Permit (40) CITY OF TIGARD MASTER PERMIT
' ,. COMMUNITY DEVELOPMENT Permit#: M
ST2016 00237
TT..GA.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016
Parcel: 2S 103CC15400
Jurisdiction: Tigard
Site address: 12275 SW PLANTATION TER
Subdivision: STEPPING STONE ESTATES Lot: 4
Project: Jolley
Project Description: Remove fireplace, replace exterior opening with door,deck&stairs.
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
Dwelling Units: 0 Smoke
Third: 0 sf Right: 0 Detectors: No
Total: 0 sf Value: $1,127.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0
Y 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
Footing Drain: 0 Ice Maker: 0 Bckflw Prevntr: p Catch Basins: 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:
ALT P y Square Feet:
SF VB
R-3 0
Owner: Contractor:
JOLLEY,MARCUS&CONNIE REMODELING&MAINTENANCE SERVICES Required Items and Reports(Conditions)
12275 SW PLANTATION TER PO BOX 231061
TIGARD,OR 97223 TIGARD,OR 97281
PHONE: PHONE: 503-590-7269
FAX:
Total Fees: $230.79
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 rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules o 'rect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:JJ//�` ��� e ' ee Signature:
Ca .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 Applicatk
i�'iiECEIVE (of tS
Residential FOR OFFICE t se oI_)
City of Tigard JUN 15 2016 ReceiDateBved
i®f a, am Permit No.: ..D Ua 37
13125 SW Hall Blvd.,Tigard,OR 974...,1„ r r� �y i�r
e' Phone: 503.718.2439 Fax: 503.5 &19 14
OF 1 IlaAi3 Plan Review
DateB '
.11i Other Permit:
TIG h D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: J,ais: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ',1111 -MI Supplemental Information
00, 71},- it4 ,
.Y ,.' �:,, . .F.< A A:1 � .F t
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
tyl
equipment,materials,labor,overhead,and the profit for the
t A,'` ' O ;- work indicated on this application.
1-and 2-family dwelling ElCommercial/industrial � Valuation: $ k 1 L- I /C
Xi-
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
+ . �>� I Total number of floors:
Job site address: t Z7 Cj Su) o Tcl J z,....-_t J New dwelling area: square feet
City/State/ZIP:'A_ &v-i)/ (')-V-- c1"7 ZZ 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: )/(e.yV Covered porch area: square feet
Cross street/directions to job site: �44�� Deck area: a�.
square feet
l 2--1 s� ~'I, Other structure area: square feet
D D CO ; ` ST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
. , N •�
work indicated on this application.
jpr-d-n: c(e„ 1 eg-c. ., „ Q ,sriL�' 3(b i j v-4 (Y Valuation: $
t o /)Cz-1/--4- c :,'1(3 ,f.Ij l"` " `6v Existing building area: square feet
New building area: square feet
_4. , VZ. I._ ,. .;A7-t �:,.',.,:. �...eipA ,. �s: a Number of stories:
Name: 30 cti Type of construction:
Address: 1,1 2`10 <L) 0, 1--im �j
- � .eOccupancy groups:
City/State/ZIP: Tt C ZZ 1
Existing:
Phone:( ) Fax ( )
. � . .
New:
X • 1 �� te1
<*4�� x
� 5i
.,l ,Business name: n _ �\.4S J Structural plan review fee(or deposit):
Contact name: vi
1>-_
Address: FLS plan review fee(if applicable):
t-u , ~2,31�o1
City/State/ZIP: �,\ i 0 \0_ cc./2.Q t Total fees due upon application: /
Phone:(��) Scco tf 7 Fax::( ) Amount received:,bS
E-mail: I�YIlr I)� r7rlh SN1A S l-z- 01 1 ` ,¢
comfier • 1 and residential prescriptive installation of
V.
„'" .X w !1� : - - .r. �-x roof-top mo'k, ted Photo Voltaic Solar Panel Sy tem.
Business name: NN ` J Submit two(2', ets of roof plan with co on details
Address: ZZl�'L and fire departm-. access,along ' ,i e 2010 Oregon
Solar Installation Sp. laity Co, checklist.
City/State/ZIP: j t l Z -1 Permit Fee(inclu : . an review $180.00
Phone:(c �) " ""Sc), `)7„(�"7 Fax:( )
and a.- imsk=five fees):
State surc -,_e(12%of pe i' fee): $21.60
CCB lie.: (oe-t9 7 —
Total fee due upon applicatio• $201.60
Authorized signature: --,&; g�,----- This permit application expires if a permit is not obtained
,•� within 180 days after it has been accepted as complete.
