Permit M''` Y` MASTER PERMIT
k. CITY OF TIGARD
= ;a Y. . COMMUNITY DEVELOPMENT Permit #: MST2010 -00118
f GARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/23/2010
T
Parcel: 2S104DD08600
Jurisdiction: Tigard
Site address: 12825 SW MORNINGSTAR DR
Subdivision: MOUNTAIN HIGHLANDS NO. 3 Lot: 44 ,
Project: Stone
Project Description: Adding 190 sf to existing deck and adding cover for deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 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
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: No
Total: sf Value: $4,875.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains:
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum <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 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add l Br Cir:
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:
Owner: Contractor: Required Items and Reports (Conditions)
STONE, HILDA L TRUST & A MARK CONSTRUCTION
STONE, BRIAN D TRUST, 12825 22385 SW 103RD AVE
SW MORNINGSTAR DR Tualatin, OR 97062
TIGARD, OR 97223
PHONE: PHONE: 503- 522 -9995
FAX: 503 - 692 -1675
Total Fees: $317.06
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all, ether 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 , 'Irk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow . - - • =•ted by the Oregon Utility Notification Center/ hose rules are set forth in OAR
952- 001 -0010 through SAR 952- 001 -0100. You may obtain ' copy of the rules or , irect questions to OUNC by calling 503.246.669 .800.332.2344.
Issued B�C,
_ Perm ittee Signature:
11 I.
r
r- i
Building Permit Application e-1.1:; - ^ 0 .: ( q, `,)14
Residential � � � � � � 0 1 1 1 ( 1 Itl:1 •51 0\1 i ;
City of Tigard Receives
City g Q'� DateB ) ! j Pernut No.: �1�
1114 a 13125 SW Hall Blvd., Tigard, OR 97223 1 ' Plan Review) i, FiI
® 1 Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 �u`- DateB /Lf��IIm
I i 6 it 0 Inspection Line: 503.639.4175 .c1C3 0R • Date Read ^ -: Juris: El See Page 2 for
Internet: www.tigard � O V 1� 1rj1�' Notified/Method: -t Supplemental Information
alo
TYPE OF WO REQUIRED DATA: 1- ,AND 2- FAMILY DWELLING.;.,
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ci Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION" work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $4875
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12825 MorningStar Dr New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: P r o j e c t name: e f 4 . Covered porch area: 140 square feet
Cross street/directions to job site: 129 and Gaarde O Deck area: 190 square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Add 190 sq /ft to existing deck Valuation: $
Add 12' x 16' shed roof over upper deck area Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 'TENANT Number of stories:
Name: Brian and Hilda Stone Type of construction:
Address: 12825 MorningStar Dr. Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)997 -3897 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON,; ' . ' ;. .
NOTICE
Business name: A -Mark Construction All contractors and subcontractors are required to be r •
Contact name: Mark Eimon licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the, ; '•
Address: 22385 SW 103`" A ve jurisdiction in which work is being performed. If the
City/State/ZIP: Tualatin OR applicant is exempt from licensing, the following reasons ,
aPP Y r
Phone: (503) 522 -9995 Fax:: 692 -1675
E -mail: amark123 @msn.com
CONTRACTOR
Business name: A -Mark Construction BUILDING PERMIT FEES*
Address: Shi Aar* ` (AILS (Please refer to fee schedule) .. .
Structural plan review fee (or deposit):
City/State/ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: 125554 Total fees due upon application: 7, 3
�� f / Amount received: of -7, 31
Authorized signature 1/ 7/1 This permit application expires if a permit is not obtained
tlt within 180 days after it has been accepted as complete.
Print name: Mark Eimon Date: 7/6/10 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COMIWEB)
/2.$25 t-L01rN 574- Dr. /7 z• 77
77-6/,,,•-/- �"'• ,+
1 41 2 I .
d° � l ' 1 .1P'
1 N ,.
0 49
0
LP
.32 s
,
;L , co
CAII
c N O et. Y NW t23.. yo. CO
rn O 1 �. Co'. D VI r s 7
49.82' ______________________ •
52.16' Z
y 31.27
c x'39'08` S 07.49'09`
o p
o • 49.61' W N / •
u 62.77' Ex/ S T/A/4 bi.c l,-'- , I
Kim , ^' . 49.85'
S ,_•,), 71.89' /�+e�/� ��C -/� f
` w � v + • - Ate0 2 8.0 '., cv
. �.s
48.32' I� u z w t7 C11 , Zrr' -re. pAv .v47c LiA,C � o z�
co P Q
I 6 w N w �
z 01
CO � t co 0
tO cn SA
NS 11 72, ptorwii
ui o I !,'„� L,
m
1
,l£'06 S 00 H �
77.56' tc s 0(
OZ 3 .l£,1 S _ 1 i
, ..
�C
III
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: friSTSID l0 8 /'7Y
PLANNING DIVISION:
Required T;t:thacj.s. a 0 Not Approved
Sid $ de• 15
Lg) Rear: L
Approved 0 Not Approved
, • Height feet
tter Require,ci: 0 Yes 0 No
0 Received
6 44/-4 61 Date: -21 /31/6
ENGINEERING EPARTMENT:
Actual S opc:16_% gj Approved 0 Not Approved
Site PI : i Lla-Approved Q jot • pproved
By • •
11. Date: I °
Notes: cv6.),Ltrv1 hAd '
CITY OF TIGARD - SITE PLAN RIVEr'W
BUILDING PERMIT NO: 4 137k) /0-- /
Street Trees: (21:0 CI Nei Approved
•
Protected Trees: e- Approved Not Approved
By: T Ryd
Notes: