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Permit r CITY OF TIGARD MASTER PERMIT Il ' COMMUNITY DEVELOPMENT Permit#: MST2014-00076 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2014 Parcel: 2S103DC00820 Jurisdiction: Tigard Site address: 11270 SW FAIRHAVEN ST Subdivision: VIRGINIA ACRES NO.2 Lot: 13 Project: GRANT Project Description: Removing and replacing existing deck with a 576 sq.ft.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: $12,000.00 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+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: ALT SF VB R-3 0 Owner: Contractor: GRANT,JOHN III&KRISTEN OWNER Required Items and Reports(Conditions) 11270 SW FAIRHAVEN CT TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $466.01 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 don • accordan 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 day . ATTENTION: Oreg la uires you to follow the rules adopted by the Oregon Utility Notificatio r-rater. Those rules are set fo , in OAR 9 -001-0010 through OAR 9 -001-0091)}ou may obtain of the rules or direct questions to OUNC by calling 503.• .198/or 1.800. _�� I ued By: � Permittee Signature: _ ucl ■ AL�%/' Call 503.639.4175 by 7:00 a.m.for the next available ins ction d te. / This permit card shall be kept in a conspicuous place on the Job site until corn.etion of the proj Of Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received C— _ J Permit No.: III " 13125 SW Hall Blvd.,Tigard,OR 9 kl\,. DateB ��' u ' a _ T g Plan Revte 7I S T p`-I� A� •her Permit: Phone: 503.718.2439 Fax: 503.598.9 1 GJ � Date/Bv: TIGARD Inspection Line: 503.639.4175 H( 1 Date Ready : ® See Page 2 for Internet: www.tigard-or.gov (�) Notified/Method:5 s,r Mik�j Supplemental Information % ��`►0!v . c..4.1-10 Jam,, TYPE OF WORT �e q t. :ter.t REQUIRED DATA:1-AND 2-FAMILY DWELLING ni❑ v cti on Permit fees*are based on the value of the work performed. ❑New construction mollt 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. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: 512000 ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ®Other:Deck Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11270 SW Fairhaven Court New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 III-- Garage/carport area: square feet Suite/bldg./apt.no.: l Project name:2014 Deck Replacement ajar Covered porch area: square feet Cross street/directions to job site: Fairhaven St&Fairhaven Court t�i�J�. .� Deck area: 576 square feet Gaarde to 115th to Fairhaven St to Fairhaven Court �t Other structure area square feet c � ` ieJ� "�j � REQUIRED DATA:CONIb1ERCL•�L-USE CHECKLIST— Subdivision: 'r- _}g.� Lot na.: ,5• A Permit fees'are based on the value of the work performed. Tax map/parcel no.: t'"" ' 5�17a� 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. Remove existing deck on the rear of the house-Approx 10x20 Valuation: 5 Replace with new deck on the rear of the house-Approx 12x48 Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:John Grant Type of construction: Address: 11270 SW Fairhaven Court Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)539-6749 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer wfte schedule) Contact name:John Grant Structural plan review fee(or deposit): Address: 1 1270 SW Fairhaven Court FLS plan review fee(if applicable): City/State/ZIP:Tigard,OR 97223 Total fees due upon application: ../ �$y ww Phone:(503)539-6749 Fax: :( ) Amount received: // E-mail:JGra HartWagner.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. j Business name: -a -r_--f/ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: _ Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 Phone:( ) Fa. and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lic.: ,I Total fee due upon application: $201.60 Authorized signature: ,`M This permit application expires if a permit is not obtained WO within 180 days after it has been accepted as complete. [ Print name:John Gran W Date: - mr *Fee methodology set by Tri-County Building Industry Service Board. I:\Buil ding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Appli ant -31 fcl, I l Sig atur of Permit Applicant Date Permit#: /n57-070/11 `'U0 ')o Address: 11170 ) Fq 'rkatiriJ / 5 �f-;_i Issued !,. Date: /01-8 Y This Copy for Permit Offices - City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: irs7-9,6)4—000-7G Site Address: It 2 0 SW ctirhuven C-+. Project Name: Grant Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ) Proposal: (C.p\ Ce