Permit (10) CITY OF TIGARD MASTER PERMIT
INs . COMMUNITY DEVELOPMENT Permit#: MST2016 00221
T€CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2016
Parcel: 2S111CB01711
Jurisdiction:
Site address: 10125 SW HOODVIEW DR
Subdivision: HOOD VIEW Lot: 10
Project: SESNON
Project Description: Second story deck replacement.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $8,800.00 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
asin
Other: N Other Description: Ecom P 9: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB U 0
Owner: Contractor:
SESNON,KAREN E&ROBERT H OWNER Required Items and Reports(Conditions)
10125 SW HOODVIEW ROBERT SESNON
TIGARD,OR 97224 10125 SW HOODVIEW DRIVE
TIGARD,OR 97224
PHONE: PHONE: 971-322-7665
FAX:
Total Fees: $477.24
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 issuan , 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 C nter. Those rules are set forth in OAR
952-001-0010 through R 952-001-0090. You ma obtain a c•• : -,5or direct questions to OUNC by calling 503.2 .1987 or 1.800 2. 344.
Issued By: — _ �..-- Permittee Signature: tUtIAA--- M
C:. :. : !.4175 by 7:00 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.
Building Permit Application Ls
Residential , t,1z ()I F l( 1 I 'd (1.I 1
Cl Of Tigard ek`' Received ` y�-� �)
✓ g � DateBy: (5- I 6 /1 / PermitNo /���1�- Ci —CJUgd.1
:I 13125 SW Hall Blvd.,Tigard, q + Plan Review W
s Phone: 503.718.2439 Fax: 503.598.4M 3 1 .. 1� Date/By: C/j 'C Other Permit-
/ /i ,,,i, Inspection Line: 503.639.4175 Date Ready/By: � Juris: ® See Page 2 for
�t Notified Method:6 /HD -� Supplemental Information
Internet: www.tigard-or.gov Of'
I i4
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
OrttitOlef UTIKUwork indicated on this application.
Valuation: $8800
® 1-and 2-family dwelling ❑Commercial/industrial
AccessorybuildingNumber of bedrooms:
❑ 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
AM-10TE INKNIMATION AND L Total number of floors:
Job site address:10125 SW Hoodview Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: -ifjCw Covered porch area: square feet
Cross street/directions to job site:Corner of Kahle and Hoodview/ieDrive Deck area: 330 square feet
Other structure area: square feet
ok acb ,,J 1 , G 11� T.
Subdivision: �Q� St ., e . Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 7 aS n 8' I Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
oss urnort or woki- work indicated on this application.
Deck replacement-2i1 story Valuation: $
i
Existing building area: square feet
New building area: square feet
•" 15iR�1 j �`" Number of stories:
Name:Robert Sesnon Type of construction:
Address:10125 SW Hoodview Drive Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(971)322-7665 Fax:( ) New:
C' AI CA ,.0.� * ltla` rl'
0froBusiness name: .
�
(.9.0,.."_ 4f � , — Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application: i3r••City/State/ZIP: *y
Amount received:
Phone:( ) Fax::( )
E-mail: PH( TM ry°' %i ;`
i Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: o'()/�� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 21/e Z�1 5bJ&i j Date: s, j-/6 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IN ■
~ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R.D Building Permit Review — Residential
Building Permit #: "57R6/f-Oc )
Site Address: /0A2C— ,S jo at) hr
Project Name: S'-eg,'r ,)pai , �j jL Lot #:
(New dwelling=subdivision name;Addition r Alteration=last name of owner)
Planning Review
Proposal: ldorp _ ,c4
Verify site address/suite#exists and actiivyn permit system.
f/4iver Terrace Neighborhood: LJd No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies of site plan e
' xisting structures on site
Lu te plan must be on 8-1/2"x 11"or 11 x 17"paper SCJ Footprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale) floor elevations
rth arrow � "ty locations(required for new,may apply for additions)to address,project or subdivision name and lot number 0 cation of wells/septic systems
IIZ .plicant information(name and phone number) 0 osion control(including drainage-way protection,silt fence
IK s t dimensions and building setback dimensions sign,location of catch basin,etc.)
faI,t area,building coverage area,percentage of coverage and Street names
pervious area(applicable if R-7,R-12,R-25&R-40) 0 eet tree size,type and location
Property corner elevations(2 foot contour lines if more than pi sting trees to be retained with drip line,and tree
4 foot differential) protection measures
rfOtlean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes Cl No
f4finiftirublic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake
, .and Use Case#:
oning: E._-1.5-
UQ Setbacks: Front Qc) Rear /S Side 5— Street Side _00 Garage 2O
Landscape Requirement: cyo
❑�I,ot Coverage Maximum:
�/Building Height: 0/0
Maximum Height SO Actual Height / ,12eente
4
Visual Clearance
Easements
\1C Sensitive Lands: CI Yes El No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: -- ---� ��, , Date: J ll(a
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_012116.docx
Building Permit Submits
Original Submittal Date: 53 6
Site Plans: # 3
Building Plans: # 3" (ala.bii s
Building Permit#: g—Eniei. building permit#above.
Workflow Routing: [4—Planning [ ngineering ermit Coordinator [Bu1i.ding
Workflow Sign-off: agn�ff for Planning(include notes from planning review)
Route Application Documents: C7'Engtneering: (1) copy of permit application, (1) site plan, (1) building plan and
ori al plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ,ri//,R - /.S r , J 4:7.1 &Y o"f fj 1 i k 'S ,W Co/111(9 4 S ioke4 i .
By Permit Technician: 0,0s,„4.-- Date: 5/3i/4o
ngineering Review
Slope at building pad:
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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes El No
LIDA Facility on lot: ❑ Yes El No
El NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: D Date: --_Z` A
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1 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:
‘rd-•"5-DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ( l/A
Tigard Trans SDC: ❑ Yes �'N/A
Parks SDC: ❑ Yes ;$ N/A
K to Issue Permit l
pproved by Permit Coordinator: Date: / /i
1:\Building\Forms\BldgPermitRvw_RES_012116.docx
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
Mwill be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
SESj)0 n)
Print Nand of Permit Applicant
A/I0U) Mn/V. 0/9
Signature of Permit Applicant Date
Permit#: P157—pet)(,
Address: /01.-25 ,54.) 7 �
l/� J i2— .� �;,�,, i�,�0.,Ue 17aty
Issued by: "I. • Date: 6./SA4 E-1:
This Copy for Permit Offices
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
10125 SW HOODVIEW DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00221
Jeff Grove
Approved per Dan Nelson
Violation Summary:
Inspector Contractor