Permit 111111 v CITY OF TIGARD MASTER PERMIT
£ COMMUNITY DEVELOPMENT Permit#: MST2014-00185
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2014
Parcel: 1S125DC06200
Jurisdiction: Tigard
Site address: 9700 SW 74TH AVE
Subdivision: ASH CREEK GATES Lot: 4
Project: YOUNGBLOOD
Project Description: Replacing existing deck and expanding 3 ft. along house.
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: $6,000.00 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 Tvoes 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!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:
YOUNGBLOOD,RYAN L Required Items and Reports(Conditions)
YOUNGBLOOD,JENNIFER N
9700 SW 74TH AVE
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $385.98
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR
R 952-001-0090. You may obtain a c rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L"/ "�--,_si— niEtee Signature:
C . 39.4175 by 7:00 a.m.for the next available inspectio e.
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
Residential FOR OFFICE USE ONLI
City of Tigard ECEIVED Dateed i0( l 4/ Permit No.: 1?7 *
r 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review r4 �
Phone: 503.718.2439 Fax: 503.598. OCT A 2 14 Date/B : ria 1 j■!� Other Permit:
11 G A R Ii Inspection Line: 503.639.4175 T �i 1 Date Ready/. 1/>� MI Supplemental See Page 2 for
Internet: www.tigard-or.gov . Nitifi 4 ithod: Supplemental Information
it I. db-N• - -
TYPE OF W Vic' IVIR 7" REQU ED 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
❑Addition/alteration/replacement ®Other:Deck 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: $6000
❑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:9700 SW 74th Av New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site:SW Barbara Lane Deck area: 2:36 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Ask Creek Gates I Lot no.:4 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:R2148961 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.
Rebuild Existing Deck and Expand 3'Along House Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Ryan&Jennifer Youngblood Type of construction:
Address:9700 SW 74th Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Zink Design Services (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Ryan Zink -
Address:3111 Cottonwood Ct FLS plan review fee(if applicable):
City/State/ZIP:West Linn,OR 97068 Total fees due upon application:
Phone:(503)701-8213 Fax::( ) Amount received:
E-mail:Ryan @Zinkdesignservices.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Joseph Ketner Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO BOX 2409 Solar Installation Specialty Code checklist.
City/State/ZIP:Gresham,OR 97030 Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:(503)504-6263 Fax:( )
/ / State surcharge(12%of permit fee): $21.60
CCB lie.:148082 (,(J��((((,
111 Total fee due upon application: $201.F'
Authorized signature: This permit application expires if a permit is not n*
�._ 1 within 180 days after it has been accepted ao
Date: �i *Fee methodology set by Tri-County Buildir
Print name:
� ��y Service Board.
I:\Building\Pe ' UP-RESPermi .doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111111 ■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: "377420P-1-ao/PS
Site Address: app &N `lam kg,
Project Name: 10tAn0 deck- reoLtvy L Lot #:
(New dweiliAg=subdivision name;Additiot or Alteration=last name of owner)
Planning Review
Proposal: c' rep►kernef+ I A-Ifie d- 10,,E 3'
xt Verify site address/suite #exists and active in permit system.
Site Plan Elements:
❑Three (3)copies of site plan )xisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
.'Drawn to scale(standard architect or engineer scale) floor elevations
,Z .4orth arrow -Erptility locations(required for new,may apply for additions)
• to address,project or subdivision name and lot number ocation of wells/septic systems
J2'lpplicant information(name and phone number) 2tf rosion control(including drainage-way protection, silt fence
❑Lot dimensions and building setback dimensions design,location of catch basin,etc.)
fd'rot area,building coverage area,percentage of coverage and .QStreet names
impervious area(applicable if R-7,R-12,R-25&R-40) -(Street tree size,type and location
.221 roperty corner elevations(2 foot contour lines if more than 2xisting trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995):
Required: ❑ Yes—Applicant Notified 2(No Received: ❑ Yes 0 No
2'Land Use Case#: SLA a2- -ot,00
Zoning: RM. 5
Setbacks: Front 2.01 Rear 6' Side eat Street Side N/.A- Garage
.2"Landscape Requirement: N ''/o
+
.1-Lot Coverage Maximum: IJ
t
,0/Building Height: Maximum Height a) Actual Height 01..A-
-Er Visual Clearance
Easements
Sensitive Lands: Z Yes ❑ No Type f o(,ier 014-6, vAtot V,l,itifi i
J Urban Forestry Plan
,12'Conditions Met 46 �wP--
Notes: Cl lrre41-1-llf(.k Ic pal {alloy m t 13' 10 m>` poirlij (AAA , ,fee /e wo. oi,o, .r lies,
Approved By Planning: `!i 4 ' frt- A.A.- Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1 dgPermitRvw_RES_042914.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ELF tutee uilding�perrmmitt#above.
Workflow Routing: [3�1�1 ng Engineering Pit Coordinator l�Suilding
Workflow Sign-off: :Wr...r-off for Planning(include notes from planning review)
Route Application Documents: neering: (1) copy of permit application, (1) site plan, (1) building plan and
ori gwal plan review routing form.
uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /V/d0/
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: 14 p Z,y&f ore-Ai.%)! /f►Sct cc-S'
Approved by Engineering: Date: Jo.2!• /tf
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:
0 OK to Issue Permit
Approved by Permit Coordinator: v Date: /
1:\Building\Forms\BI dgPermitRvw_RES_092914.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Ph Transmittal Letter
I i , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION BfJEt)
FPRHOM:
COMPANY:
ONE: ` +-- � d
�
$- "2 A
C 30 2014
CITY O
U
U1t[1M "f
RE: J"706 7 M5rc9oi -1%ES"
(Site Address) (Permit Number)
Ye,Le_kJ' a &ea.°
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: Description:
Additional set(s)of plans. Revisions: , ,/
Cross section(s)and details. Wall bracing lateral analysis.
g Y
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR O F CE USE ONLY
Routed to Permit Technician: Date: [(/3 f/4 Initials:
Fees Due: ❑ Yes ❑- Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
[:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012