Permit ,, CITY OF TIGARD MASTER PERMIT
II COMMUNITY DEVELOPMENT Permit# MST2011 -00160
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Date Issued: 09/20/2011
Parcel: 1 S125DC04200
Jurisdiction: Tigard
Site address: 7072 SW BARBARA LN
Subdivision: RAZBERRY PATCH, THE Lot: 35
Project: Leonard
Project Description: Replacing existing deck
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 $9,629 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
Drywell- Trench Drain 0 Other Fixtures 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 addl 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 Secunty 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 0
Owner: Contractor:
PAT LEONARD ROBERT J GALBRETH Required Items and Reports (Conditions)
7072 SW BARBARA LANE 6860 N SMITH
TIGARD, OR 97223 PORTLAND, OR 97203
PHONE PHONE 503 -515 -4006
FAX
Total Fees: $476.17
This permit '- - ue• • •'ect to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be do - in accordance with -.proved •fans. 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 la . r: •uir:. y- • to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
95 001 -0010 rough OAR 952 -00' 0090 Y. • may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344.
Is- ued By: //,„...._ t / � I r Permittee 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 F OR O FFICE USE ONLY
City of Tigard 4�I tt 1�'@) Received
`J DateBY. /�5 /' Permit No 5 r . ?/ c ? iCJ Ji0O
q 13125 SW Hall Blvd., Tigard, OR 97 Y \SCI j Plan Review ' I
2 2 Phone. 503.718 2439 Fax: 503 't: ` , t Date/By Other Permit
T I G A RD Inspection Line: 503.639 4175 , V 4011 • Date Ready/By Juris 0 See Page 2 for
Internet: www.tigazd -or gov C O p Notified/Method 77 Supplemental Information
citAX CS
TYPE OF WO ...- 0l REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 1 Permit fees* are based on the value of the work performed.
,,� Indicate the value (rounded to the nearest dollar) of all
F►' 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 • $ C i ' (16,
❑ Accessory building ❑ Multi- family Number of bedrooms: tv��`''
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7671 S 0 IS Ate6SAg/4 L A.1 New dwelling area: square feet
City /State /ZIP: ppie,j 0 2 9 7005- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name. L co fa v 4 Covered porch area: square feet
Cross street/directions to job site. S 7 &'d1 Deck area: y 93 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.
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.
f e p C AC-e r: X % t .r, 1 Deck Valuation: $
Existing building area: square feet
New building area: square feet
L PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,- par 2. eo,U /-) R b Type of construction:
Address: -7 0 7i s Lj Jim A lea t AV Occupancy groups:
City /State /ZIP: J1 l ettk yl i c rJ R 9 7 00 S Existing:
Phone: ( ) Fax: ( ) New:
Er APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer ro fee schedule)
Business name: lip p 6e 7- 3'; GA- c. 43,e e77./ Structural plan review fee (or deposit):
Contact name: R0 e t er 6 a- I- 1ejee72-1 FLS plan review fee (if applicable):
Address: Z J't 0 A), Sill >'7 71
Total fees due upon application: Si 7 7
City /State /ZIP: p 7- 44 6 ,e 9"z03
Phone: (spa S W Y 06 6 Fax:: ( ) Amount received:
E -mail: 1�clt�e,e.r• GAtthee.rji q : :a r ft Iii, Xle7` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: R 0 g 7, 6�L,6 1i e Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 68C D 4) _S)44/771 Solar Installation Specialty Code checklist.
City /State /ZIP: Pb ,7 0d Q de 9 72,63 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (5 63 ) 57S y 66, c Fax: ( ) o
State surcharge (12% of permit fee): $21.60
CCB lie : //.5 3OS ?/t 7/!7
Total fee due upon application: $201.60
Authorized signature: j��� This permit application expires if a permit is not obtained
�,�/ within 180 days after it has been accepted as complete.
Print name: C r fe_ Date: •, /5- 11 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP- RESPermitApp doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling ' FOR OFFICE USE ONLY
II - -- City of Tigard Received Permit No
13125 SW W Hall Blvd , Tigard, OR 97223 Date/By
p
Phone 503 718 2439 Fax: 503.598.1960 Associated permits
T.iGARD
24- Hour Inspection Line. 503.639 4175 ❑ Electncal ❑ Plumbing ❑ Mechanical
Internet www.tigard -or gov ❑ Other
I THE, FOLLOWING. ITEMS ARE REQUIRED FOR PLAN REV - . Yes i No N/
I 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- ❑ ❑ ❑
bas 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.
Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑
1 1 ❑ ❑ ❑
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 Ore ton and shall be shown to be ae likable to the .ro under review.
JURISDICTIONAL SPECIFICS r
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.
I \ Building \Permits\BUP - RESPermitApp doc 02/24/2011 440- 4613T(11/02/COM /WEB)
Building Division
Development Code Provision Review
TcARD Residential Projects
Building Permit No: « T 3 1 I 0Jl (PO
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑
Routed Plans:
Original Plan Submittal Date: LI /ls/ //
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 Uirte L j at 503 - 718 -." or -S Lkfte -( @ tigard- or.gov)
Land Use Case No. Name 1 —Cc, 0 A b I
V Zoning (- s"
Setbacks:
Front AD Rear / Side C Street Side f5 Garage c2 0
Maximum Building Height 3 0 Actual Building Height
r r Visual Clearance
O Easements
Sensitive Lands Type: a 0 . S 1 bi�^ 4- _- Ll Cl/ ti
Notes: U
Original Plan: Approved Not Approved ❑ Date: 6 1 (RP / I 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)
f 2( Actual Slope: 7
Notes:
Original Plan: Approved Not Approved ❑ Date: q l 10 l l
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov)
Ei Street Trees
LJ Protected Trees
Notes: h . . r- _ ,1 ;k �+.si - /w,_ u,-,1 l o •f ^-ri
Original Plan: Approved l� Not Approved ❑ Date: N I (I ?0(I
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: Yeses' No ❑
Date Routed to Building. q !� //`
Page 2 of 2
p 09 11 11 :54a Robert Galbreth 5032892984 p.1
�� RECEIVED
��
c p 0 9 2.011 \� Clean Water Services5Ef t44 t�ei�01
, CleanWater \ Services I i yob 31‘2 CTTY - OF 1
ay J_-:_ itive Area Pre - Screening Site Assessment BUILDING DIVIS ON
4_ Jurisdiction: City of Tigard
2. Property Information (example 1 S234AB01400) 3. Owner Information
Tax lot ID(s): Name: Pat Leonard
Company:
Address: 7072 SW Barber Ln
Site Address: 7072 SW Barbara Ln City, State, Zip: Portland, Or 97005
City, State, Zip: Portland, Or 97005 Phone/Fax:
Nearest Cross Street: SW 72nd E -Mail:
4. Development Activity (check all that apply) 5. Applicant Information
III Addition to Single Family Residence (rooms, deck, garage) Name: Robert Galbreth
❑ Lot Line Adjustment ❑ Minor Land Partition Company: Robert Galbreth Building Maintenance
❑ Residential Condominium ❑ Commercial Condominium
Address: 6860 N. Smith
❑ Residential Subdivision ❑ Commercial Subdivision City, State, Zip: Portland, Or 97203
❑ Single Lot Commercial ❑ Multi Lot Commercial 503 515 4006
Other Replace existing deck with a smaller deck Phone /Fax:
E robertgalbreth @comcast,net
6. Will the project involve any off-site work? ❑ Yes 1$I 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. All required permits and approvals must be obtained and completed under applicable local, state, and federal law.
By signing this form, lie Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services 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 famliarwith the information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate.
Print/Type Name Robert Galbbrr —etth pdn�ype Title Contractor
Signature _ _, , �/ , r a 1. " Date 9
FOR DISTRICT USE ONLY
❑ Sensitive areas potentiailyexist on site or within 200' of the site. TIIEAPPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OFA
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report
ay 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 sensitive 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 'equired permits and
approvals must be obtained and completed under applicable local, Slate, and federal law.
❑ Based on review of the submitted materials and best evadable 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 SiteAssessment does NOT efminate the need to evaluate and protect additional water
quality sensitive 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,
❑ This Service Provider Letter is 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 9/9/95 ORS 92.040(2). NO SiTE ASSESSMENT OR
SERVICE PROVIDER LETTER IS RE • IR' • .
Reviewed by 4rr� , awe * Date " ' Z I
2550 SV) Hillsboro i ' v • Hillsboro. nregon 9'7123 • none (503) 60'1-2100 • Fax (503) 681 -4439 = wwW:cle &n aterservices,org
ileact = - 1 - -fyl1e 7 c4 x ; t oLr=%P ter"
1
-- 1(0 ra ?, L RECEIVED
4 + 1 ' .) SEP 15 2011
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