Permit 11y q CITY OF TIGARD MASTER PERMIT
11 $ COMMUNITY DEVELOPMENT Permit#: MST2014-00096
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014
T I A g Parcel: 2S102DB01600
Jurisdiction: Tigard
Site address: 9340 SW HILL ST
Subdivision: BURNHAM PARK Lot: 10&PT 9
Project: STEWART
Project Description: Construction of a 19 ft.by 25 ft. steel pre-engineered shop building.
BUILDING
Floor Areas Required Setbacks Required
Stones: 1 Bedrooms: 0 First 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 13 Bathrooms: 0 Second: 0 sf Garage: 450 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 15
Detectors: No
Total: 0 sf Value: $19,116.00 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
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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcIFeeders 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&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:
ACS SF VB U 0
Owner: Contractor:
STEWART,RANDALL SUN RIVER BUILDINGS Required Items and Reports(Conditions)
9340 SW HILL ST 12220 SW JAMES ST
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: 503-860-1668 PHONE: 503-608-2739
FAX: 503-213-6538
Total Fees: $756.39
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 : - •- ce with approved plans. This permit will expire if work is not started within 180 days of issues = or if work is susp= ed for more the 180
days. • ' ENTION: • :.on la, requires you to follow the rules adopted by the Oregon Utility Notifica•, Cent r. Those rut .re set forth in OAR
952-0,1-0010 through OAR -00'.0090. You may obtain a copy of the rules or direct questions to OUNC by callin■ 03.232.19.7 or 1.800.3 .
Issrtkdd By: , / Permittee Signature: / .44-irlffit
Call 503.639.4175 by 7:00 a.m.for the next available ins. -'- da
This permit card shall be kept in a conspicuous place on the Job site until comp.ion of the project.
Approved plans are required on the job site at the time of each ins•ection.
'Building Permit Application -
Residential RECEIVED 1 OR OFF10E I NE ON 1 - -.____
City of Tigard K 'yi '�rlo '�' �a
�. I Z 175 CA/ l Rl'a 13""4„, .^° JUN 18'2014 7Natitiemiethe.Phone: 503.718 2439 Fax 503 5981960 t • - Pemit>' '°", ti ;75 CIlY01^TICARa 7� J �n
911"ONG DIVISION -
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New ooaetmetyon I ❑Demolition Permit fps*are based on the value of the work performed.
0 A,ear*r..�a+..,a:..-.r_--+. Y W
Indicate the value(minded to the nearest dolls)tfail
--:— l V.. C4wplu......""'•a..+I,.uw.,V.Sot a.uM.,..,..a..- 04.111111.111111 mac
CATEGORY OF CONSTRUCTION indicated on this application.
❑ 1-and 2-family dwelling ❑Cammercialdndustrial Valuation S f ��( `-Z' '
jAccessory building ❑Multi-family Number cif bedrooms:
❑Master builder ❑Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of Boors:
Job site address: 9'-77 D ,. oST-Cr 9722 0 New dwelling square� _
City/State/ZIP: - >9R-.0 / OR Garage/comport 1/50 square f,
Suite/bldg: no.: Projc::uvuue: • Covered porch area 1/50
square feet
Cross street/directions to job site: (Y e,ice OP 55C- :Pr Deck area: square feet
..5°„-2 17 L S7, S'io J//G Z ( - ( �VP'/, &0)(00 It Other structure arcs: square fee
Al'' fiT REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ,j g /y/4M /19),e,,, 1 Lot no /U Permit fees*sue based on the value of the work performed.
Tax map/parcel no.: Indicate the value(tomded to the nearest dollar)of all
c._ . L .-'--- :.:r: arid' pt-olt fur tl:
5"'r�. -,.... .....mar.ru.ra
D�1TON OF WORK Curl-indicated no this appliatioe.
