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Permit (115) CITY OF TIGARD MASTER PERMIT IN :b'< COMMUNITY DEVELOPMENT Permit#: MST2018-00096 Date Issued: 04/03/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DC03800 Jurisdiction: Tigard Site address: 13780 SW 114TH AVE Subdivision: VIEWMOUNT Lot: 26 Project: RAMOS 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 Detectors: Dwelling Units: 0 Third: 0 sf Right: 0 Total: 0 sf Value: $14,883.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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 HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Audio&Stereo: N Ecompasing: Other: N Other Description: BUILDING INFO Type of Work: T e of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: Required Items and Reports(Conditions) RAMOS,MARTIN A&DIANE M TOM ROGERS CONSTRUCTION LLC 13780 SW 114TH AVE PO BOX 231296 TIGARD,OR 97223 TIGARD,OR 97281 PHONE: PHONE: 503-704-0000 FAX: Total Fees: $637.77 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 throug *AR 952-001-0090. You_may obta q a copy of theles or direct questions to OUNC by calling 503.232.198 r 1.800.332.2344. m ,(.,,n— (...2"......L________ Issued By: ar,sf..reA. � ...�- Permittee Signature: A." all 503.639.4175 by 7:00 a.m.for the next available inspectio te. 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 rOilOFFl( I: i ' 1.OAl.l Residential d Received Permit No.: M S J i ( i j t� i City of Tigard Date/By: . d' 7S 13125 SW Hall Blvd.,Tigard,OR 97� '' P1anRevi Other Permit: 9 DateBv:e2'Z 1 - i t .jj . Phone: 503.718.2439 Fax: 503.5 rms: f 0 See Page 2 for 7'�'>�� Date Ready/By: �����`f;`% I Supplemental Information . ''h t Inspection Line: 503.639.4175cl Notified/Method: Internet: www.tigard-or.gov `a S REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 D isineslitkotcTYPE OF WORK A 10045 permit fees*are based on the value of the work performed. , �y� Y*' Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement .L\S Q t- p work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ lif� 3 ❑ 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: p Accessory building 0 Multi-family Number of bathrooms: ❑Master builder Other: ��G� . Total number of floors: JOB SITE INFORMATION AND LOCATION square feet T� #6 /.8 New dwelling area: q Job site address: u31�' S,,,,.1 � ���, area: square feet Suite/bldg./apt.no.: ) City/State/ZIP: "-C-1G �- — � �a .1y Garage/carportsquare feet �Pro'ect name:© �s�,v�6$ D� �GCovered porch area: q feet Cross street/directions to job site: Deck area: L Gsquare pc TO 74-,c4 t --' Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.: Permit fees*are based on the value of the work performed. Subdivision: 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. � A Valuation: $ R-te.P ! 4, � ` — � e--/if Existing building area: square feet �JfT �✓��✓ � � uarefeet 6-Cie-6-Cie— New building area: sq PROPERTY OWNER I 0 TENANTNumber of stories: Name: Atol-9_71., 5 Type of construction: Address: W �j 7 t O ( _ / /Iii 7-e, A✓ Occupancy groups: City/State/ZIP: 7-.7G41-/ :) d,e- 4.tJ".)" y Existing: Phone:(SG5) g K —8v?t;' Fax:( ) New: v(APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* _/ (Please refer to fee sckedule) Business name: Alit- CD4'- �g S , / �r s��� L"-, Structural plan review fee(or deposit): Contact name: ' /EP &-.oe S FLS plan review fee(if applicable): Address: ae at. Box >I/4)-9 G r Total fees due upon application: City/State/ZIP: 71�.e'L, , a 14 '9/.0).-0 / Amount received: Phone:(r,p 70,/ �00a v I Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ?'pM.Aez,6 eR f GA/7?rA2 7? I/a j 1(`L • 4-0M Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. r1 Submit two(2)sets of roof plan with connection details Business name: -4 A S f c���6 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. Address: Permit Fee(includes plan review $180.00 City/State/ZIP: and administrative fees): Phone:( ) I Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: r,'.‘'9'0 6 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: e2---------6‘..,*-..- within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: 1.707/44 BGG �'rt I Date:��j/ ®Q I Service Board. 440-4613T 11/02/COM/WEB) I:\Building�Permits\Bi)P-RESPermitApp.doo 02/24/2011 ( City of Tigard I/ r COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A iz D Building Permit Review — Residential Building Permit #: /''► 1 Cn6 Site Address: /0 -g o /i Project Name: peg j�,�,L7s 2 LJke,, Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review `, Proposal: k_e m bk‹. „,..i re✓ox, 644__ Verify site address/suite# exists and activ in permit system. 0 River Terrace Neighborhood: [1 No 0 Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3)copies of site plan sting 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 raven to scale(standard architect or engineer scale) or elevations Orth arrow Ll� . 