Permit CITY OF TIGARD MASTER PERMIT
t _ • COMMUNITY DEVELOPMENT Permit#: MST2014-00018
T j(...;ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014
Parcel: 1 S134CC01000
Jurisdiction: Tigard
Site address: 12170 SW MERESTONE CT
Subdivision: MERESTONE Lot: 9
Project: Bahrs
Project Description: Replace existing deck of 48 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: $2,205.00 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
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 adds 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:
BAHRS,ARTHUR HENRY& RICK'S CUSTOM FENCING&DECKING INC Required Items and Reports(Conditions)
SANDRA CATHERINE 4543 SW TV HWY#A
12170 SW MERESTONE CT HILLSBORO,OR 97183
TIGARD,OR 97223
PHONE: 503-709-9335 PHONE: 503-640-5434
FAX:
Total Fees: $298.21
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 ac • ith 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. A TION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0• -0010 through OAR 95.-!• 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss =d By: • Permittee Signature: ^,...2:2,„
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.
Buildin Permit A heat' CEIVED
IOROl II( I l ',I ()NI 1
City of Tigard 1 9 Received /% 1 e, f Permit No.: / �/ —pQp/g
13125 SW Hall Blvd.,Tigard,OR 2 014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i 9/A1 / Other Permit:
1.i( \1�1, Inspection Line: 503.6393175 CITY OF TIGARD Date Ready/By: (/,t/ ' 's 0 See Page 2 for
Internet: www.tigard-or.gov Notifi •l ethod: p� Supplemental Information
BUILDING DIVISION • '- w/ ...,,A<-
TYPE OF WORK I )r QUIRED DATA:1-AND 2-FAMILY DWELLING
I7 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.
ra 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ -2.9.-0.A .0O.
❑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: Lad /n 4.5.1.1. rrtra re fie, New dwelling area: square feet
City/State/ZIP: -7---t- d or (:)%-i,,,,, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: cA rr 13rj 1 Covered porch area square feet
Cross street/directions to job site: j,, I 6-; �•7 Deck area: 1 If` s f square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: mores-tone, I Lot no.: 9 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: S` 1�O 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.
Valuation: $
lie ef tcLs.P ice-% i Sil V °et-
�e`rIZP {c'�� Poi A.1-r E xisting building area square feet
r r New building area: square feet
fi! PROPERTY OWNER ❑ TENANT Number of stories:
Name: cAtcri a 3 Type of construction:
Address: 1,2.4 L O A14. Kt eP Sfd(2 G'f Occupancy groups:
City/State/ZIP: ..w!) r-A ,(' 1 +7 7 '3 Existing:
Phone: c ,i.7 _ci a 3 6 Fax:( ) New:
Cir APPLICANT Pit CONTACT PERSON NOTICE
Business name: �j( Y fen G �G /D e $ i.r g All contractors and subcontractors are required to be
Contact name: `1 u�' .yI a O licensed with the Oregon Construction Contractors Board
1 T 1 PC under ORS 701 and may be required to be lbensed in the
Address: 6 ft.1 .5 e {V H ,,/ K4�'e jurisdiction in which work is being performed.If the
City/State/ZIP: H "� applicant is exempt from licensing,the following reasons
y A( ``6 �jo rCF c7C' (3 23 apply:
Phone:(s'� b d s6 3 c- Fax: :( )
E-mail: U I,
CONTRACTOR BUILDING PERMIT FEES*
Business name: ,�G i' c.. n t' ) (Please refer Permit.T 1 J J K a Permit fee:
Address: }�+ 50 N(� ki4 a- o
City/State/ZIP: t�i�,1 1.� � State surcharge(12/o of permit fee):
1' j 4l coed -a q, r 2 FLS plan review(40%of permit fee):
Phone:( )),,��Y..��')) i Fax:( ) (Due upon application.)
CCB Iic.: , ,/(j t y _ Total permit fees:
Authorized signature Amount received:
�9g' —
1 This permit application expires if a permit is not obtained
Print name: en r, p�J J rer Date: ,rl•?l/ within 180 days after it has been accepted as complete.
+ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingTennits\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: I $
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
Building Permit Number: f4-Si-c: 0 1 Ll -00d/g
IN • ' Building Permit Review
Residential Projects
I I( ,RD
Site Address: f 211 p SAi M, ,�S- & G}-,
—
L� erify site address is valid.
Project Name & Lot #: P0402- pea- a r}'Le t- i 1
Clean Water Services—Service P ovider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No Received: Yes ❑ No X
Site Plan Elements:
.Site plan must be on 8-1/2"x 11"or 11"x 17"paper XThree(3)copies of site plan
Drawn to scale(standard architect or engineer scale) North arrow
lap and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished
name,lot number,and zoning floor elevations
\Applicant information(name and phone number) " Lot and building setback dimensions
)Srkproperty corner elevations(2 foot contour lines if more than lkot area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
NI Utility locations INLocation of wells/septic systems.
xisting structures on site Surface drainage
treet names Street tree size,type and location
Erosion control(including drainage-way protection,silt fence NExisting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review _
��Land Use Case Number: 11 Pc Mf.re-C+0ne &LA OA gi&IU,.,.
.zoning: R • l-}-5
Setbacks:
Front 2d Rear 1 Side Si _ Street Side NJA Garage
-0 Landscape Requirement: N/Qr %
Zi Lot Coverage Maximum: N 1 k
Ja.Building Height: Maximum Height Actual Height IJ//sc-
'Visual Clearance
Easements ,
Er Sensitive Lands: 0 Yes Type Lj \)0I We Wit/Olt G \)1@ .Coy ic1 or, 1004r-W c 0a I h
Urban Forestry Plan (Cie(. --• n i-wity ,-R pt wh or cws cdmdo+a-) 1
Conditions Satisfied
Approved by: � k (!.j Date: 2114/IN
4
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
1:1Building\Forms\BIdgPennitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: /
f /9 / B
Site Plans: # 5
Building Plans: # 3
Create Case Record#: a-Enter case#above for Building Permit Number.
Workflow Routing: Planning 0-Engineering Or-Permit Coordinator $]wilding
Workflow Sign-off: Yd' tn-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: as Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
oal plan review routing form.
If T uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Reviewed By: Date:
Notes:
Engineering Review—reviewed by dZ
Actual Slope:17e,
❑ Conditions Satisfied
Notes:
Approved by: H17 ���,,� Date: 2-/.4`.f1
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
•Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica I AP
Revision Notice 3: Date Sent to A..:I ∎"/_
Aredr- .V/ 9i V
Okay to Issue Permit- Date:
I:\BuildineForms\BJ dgPermitRvw_RES_123013.docx