7'OUR iioN / O OI TH /.4"X' 1.2">4077/1140, Valuation S -
L e_T A S-r z_ A�'*) X d2S'Lon/C0 414, _.= s; .��.et
izSrga EJV6//lIE6PSO aSf �i•YdiL4O/gyp New building arm i/Sp squate feet
IA PROPERTY OWNER I ❑ TENANh Number of Modem /
Name: NO (/eg/V4/9 L r!) $ /Jq ie.- Type of meson: Opylgeir CY s-reE C.r
Address: 9e4/1) ,4'> L ST ...C:14). Occupancy groups:
City/State/ZIP: �4,e4 O . g 7Z2 Z' Existing:
Phone:(5'63) g(op—/66 D Fax ( ) New:
❑ APFl1CAlrr ja CONTACT PERSON BUILDING PERMIT FEES*
(Nene refer&feenberla1►
Business name: j�;Q ZL!/L r0/45ks-- ( deposit):
Structural review fee(or
Contact name: /f fPii _Lye- .52)A)
Address: i'� s FLS plan review fee(if applicable):
` m&�
Total fees due upon application: 4 2 j(7, i I City/State/z�: 220igie ,0 97x23,
Phone:c6-03) Fax Amami received:
h208.773 I -($3) 02/3-10-38 I
E-mail: l�E/ -r-A 0 Woe eonl PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commexcial and tesidentialprescriptive inaailati-a of
roof-top mounted PhotoVoltaic Solar Panel Sysem.
Business name: ...cm//L/✓i i[ zva4i/ '6- Submit two(2)sets of roof plan with connection details
r,i)l ..c,„ --- and fire department access,along with the 2010 Oregon
Address: Az/2ad 9 �me -- , Solar Installation Sper/nlyCode checklist
City/State/2V: ��- 7/J , 972z ' - Permit Fe d(inc1 ra motel ee,
Phone:(< 2) lB/D _ „ 7,09��, (.! ,// Ip,�3� State surcharge(12%ofpen-ai:fee): $21.60
CCB lic.: J 9// r _ Ea L /l4 i
` / _ Total fcc due upon appicauon: $201.60
Authorized si_.∎:I /1�JJ�/r f This permit a anon empires f a permit is not obtained
P� application Ptt� perm.
within 180 days after it has been accepted as complete.
Print name: *Fee methodology set by Tri-Coanty Building Industry
72:1/6-ieroA) 1 Date: ,f/Lj /y Service Board
I:\Build nglPermitslBUP-REA .doc 02/24/2011 440-4613T 1
PP ( 1l02/CO\3/WEB)
-. •s
City of Tigard
IN
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
,j 1
Building Permit #: I 4_wog(p
Site Address: C1 3 L 0 SW 146\ a .
Project Name: Ste c rf Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review 1
Proposal: GOns- ruc* ne J 1 �I X 251 access°1V s l'ruc carp,
VVerify site address/suite#exists and active in permit system.
Site Plan Elements:
❑ ree(3)copies of site plan �xisting structures on site
pLV ite plan must be on 8-1/2"x 11"or 11 x 17"paper NJ Footprint of new structure(including decks)with finished
Nrawn to scale(standard architect or engineer scale) floor elevations
orth arrow locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number -BEocation of wells/septic systems
plicant information(name and phone number) ❑Erosion control(including drainage-way protection,silt fence
I5tot dimensions and building setback dimensions esign,location of catch basin,etc.)
