Permit 111 u CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00101
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2015
Parcel: 1 S125DD06900
Jurisdiction: Tigard
Site address: 9595 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO.3 Lot: 77
Project: Silver
Project Description: Replace and expand 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: $26,000.00 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
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
Fum<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 at 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:
SILVER,STEPHEN H&MARY S PREMIER RENOVATION&DESIGN LLC Required Items and Reports(Conditions)
9595 SW VENTURA CT 726 S PACIFIC ST
TIGARD,OR 97223 NEWBERG,OR 97132
PHONE: 503-320-7075 PHONE: 503-407-8929
FAX:
Total Fees: $921.50
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 . . .... .. . t h e Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy o . • - . •ns to OUNC by calling 503.232.1987 or 1.800.332.2344.
i s., /
Issued By: / G.011MMIP •ermittee Signature: - .. ii`l
Ca 50 + '� 0 a.m.for the next available inspection d•/
This permit card shall •e ep - • 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.
• I
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONL1
City of Tigard Received
Date/By: Le l5 Permit No,: 1�Tv2e,/S-0410 (
13125 SW Hall Blvd.,Tigard,OR 97223 _
11"1 3 �j N 15 2 015 Plan Reviedr�1,t , A / ``-7 Other Permit
Phone: 503.718.2439 Fax: 503.598.19 Date/By: 4/J!Y/X�►ri1 b 1 (t F!�
TIGARD Inspection Line: 503.639.4175 CITY Date Ready/By. /n turfs ® See Paget for
Internet: www.tigard-or.gov RIMING OF TIGARD Notifie, y,-thod: O /g//5 Supplemental Information
TYPE OF;1ii #1IiN REQ RED DATA: 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 ❑Commercial/industrial Valuation: $ ,92,6 , o_�_�
ID 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: 959 .‘5' ) /:N77), 4 (27_ New dwelling area: square feet
City/State/ZIP: 77 77-a O" g72 O 972 Z 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: De-e _ /fob e L Covered porch area: /_ square feet
Cross street/directions to job site: Saj 4L F,e�4 " Deck area: 92�'' square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:
/tSH/ifJGf 78ti3 Es-7- 3 7 7 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: "Mx Lerr D /4,,/Z s---
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.
,E.../..D1.---.9-CE' .DEC Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 6'7---1/ . 5'/Li/E� Type of construction:
Address: 9jrgs cS )�N t f 6T Occupancy groups:
City/State/ZIP: T///,��Q, , (]/� 972Z 3 Existing:
Phone:( J 3) 32— 70 7— Fax:( )
New:
❑ APPLICANT ❑ CO" fACT PERSON BUILDING PERMIT FEES*
Business name:
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: /¢� `.,/Li/C�
"� FLS plan review fee(if applicable):
Address:
City/State/ZIP:
Total fees due upon application:
Phone:(a- 3) ,3,20 _ -70 7s I Fax::( ) Amount received: ;, . 3
E-mail: G—� /� S� elm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/L��i��l `/�� I Commercial and residential prescriptive installation of
CONTRACT° roof-top mounted Photo Voltaic Solar Panel System.
Business name: N, ..DEe tt/,u� �A/L l L� Submit two(2)s of roof plan with connection details
/ and fire department a --ss,along wits -2010 Oregon
Address: 726, S' �� /L '- /0/ Solar Installation S,ecial v..• ecklist.
City/State/ZIP: 4), -;,,,z) tai Permit Fee(inclus": • an fee 9 �/ 3 z and .t tnistrative fee : $180.00
Phone:(52, 3 +LO7 - $ 1 z . Fax:( ) State surchar:e(12%of permit fee): $21.60
CCB lic.: /9 ii Z 5
Total fee due upon application: $201.60
Authorized signature: v y This permit application expires if a permit is not obtained
d` /�ij#/44 within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
.■ /L✓i=- — �/ Service m Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
r /1'
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
I i , , \ i; 1 )
Building Permit #: \-'15--T 940 1 S- DO i O
Site Address: 9 .-- qtc) ' (2
Project Name: Q1 f vet- e Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /VJln0 Chek
V('
Verify site address/suite#exists and active in permit syst m.
'JL'River Terrace Plan District: ❑ Yes ]No
Sit Plan Elements:
Iiiteof site plan flxisting structures on site
repela(n3)mcoupsties
b on 8 1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale) floor elevations
orth arrow
II •tility locations(required for new,may apply for additions)
to address,project or subdivision name and lot number Ill cation of wells/septic systems
Vpplicant information(name and phone number) osion control(including drainage way protection,silt fence
t dimensions and building setback dimensions esign,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and ['treet names
impervious area(applicable if R-7,R-12,R-25&R-40) reet tree size,type and location
ioperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree
V?'foot differential) protection measures
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): �1/1 bM
Required: V Yes,applicant was notified ❑ No Received: ❑ Yes No
prior .71b
ii ublic Facilities Improvement (PFI)Permit /S j,/
Required: El Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
idi and Use Case#:
tkv4 /Zoning: K -44
Setbacks: Front Rear Side S Street Side Oh. Garage aO
Mit andscape Requirement:
gij i •t Coverage Maximum:
IT Building Height: Maximum Height Actual Height afs'-Aj
6/ktsual Clearance
4 asements
IG Sensitive Lands: Yes ❑ No Type / Oft) vd j ']4'
7,/.Jrban Forestry Plan
Conditions"Met"prior to issuance of building permit
Notes: _ Lig" £./A ' -,/ 9 s I► s_ At w _ . .0"-. -f
I /
Approved By Planning: -�� �� //L Date: r AV
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\FormsBBldgPermitRvw_RES_031015.docx
4
Building Permit Submittal 11. 5
Original Submittal Date: eD of s
Site Plans: # 3
Building Plans: # 3
Building Permit#: E Enter building permit#above.
Workflow Routing: Planning Engineering El—Permit Coordinator 'Building
Workflow Sign-off: E" Sign-off for Planning(include notes from planning review)
Route Application Documents: .Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
riginal 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 Technicia : 1 ',1116A--Q.1 Date: (0//c/J4---
p /c J4---
Engineering Review
,0"Slope at building pad: 2 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 zr No
Assess Water Quantity Fee in-lieu: ❑ Yes Z. No
LIDA Facility on lot: ❑ Yes ,0`No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 44( 4,, Date: 4 [Os--
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:
,OK to Issue Permit ���,
Approved by Permit Coordinator: C�"t"'b— a �'`" Date: 6 "I( "s
I:\Building\Forms\BldgPermitRvw_RES_031015.docx