Permit r Ill CITY OF TIGARD MASTER PERMIT
I/ COMMUNITY DEVELOPMENT Permit#: MST2015 00102
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2015
Parcel: 2S 109 DA04900
Jurisdiction: Tigard
Site address: 15316 SW GREENFIELD DR
Subdivision: SUMMIT RIDGE Lot: 26
Project: Wiese
Project Description: Extend roof over 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:
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:
OTR SF VB R-3 0
Owner: Contractor:
WIESKE,JAMES M&JEAN A RICK'S CUSTOM FENCING&DECKING INC Required Items and Reports(Conditions)
15316 SW GREENFIELD DR 4543 SW TV HWY#A
TIGARD,OR 97224 HILLSBORO,OR 97183
PHONE: 503-880-2607 PHONE: 503-640-5434
FAX:
Total Fees: $549.51
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 ru s are set forth in OAR
, 952-001-0010 through OAR 952-001-0090. You may obtain a copy of questions to OUNC by calling 503.232. or 1.800.33 344.
Issued By: `r _All ,�-..........r -- -• Signature:•
ANS
Call 503.6 Lb .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.
guild ng Permit Application
Residential (E EIVEP FOR OFFICE USE ONLY
City of Tigard R permit No.:
13125 Phone:SW Hall Blvd.,Tigard,OR 97223 1 R 2015 Plan Revie,,����®E
Phone: 503.718.2439 Fax: 503.598.1960 / DateB : ♦ Other Permit:
Inspection Line: 503.639.4175 Date Ready : h e � luris See Page 2 for
www.tigard-or.gov j( Vt 11GARU Notified/Methodl , Supplemental Information
rmation
-
TYPE OF WORK REQUIRED DATA:I-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
dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
.12-1=-an-d 2-family dwelling ❑Commercial/industrial Valuation: $ 12 �Q /
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: t C'31. 6 w G«f j/ 19<< New dwelling area: square feet
City/State/ZIP: T: d oyi. ci 7 a2.,{ Garage/carport area: square feet
v
Suite/bldg./apt.no.: Project name: (4)r es k, Covered porch area: _ square feet2
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.
..gigio-� eer, ouf& ex/Sr„3e0- c k Valuation: $
/L Existing building area: square feet
I New building area: square feet
i_.
PROPERTY OWNER ❑ TENANT Number of stories:
Name: ZW►v424 (10 1 C--S le-AL Type of construction:
Address: is. 3 A 5 w (nee �re,c' 0,,..- Occupancy groups:
City/State/ZIP: Ti I 61/ Existing:
Phone:(503)8660-tu 07 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
c Structural plan review fee(or deposit):
v
Contact name: -kit_
FLS plan review fee(if applicable):
Address:
City/State/ZIP:
Total fees due upon application: Lf
!�
� Amount received: �4 ,.7 /
Phone:(�p3) 6 80�- �36 Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Comme ,'al and residential prescriptive installation of
CONTRACTOR roof-top ms nted PhotoVoltaic Solar Panel System.
Business name: R rJJ1<5 Submit two( sets of roof plan with connection detail
C4,6 and fire departm•• access,along with the 2010 0 •gon
S
Address: q £4 3 s e Tv i Solar Installation S.•.'sIty Code checklist.
Permit Fee(include . •• revi City/State/ZIP: i t�S d Ov 97/
$180.00
and administrativ
L Phone:(SO Fax:
5ro3) `1q 2.— 6871 ( ) State surcharge(12°/ . permit fee): $21.60
1 CCB lic.: 5-*-00 8e, 3/10,-1 To • e due upon application: .60
Authorized signature: This permit application expires if a permit is not obtained
f� ee methodology t od days set by it has been Building accepted as complete.
e.
L Print name: ' Date: 4,—)6_ Ls' *Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
ligCity of Tigard
/ 4 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
1 i (..1R. I)
Building Permit #: ��/c O61/ '
Site Address: \5316 SW Greer,-- I elr� br_
Project Name: W j esksz- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review]
Proposal: ex�'ex1Q 1o4 ov yr e-xt I,9 aec.i.c
El/Verify site address/suite#exists and active in permit sysst .
RI River Terrace Plan District: C1 Yes lfNo
Site Plan Elements:
❑free(3)copies of site plan sting structures on site
I' to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
I pawn to scale(standard architect or engineer scale) floor elevations
l rth arrow - Utility locations(required for new,may apply for additions)
N:5ite address,project or subdivision name and lot number t3Location of wells/septic systems
U)fpplicant information(name and phone number) -Erosion control(including drainage-way protection,silt fence
/Lot dimensions and building setback dimensions esign,location of catch basin,etc.)no 51-0 LAn a∎stkAY r1C2_
tot area,building coverage area,percentage of coverage and lLlStreet names
impervious area(applicable if R-a,R-12,R-25&R—R-400)) ,l�Street tree size,type and location
.J nb In4te�Ss 1 tco ltnr fri'_
Property corner elevations(2�oot conto es t ore than -BExisting trees to be retained with drip line,and tree
4 foot differential) protection measures
J
E Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified (No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: El Yes,applicant was notified "No Applied For: ❑ Yes ❑ No,stop intake
$Land Use Case#:
1 /Zoning: R-1
l etbacks: req,.(q a.,) Front 15' Rear 19' (I-',ide 51 (5;1 Otreet Side -- Garage 20r
J Landscape Requirement: /0 M t Coverage Maximum: CZ 0
wilding Height: Maximum Height 3 S Actual Height )5 (no increase)
Clearance
aasements
Ltd Sensitive Lands: ❑ Yes No Type
-B-Urban Forestry Plan
-0-Conditions "Met"prior to issuance of building permit I
Notes: no iinc(eae in - 100( (area- \ 0�- coveroc e , or ,,LAj �c1 in, nai8h-r;
no reAUci o seiback
Approved By Planning: (fl f- Date: 6111 1 15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:1Building\Forms\BldgPermitRvw_RES_031015.docx
•
Building Permit Submittal 1/. 3--
Original Submittal Date: , 17
Site Plans: # _3
Building Plans: # 3
Building Permit#: 2 Enter building permit#above.
Workflow Routing: ,Planning (Ihngineering E-rmit Coordinator ding
Workflow Sign-off: ,E Sign-off for Planning(include notes from planning review)
Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[J uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
C, 77,73----'\ ■
By Permit Technician: Date: 4/7/5"--
Engineering Review
1Z(Slope at building pad: l 0
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes gf No
LIDA Facility on lot: ❑ Yes p No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: -11Ac Date: 6. 0 l
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
❑ Approved,NOT Released: Date:
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 �, �Q
Approved by Permit Coordinator: C/�`"" t _ a . Ca-Z.,n. Date: (o - ($ -[S
l:\Building\Forms\BldgPermitRvw_RES_031015.docx
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
15316 SW GREENFIELD DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00102
David Young
Violation Summary:
Inspector Contractor