'ty locations&easements(required for new and additions) V to address,project or subdivision name and lot number S; walk/driveway approach VJ •plicant information(name and phone number) \ 4 ation of wells/septic systems iE • dimensions and building setback dimensions 0 bk sting trees to be retained with drip line,and tree .N •uare footage of buildings to be demolished pr.tection measures • Illi•t area,building coverage area,percentage of coverage and J:t eet tree size,type and location /ripervious area(applicable if R-7,R-12,R-25&R-40) !i Street names PIrKProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace.? ■Yes 4 foot differential) If yes,is a storm water .uali facili shown? Yes o 0 Clean Water ervices—Service Provider Letter(lot platted prior to 9/10/1995): Required: !4 Yes,applicant was notified ❑ o Received: Yes o 'u ' blic Facilities Improvement(PFI)Permit: NA))1,1 Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Or.viYand Use Case#: onin : g ELi-C— quired Setbacks: Front ,20 Rear /c Side Street Side , Garage 2 C aklands cape Requirement: \IIM `:•t Coverage Maximum: 7 building Height: Maximum Height 6 Actual Height &-k1sk YA Visual Clearance �((yy IT ensitive Lands: ❑ Yes 1Z(N7 Type yl� W Urban Forestry Plan I: ', onditions "Met"prior to issuance of building permit otes: 2 0 Approved By Planning: /Lai' Date: (/ I" Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 7` hl Site Plans: # 3 Building Plans: # _?___ Building Permit#: p�nter building permit#a ve. Workflow Routing: ® nning ngtneeringermit Coordinator gl-ttirding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: .el'1 ngineering: (1) copy of permit application, (1) site plan, (1) building plan and � o mal plan review routing form. 'CJ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,, ,,,P1' ."'-'11 Date: Engineering Review Slope at building pad: % E -Conditions "Met"prior to issuance of building permit ''Easements (encroachments)per engineering conditions of approval and plat Wil—Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2"No Assess Water Quantity Fee in-lieu: ❑ Yes 2-No LIDA Facility on lot: ❑ Yes 12"No 'Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12"Approved by Engineering: /1. .---'1.-i-.....— Date: 3 -30—/g Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ^J/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: 1 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes 4 N/A LIDA ❑ Yes N/A 12 OK to Issue Permit �� Approved by Permit Coordinator: G����/(1 L Date: 12 l 1 I:\Building\Fonns\BldgPermitRvw_RES_010118.docx /15r, jj—cr;j l(ed S;4<— Clean Water Services File Number CleanWaterServices 18-000907 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information(example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Marty Ramos Company: Address: 13780 SW 114th Ave Site Address: 13780 SW 114th Ave City,State,Zip: Tigard,Oregon,97224 City,State,Zip: Tigard,Oregon,97224 Phone/Fax: 503 684-8020 Nearest Cross Street: Viewmount Lane E-Mail: tomrogersconstruction@gmail.com 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Tom Rogers ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Tom Rogers Construction,LLC ❑ Residential Condominium ❑ Commercial Condominium Li Residential SubdivisionAddress: P.O.Box 231296 Li Commercial Subdivision Single Lot CommercialCity,State,Zip: Tigard,Oregon,97281 ❑ 9 Li Multi Lot Commercial Other Phone/Fax: 5037040000 Replacing rotted deck with new same size deck. E-Mail: tomrogersconstruction@gmail.com 6. Will the project involve any off-site work? ❑Yes No ❑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 Permits,Building 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 Tom Rogers Print/Type Title Tom Rogers Construction,LLC ONLINE SUBMITTAL Date 3/21/2018 FOR DISTRICT USE ONLY ❑ 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. Based 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 and 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 17-05, 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. ❑This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. U 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 1.-aerie ince Date 03/22/18 2550 SW Hlls0crs Highv.ay • Hlllshom. ()egen 97123 • Phone.f503 681-5100 • hex - wvd.v r Ir-,flew_ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13780 SW 114TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00096 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - NoCofO Comments: Framing and final ok. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: l 37Y LO l ` L/ r 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 1 ,,;;\F.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ,4/4cccW DATE RECEIVED: DEPT: BUILI3ING DIVISION RECEIVED f- MAY 7201 FROM: / D 'v` / O O' "--1-- , CITY OF ARD COMPANY: / ///(_ /1cc__ ---zs 79,1) f Lt C BUILD c., DIVISION ' PHONE: 3--d 2z -76 L( aeQ,v r By: a' ./ < RE: ( 7 g r s t-`/ /)"( 7l4( ✓ 6- S id 0 g - eo (Site Address (P it Number) (Project name or subdivision name and lot number) 1 V /' ATTACHED ARE THE FOLLOWING ITEMS: _ i Copies: Description: C i ': escription: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. ()'l Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): ed,,. VA) Atom b-az- REMARKS: . ( r FOR OFFICE USE ONLY Routed to Permit Techni i., : e: Initials: Air Fees Due: ❑Yes !J V Fee Description: Amount Due: w� e--- $ N $ $ Special Instructions: Reprint Pe it(per PE): ❑Yes ► No ❑ Done Applic. Notified: G _ Date: cl"2l Initials: ps---- I:\Build. ,t i orms\TransmittalLetter-Revisions_061316.doc 5&ihnIN--/ alii. oOc,r._ ' - 4,41 - -. p'%' ik s 4h'Y/ .