Print name: t .,i'G,;r` f7 ,b1.t! �" `�f (e�Date: lt� 1�7 1/_ *Fee methodology set by Tri-County Building Industry
' Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
N .
T l A R o Building Permit Review — Residential
Building Permit #: )'-11--c9.0 ! (o — Oa 0.5 /
Site Address: ( 227 S S w P(a)n t-r,1 h e r) )-e r r
Project Name: 10 II Z
(New dwelling subdivision name;Addition or Alteration=last name of owner) Lot #:
Planning Review
Proposal: N QA/V D e c k.
jif Verify site address/suite#exists and active in permit system.
a River Terrace Neighborhood: )2 No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
.Three(3)copies of site plan
ite plan must be on 8-1/2"x 11"or 11 x 17"paper ?Listing structures on site
A Drawn to scale(standard architect or engineer scale) floore leva eleof vations structure(including decks)with finished
North arrow Utility locations(required for new,mayapply for additions)
(Site address,project or subdivision name and lot number pP y
/�lApplicant information(name and phone number) -�1....`atren of wells/septic systems
Lot dimensions and building setback dimensionsprotection measures trees to be retained with drip line,and tree
ea, uilding coverage area,percentage of coverage and n size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) ?Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
tin Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
' Public Facilities Improvement(PFI) Permit: ❑ Yes ❑ No
Required: ❑ Yes,applicant was notified ❑ No Applied For:
❑ Yes ❑ No,stop intake
'8 Land Use Case#:
1 Zoning: 0. 4 ,...s.
7r Setbacks: Front Rear
S Side S Street Side Garage Zc7
Landscape Requirement:
7Lot Coverage Maximum:
—_-
X Building Height: Maximum Height
—B-Visual Clearance g o Actual Height
0 Easements
"if-Sensitive Lands: 0 Yes 0 No Type
,-Eg-tlfban Forestry Plan
-e-Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Ai 0 h !) q j J p G�(C - Date:W//f/ / C,
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgpermitRvw_RES_060116.docx
Building Permit Submittal
Original Submittal Date: (.€4574,'
Site Plans: # 4
Building Plans: #�—�/
Building Permit#: ICJ Enter building permit#above.
Planning �ngtneering ermit Coordinator uilding
Workflow Routing: :1--
Workflow Sign-off: C)- 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
2original plan review routing form.
LJ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: //�—
By Permit Technician:
�Lt Date: l /0
Engineering 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 ❑ No
LIDA Facility on lot: Yes ❑ No
Date:
CINOT Approved by Engineering:
Notes: /���
Approved by Engineering: Date: �• •
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:
14P C Fees Entered:
Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes'''ROK to Issue Permit / /,, ?'/7( j
Approved by Permit Coordinator:
I Date: z
I:\BuildingTorms\BldgPermitRvw_RES_060116.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
° Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: /crn DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
AUG 10 2016
FROM: '3 A ik1 @,--A J'YCov c - CITY OF TIGARD
COMPANY: '2-c,„, <Ikj et-r,) If U an\Akz;.ne,,,-ct S.3/,/,4A t P<- BUILDING DIVISION
PHONE: `? VID S3`'(7 By. /g-J
RE: VZZ^l S --t, ftl-4, v, (z✓ " ? to- )C>L3`7
(Site Address) (Perrruts�Num er)
k-t_ -„„ ),-,a,„, CS\ft,
(Project rte or bdivision name and lo(number)
ATTACHED ARE THE FOLLOWING ITEMS:
F xz
Additional set(s)of plans. v2 Revisions: e,i(4,
Cross section(s)and details. Wall bracing and/or lateral analysis.. ��
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Avi v/ ,w /rk4 ,,.., ... ",,,,h✓' / ..55‘,2,)-4"/ `tT /4, 4.-7;
Routed to Permit Technician: Date: Initials:
Fees Due: ■ Yes ■ No Fee Descri Ilion: Amount Due:
$ dr .---
$
—' $
Special
Instructions:
Re.rint Permit i er PE : ❑ Yes ❑No ❑ Done
ghe1 .) ' ' • --d. AWE Date: , ,
EZECIMIIII
IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12275 SW PLANTATION TER, TIGARD, OR,
97223
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Home owner onsite to finish grading at landing.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
November 21, 2016 at 9:03:22
AM
Record ID:
MST2016-00237
Inspector:
David Young
Inspector Contractor