Permit v CITY OF TIGARD MASTER PERMIT
II- 11: ' COMMUNITY DEVELOPMENT Permit#: MST2013-00202
TIGARD 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09!26/2013
Parcel: 2S 103BB 11600
Jurisdiction: Tigard
Site address: 12180 SW ANN PL
Subdivision: YE-OLDE WINDMILL Lot: 35
Project: Bechard
Project Description: Remove existing deck and replace with slightly larger 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:
Total: 0 sf Value: $15,900.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=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 add!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 8 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:
BOEKELHEIDE:LEE AND AS YOU WISH REMODELING LLC Required Items and Reports(Conditions)
H BECHARD,MARGARET E 9201 SW LINE DR
12180'SWANN PLACE CORNELIUS,OR 97113-9631 .
TIGARD,OR 97223 .
•
PHONE: 503-970-1157 PHONE: 503-502-3408 .
' FAX:
Total Fees: $651.70
. 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 .ork 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 suspende• or more the 180
'_days. NTION: on law•requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules - : set forth in OAR
952- 1-0010 through OA 952--0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. • .•.
� ��cog-�1'p' f',..._-_, /
Is ed By: r>� Permittee Signature: / ar-
. Call 503.639.4175 by 7:00 a.m.for the next available In,•=
' This permit card shall be kept in a conspicuous place on the Job site un I co • etion of the project. .
Approved plans are required on the Job site at the time of each inspection. •
, .
Building Permit Application .
Residential I otl 0IIICC USE (1:NLY
City of Tigard Received
tArAgn �Date.Ev Fcrnut No
14 ° `y ‘0,--0/ -CX..„:4I
13125 SW Hall Blvd.,Tigard,OR FCEIVED
Plan
11 Phone: 503.718.2439 Fax: 503.598.I Date/B . ♦ Other Permit:
32013 �`�
�• �,n I� Inspection Line: 503.639.4175 P Date Rea'•c huu RI See Page 2 for
Internet: www.tigard-or.gov CITY 4F TIGARD Not led rye ,� p / '. 7� Supplemental Information
���n�� Jo/
TYPE O181Y01i�OVG DIVISION 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.
❑ 1-and 2-family dwelling ❑Coercial/industrial Valuation: $15,900
mm
❑Accessory building ❑Multi-family Nu3nber of bedrooms:
❑Master builder ®Other Deck Number of bathrooms:
JOB SITE INFORHLYTION AND LOCATION Total number of floors:
Job site address: 12180 SW Ann Pl New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223-3078 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Draiwinarrment 66Cb Covered porch area: square feet
Cross street/directions to job site:SW 121"Avenue,Tigard,OR Deck area: 350 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Remove existing deck and footings.Install new footings,posts,beams,joists, Valuation: $
stairs,decking and railing. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Lee Boekelbeide&Margaret Bechard Type of construction:
Address:12180 SW Ann PI Occupancy groups:
City/State/ZIP:Tigard,OR 97223-3078 Existing:
Phone:(503)970-1157 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:As You Wish Remodeling,LLC
Structural plan review fee(or deposit):
Contact name:Don Durnford
FLS plan review fee(if applicable):
Address:9201 SW Line Dr
City/State/ZIP:Cornelius,OR 97113-9631
Total fees due upon application:
Phone:(503)502-3408 Fax::( )
Amount received: ( 6,•
"?
E-mail:Don@AsYouWishRemodelingLLC.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
Corner 'al and residential prescriptive installation.of
CONTRACTOR roof-top mt..ted PhotoVoltaic Solar Panel Sv• „.
Business name:As You Wish Remodeling,LLC Submit two(2) of roof plan with .•. ion details
and fire department a.• ,alon. it the 2010 Oregon
Address:9201 SW Line Dr Solar Installation Specia i••'ode checklist.
City/State/ZIP:Cornelius,OR 97113-9631 Permit Fee(i 1des pla, view $180.00
• • administrative e
Phone:(803)502-3408 I Fax:( ) Stat- charge(12%of permit fee): $21.60
CCB lic.:177422 7 (y /o = e upon application: 01.60
Authorized signature, / --i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Don Durnford Date:09/03/2013 •Fee methodology set by Tn-County Building Industry
Service Board.
Building Division
Development Code Provision Review
T i G A P. Residential Projects
Building Permit No.: H dT o9O 1 - OO
Project/Subdivision Name: age U fP2b , Lot #:
Site Address: /2,1$o §t.,D ►09 t--1 PL-
CWS Service Provider Letter:
Required:Yes ❑ No (
Received:Yes ❑ No-
Plans Routed:
Original Plan Submittal Date: 9/3//3 Routed By: -
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
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 (1) 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 CAC"! 1 ea-i nt S at(503) 718- 014 37 or C tie r i(c @tigard-
or.gov)
i
Land Use Case No.
Zoning R– 4 .5
Setbacks:
Front Rear (S Side S Street Side — Garage
($1 Maximum Building Height: • 3o Actual Building Height NN(kt - e(ee5
yi Visual Clearance
Easements S •00 .C4 5■e=le -G.- s-fue –ad s;..(c f
Jal Sensitive Lands Type: N o ht
❑ Street Trees -- jJ/(q
❑ Protected Trees —Il//A
Notes:
Original Plan: Approved K Not Approved ❑ Date: ci–S-13
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
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I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov)
,1'Actual Slope: S %
Notes:
Original Plan: Approved Not Approved ❑ Date: /13
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: ' .
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I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13