.e65/9 q 13125 SW Hall Blvd.,Tigard,OR 97223 S P 2 3 2013 DPlan te/B Re : ��� U to (0 Phone: 503.718.2439 Fax: 503.598.196u (3 Other Permit: l'I G A R D Inspection Line: 503.639.4175 Date Read 3urie: Ea See Page 2 for Internet: www.tigard-or.gov CITYOFTIGARD Notificd/Method:�D �Q �3 Supplemental Information BUILDING DIVISION td/H// ‘ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING la New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(romded 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. Valuation: /2/ — � $ r -and 2-family dwelling ❑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: / /f? (/V 051 New dwelling area: square feet City/State/ZIP: 7-70":"0 0- 1/7' 3 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: Covered porch area square feet Cross street/directions to job site: Deck area: ,607 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. 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. /e6r��/% OF(6) /�/� Valuation: S �1Y K/[�LJ� Existing building area square feet • New building area: square feet ROPERTY OWNER ❑ TENANT Number of stories: Name: /.4,0tbe-- Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) �/ New: {Q APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: /p& JylO/ 4W1f114/ licensed with the Oregon Construction Contractors Board ,�/ A/ _y/�r� h under ORS 701 : d may be required to be • -. In the Address: W f w• 5/1/9 / I 7 D/l/ / / jurisdiction in whic .ork is be'.: .•r ormed.If the City/State/ZIP: 04-7-1.-400 O� 712/7 applicant is exem.t t •- .-using,the following reasons apply: Phone: /9 / k4_1 -- -L - Fax::( ) /// LSD . E-mail: /�tA a�O/�'7C Q//I/4IL' O CONTRACTOR BUILDING PERMIT FEES* 61,4-4 T/✓& L,r. � efe e✓ (Please refer w fee schedule) Business name: / -Z:/[�C ( j`� Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%ofpermit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lie.: /4/ 7 0 Total permit fees: Authorized s ` , Amount received: `7 .4/3 Authorized ` This permit application expires if a permit is not obtained Print name: M'V ■ .0 �' Date: - I3 within 180 days after it has been accepted as complete. J / • Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Pennit3\FP5-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) -r d• City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information • 1 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: I $ 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. • I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2 -... III e " Building Division Development Code Provision Review T t G A R D Residential Projects Building Permit No.: H�1 c C/ 3 - 009. 12- Project/Subdivision Name: 1tfl Le It , Lot #: Site Address: /A g/0 6Lt) /55 CWS Service Provider Letter: Required:Yes ❑ No IKI Received:Yes ❑ No 'E] Plans Routed: Original Plan Submittal Date: 9//3//3 Routed B1-" , 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd 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 at(503) 718- or @tigard- or.gov) Land Use Case No. Zoning K-7 yi Setbacks: Front -- Rear 90 f Side €20 Street Side — Garage JSI Maximum Building Height: 3 5 Actual Building Height Af l p -cke eic-- 1 Visual Clearance N/A $. Easements h 04- 1„ b 1 d cc rcc, I Sensitive Lands Type: 5 kepi 51 Cd re V 0 t S.ie i 5 If Street Trees JJ/(A IX Protected Trees hl/r, Notes: Original Plan: Approved Z. Not Approved ❑ Date: 9-°I 3 - 1.3 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 • w - Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) Z Actual Slope:_ 7_ Notes: Original Plan: Approved Not Approved ❑ Date: 14 3/3 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 O �' . ., . - l.: ' - ., of • ? I::C) "66, :. tt,:' I• '' . ?' :i•- _ c : „.- : ,; .::.7.. .: . 1 r 1 ,,, .. . •, , n .. ,.D0 :,. -,,,,.,. , ,,„ ;, _ ,..... , ,.,. ...,,, .2. 1 , , _, ‘, .. f. . , .. ., - ... . : .,,,,.. „, . , ,„ 1---6:— , c.., ..:;. ,..„ „___,....,„. „.._..: , . ,;.,,,, L,; );,..,_, _ ,-,0-1 - U r ,i P 'N V A [11 o Q . W Q ER ®Ili 1 O N 1 o IIII ilil � ..27).c I I I111 i il 3ai 10 m -Q i a 1 g -0 JIM &PAULA SADLER SIMPL HOME DESIGNS —_1 12810 SW 135TH AVE. 5531 SW BUDDINGTON ST,PORTLAND OR 97219 s a r' p 503-515.6495-f 503-7194825 . m a I TIGARD OR 97223 a Q www.ezpemiits.b z I mikewmontgomery@gmail.00m COPYRIGHT© 2013 SIMPL HOME DESIGNS I CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE' ISSUED: Phone: (503) 639 -4171 tpi„pi i Inspection Requests (24 Hrs.): (503) 639 -4175 - , ;1J1. »'J9- rgal3- 00 212 - INSPECTION WORKSHEET FOR DATE: f ) /5 TIME: PAGE: " SITE ADDRESS: 1 10 5 0,, f3 j c y„ A U L% CLASS OF WORK: SUBDIVISION: ((�� . LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description . Confirm # . Contact # Message 7 114.44 Corrections /Comments /Instructions: t • • A ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED Inspector! , �:� Date: . / Phone #: (503) 718 - 7 -':- ITY OF •TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503).639-4171 Aro Inspection Requests (24 Hrs.): (503) 639 -4175 " ff: j",` • 00 INSPECTION WORKSHEET FOR DATE: . - 1 TIME: PAGE: 0 4. - ADDRESS: fir) .: � � : ^ � 1 f (j( CLASS OF WORK: SUBDIVISION: '7Crs -'d r-" • LOT #: TYPE OF USE: PROJECT NAME: • ;DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 12 - 2 -'/.y Pour Time: t' Code # Inspection Description Confirm # Contact # Message Cofr ctions /Comments /Instructions: • • „r I ' I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS " 0 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector ! r Date: " � 7 Phone #: (503) 718-