Permit IRCITY OF TIGARD MASTER PERMIT
�III
I .` COMMUNITY DEVELOPMENT Permit#: MST2016 00004
TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2016
Parcel: 2S114B601600
Jurisdiction: Tigard
Site address: 10305 SW SERENA WAY
Subdivision: PICKS LANDING NO.1 Lot: 30
Project: TURNER
Project Description: Replacing 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: $9,200.00 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
Other Fixtures: 0
Drywell-Trench Drain: 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 1
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 U 0
Owner: Contractor:
TURNER,KRISTIN E&BRYANN EICKHOFF CONSTRUCTION INC Required Items and Reports(Conditions)
10305 SW SERENA WAY 2235 SW 194TH AVE
TIGARD,OR 97224 BEAVERTON,OR 97006
PHONE: PHONE: 503-348-4331
FAX:
Total Fees: $601.47
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 sus•ende r more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those set forth in OAR
-
952-001-0010 through OAR 952-001-0090. You may obtaies or direct questions to OUNC by calling 58 .23 987 or 1.8•.
Issued By: - ' i' Permittee Signature: Air
C • .639.4175 by - for the next available inspection date.
This permit card shall be kept in a conspicuous plac • The job site until completion• the • •ject.
Approved plans are required on the job site at the time of each inspecti• .
•
Building Permit Application .'. •' • •• ' /�7„I,e
• •• • • • • •
Residential FOP'CFFICE SE ONi,t
Received jj�� �y��
11114 City of Tigard ry ��Q��� Date/By: CrPermit No.: •• � /10
13125 SW Hall Blvd..Tigard.OR 97223 1 Plan Rev e ` • • •• ••
. •lig.:
pther�ennK:••
I hone: 503.718.2439 Fat: 503.598 JI � Date/By. J.J + • . ���S ( ,
Inspection Eine: 503.639.4175 �` �,�N‘ `+`t�`��� Date ReadyB-a • ` • •• s •• B See Page 2 for
TIGARD o ` v Notitied/Metho •• Su lementalInformation
Internet: www.ti2ard-or.Pov G CN4 �G4pe • 1 J�/(b � Supplemental
TYPE-CRK .5. gcQUIRED D MT .—A,N�b•2-FAMILY DWELLING
D New construction ❑ Demolition •Pernat fes*arc:bitedjoethwalue of the work performed.
.IndicNte the value 1441 tQ jhe nearest dollar)of all
ig Addition/alteration/replacement ❑Other: •equtppt1entInaterials,labor.overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
igli I-and 2-family dwelling ❑Commercial/industrial Valuation: $ LJ zQ
0 Accessory building ❑ Multi-family Number of bedrooms: -
-
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 es/
Job site address: j JLC 3 Q S .t,,) .6-12.1..-A)A w,4 y NCXV dwelling area: square feet
City/State/ZIP: 77 17r4 IC
r / a G
7 7'Z 7--/ arage/carport area: square feet
Suite/bldg./apt.no.: Project name: -j V1/vre-77 Covered porch area: square feet
Cross street/directions to job site: Deck area "Il square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 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.
ke t �' k is r nXt- oc--C. Valuation: S
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Eley 4Nil -Tv,(2,A,;z .I.ype of construction:
Address: /0 Wit_;j S i-.) .�c i2 N4 IA:4y Occupancy groups:
City/State//_II': •7 Z b-, f 0 /QX 9 7Z zy Existing:
Phone:(SO) 3L/f' `7 yq Fax:( )---
New:
•..) W APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
' Business name: 4.:-*'Co H or 6 c rgtic.--7 C✓v //uer:
Structural plan review tee(or deposit):
S Contact name: 04✓-1 (2 K El LK/-fc FF
FI.S plan review fee(if applicable):
Address: 22.3.s-- 5,i i q ' Tr A1•
City/State/l.11': nn Total tees due upon application: 4aAt7,S, 7
SFR 'z.1-c4) , 0,C. 47 co 3
I Amount received:
Phone:(.SC,) 3t/8 -y33 j Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: /�le , 1,14 g-K 6dk temCli3 %, Aie r
V Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
I� Business name: Submit two(2)sets of roof plan with connection details
-{- LK 1`�0`�� �S� �' and lire department access,along with the 2010 Oregon
5 Address: 2 2 3S` 5-,,..i /”, /71 A i Solar Installation Specialty Code checklist. _
City/State/ZIP: Ue = •
/4/ 27Z4oJ G 7p 3 Permit Fee(includes plan review $180.00
/ �1and administrative fees):
rPhone:(5-c3) ,311,',.. 33 i lax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 'YTotal fee due upon application: $201.60
' ��� This permit application expires ita
permit is not obtained signatucL �
within 180 days after it has been accepted as complete.