$F.,ot area,building coverage area,percentage of coverage and Street names
nipervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location
[ Property corner elevations(2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995):
Required: ❑ Yes ❑ No Received: ❑ Yes ❑ No
,i
—Ei Land Use Case#:
LSA Zoning: R-t,}, 5
N I Setbacks: Front jQ` Rear \ 5 t Side 5 t Street Side 1 51 Garage 20 1
14/Landscape Requirement: ifl I0L, % . ----
Eli Lot Coverage Maximum: n I a, % 1 1
/Building Height: Maximum Height 15 Actual Height �3
I A/,Visual Clearance
Ll iEasements
IJ Sensitive Lands: ❑ Yes M No Type
—E—Urban Forestry Plan
—E—Conditions Met
Notes:
Approved By Planning: Date: '
Revisions (after Building Submittal only) �� Reviewer Date
Revision 1: ❑ proved i ' Not Approved (9-(SI"' b —I6 -1 y
Revision 2: U Approved ❑ Not Approved ` ‘2-77/(K
Revision 3: ❑ Approved ❑ Not Approved
t•\Building\Fortes\BIdgPermitRvw_RES042914.docx .i
Building Permit Submittal
Original Submittal Date: (p//(//'i
Site Plans: # 3
Building Plans: #
Building Permit#: LE"T5.ertinlding permit#above.
Workflow Routing: a®//planping D eering IlYrrernvt Coordinator tit ding
Workflow Sign-off: tgn- for Planning(include notes from planning review)
Route Application Documents: ngineering: (1)copy of permit application,(1) site plan, (1) building plan and
on nal plan review routing form.
PCuilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 6/ 18/fit
Engineering Review eW
Actual Slope: 70
❑ Conditions Met
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Marc
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:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
►'4;K to Issue Permit
Approved by Permit Coordinator: Date: 6
I:\Building\Fonns\BldgPei mitRvw_RES_042914.docx
Clean Water Services File Number
CleanWater Services 14-001571
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information (example 1S234AB01400) 3. Owner Information
Tax lot ID(s): Name: Randy Stewart
Company:
Address: 9340 SW Hill Street
Site Address: 9340 SW hill street City, State,Zip: Tigard,OR 97223
City, State, Zip: tigard,OR 97223 Phone/Fax: 503-860-1668
Nearest Cross Street: E-Mail: jtvhr @gmail.com
4. Development Activity (check all that apply) 5. Applicant Information
LA Addition to Single Family Residence(rooms,deck,garage) Name: Larry Iverson
❑ Lot Line Adjustment ❑ Minor Land Partition Company: Iverson Marketing Systems,LLC dba Sun River Build
❑ Residential Condominium ❑ Commercial Condominium Address: 12220 SW James Street
❑ Residential Subdivision ❑ Commercial Subdivision
❑ Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: Tigard,OR 97223
Other Phone/Fax: 503-608-2739/503-213-6538
E-Mail: wemakespace @aol.com
6. Will the project involve any off-site work? ij Yes XI No j Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
Accessory Building not over 500 sq ft&no sensitive areas within 200 feet of property.
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 andlor 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,the 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 familiar with 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 Larry Iverson Print/Type Title Owner
ONLINE SUBMITTAL Date 6/5/2014
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report
may 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 required permits and
approvals must be obtained and completed under applicable local,State,and federal law.
❑ Based on review of the submitted materials and best available 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 Site Assessment does NOT eliminate 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 REQUIRED.
Reviewed by _ ' ti.c /fit "4e--/ Date 06/06/14
2550 SW Hillsboro Highway • Hillsboro.Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org
", es Coast Metal Buildings, Inc. - - Sat`R°°= 1111.4 FOR aatti E
S-..ea2-Dallas Hwy NW I-�— •
S gem.OR 97304 CUSTOMER z,,,_
: _ ORDER 14
FRAME
ip
Phune: 5p03-5661-778p8p " c�42GAIGE�T��BL7LDt��'- `- 'oll Free: 866-404-7788 or _--
888-965-0747 ANCHORS FOR(ROUND
INSTALLADN
CCB# 161581 Fax: 503-566-8833
DEALER•emu Alr• +- A .•' FAX '€ 'S 8 PHONE. 3/k2?i-X7.3'9' DATE �"/-N
CUSTOMER NAME ,3/T7��7r�L)4e.7- COUNTY_,k)/!/..c.- .Zttc: Idi
ADDRESS 934D /ft/GL e5 '77.4%)4.0- 2 O . 97429
Street City State Zip
PHONE: WORK( ) HOME (5)3 ) 8&C-/Lav8 CELL Sra) 6y_ 25"-474)
WIDTH x LENGTH: /8 X a5-' 1 2g 14ga Price: 2i25, f All Orders C.O.D.
