Permit t,
CITY OF TIGARD MASTER PERMIT
IL
COMMUNITY DEVELOPMENT Permit #: MST2010 00200
'TIGARD 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2010
Parcel: 2S 111 AB02900
Jurisdiction: Tigard
Site address: 9345 SW MOUNTAIN VIEW LN
Subdivision: ELROSE TERRACE Lot: 25
Project: Goodhouse
Project Description: 288 SF deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 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: 0 sf Value: $4,828.00 Rear: 0
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:
GOODHOUSE, JOHN JAY CHARLES MICHAEL STOREY Required Items and Reports (Conditions)
9345 SW MOUNTAIN VIEW LN 11980 SW 119TH AVE
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: PHONE: 503- 707 -2363
FAX:
Total Fees: $265.06
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 • • R 952- 001 -0090. Yo. ..- .. --, , es or direct questions to OUNC by calling 50.. 3 987 or 1.800.332.2; 4.
Issued By� / is� ._ _ 1►� Permittee Signature: .44 �//I / %L �.
---
�' ∎ 9.4175 by 7:00 a.m. for the next available inspection date.
This permit c. - .' • . 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
City of Tigard 1 p 1. rlo1� Received d 1 �j Permit ,J I?'1.tt e t� — U 09
11 11 II . 13125 SW Hall Blvd., Tigard, OR 97223 'li Plan Review tr r
Phone: 503.639.4171 Fax: 503.598.1960 `, C�y ���At►'-l� Date/By: � it Z2 1 Other Permit:
h I G A R D Inspection Line: 503.639.4175 G olA Date Ready /By Juris: El See Page 2 for
Internet: www.tigard- or.gov O ��`S P Notified/Method: 1+ it.) •lei, Supplemental Information
TYPE OF WORD REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
r ,/ Indicate the value (rounded to the nearest dollar) of all
EYI Hddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
la and 2- family dwelling ❑ Commercial /industrial Valuation: $ �� d Q
t-
❑ Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4)34.3' j w /,� i ,;,,i " or, New dwelling area: square feet
City /State /ZIP: f4 ,..6/ D -ma eryt../ 92 2_2_4/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 6D ea %e 4 De ,..„e_ Covered porch area: square feet
Cross street/directions to job site: 5', GO. / 3 r. 4.,,`e _ Deck area: 1 4/5 -�J; 0 0 square feet 2,9s,
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.
Valuation: $
a s Px i5 17 ,`f✓1 d, ck. / fr iC Kai 512.P of
c & c% r-o 121 it< 2o' iv /2.: x 2-
Existing building area: square feet
New building area: square feet
9 OWNER ❑ TENANT Number of stories:
Name: 2 4,, (2s c) C G/ 4 6 k Type of construction:
Address: C/ 3 4 5 , t j , /v , e ,,,2/-,-,, ,;,,) 14e Lam! o Occupancy groups:
City /State /ZIP: 7 2 � 4 ' r d l .'I .' 7t 6;2 - 2 2 47 Existing:
Phone: ( 71) . 1 Z - 75- 3 j Fax: ( ) New:
E -APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ( °ha r /N5 M ,.1 A; i e y ( / ( ;11 ✓ lY of C i1 G7w All contractors and subcontractors are required to be
// licensed with the Oregon Construction Contractors Board
Contact name:
LrG ✓ //N 5 re (/ ,q � under ORS 701 and may be required to be licensed in the
Address: / / e; y.- 5. / 1 , / / re //7i',. jurisdiction in which work is being performed. If the
l �) _ G'N G applicant is exempt from licensing, the following reasons
City /State /ZIP:
1 /'C e te , (,i /�52 / 2 LZ 3 a ppl y:
Phone: (5 G3) - 2 0 7 - Z 23 3 FFax:: ( )
E -mail: C ( L:r f /,S 1/1/1 ,1 /' ,'Y t (css' Nei Zen) , .4/ a • l-
/ CONTRACTOR
Business name: (' 4 a /7 /e 5 / 1,1 ' ), Co /v5,4— c 7/' ti BUILDING PERMIT FEES*
Address: / /C go 5 ,. t o 1 / GJ i 4 ,e, (Please refer -to fee schedule)
Structural plan review fee (or deposit):
City/State /ZIP: T7 c• r'J (ice �� 0 7 Z 3
Phone: (5`�j '20 / 1 Fax: ( ) FLS plan review fee (if applicable):
7 - Z3 G.' Total fees due upon application: , t4 . 7 s rs
CCB lic.: ( G 2 6 (, ti ( )a l ly
Amount received:
Authorized signature: // 197 j This permit application expires if a permit is not obtained
[/
'If / within 180 days after it has been accepted as complete.
