Permit 1p ,11 , CITY OF TIGARD MASTER PERMIT
' > COMMUNITY DEVELOPMENT Permit#: MST2020-00034
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020
Parcel: 2S103AC04000
Jurisdiction: Tigard
Site address: 12590 SW 114TH TER
Subdivision: WALNUT GROVE Lot: 9
Project: Burns
Project Description: Replacing (3)levels of deck with same or smaller decks totaling 686 sf.
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: $44,000.00 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 add9 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:
BURNS FAMILY TRUST DECK MASTERS LLC Required Items and Reports(Conditions)
12590 SW 114TH TER 4839 NE 41ST AVE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 PORTLAND,OR 97211
PHONE: 503-680-5656 PHONE: 503-724-8863
FAX:
Total Fees: $1,400.69
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. Yo tain a co o -rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: e' r. .-«--�L�� — '" ermittee Signature:
Call 503.639.4175 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 FOR OFFICE USE ONLY
e RFrY r a Received
City of Tigard y / 4 P" _
Date/By: �/ 3L.I.
r • 13125 SW Hall Blvd.,Tigard,OR 97223 '°' Plan Review
• ■ �� i ii! ( l / � 1 A Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
T I GAR D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov i s Notified/Method:r/�i2Q �� Supplemental Information
BULLUh.0 t.livi ;uJ t'9- rS
Ae .: r DWELLa
❑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
t✓� ❑Addrtton/alteration/replacement Othe :to equipment,materials,labor,overhead,and the profit for the
,c,,' OORY'' ix-TI work indicated on this application.
Valuation: $ 4❑ 1-and 2-family dwelling IDCommercial/industrial /
IDAccessory building ❑Multi-family Number of bedrooms:
❑Master builder g Other: Number of bathrooms:
Si;INFORMATION `YLOCATION ,„ Total number of floors:
Job site address: J�J_G�� 5. ``� New dwelling area: square feet
City/State/ZIP:"Tie
dI q7 t Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Ittoryt
Covered porch area: square feet
Cross street/directions to job site: Deck area: Ce(10
square feet
Other structure area: square feet
ry tl>..I'EADA1A.O
Subdivision: 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
RIPTICIN OF WO° `�a ;; work indicated on this application.
�C7(��QC./ 2J ( „/�, ' a ne Valuation: $
�,111.0( te ��I�� f/S `LG Existing building area: square feet
(d`� ��✓ New building area: square feet
PROPERTY OWNERNumber of stories:
Name u <d/b1(•Yt CJ Type of construction:
Address:tT q� i"t'" ' J Occupancy groups:
City/State/ZIP: !f,��ird 72 Existing:
Phone:('Q3) ,'tit— Fax:( ) New:
A ,P w,r;; .............
efilito fey
Business name: Structural plan review fee(or deposit):
Contact name: ;
Address: �RQ � FLS plan review fee(if applicable):
71L /�'� n/ Total fees due upon application:
4.
City/State/ZIP: yot. 0„, lam_ q7/�
Phone:( ? ��V/`�"''"" ` ( ' ) Amount received:
O5 2 I Fax::
E-mail: - • I 4 Q,'VI r, fT FEES*
,r Commercial and residential prescriptive installation of
'COR �\ .., ^ , ,.,• ,.,., roof-top mounted Photo Voltaic Solar Panel System.
Business name9 I / , Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Me'Address: -11 e' .1 S rive__ 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 lie.:a D3 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Md
within 180 days after it has been accepted as complete.
Print nameClit jJ ta Date:lto-� *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermi .doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
II
TIGARD Building Permit Review — Residential
Building Permit #: 4/j, 7 'we3 i
Site Address: l�5?6 Ste) // i'e'vac-e
Project Name: pc- ,�i 15�,,4 ,/c/ Lot #:
Planning Review f✓Proposal: /f P ?X`:S/,":4 ele.G 4
[ Verify address/suite#active in Accela. n River Terrace: 12-1Slo ❑ Yes,River Terrace Review Addendum
Site Plan Elements: ❑Erosion Control
pies of site plan on 8-1/2"x 11"or 11 x 17"paper 0Retauied'trees. drip line and tree protection measures
raven to scale(standard architect or engineer scale) ❑Footprint of new structure(including decks)and Ft'h
d'orth arrow oca ns&easements(required for new and additions)
}Mite address,project or subdivision name and lot number a nveway approach
licant information(name and phone number) �T ���^^�fwells/septic systems
Lot dimensions and building setback dimensions —DSt eettree-size,type an oc •on
ElSgv“*a_footage'of buildings to be demolished .BSA names
,fig structures on site . Comer elevations(2'contours if more than 4'differential)
coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes 1;1-Pdo'
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes Cho
❑ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
. a eCj' ter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
-R SDC� EAct tivn for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
<- r YublCic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified 11iP15------ Applied For: ❑ Yes ❑ No,stop intake
/an se ase#: ❑ Zoning:
2 Required Setbacks: Front: 9v Rear: 6Side: 5 Street Side: Garage:
❑ Buildidg Height: Max. Height: Actual Height:
an scare Area: % ❑ Lot Coverage Max: %
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
Garage 6 ar is behind widest street-facing wall ❑ Yes ❑ No,one of the followin is met:
❑ Door extends no mo u 'from wall and the • porc extending beyond garage.
❑ Door extends no more than ' is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door wid ' 2'or less ❑ 50%or less of faca e %or less and includes 7 of following:
❑ red porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof ea ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof rmer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
isual Clearance ❑ Urban Forestry Plan
Sensitive Lands: ❑ Yes ❑ No Type:
❑ Conditions met prior to issuance of building permit
Notes: -
joved By Planning: Date: (//5/
Revisions (after Building Submittal only) Reviewer / Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_122419.docx
Building Permit Submittal
Original Submittal Date: G /t. /2_6
Site Plans: #
Building Plans: # 3
Building Permit#: 'nter building permit#above.
Workflow Routing: 'lanning engineering ;;CPermit Coordinator $uilding
Workflow Sign-off: P' Sign-off for Tanning(include notes from planning review) /
Route Application Documents: I. 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: Date: l 4/20
Engineering Review
R Slope at building pad: 207i c5/
❑ 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 Etr No
Assess Water Quantity Fee in-lieu: ❑ Yes la No
LIDA Facility on lot: CIYes C'No
[2/Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes:
C7"Approved by Engineering: Date: 1/l,//2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 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: _
❑ S Exemption: ❑ Received Lh'Does not apply
DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 1Q N/A
Tigard Trans SDC: ❑ Yes [� /A
Parks SDC: ❑ Yes /A
LIDA ❑ Yes Nil N/A
OK to Issue Permit
Approved byPermit Coordinator: i, ,v Date: ���
PP /�S►/�/�'
1:\Building\Fonns\BldgPermitRvw_RES_122419.docx