LEG HEIGHT: //' A-FRAME ROUND price $ 479.E 56
VERTICAL: ROOF ALL
ENGINEERED: YES NO �%ao j Tax % $ -- r
_ t a- .i7A _11 . _ r. /' Total $C6l9J_ 5Q
�,. • t 10% Down
rgriMilIMOMMWMIIIIIIIMM Payment
a;_(in: orix Ie./R, L-•.�_ ,1 ,. Balance Due
�� �_ • 91 S b at installation «.3
/1/ ,(.ECG S �S0,C:i0
ROOF COLOR: TRIM COL
ELECTRICITY UZS ❑NO CONCRETE ❑GROUND ❑WOOD LEVEL: YES ❑NO
Things You Should Know
It is the purchaser's responsibility to locate and inform installers on site of any and all underground cables,or lines of any kind.
WCMB will not be responsible for any damages to any underground lines.
•Engineering Cost varies according to size and loads needed.Call WCMB for pricing.
•Land MUST be level or carport will be installed"AS IS"and any warranty will be null and void.
•An additional fee will be assessed for building over any existing structure or object.
•Mobile Home/Rock/Asphalt Anchors will not be installed into excessively rocky ground. If anchors are still desired,the purchaser assumes
responsibility for installation._
•WCMB is not liable for any damages as a result fur inclement weather. All repairs are done as a"Goodwill Gesture"there is no implied
warranty or guarantee.
•WCMB will absolutely not be responsible for any refunds of the purchaser's deposit collected by the dealer.
• If price discrepancy is over$50.00 WCMB has the right to cancel order.
•Down payments are required on all orders.Deposits are valid for 90 days.50%deposits are required on all custom orders.
•A 50%fee will be assessed on cancellation of special orders.25%restocking fee on all materials returned.
•If you are not completely satisfied you must contact your dealer and WCMB within 10 days of installation.
•WCMB retains the right to repossess any building/materials if not paid in full within 10 days of delivery.
•If legal action is needed;Purchaser agrees that exclusive venue for any such action shall be in Polk Co,Oregon.
gi- •Purchaser agrees to pay all costs and attorney fees incurred in collecting amounts due from Purchaser under this contract.
•Customer Service will contact you for installation of our building l or 2 days BEFORE DELIVERY.
INITIAL •A service fee will be assessed upon WCMB returning to your site to add to you building.
THREE(3)DIFFERENT GRADES OF BUILDINGS
• -1-Our 14 gauge standard carport caries carries a 10 year limited warranty that covers rust through of framing and roofing material assuming
normal care and maintenance are performed.
•-2-Our 12 gauge standard carport carries a 20 year limited warranty that covers rust through of framing and roofing material assuming
normal care and maintenance are performed.
04 c •-3-Our Engineered 12 or 14 gauge Building,the strongest unit available,carries the same limited warranty as our standard 12 gauge& 14
> gauge and also comes with standard engineered drawings which guarantees that it will withstand a specified wind and snow loads.Needed
INITIAL for permits.
WCMB is not and will not be responsible for any permits or restrictions.Building permits,if required;are the sole responsibility of the
purchaser and would require an Engineered Building.If you choose not to order an Engineered Building you agree to hold harmless WCMB
IN TIAL form any actio including but not limited to any costs related to and including all building permit requirements and or restrictions.
CCB# 161581 We Accept:
Customer Signature - Wa#WESTCCM966MR P.,ls ea (3%Credit Card
fees will apply)
'���" Cash or Personal Check
Dealer Signatur. .��..•...
02013 WCMB,Inc.-•..•
•Of R ORD"FORM 00/13) $25.00 Service Charge For All Returned Checks