(
Print name: G G //r5 /0, S e rey, Date: Ajo 4,i y ::2
*Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \BUP -RES PermitApp.doc 10/01/09 (7 440- 4613T(11 /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Permit No.:
UP Date/By:
13125 SW Hall Blvd., Tigard, OR 97223
C Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑Mechanical
Internet: www.tigard - or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat /lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑ .
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc. •
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam/joist carrying a non- uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the .ro under review.
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440-461 3T(1 1 /02/COM/WEB)
w Cori rrr S1 tAD
L. L 1 Y L
Clean Water Services File Number
NOV 0 9 2010 CleanWat °'✓ \ Serv 110 -- 00 2.51 l-
By Sens_i ive Area Pre- Screening Site Assessment
1. Jurisdiction: ('4 .0/ 74
- ref RECEIVED
2. Property Information (example 1 S234AB01400) 3. Owner information NOV 16 2 (10
Tax lot ID(s): 2.5111A5 02- Name: %IOkn.) ams 14,26�
Company: CITY OF TI(aA I ii D
Address: . S• W . e .J., :? 1.,._ ., .' IE IoN
Site Address: 4'345' 5, w eer k/ iii ties/ Gki, City, State, Zip: 771 r If), 972 -2.-4
City, State, Zip: 77i 94 rd, Dar t) Phone /Fax: 197/— Z /L^ 753
Nearest Cross Street 5, Lc !• q rd AN. E -Mail:
4. Deyelopment Activity (check all that apply) 6. Appllcant IInf ormation
Addition to Single Family Residence (rooms, deck, garage) Name: (pQ 4 i 5;‘,
❑ Lot Line Adjustment ❑ Minor Land Partition Company: r4s /14 E'4ie 671Wre{t lllk,
CI Residential Condominium ❑ Commercial Condominium Address: /AM) $«L(.. // I 'I I A{r/.
❑ Residential Subdivision ❑ Commercial Subdivision
❑ Single Lot Commercial 1:1 Multi Lot Commercial City, State, Zip: T / ('j-r J CS 97223
Other Phone/Fax: 51) 3 - 74 7 2543
E -Mail: L taa di' skm 5') - o rev ,i2/rre Net
6. WIII the project Involve any off-site work? ❑ Yes f�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. AS 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 Servkes 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 In • ation contalned In this d. • ment, and to the best of my knowledge and belief, this Information Is true, complete, and accurate.
Print/Type Name��// i g . UU S • ref. Printtlype Title eat) TYQ. £ 74 r
Signature /OW , Asia, .._, Da te We 20 /a
FOR DISTRICT USE ONLY t
. ❑ Sensitive areas potentiaiy exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources 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 sensible 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.
❑ 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 dsoovered. This document wlll serve es 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.
❑ This Service Provider Letter le 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 9/8/95 ORS 92.040(2). NO SITE ASSESSMENT OR
SERVICE PRO 1 ►. R LETTER IS - E
Reviewed by1� /, , 11/.44.-. .. Date / mom. i
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rtnial :zut.v, .,rrvi<< ui i
/o' = 340,
5co 1e.
e4 1 . 5 -14Ng s �ruc {-u re_ RECEIVED
cPr ►�vc -era Y (ho
NOV 8 -
Gl' ; - CITY OF TIGARD
.14'', BUILDING DIVISION
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p r opa,e' dGC(�
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: ,friST) tr- OFT
PLANNING DIVISION:
Required Setbacks: el Approved 0 Not Approved
Side: S Street Side:
Frolic. ...2:CL. G zirm.Y.t..: " Rear: 15
Visual Clearance: )0 .!-,,,,-,),! 0 Not Approved
Maximum Builds .,,,, ileT:.1 .,Q tecI
t Serv:C P!••• i0.' ' , r Required f'D 0 No
kelax,,,azinvi
ti‘: s
ENGINEERING D . I i(i NiENT:
Actual lope: it % 51 Approved 0 Not Approved
Site PI 1 n: /1
4..., 4/
Notes:
M.-Approved 0/r9kA p p roved
BY:
Date: / i i
0 TIGARD - SITE PLAN I1411
BUILDING PERMIT NO: 41 ' / kJ—Cid G t
Street Trees:
I: 0 Not Approv
Protected Tres$:
8 : I veldP/iL ,( Approved CI Not Approved
Notes! Date: /1