Permit Ia CITY OF TIGARD MASTER PERMIT
``1 COMMUNITY DEVELOPMENT Permit#: MST2014-00214
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2014
Parcel: 25111 CD04000
Jurisdiction: Tigard
Site address: 9545 SW BRENTWOOD PL
Subdivision: SUMMERFIELD NO.9 Lot: 529
Project: Wenner
Project Description: Back porch cover
BUILDING
Floor Areas Reauired Setbacks Reauired
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 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 addl 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:
SHERMA WENNER TL REMODEL AND CONSTRUCTION INC Required Items and Reports(Conditions)
9545 SW BRENTWOOD PL PO BOX 1996
TIGARD,OR 97224 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-984-2783
FAX:
Total Fees: $391.48
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- ' - • •- 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
da .. ATTENTION: Orego .w require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
: 2-001-0010 through OAR 952-4• -a%•0. ou spay obtain a copy of the rules or direct questions to OUNC by calling 503.232. 87 or 1.800.332.2344.
/1//
Issued By: �� Permittee Signature: _
-— Call 503.639.4175 by 7:00 a.m.for the next available inspection d 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.
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a •
Buildin Permit A licatio , CE�VEn
Residential E 1 ' , t I,; t[I I I( 1 I •I n.I )
City of Tigard n C Received / Permit No.: 51-:
13125 SW HaII Blvd.,Tigard,OR 97223-C 3 2014
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a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : A/ iwriEa Other Permit:
I G.1 K[� Inspection Line: 503.639.4175 CITY OEM Date R-.,r'-:y: 4�I� B See Page 2 for
I Internet: www.tigard-or.gov vA�V Notified/Method:/� flij m_-� Supplemental Information
BUILDING DIVISION /
TYPE OF WORK REQUIRED 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling El Commercial/industrial Valuation: $6000
El 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:9545 SW Brentwood Place New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:Wenner Covered porch area: square feet
Cross street/directions to job site: Deck area: 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)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Back porch covering.See plans for details Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Sherma Wenner Type of construction:
Address:9545 SW Brentwood place Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:TL Remodel&Construction Inc lt�easenlerwJasc>recb►k�
Structural plan review fee(or deposit):
Contact name:Tim Labunsky
FLS plan review fee(if applicable):
Address:PO Box 1996
Total fees due upon application:
City/State/ZIP:Lake Oswego,OR 97035
Amount received: ik/D7,Phone:(503)9842783 Fax::( )
.2-(-
E-mail:TLRemodel@yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roofs op mounted Photo Voltaic Solar Panel System.
Business name:TL Remodel&Construction Inc Submit • (2)sets of roof plan with connection detail
and fire dep. • access,along with the 2010 gon
Address:PO Box 1996 Solar Installation Spe • Code checkli
City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes pl• - $180.00
and adminis• : .•e fees):
Phone:(503)9842783 Fax:( ) State surcharge(1 ',of permit fee): 1.60
CCB lic.:191214
/✓� Total f due upon application: $201.60
Authorized signature: G v This permit application expires if a permit is not obtained
/ . within 180 days after it has been accepted as complete.
Print name:Timothy Labu sn ky . 1-24-14 *Fee methodology set by Tri�ounty Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. •
1111 City of Tigard
el
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COMMUNITY DEVELOPMENT DEPARTMENT
I n lz�� Building Permit Review — Residential
Building Permit #: HTT L( `GO c I 4-/
Site Address: qS qS SC.c
Project Name: (,1f -E--J //1) F Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review ;
Proposal: P'r4
Verify site address/suite#exists and active in permit system.
Site Plan Elements:
ee (3)copies of site plan ,sting structures on site
❑Site plan must lc on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
,Hbrawn to scale(standard architect or engineer scale) floor elevations
Forth arrow ❑Utility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number El Location of wells/septic systems
Applicant information(name and phone number) ❑Erosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions design,location of catch basin,etc.)
E1Lot area,building coverage area,percentage of coverage and ❑Street names
impervious area(applicable if R-7,R-12,R-25&R-40) ❑Street tree size,type and location
Property corner elevations(2 foot contour lines if more than ❑Existing 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 No Received: ❑ Yes ❑ No
❑ Land Use Case#:
❑ Zoning: g-7
❑ Setbacks: Front 1 Rear 5^ Side 5 Street Side /( Garage ZG
❑ Landscape Requirement: ) 5 %
❑ Lot Coverage Maximum: g S %
❑ Building Height: Maximum Height Actual Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands: ❑ Yes ❑ No Type
❑ Urban Forestry Plan
❑ Conditions Met
Notes: W A46 7-1;c:tc Z Sr7-8114 ize/t/ l i47,1,‘ I it Li c y/
Approved By Planning: Date: /,2- 3 - 6e
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms1BldgPerm itRvw_RES_042914.docx
s' .
Building Permit Submitta
Original Submittal Date: /.1- 0//`f/
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: tP4lanning eering rmit Coordinator ding
Workflow Sign-off: J i -off for Planning(include notes from planning review)
Route Application Documents: gineering: (1) copy of permit application, (1) site plan,(1) building plan and
oal plan review routing form.
[d luilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 6 _ ,_ ,„ ,, _ /,Date: /
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: I j e a •r m a l 6 t5:42.1 4 G f 14'.&5
Approved by Engineering: . __.� "11 Date: 12 - 3 • 1 tf
07......._Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
u
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 /4
At 3 Approved by Permit Coordinator: / Date: i"7
1:1Building\Forms\B1dgPermitRvw_RES_092914.docx
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/4�i 14 \ ,) r t.," TL CONSTRUCTION 9545 SW BRENTWOOD PLACE
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1 J r SCALE, 1" = 20"
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9545 SW BRENTWOOD PL, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2014-00214
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
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
9545 SW BRENTWOOD PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2014-00214
George Heimos
1. Provide plumbing, mechanical and electrical final approvals prior to calling for Final
Building Inspection.
Violation Summary:
Inspector Contractor