Permit CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2013-00196
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2013
Parcel: 2S114AB05000
Jurisdiction: Tigard
Site address: 9420 SW MILLEN DR
Subdivision: KNEELAND ESTATES Lot: 37
Project: Carson
Project Description: Remove and replace existing deck with same footprint.
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: $7,000.00 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
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
Drywall-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
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'I 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:
CARSON,KELLY A A NEW IMAGE EXTERIORS INC Required Items and Reports(Conditions)
9420 SW MILLEN DR 9575 SW 90TH AVE
TIGARD,OR 97224 TIGARD,OR 97223
PHONE: PHONE: 503-477-9575
FAX:
Total Fees: $323.40
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 OA- • 2-001-0090. You may o• = •• • e- ir ct questions to OUNC by cal' 503.232.1987 or 1.800.332.2344.
Issued By: i��//�....r_ - — �i Permittee Signature:
Call "AMC-04.y 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 RECEIVED FOR OFFICE 1, 1-1 ONLY
City ofTi and Received �� Permit�' g AUG 2 8 2013 DateB : F-,,�. �� �'1 >"�i5—vOl 5'�0
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' C Phone: 503.718.2439 Fax: 503.598. Date/B : -j �� Other Permit:
f I G A It D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: � Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 0/94/3 j(377 Supplemental Information
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 El 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: $
❑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: L/2 v 3a) o\e� 0 Z New dwelling area: square feet
City/State/ZIP: -11 i6ipswp (i 4-Z,2.'/ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: FL Liy GFt��J Covered porch area: ( square feet
Cross street/directions to job site: r G Deck area: square e 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.
(RE Flue& ff nit)G 066-1e- Valuation: $i'job
Existing building area: "`'square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT- Number of stories:
Name: K,G```' G tc J Type of construction:
Address: Cl 1i 2 C Sic- y 1,(2i) 1:512.-- Occupancy groups:
City/State/ZIP: -1"1 6V 7,LJ aZ *1-22 Existing:
Phone:( ) Fax:( )
New:
%APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* '
'^ /) /0)l4GG 21>c:25:24,01-2,,, (Please refer(or deposit):
schedule)
Business name:
Structural plan review fee(or deposit):
Contact name: `ki...` S FLS plan review fee(if applicable):
Address: f5./..-___< cS,,LJ $v1W AU
Total fees due upon application:
City/State/ZIP: G IlbO 2i)-3 fj
Phone:, ) yq �ys ax::(� ) Amount received: ff l 7. /I
�' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* -
E-mail: / /�l Ar)i e'N,,\
` ' CONTRACTOR Commercial and residential prescriptive installation of
roof-top mo .-• PhotoVoltaic Solar Panel System
Business name: �J t1n� Submit two(2)se f plan with connec• etails
and fire department acre , • ong with '- 010 Oregon
Address: Solar Installation Specialty C• • _:•c ist.
City/State/ZIP: Permit Fee(includes revie $180.00
and adm',• trative fees):
Phone:( ) s Fax:( ) State Burch. , 2%of permit fee): .21.60
CCB lic.: /?s(Y 9 2 _/(3/t 5 . .1 fee due upon application: $201..I
Authorized signature: f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
/�• p��I/13
*Fee methodology set by Tri�ounty Building Industry
Print name: P// Date: O
— Service Board.
I:\BuildingTermits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
III
I
Building Division
Development Code Provision Review
T l cn lz
0 Residential Projects
Building Permit No.: H `�T c C I -co 1 cl
Project/Subdivision Name: C rot 2So._ , Lot #:
Site Address: cj LI 2,o f t L-L._f 7e_ •
CWS Service Provider Letter:
Required:Yes ❑ No E
Received:Yes ❑ No ►:
Plans Routed:
Original Plan Submittal Date: o•'4 / 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 (✓) 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 ftjna ILoweta at (503) 718-2-421 or oVar,QSV-- @tigard-
or.gov)
Land Use Case No.
Zoning R-4-5
Lid' Setbacks:
I
)ront 20 Rear �_ Side 5 Street Side N/.A Garage 2D
Maximum Building Height: 5d Actual Building Height 14/A
Mr-Visual Clearance 0'iQ
❑ Easements A' ^
(Sensitive Lands Type: Nom
Vtreet Trees Ni A,1
Protected Trees N P
Notes:
Original Plan: Approved Not Approved ❑ Date: c6 141
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
' Page 1 of 2
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)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
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:
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
-r i C n it D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: • 4) DAT.
DEPT: BUILDING DIVISION � Ji
OCT 10 2013
FROM: yvt cJS S CITY OF TIGARD
>e-t-6--124,6T----S BUILDING DMSION
COMPANY: G-w WL lot G
PHONE: , - oz .2 By:_
RE: gYZ 0 So) m i G G1�v iZ ( 3) (qC�
(Site Address) ermit um er
C&C vSa/■/
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: I Description:
Additional set(s)of plans. X Revisions:
Cross section(s)and details. Wall bracing and/or lateral-analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: PLG►ASG !r{,�,JG . �; 7-67 P lAivS GV� L
SG D 77 'bUu' l /6 So 3 6',3 2 -
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: to/ 2 ? I Initials:
Fees Due: ❑ Yes 0-116---
Fee Description: Amount Due:
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No [' Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012