Permit (33)m.
CITY OF TIGARD MASTER PERMIT
111111-1 Permit#: MST2018-00112
COMMUNITY DEVELOPMENT Date Issued: 04/25/2018
T I i..4 p I! 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BD03700
Jurisdiction: Tigard
Site address: 9545 SW RIVERWOOD LN
Subdivision: COPPER CREEK STAGE 3 Lot: 77
Project: BAYHA
Project Description: New patio cover over existing patio.
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:
Total: 0 sf Value: $7,035.60 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: 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
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
BAYHA,KEVIN R&CARRIE A DAVE SQUARED ENTERPRISES LLC Required Items and Reports(Conditions)
9545 SW RIVERWOOD LN PO BOX 877
TIGARD,OR 97224 NORTH PLAINS,OR 97133
PHONE: PHONE: 503-936-6886
FAX: 503-647-5084
Total Fees: $499.65
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 k is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi .tion "- - j •se rules are set forth in OAR
952-001-0010 through OAR 95 •01-0090. You%y obtain a copy of the rules or direct questions to OUNC by ca ' g 50'f" 'o :•0.332.2344.
Issued By: .4%- . /4._ A .- mittee Signature: if ri—Lk ../
Call 503.639.4175 by 7:00 a.m.for the next available inspe. .9.1rate. V \
This permit card shall be kept in a conspicuous place on the job site until co pletion o t•roject.
Approved plans are required on the job site at the time of each in..ectio•.
Building Permit Application
Residential ,.., toR out.1(1 ( sl Ov1,1
,r
r , i, , I ' 'Received PermitNo.:
City of Tigard Date/By: I 4 I /877_ /-967-0701
Y J 7l�i,y_-lo j /a
f 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRevie�J to mr,
I Phone: 503.718.2439 Fax: 503.598.1960 a l'�`I' DateBy: 1Li ' Other Permit:
5 t-� Juris: El See Pae 2 for
I t,\ i) Inspection Line: 503.639.4175 b• Date ReadyBy r, g
P. Internet: www.tigard-or.gov �� n ethod: L/ ..(.7/`./ Supplemental Information
•
f wirL-. i tWC
"t
0 New construction 0 Demofition 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 f
Ak
CA KY OF CONSTRUCCIOAl work indicated on this application®
Valuation: 54510u 1 0
® 1-and 2-family dwelling 0 Commercial/industrial 1
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other:
Number of bathrooms:
dt13T ` AII?OIwfAT AT
Total number of floors:
Job site address:9545 SW Riverwood Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport� area: square feet
Suite/bldg./apt.no.: Project name: Covered pbrcf area: 312 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-V1 CUE L1 S
Subdivision: [ Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
New cover over existing patio
Existing building area: square feet
New building area: square feet
rd`Pgort1flY OWNER 0 TE$1NTNumber of stories:
Name:Kevin&Carrie Bayha Type of construction:
Address:9545 SW Riverwood Lane Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax:( ) New:
Business name:Dave Squared Enterprises,LLC Structural plan review fee(or deposit):
Contact name:Dave Saalfeld
FLS plan review fee(if applicable):
Address:PO Box 877
Total fees due upon application:' ` e.-3y
City/State/ZIP:North Plains,OR 97133
Amount received:
Phone:(503)936-6886 Fax::(503)647-5084
- OV
E-mail:dave_saalfeld@msn.com rA SOL 1
Commercial and residential prescriptive installation of
1CT0 roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Dave Squared Enterprises,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 877 Solar Installation Specially Code checklist.
City/State/ZIP:North Plains,OR 97133 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)936-6886 Fax:(503)647-5084 State surcharge(12%of permit fee): $21.60
CCB lic.:188575 ,100 - //ch al Total fee due upon application: $201.60
Authorized si Ll: i i Y / This permit application expires if a permit is not obtained
�/ / within 180 days after it has been accepted as complete.
VDate:04/06/18 *Fee methodology set by Tri-County Building Industry
Print name:Dave Saalfeld Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
/ILO Lot
■ COMMUNITY DEVELOPMENT DEPARTMENT II 'I
T i G A R D
Building Permit Review — Residential o
Building Permit #: /7s,Si ,/6-_c v`1a
Site Address: '(5Q5 5i) ,VPr u)&oct 1,.y-1
Project Name: & Lot #:
n
(New(yelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review '' � `c'
Proposal: Pak() 0 Q"---
1-$44---Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: [ . cTo ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies of site plan Existing structures on site
j2Site plan must be on 8-1/2"x 11"or 11 x 17"paper ZiFootprint of new structure(including decks)with finished
,,2Drawn to scale(standard architect or engineer scale) floor elevations
orth'arrowtff'-y -'61tions&easements(required for new and additions)
401S401Ste address,project or subdivision name and lot number 'l idewalk/driveway approach
'cant information(name and phone number) of wells/septic systems
"ot dim-•sions and building setback dimensions xtstitt-trzgs to be retained with drip line,and tree
Gs--•. - .•tage of buildings to be demolished protection measures
of area,building coverage area,percentage of coverage and rlStr,-et tree size,type and location
'• •- , ous area(applicable if R-7,R-12,R-25&R-40) Zgtreet names
is ``roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ElYes+a1
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
Z-Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified CLPda Received: ❑ Yes El No
ublic Facilities Improvement(PFI) Permit �^
Required: ❑ Yes,applicant was notified ..�I"No Applied For: ❑ Yes El No,stop intake
an Use Case#:
ning: ?-7 OD)
A Required Setbacks: Front C, Rear (s Side 5 Street Side /t) Garage , c..)
efff-Landscape Requirement: 2 b 0.
Lot Coverage Maximum: 1
.0'tBuilding Height: Maximum Height SS Actual Height
O'Visual Clearance
, ensitive Lands: ❑ Yes Q�To Type
-1=1-144rah Forestry Plan
J - additions "Met"prior to issuance of building permit
Notes:
❑ Approved By Planning: Date: viiw
Air iy,
Revisions (after Bu' mg Submittal only) ` Reviewer > „ I,ate.
Revision 1: Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\BuildingWorms\BldgPermitRvw RES 061417.docx
BuPermit Submittal J
Original Submittal Date: #/�j//3'
Site Plans: 7�
Building Plans:
Building Permit#: nter building permit��#–above.
Workflow Routing: Tanning ��YEnglneering ermit Coordinator El--Brtining
Workflow Sign-off: a--Sign-off for Planning(include notes from planning review)
Route Application Documents: ®—gineering: (1) copy of permit application, (1) site plan, (1) building plan and
original�� plan review routing form.
L�Yfiwlding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ���
By Permit Technician: Date: 7 ___
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 e No
tel
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 2 No
'`Final Plat Recorded: ,A�1
kr NOT Approved by Engineering: Mt� � • Date: / / #a
Notes: C,,HAW!) r - -ro H&J `jP 4.4 T:'"
Atfb 5�a 1, to 41 Et..cvkrr c A' i. 144
L .. LL..
f,ZQ Approved by Engineering: �G Date: i./.1?--ter
Revisions (after pyilding Submittal only) Reviewer Date
Revision 1: IiApproved ❑ 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:
fr Revisions (after Building Submittal only) / '/)
Y Revision Notice 1: Date Sent to Applicant: -4 /€i//e J' Lia'•
Revision Notice 2: pp
Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
7°.*SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes )S''N/A
LIDA ❑ Yes ...N/A
! ordinator:
Date:
I:\Building\Fonns\BldgPermitRvw_RES_010118.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9545 SW RIVERWOOD LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00112
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor