Permit (39) CITY OF TIGARD MASTER' PERMIT
11.11 M' COMMUNITY DEVELOPMENT Permit#: MST2019-00356
Date Issued: 09/11/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1146B04100
Jurisdiction: Tigard
Site address: 16535 SW GREENLAND DR
Subdivision: PICKS LANDING NO.1 Lot: 55
Project: KELLEHER
Project Description: Replacing front entry steps and landing.
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:
Total: 0 sf Value: $12,000.00 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 RainStorm 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
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 N
Ecompasing:
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:
Required Items and Reports(Conditions)
ftEEt£i#ERr J,31iRES S KiAAgEfi4Y G-__.F�!! _ __ _
16535 SW GREENLAND DR 15880 SW TUALATIN ST
TIGARD,OR 97224 SHERWOOD,OR 97140
PHONE: 503-807-0305 PHONE: 503-925-8756
FAX:
Total Fees: $574.51
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 OAR 952-001-0090. You
mayyoobbttai f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �'j_ ( Permittee Signature:
a 1503.639.4175 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential - fç -Th
City of Tigard DRecatee/Brveyd: /90,X1--"fitscp-ol -
9 06 3-S—C=.
1114
q 13125 SW Hall Blvd.,Tigard,OR 9722 EP 5 20/9 Plan
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By:Review
tie/By• / ,, °ther Permit.
A R 1) Inspection Line: 503.639.4175 „.,) Date Ready/By Juristgi See Page 2 for
Internet: www.tigard-or.gov Notthed/Meth • Supplemental Information
TYPE OF WORK REQUIRED DATA;1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this appy• 1101.111%
>ROI Or
El 1-and 2-family dwelling 0 Commercial/industrial Valuation:
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:16535 SW Greenland Dr. New dwelling area: square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: tbii..,"C• Covered porch area: square feet
Cross street/directions to job site:Durham Deck area: 144 square feet
Other structure area: 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
DESCRIPTION OF WORK work indicated on this application.
Replace front entry steps and Landing Valuation:
Existing building area: square feet
New building area: square feet
at PROPERTY OWNER 0 TENANT Number of stories:
Name:Jim and Kim Kelleher Type of construction:
Address:16535 SW Greenland Dr. Occupancy groups:
City/State/ZIP:Tigard,Or 97224 Existing:
Phone:(503)807-0305 Fax:( ) New:
ei APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Fahland Inc.
Structural plan review fee(or deposit):
Contact name:Eric Fahland
FLS plan review fee(if applicable):
Address:15880 SW Tualatin St.
Total fees due upon application:
City/State/ZIP:Sherwood Or 97140
Phone:(503)925-8756 I—Fax::(503)925-0571 Amount received
E-mail:westportlandrchadecLnet PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Same as Applicant Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
47100 9 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:Eric Fahland Date:9-3=19 *Fee methodology set by Tri-County Building Industry
Service Board.
\Building\Permits BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Building Permit Submittal
Original Submittal Date: i/j!/ y
Site Plans: #
Building Plans: #
Building Permit#: PC' Winter building permit#above.
Workflow Routing: P 'Tanning engineering I_.,�rermit Coordinator uilding
Workflow Sign-off: P'Sign-off for lamm�g(include notes rom planning review
Route Application Documents: P' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / /
By Permit Technician: /W�` Date: 7/s7/
Engineering Review
Er Slope at building pad: j (0
❑ Conditions "Met"prior to issuance of building permit
[3rEasements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes LNo
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes [ No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Q'Approved by Engineering: 271-d,s1,12‘,4Date: ill/S
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:
Reviion Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: CI Yes ZIN/A
,'
' Tigard Trans SDC: ❑ Yes
2i/N/A
Parks SDC: CI Yes [�
LIDA ❑ Yes a N/A
OK to Issue Permit Approved by Permit Coordinator: Ote: /</t
1:\Building\Forms\BldgPermitRvw_RES_022819.docx