Print name: Date: J * Fee methodology set by Tri-County Building Industry
44/a0ZK (C(t/-ie;.<F f. ill-- Service Board.
I:ABuilding\Permits\BIJP-RFSPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
City of Tigard
111111 I
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: /l rn- i(o-0d out/
Site Address: 1 0 305 S W SIQ 1.G W
Project Name: jmr/t/ r— Lot #: '3 0
(New dwelling= subdivision name;.Addition or.Alteration=last name of owner)
Planning Review
Proposal: r&P)Oil)- eXi S tw c2 deck. / no of 1onc) e
Verify site address/suite# exists and active in permit system.
•-e'River Terrace Neighborhood: ❑ Yes ❑ No
Site Plan Elements:
Three (3) copies of site plan Existing structures on site
,ite 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
lir'orth arrow /Utility locations (required for new,may apply for additions)
deite address,project or subdivision name and lot number -iitts'ration of wells/septic systems
e.5)pplicant information (name and phone number) Her5;Ton control (including drainage-way protection, silt fence
Lot dimensions and building setback dimensions /-sign,location of catch basin,etc.)
. rarea,building coverage area,percentage of coverage and iii,:reet names
�mpervious area (applicable if R-7,R-12,R-25&R-40) �i�treet tree size,type and location
roperty corner elevations (2 foot contour lines if more than `existing trees to be retained with drip line,and tree
4 foot differential) protection measures
an Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
lic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
and Use Case #:
Z ning: 9 t 5
Setbacks: Front Rear 'I- Side . Street Side1�` Garage ]
Landscape Requirement: 0/0 1
2TLot Coverage Maximum: .�►- %
��
ye Building Height: Maximum Height 35 Actual Height
Clearance
—R Easements
--EHSen'sitive Lands: ❑ Yes ❑ No Type
--$M- n Forestry Plan
on tions "Met"prior to issuance of building permit -
Notes: �(J1tilC4Y 6ULt / io 6/]CAr'"�yam(—
Approved By Planning: /VI e'\--'. V /N-- .._ Date: i/7//rO
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\BldgPennitRvw_RES_070915.docx
J
Building Permit Submittal
Original Submittal Date: 1/7/!b`
Site Plans: # T
Building Plans:
Building Permit#: �� nt�er building permit#above.
Workflow Routing: L iartning �l ng eering rtnit Coordinator n Building
Workflow Sign-off: [ Sign off for Planning(include notes from planning review)
Route Application Documents: neering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
CYY) ng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ' _ _ _1111111111b Date: 1/V/6,
Engineering Review .y
,0'Slope at building pad: 7 /6 T L L(
E Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
,3-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes •er No
Assess Water Quantity Fee in-lieu: ❑ Yes - No
LIDA Facility on lot: ❑ Yes ��No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: (,�� (J/-r j Date: 1M6,
Revisions (after Building Submittal only) Reviewer ae
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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ YesN/A
Tigard Trans SDC: ❑ Yes
Parks SDC: ❑ Yes
'MA K to Issue Permit
Approved by Permit Coordinator: fif, ---Date:
1:ABuilding\Fonns\BldgPennitRvw_RES_070915.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
10305 SW SERENA WAY, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00004
David Young
Owner to router finger grip in handrail.
Violation Summary:
Inspector Contractor