eX\S*1Y1A �D iO rea,' deck wiT new 12� X Lis deck- Verify site address/suite #exists and active in permit system. Si Plan Elements: di ree(3)copies of site plan ►� 4 stipg structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper �% tprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) -oor elevations �/ arrow .,. . . ..ns required for new,may apply for additions) PV e address,project or subdivision name and lot number L i _—.;.. • eptic systems �..licant information(name and phone number) CA Erasiet o including drainage-way protection,silt fence 1►' at dimensions and building setback dimensions(re Ar) • ign,location of catch basin,etc.) no 519nifita.r+t clidurbgn«, ■ ea,percentage of coverage and FA Sitreet names pervious area(applicable if R-7,R-12,R-25&R-40) •• 'r e, .e an. location lrepeeemerels ntour lines if more than ■ .. :-:-: retained with drip line,and tree 4 foot differential) protection measures Clean Water Sices—Service Provider Letter: (lot platted prior to 9/10 995): Req Yes El No Received: Yes ❑ No Vnd Use Case#: 'r c 5 �� R-3, E� Setbacks: Front l�/ Rear \ S Side 51 Street Side Garage �l t�_J,//Landscape Requirement: (� Ltd' t Coverage Maximum: Yl OV uilding Height: Maximum Height 3O Actual Height Visual Clearance sements 4berer1' nsitive Lands: ❑ Yes 2/No Type an Co nditions-lbtel Notes: i Approved By Planning: .4 • 0 _- ! ,, • Date: ___Sliall_ _ f err Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw_RES 042914.docx ., Building Permit Submittal Original Submittal Date: 515/1 ti Site Plans: # 3 Building Plans: # Building Permit#: Lr grater building permit#above. Workflow Routing: ,� manning Q-ngineering C�Permit Coordinator $uifu ding Workflow Sign-off: g�fr�-off for Planning(include notes from planning review) Route Application Documents: 1d�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and oral plan review routing form. [ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: e.T- Date: 5JI3J/L( Engineering Review , ❑ Actual Slope: ❑ Conditions Met Notes: N 0 ''',..)‹.01-%1 cS t2.t,..J G 1 •J�:y Approved by Engineering: ,7--- ......- Date: „..4-",/5 fitz Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit / A PP by roved b Permit Coordinator: Date " /% l:\Building\Fonns\B1dgPermitRvw_RES_042914.docx Clean Water Services File Number C1eanWater' Services 14-001290 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction:Tigard 2. Property Information(example 1S234A801400) 3. Owner Information dECEWIVED Tax lot ID(s):R477754 Name:John Grant MAP: 2S13DC-00820 Company: • 2014 VIRGINIA ACRES NO.2, LOT 13,ACRES.39 Address: 11270 SW Fairhaven Cou�t`'r � on Site Address: 11270 SW Fairhaven Court City,State,Zip:Tigard, OR 97223 City,State,Zip:Tigard, OR 97223 Phone/Fax:503-539-6749 1� Nearest Cross Street: Fairhaven St&Fairhaven CT E-Mail:jg@hartwagner.com 4. Development Activity(check all that apply) 6. Applicant Information 12 Addition to Single Family Residence(rooms,dedc,garage) Name:same as above ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: ii Residential Subdivision ❑ Commercial Subdivision - Li Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip: Other Phone/Fax: E-Mail: 6. Will the project involve any offelte work? ❑Yes ®No ❑Unknown Location and description of off-site work 7. Additional comments or Information that may be needed to understand your project want to replace existing deck approx 20x10 with new deck approx 48x12 across the back of the house This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEG 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am famirar with the information contained in this document,and to the best of my knowledge and beief,this information is true,complete,and accurate. Print/Type N= ,, . John Grant Print/Type Title owner Signature `• -i ,. J Date May 7,2014 I FOR DISTRI T USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area PreScreenrng Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ This Service Provider Letter Is not valid unless CWS approved site plan(s)are attached. iJ The proposed activity does not meet the definition of development or the lot was platted after 919/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by r /14'04 Date 05/13/14 2550 51.V Hdlsbao Nigh:. .11sboro Oregon 07123 • Phone 150311:M1-f,100 • F ax (503)G51-4435 • %wrw cleanwaterservices org Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11270 SW FAIRHAVEN ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00076 David Young Violation Summary: Inspector Contractor