Permit p CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014-00077
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2014
l "� >? g Parcel: 1 S133CD13700
Jurisdiction: Tigard
Site address: 11882 SW TALLWOOD DR
Subdivision: PEBBLECREEK NO.2 Lot: 28
Project: Helmer
Project Description: Replace existing 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: $8,000.00 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
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 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 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:
HELMER,BRIAN JOHN MICHAEL L ANDERSON CONSTRUCTION CC Required Items and Reports(Conditions)
HELMER,LORA WILLIAMS 15220 SW TEAL BLVD#E
11882 SW TALLWOOD DR BEAVERTON,OR 97007
TIGARD,OR 97223
PHONE: 503-295-9778 PHONE: 503-970-6618
FAX:
Total Fees: $350.83
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 O , 952-0490. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 00.332.2344.
Issued By: 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 RECEIVED
City of Tigard 5/9 /e/ Permit No.: �/ zi0O77
13125 SW Hall Blvd.,Tigard,OR idtli 1 9 2014 Plan Rew , /d�DtherPermit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (�/"`-i r �-
1 1 `, 13 Inspection Line: 5(13.639.4175 CITY OF TIGARD Date Ready/By: !uric: 63 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ?-] / Supplemental Information
BUILDING DIVISION er g; .,
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
lij 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: $ b CC(
❑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: 1 t S4,tvGY.(7) New• New dwelling area: square feet
City/State/ZIP: "("1 61.12.-0 r Oa 112.2.i
Garage/carport area: square feet
Suite/bldgJapt.no.: Project name: 4 lio (.. C-{Go Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
--arzo1/V''. / 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.: 1'S(3'3 to 1?j 1 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.
/Z _tt 42�GT- FFL Valuation: S
W- �� t (� _ _ f i w u� Existing building area square feet
M- f tl9-� �C1'�• New building area: square feet
❑ PROPERTY OWN1 ❑ TENANT Number of stories: —
Name: i50...(fin( a -L iss.t'e2 Type of construction:
Address: i(s,'J- S i,ti 1r11.11 t'iX on _-. Occupancy groups:
City/State/ZIP: ¶ ( (79 ; O(L • °j 7 _3 Existing:
Phone:( 4/5 17 ?a Fax:( ) New:
/gt:APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: f4 .kt.t( L AA (1,4405114x1-00 (o viewrre(or deposit):
Contact Contact name: M at4,aei ,tci(
1 Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: l e.a'uL7 C,ii0 /T64,4 FA,„_ *-6 Total fees due upon application:
City/State/ZIP: (3 •L' is x i �(2(L , q 7 oc '7 P�
3)4)70 r blo ( ( ) Amount received: /a7,
Phone: Q� Fax::
E-mail: i Cl Qg' -�)��/0 ill •CO yL PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
Co ■ ial and residential prescriptive installs'. of
CONTRACTOR roof-top m' ted Photo Voltaic Solar Panel m.
Business name: T l Submit two(2 of roof plan with co • ction details
1 � � ' ����'` and fire department. ess,along the 2010 Oregon
Address: 1,59-0-.0 5i&) 1"-C-A f /31 tip. 44..c Solar Installation Spec', • ..r checklist.
Permit Fee(inc s p . review
City/State/ZIP: '3'! �+ / �2 'q?or° :a ministrative i s : $180.00
Phone:( CI?O LQLo I cb Fax:( ) State .. harge(12%of permit fee): $21.60
CCB lic.: ,et 4 17 ep 7 /9/17
otal fee due upon appication: 1.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mt ,,( O-4 p '.J I Date: Li 1 4 I ,./. *Fee methodology set by Tri-County Building Industry
�i Service Board
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44046131(11/02/COM/WEB)
.• .1
' Building Permit Number: 06T-� 2/4I-GA6s 77
Building Permit Review
Residential Projects
riG \RlD
Site Address: [ 1&E,Z sw T l t ac ! .)12.y-e,
LEte�fy
site address is valid.
Project Name & Lot #: kr-an-sal- pew
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995)/
Required: Yes E No ❑ Received: Yes NJ No ❑
Site Plan Elements:
L 81 .lan must be on 8-1/2"x 11"or 11"x 17"paper O'Icee(3)copies of site plan
rawn to s standard architect or engineer scale) Cf'i1orth arrow
P. •ap ane tax o number,site address,project or subdivision Cam} tprint of new structure(including decks)with finished
,� name,lot number,and zoning floor elevations
LTAlp—plicant information(name and phone number) Cwt and building setback dimensions
I-D ►=Property corner elevations(2 foot contour lines if more th.
L ot area,building coverage area,percentage of coverage and
4 foot differentia -� ' im.ervious area.
C�LTtility locations .r r . , dm ' luocation of wells/septic systems.OP
Sting structures on site [ face drainage
UPS'fieet names EISreet tree size,type and location
Glefrision control(including drainage-way protection,silt fence LilExtsting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
Q"--Land Use Case Number: ad 13 c't -C .l
"Zoning: R-ZS
Setbacks:
Front 6S Rear (S Side S Street Side 0/A.. Garage
ci Landscape Requirement: Are _ Lo+ iS 7 i( 96 1 h�ws 1 �3 (� _5� e.
Lot Coverage Maximum:
EY13uilding Height: v axtmum 'eight 4S l Actual Height r!/A-
E"-Visual Clearance
Easements
R"Sensitive Lands: ❑ Yes Type
R''Urban Forestry Plan
[Conditions Satisfied
Approved by: —"L B— a • e--P2-"-f"---
--A2-"-f Date: 5 - 11- 1 Li'
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
I:\Building Worms\BI dgPerm itRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: S /9 /y By: CD--k7
Site Plans: #
Building Plans: #
Create Case Record#: Enter case#above for Building Permit Number.
Workflow Routing I? fanning 1;ki✓ngineering 4ermit Coordinator +2 Building
Workflow Sign-off: ' -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
,riginal plan review routing form.
err Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
Engineering Review—reviewed by: Z' c="
Actual Slope:
❑ Conditions Satisfied
Notes: yJ o e, 6 I A.9 v 6 1 3 S
Approved by: Date: 5 , ' Q, l 1(
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
•
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit •
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Ap ant
Okay to Issue Permit- ' Date: a /
I:\Building\Forms\BldgPermitRvw_RES_123013.docx
L
h 42TAf,/Y—ez,D7 7
CleanWater Services
April 24, 2014
SPL expires on April 23, 2016
MICHAEL L ANDERSON CONSTRUCTION COMPANY
15220 SW TEAL BLVD #B
BEAVERTON OR 97007
RE: Deck addition and retaining wall
CWS file 14-001009 (Tax map 1S133CD Tax lot 13700)
Clean Water Services has received your Sensitive Area Certification for the
above referenced site. District staff has reviewed the submitted materials
including site conditions and the description of your project. Staff concurs that
the above referenced project will not significantly impact the existing Sensitive
Areas found near the site.
Per Design and Construction Standards, R&O 07-20, Section 3.06.2 the
Vegetated Corridor shall be enhanced to meet good corridor condition. See
attached site plan.
In light of this result, 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 letter does NOT eliminate the need to protect Sensitive Areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at (503) 681-3639.
Sincerely,
Laurie Harris
Environmental Plan Review
Attachment(1)
2550 5W Hillsboro Highway • Hillsboro,Oregon 97123
Phone: (503)681-3600 • Fax: (503)681-3603 • cleanwaterservices.org