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Permit (106) 714 . CITY OF TIGARD MASTER PERMIT i -. COMMUNITY DEVELOPMENT Permit#: MST2018-00264 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018 TIGARD 9 Parcel: 2S108AB04400 Jurisdiction: Tigard Site address: 14076 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 6 Project: Connely Project Description: Adding 323 sf patio cover and fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $25,000.00 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 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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!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: CONNELY,CHRISTOPHER&SHEILA F BIZON CONSTRUCTION Required Items and Reports(Conditions) REVOCABLE TRUST 31151 S NEEDY 14076 SW 155TH TER CANBY,OR 97013 TIGARD,OR 97224 PHONE: 503-475-0508 PHONE: 503-278-9107 FAX: Total Fees: $921.49 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a d 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, ;r if work is suspended for more the 180 days. ATTENTION: Oregon law requir;. you to follow the rules adopted by the Oregon Utility Notification C, ter. Those rules are set forth in OAR 952-001-0010 through OA' ,52-00 0091may ob-in a copy of the rules or direct questions to OUNC by calling 503. .1987 or 1.800. a�.2344. Issued By: ' k.I/.d , Lifdi. ' Permittee Signature: dr , .-- _ Call 503.639.4175 by 7:00 a.m.for the next available inspecti. •ate. This permit card shall be kept in a conspicuous place on the job site until cythpleti. of the proj:pt. Approved plans are required on the job site at the time of ea a'.-.ection. Building Permit Application -;w ' RECEIVE FoR of Flct l'Sl oil ti 14 Received City of Tigard �/' p r 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 6 2 018 Date/By: � -4 P� `0 Uv l7' ■ Plan Review Phone: 503.7182439 Fax: 503.598.1960 + ateBy: (g / a Other Permit: 1!CARD Inspection Line: 503.639.4175 CITY OF`T1G ate Ready/By: 7 ' ® See Page 2 for Internet: www.tigard-or.gov ` (9ILD!NG DIV/S6, y`;fied/Method �` / /� Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profjt,for the CATEGORY OF CONSTRUCTION work indicated on this application. L-7 ® 1-and 2-family dwelling Valuation: $ ❑Commercial/industrial O 1:1Accessory building 11Multi-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:14076 155th Terrance New dwelling area: square feet City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Connelly Covered porch area: square feet Cross street/directions to job site:155th Ave and Bull Mountain Rd Deck are • square feet Co Ns Other structure area: 323 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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 ESCRIPTION OF WORK work indicated on this application. Add Patio coverlI1I 'GI Valuation: $ tAt/��S \Cr e ,,, Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name:Chris and Sheila Connely Type of construction: Address:14076 155th Terrace Occupancy groups: City/State/ZIP:Tigard OR 97224 Existing: Phone:(503)475-0508 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON * BUILDING PERMIT FEES Business name:Northwest Outdoor Living (Please 1efer to fee schedule) Contact name:Bret Bowman Structural plan review fee(or deposit): Address:12403 Fry Rd NE FLS plan review fee(if applicable): City/State/ZIP:Aurora OR 97002 Total fees due upon application: Phone:(503)209-9227 Fax::( ) Amount received: E-mail:bret@northwestoutdoorliving.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Bizon Construction Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:31151 S Needy Rd. Solar Installation Specialty Code checklist. City/State/ZIP:Canby OR 97013 Permit Fee(includes plan review $180.00 and administrative feesL Phone:(503)278-9107 ax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:215-524 / Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained 1/' _> within 180 days after it has been accepted as complete. 4;0-0 Print name:Bret Bow Date:9/20/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BU'-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) RECO 'iLF 2 l;, r_u:i Clean Water Services File Number 9U!L t , mr:.DMS ON C1eanWaterServices 18-002980 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information(example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Chris and Sheila Connelly Company: Address: 14076 155th Terrace Site Address: 14076 155th Terrace City, State,Zip: Tigard,Oregon,97224 City,State,Zip: Tigard,Oregon,97224 Phone/Fax: 503 475-0508 Nearest Cross Street: Bull Mountain Rd E-Mail: 4. Development Activity(check all that apply) 5. Applicant Information DA Addition to Single Family Residence(rooms,deck,garage) Name: Bret Bowman ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Northwest Outdoor Living ❑ Residential Condominium LI Commercial Condominium Address: 12403 Fry Rd NE ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip: Aurora,Oregon,97002 Other Phone/Fax: 503 209-9227 E-Mail: bret@northwestoutdoorliving.com 6. Will the project involve any off-site work? ❑Yes l)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 Bret Bowman Print/Type Title ONLINE SUBMITTAL Date 9/20/2018 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST. - ;,,+ ,,-., -. ..