Permit rr CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2011 -00139
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011
Parcel: 2S 110DA05900
Jurisdiction: Tigard
Site address: 10503 SW NAEVE ST
Subdivision: Lot:
Project: Pearson
Project Description: Remove existing decking and stairs, move beam, install aluminum decking and spiral staircase.
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: $13,000.00 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
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 SrvctFeeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'l 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:
OTR SF VB R -3 0
Owner: Contractor:
PEARSON, MICHAEL D & HAMILTON BYERLY INC Required Items and Reports (Conditions)
TERESA H 2215 SW 32ND AVE
10503 SW NAEVE ST PORTLAND, OR 97214
TIGARD, OR 97224
PHONE: 503 - 624 -9712 PHONE: 503 - 310 -0614
FAX: 503 - 236 -6189
Total Fees: $557.93 •
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 may ob • ••ty. : - direct questions to OUNC by calling 503.232.1987 or 1.800.3 2.2344.
Issued By 1� /s — / _ . Permittee Signature: C %�� .s,� --��"
Call 5�l 3:6 9 by 7:00 a.m. for the next available inspecti d ate.
This permit card sh -i conspicuous place on the job site uiitil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
RECEIVED 0 2
Iii Ha City of Tigard Date /By: 0 3 /( I PermitNo.: / L 79
ll v gar pm - 3 2010
° 13125 SW Hll Bld., Tigard, OR Plan Review,", j
Phone: 503.718.2439 Fax: 503. Date/By: �� C� Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read /B mr;5: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: y- g
d/Method: b 4, 11 , Supplemental Information
BUILDING DIVISION P y,U M i
TYPE. OF WORK . ° - 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I=1 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $13000
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ® Other: deck remodel Number of bathrooms:
JOB SITE 'INFORMATION AND LOCATION - Total number of floors:
Job site address: 10503 SW Naeve St. New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite /bldg. /apt. no.: Project name: Pearson Deck Remodel Covered porch area: square feet
Cross street/directions to job site: McDonald /103rd Deck area: 37 square feet
S to Lady Marion Dr., E to Naeve St., S to site (on right) Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Erickson Heights I Lot no.: 20 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.
Remove existing decking and stairs, move beam, install aluminum decking and Valuation: $
spiral staircase. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Michael Pearson Type of construction:
Address: 10503 SW Naeve St. Occupancy groups:
City/State /ZIP: Tigard, OR 97224 Existing:
Phone: (503)624 -9712 Fax: ( ) New:
• ' ® APPLICANT ❑ CONTACT PERSON . BUILDING PERMIT.FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name: Michael Pearson
FLS plan review fee (if applicable):
Address: 10503 SW Naeve St.
Total fees due upon application:
City /State /ZIP: Tigard, OR 97224 _ / / 4 J /2
Amount received:
Phone: (503) 624 -9712 I Fax:: ( )
E -mail: mike.pearson @frontier.com PHOTOVOLTAIC SOLAR PANEL'SYSTEM FEES*
' Commercial and residential prescriptive ins ,. Nation of
CONTRACTOR roof -top counted PhotoVoltaic Solar P.. -' System.
Business name: Byerly Remodeling, Inc. Submit two . sets of roof plan with , •.nnection details
and fire departm- >. access, alon: . +tth the 2010 Oregon
Address: 2215 SE 32nd Ave. Solar Installation S.' ',Ity le checklist.
City/State /Z1P: Portland, Oregon 97214 Permit Fee (include . review $180.00
and a. •• nistrative
Phone: (503) 310 -0614 Fax: (503) 236-6189 State surcharge 2% of permit fee): $21.60
CCB lie.: 122598
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.
* Fee methodology set by Tri -County Building Industry
Print name: Mich. el Pearson Date: 0/3/20i Service Board.
1:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM /WEB)
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: ) 37 • c
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A `4 S
Routed Plans: //
Original Plan Submittal Date: g 5 /V
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved. /
Planning Review (contact n ���w` , (�LI at 503 - 718 - S I or .dtcvloq @tigard - or.gov)
Land Use Case No. Name Pe A SO a 0i - SDI $T5
gr Zoning Q 3 -S (Pb) .
1=1/Setbacks:
✓ Front r90 Rear l Side .' Street Side fir] Garage
t Maximum Building Height .3D Actual Building Height
0- Clearance
❑ Easements pet() Ai
❑ Sensitive Lands Type: A!
Notes:
Original Plan: Approved Not Approved ❑ Date: S1 131 ( 1
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov)
Actual Slope: / 5
Notes:
Original Plan: Approved --Er Not Approved ❑ Date: ___14_4_,3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page I of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov)
❑ Street Trees
❑ Protected Trees
Notes:
Original Plan: Approve Not Approved ❑ Date: 8 •
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes No ❑
Date Routed to Building: ���/ J
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