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Permit (39) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00348 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016 T[GAR T 9 Parcel: 2S111 BD02000 Jurisdiction: Tigard Site address: 9775 SW PEMBROOK ST Subdivision: CLOUD CAP Lot: 2 Project: Thompson Project Description: Build new 460 sf deck 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: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $8,064.00 Rear: 15 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 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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'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 R-3 0 Owner: Contractor: THOMPSON,MARC R&DEANNA M DECKING SOLUTIONS LLC Required Items and Reports(Conditions) 9775 SW PEMBROOK ST 554 SE 39TH AVE TIGARD,OR 97224 HILLSBORO,OR 97123 PHONE: PHONE: 503-844-8867 FAX: Total Fees: $512.74 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 ••- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1..8/099.332.2344. 0—AD 015-.)Issued By: L� , : - Permittee Signature: UU OZ.Call 503.639.4175 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 roject. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential roR orr►cl: I I.Oy1.1 City of Tigard1 '' Received ill B ZI 1 , Date/B Permit No.: r 13125 SW Hall Blvd.,Tigard,OR . 1 " fil �� - . i = 0 ,� Plan Review Phone: 503.718.2439 Fax: 503 598.1960 Date/B : 1 i_; - M' Other Permit: � - v(a,,. 1 I G A K p Inspection Line: 503.639.4175 Date Ready/By: la See Page 2 for Internet: www.tigard-or.gov kAU Notified/Method9 2 `- `,ch, _ Supplemental Information 1 �'; 4 VA/ /-14t.t s r7 TYPE OF REQUIRED DATA:1-AND 2-FAMILY DWELLING New constructionIItrllitloti Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El (]Addition/alteration/replacement Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. go 1-and 2-familyValuation: $ dwelling 0 Commercial/industrial !f; fly 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 177c- SW PEMi3Roo); cr New dwelling area: square feet City/State/ZIP: .rl ,b &E 0a Garage/carport area: square feet Suite/bldg./apt.no.: Project name: limy Kei4 Ri-smE44E bto-, Covered porch area: square feet Cross street/directions to job site: Deck area: L/Db square feet 5Ni 97 Ate Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST. Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: a�jZ jJ 0(2006 equipment, 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. &di/ /*)IN hGLk 1/01) Ug Valuation: $ Existing building area: square feet New building area: square feet rii PROPERTY OWNER 0 TENANT Number of stories: Name: M A9,6 bEANIJA 11.100eV, ( Type of construction: Address: y77( S I PEPIEkikanc 51 Occupancy p y groups: City/State/ZIP: 116,Ae oA a-,ax - Existing: Phone:( ) Fax:( ) New: al APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: 17E[KIN/(� S�[t1T101+15/ LIZ Structural refer to fee schedule) Structural plan review fee(or deposit): Contact name: bu sij N 13oLEy,J Address: 554I S - A.,L FLS plan review fee(if applicable): City/State/ZIP: 1.1`I ii6Id/ OR 471 Total fees due upon application: 1 ,5c 6 4i Phone:(5a s) 5p/_ 31(4 Fax::( ) Amount received: O a E-mail: DWI II. Q D�KIN(.'SOL,(/films.. tot) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: DECki NG Sa1.ltrldNS LLL Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: �S/ Sr5� 3 �"t Solar Installation Specialty Code checklist. City/State/ZIP: }i;)1st/to / 4R g7)A Permit Fee(includes plan review $180.00 and administrative fees): Phone:((t3 ) eLJly_9 '7 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: I f51)c-' 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: ' g� d Date: ��/� *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling roR 0141C I: 1 Sl. o\►.\ City of Tigard Date/BReceived Permit No.: • 13125 SW Hall Blvd.,Ti ard,OR 97223 Y g Associated permits: C Phone: 503.718.2439 Fax: 503.598.1960 ❑ Mechanical 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing T'1 C A R D Internet: www.tigard-or.gov ❑ Other: TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No yA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ U • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 _ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 _ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Clean Water Services File Number C1eanWater� Services 16-003272 Sensitive Area Pre-Screening Site Assessment w 1. Jurisdiction: Tigard 2. Property Information(example 1 S234ABD1400) 3. Owner information Tax lot ID(s): Name: Marc&OeannaThompsnn 2S1 11 QD02000 Company: Address: 9775 SN Ft.mbrook greet Site Address: 9775 9W Fembrook areet City, State,Zip: Tigard,OR 97224 City, State,Zip: Tigard,OR 97224 Phone/Fax: Nearest Cross Street: SN 97th Ave E-Mail: 4. Development Activity(check all that apply) 5. Applicant information 11 Addition to Single Family Residence(rooms,deck,garage) Name: Dustin Boleyn ❑ Lot Line Adjustment U Minor Land Partition Company: Decking Solutions,LLC ❑ Residential Condominium ❑ Commercial Condominium ❑ Residential Subdivision Address: 554 39th9Ave. ❑ Commercial Subdivision U Single Lot Commercial U Multi Lot Commercial City, Slate,Zip: lillsboro,OR 97123 Other Phone/Fax: 503-844-8867 E-Mail: dustin@dedcing-solutions.com 6. Will the project involve any off-site work? ❑Yes 1110 No U Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Perms,Budding Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Dustin Boleyn Print/Type Title Avner ONLINE SUBMITTAL Date 9/1/2016 FOR DISTRICT USE ONLY U Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. XBased on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate aril protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law, ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. U This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by �� Date 9/1/16 2550 SW Hillsboro Highway • Hillsboro Oregon 97123 • Phone 1503}081-5100 • = 681-443(3 • www deanwaferservires-org City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IIII T 1 c n li D Building Permit Review — Residential Building Permit #: Tl(G,-- o, Site Address: Project Name: -ThOnAp$672. beck Lot #: (New dwcllirfg=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: , ` I C' //1 —42 r Verify site address/suite# exists and activyin permit system. Ociver Terrace Neighborhood: L2'No ❑ Yes,See River Terrace Review Addendum Attached Sit lan Elements: ree(3)copies of site planisring structures on site ?te plan must �e on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) floor elevations � °rth arrow �ty locations (required for new,may apply for additions) Vt2' to address,project or subdivision name and lot number 7.' tk ation of wells/septic systems `% plicant information(name and phone number) 7 rosion control(including drainage-way protection,silt fence of dimensions and building setback dimensionssign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and lid treet names Ppervious area (applicable if R-7,R-12,R-25&R-40) 0,,$eet tree size,type and location roperty corner elevations(2 foot contour lines if more than M.: ,ring trees to be retained with drip line,and tree oot differential) iprotection measures Clean Water S ices—Service Provider Letter(lot platted prior to 9/10/1995): /es „Required: Yes,applicant was notified CINo Received: No tlliublic Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake co( t!,.nd Use Case#: P Zoning: e_ 3, Setbacks: Front 90 Rear / Side Street Side /Wig-Garage o9() 0Landscape Requirement: of Coverage Maximum: 0/0 0/0 V Building Height: Maximum Height :EO Actual Height /3 4 Visual Clearance Easements Ij1 Sensitive Lands: ❑ Yeso Type Urban Forestry Plan Conditions "Met”prior to issuance of building permit Notes: ///� Approved By Planning: Date: h Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: q///f' Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: arming g—Engineering C -Prfmit Coordinator uilding Workflow Sign-off: ©-3ign-off for Planning(include notes from planning review) Route Application Documents: [ — i ineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ tirSng: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: "4" nt Date: 1/040,1/040, 171 gineering 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: ❑ YesNo Assess Water Quantity Fee in lieu: EI Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,4 11 Date: 7--- ‘, 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:DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A / Tigard Trans SDC: 111 Yes LAN/A Parks SDC: ❑ Yes C N/A ‘4ZPOK to Issue Permit I Approved by Permit Coordinator: Date: q 11114 1 is\Building\Fonns\B1dgPennitRvw_RES_012116.docx