— ' i i•',0,0'; ' CE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feetacent properties,a 'ratur.r - ources 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. ❑ his 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 PROM R LETTER EQUIRED. Reviewed bye ,7 t e Date 09/21/18 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone: (503)681-5100 • Fax (503)681-4439 • wwww.cleanwaterservices.org 11111 City of Tigard "I COMMUNITY DEVELOPMENT DEPARTMENT TIGA RD Building Permit Review — Residential Building Permit #: �_ ---,..',2:1___ Site Address: iti C W ,SE h Crratt Project Name: (c A61.11f Klti (A, __, (New dwellink subdivision name;Addition or Alteration=last name of owner) Lot #: Planning Review Proposal: A- c,(1,/v- } ' platn.-11-11; �'" (:o�7 _ 3�Zr.= 1 ��- ►� � �► tl [g/ rift'site address/suite#exists and active in permit system. Ler Terrace Neighborhood: W7No ❑ Yes,See River Terrace Review Addendum Attached Plan Elements: ee(3)copies of site plan e plan must be on 8-1/2"x 11"or 11 x 17"paperSr xrstmg structures on site ooof awn to scale(standard architect or engineer scale) i ore evationsw structure ce(including decks)with finished orth arrow B e address,project or subdivision name and lot number L '1 t3'locations&easements (required for new and additions) oaf; •. cant information(name and phone number) id anon driveway approach C�� �t � -•cation of wells/septic systems dimensions and burl__ 'dtn_gsack dimensions P 'fisting trees to be retained with drip line,and tree t E •uare footage of buildings to be demolished .rotection measures L Lot area,building coverage area,percentage of coverage and IPI.-eet tree size,type and location i•pervious area(applicable if R-7,R-12,R-25&R-40)64. le.treet names � roperty corner elevations foot ontour lines if more_` >1,000 sf of impervious area created or replaced? ❑Yes Certo • r: differenti. �� If es,is a storm water •uali facili shown? El.':> 111 No IEP Clean Water Services—Service Provider Letter of platted prior to 9/10/1995): /Required: Cl Yes,applicant was notified �� DV No Received: Dry 0 No Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified Eli No Applied For: 0 Yes 0 No,stop intake t1 I _ d Use Case#: oning. Required Setbacks: Front CS Rear } Side S Street Side _19_____19Garage a andscape Requirement: .t Coverage Maximum: g J n I •ding Height Maximum Height Ili/Visual Clearance _/ � Actual Height ,.5 Dr Sensitive Lands: L� Yes 0 No 1 .fit Urban Forestry Plan TYPed`;1 S iy.�;(i2.,)- '� C.c.,,) C"Conditions "Met"prior to issuance of building permit Not : Approved By Planning: 1.04 ,,u f Revisions (after Building Submittal only) C /�" - Date: ��11 l:1 Revision 1: 0 Approved Reviewer Date PP 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved IABuildingTonns\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: .- Site Plans: # - Building Plans: # Building Permit#: •0- nter building permit#above. Workflow Routing: C- Planning ' eering IpTrmit Coordinatorg ign Workflow Sign-off: 1 Sign-off for lanning(include notes from planning review) Route Application Documents: Z.. Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: / � vi/ "�d , 11r7' Date: if, / Engineering Review ffi Slope at building pad: 3 Er Conditions"Met"prior t issuance of building permit 121'Easements (encroachments)per engineering conditions of approval and plat © Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes CrNo Assess Water Quantity Fee in-lieu: 0 Yes Er No LIDA Facility on lot: 0 Yes f No E? Final Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: 8,21 Date: /D-/-/& Approved by Engineering: � 5- Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 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 Wash Co Trans Dev Tax: 0 Yes /A C Fees Entered: Tigard Trans SDC: 0 Yes Parks SDC: 0 Yes ,E1'N/A LIDA 0 Yes N/A ie.'OK to Issue Permit 4 /v�� 1 �_ Date: Approved by Permit Coordinator: I:\Building\Forms\BldgPermitRvw_RES 010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14076 SW 155TH TER, TIGARD, OR, 97224 December 13, 2018 at 10:10:47 AM Record Type: Record ID: Residential - Master Permit MST2018-00264 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor