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Permit
CITY OF TIGARD MASTER PERMIT Ir, COMMUNITY DEVELOPMENT Permit#: MST2016-00370 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2016 T i C�,'a1�J 9 Parcel: 1 S133CC01000 Jurisdiction: Tigard Site address: 14054 SW SPRINGBROOK LN Subdivision: PEBBLECREEK Lot: 4 Project: VENABLE Project Description: 400 sq.ft. patio cover. 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: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $9,760.00 Rear: 5 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 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywall-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 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: VENABLE,REBECCA I GARZA CONSTRUCTION INC Required Items and Reports(Conditions) 14054 SW SPRINGBROOK LN 2110 NW ALOCLEK DR SUITE 608 TIGARD,OR 97223 HILLSBORO,OR 97124 PHONE: PHONE: 503-360-5522 FAX: Total Fees: $499.67 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 Cen er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai - opy o - es)or direct questions to OUNC by calling 503. 32. 87br 1.800.332.2344. c Issued By: //�,� — —�: Permittee Signature: r 03.639.4175 by 7:00 a.m.for he next available inspection te. This permit card shall be kept in a conspicuous place on the job site until co letion of the project. Approved plans are required on the job site at the time of each inspection. 1 Building Permit Application iS `, x©11 Residential », FOR OFFICE FSE ()NEN City of Tigard �� y ' ReceivedaPermit No.: "' 13125 SW Hall Blvd.,Tigard,OR 972231. Plan Revie 1 ' Phone: 503.718.2439 Fax: 503.598.1960 4;' 2 1 �''� Date/By: 1-D.�-I Other Permit: 1 I C i AR D Inspection Line: 503.639.4175 `^Date Ready/By: n �Jmis: la See Page 2 for Internet: www.tigard-or.gov 114ified/Method: /0I,) /o 071-' j I Supplemental Information s4I •e een.a it 1, TYPE OF WORK``' Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑New construction 0 Demolition equipment,materials,labor,overhead,and the profit for the ❑X Addition/alteration/replacement ❑Other: work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $9,760 ❑X 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: 0 Master builder 0 Other: Total number of floors: JOB SITE INFORMATION AND LOCATION New dwelling area: square feet Job site address:14054 Sw Springbrook Lane Garage/carport area: square feet City/State/ZIP:Tigard,Oregon 97223 Covered porch area: 400 square feet Suite/bldg./apt.no.: Project name:Venable Residence Deck area: square feet Cross street/directions to job site: Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Permit fees*are based on the value of the work performed. Subdivision: Lot no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no.: work indicated on this application. DESCRIPTION OF WORK Valuation: $ New Cover at backyard. Existing building area: square feet New building area: square feet Number of stories: El PROPERTY OWNER 0 TENANT Type of construction: Name:Rebecca Venable Occupancy groups: P g P Address:14054 Sw Springbrook Lane Existing: City/State/ZIP:Tigard,Oregon 97223 New: Phone:( ) Fax:( ) BUILDING PERMIT FEES* 0 APPLICANT 0 CONTACT PERSON (Please refer to fee scheduk) Business name:Garza Construction,Inc. Structural plan review fee(or deposit): Contact name:Kevin Reyes FLS plan review fee(if applicable): Address:2110 Nw Aloclek Dr.Suite 608 Total fees due upon application: 6/,(n,77 City/State/ZIP:Hillsboro,Oregon 97124 Amount received: Phone:(503)360-5522 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:Admin@garza-construction.com Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. CONTRACTOR Submit two(2)sets of roof plan with connection details Business name:GarzgConstruction,Inc. and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. Address:2110 Nw Aloclek Dr.Suite 608 Permit Fee(includes plan review $180.00 City/State/ZIP:Hillsboro,Oregon 97124 and administrative fees): Phone:(503)747-2813 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB fie.:178529 94/7/7 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Kevin Reyes Date: 09/06/2016 Service Board. REQUIRED DATA:1-AND 2-FAMILY DWELLING I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB} City of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT ill Q T I G A R D Building Permit Review — Residential Building Permit #: /r)57-abC(0--(301'70 Site Address: /4'2S L,() S f ,h (--)A 2.-( Project Name: V-ePaZ/e /, s f Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review X.. Proposal: 7 / ,. . its' /, _.� `i . ._ �. f / (1G Verify site address/suite# exists and activ ' permit system. 0 Fiver Terrace Neighborhood: 114 No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: • ree(3)copies of site plan e plan must be on 8-1/2"x 11"or 11 x 17"paper ('sting structures on site otprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) floor elevations Worth arrow IN iii'ty locations(required for new,may apply for additions) S' address,project or subdivision name and lot number ;SI ;6 ation of wells/septic systems plicant information(name and phone number) N1: sting trees to be retained with drip line,and tree IE .t dimensions and building setback dimensions .rotection measures V Lot area,building coverage area,percentage of coverage and �'; et tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Ii treet names 10 JO,perty corner elevations (2 foot contour lines if more than 4 foot differential) Clean Watejtfrices—Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑ Yes /To t 'ublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Ii'Jt1 and Use Case#: TA/Zoning: e-c2s 11a 'equired Setbacks: Front A,)1A Rear Side G— Street Side Nle Garage —& IP andscape Requirement: c % -44 /190CP�SC� 5' G A.+C ci>7 �ot Coverage Maximum: go 0/0 >�" /� IV Building Height: Maximum Height 1c- Actual Height // Visual Clearance 0 Easements �.1 Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior t. issuance of b 'i+' , pe 't ? AA Ar411 — S c^ /4. - ( , AI Li 'NW, "14 4,' % i Approved By Planning: ‘1111111P� .r. it Date: do 0. i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: LG•• Site Plans: # Building Plans: # S Building Permit#: g."<ir uilding permit above. Workflow Routing: Tanning LU, ngineering N.1'"1'ermit Coordinator wilding Workflow Sign-off: ['Sign-off for Planning(include notes from planning review) Route Application Documents: Dr-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and orial plan review routing form LtJ�Suilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /e z ----7� �. Date: 171#-Ma 'm5:`i '.:•. .. x... ::r z ,:, r .' .uFx... K+'" :' 'R?' "P"a' moi."2t.., a .. ....�,t F>3 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 ❑ o ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4 J7 Date: 7:7-74X....-A" 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: CI Yes a /A Tigard Trans SDC: ❑ Yes !'N/A Parks SDC: El Yes r N/A 2d"K to Issue Permit /jl'f---- pproved by Permit Coordinator: Date: i oZ i I:\Building\Forms\BldgPermitRvw_RES 091216.docx