Permit „ CITY OF TIGARD MASTER PERMIT
11111 11 COMMUNITY DEVELOPMENT Permit#: MST2015-00153
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2015
Parcel: 2S 114 BA 17800
Jurisdiction: TIGARD
Site address: 9646 SW FERN HOLLOW CT
Subdivision: FERN HOLLOW Lot: 4
Project: Copping
Project Description: Install new 500 sf deck with 3 sets of stairs and railing all around.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left 4 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 10 Smoke
Dwelling Units: 0 Third: 0 sf Right: 4 Detectors:
Total: 0 sf Value: $7,031.00 Rear: 10
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 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&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 0
Owner: Contractor:
COPPING,ALIDA&CHRISTOPHER SL GREEN CONSTRUCTION CO LLC Required Items and Reports(Conditions)
9646 SW FERN HOLLOW CT PO BOX 23803
TIGARD,OR 97224 PORTLAND,OR 97224
PHONE: 503-750-8949 PHONE: 503-372-6888
FAX: 503-747-4503
Total Fees: $441.33
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. AT o : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-•. -0010 through••R : 2-Op1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I.sued By: p., Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio •!
This permit card shall be kept in a conspicuous place on the job site until completion of the prefect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential !fr"l
`. C.�E FOR OFFICE USE ONLY
City of Tigard t,t� 2��5 Dar /5 ( J Permit No.: ) 6)00/5-- / 3
13125 SW Hall Blvd.,Tigard,OR 9{ �yu 2 5 Plan Revie ��/V+�'~j�
. a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: N Other Permit:
Ti GARD Inspection Line: 503.639.4175 CITY C,' Date ReadyBy: luris: ® See Page 2 for
Internet: www.ti and-or. ov $. N tified/Method: /�� Supplemental Information
g g I-: ,.
W
TYPE OF WORK l.......-- 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.
® I-and 2-family dwelling Valuation: $7,031
❑Commercial/industrial
❑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:9646 SW Fern Hollow Court New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Copping Deck Addition Covered porch area: square feet
Cross street/directions to job site:West on SW Pacific Hwy,Left on Deck area: 500 square feet
SW Durham Rd,Right on SW 92nd Ave,Right on SW Martha St,Right on SW 93rd Ave, Other structure area: square feet
Left on SW Martha St,Right on SW Fern Hollow Ct REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Installing new deck at west corner of home.This includes 3 sets of stairs Valuation: $
and railing all around. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Chris and Aleda Copping Type of construction:
Address:9646 SW Fern Hollow Court Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing:
Phone:(503)750-8949 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
i Business name:SL Green Construction Co,LLC (Please refer tofeeschedule)
J �Y J� Structural plan review fee(or deposit):
Contact name:Zack Vizenor `J
Address: 12559 SW Main St FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
`+ t�r j Amount received: d/ 7-'
Phone:(503)372-6888 LO( a 7 014 Fax::(503)747-4503
E-mail:zack @slgreenconstrvction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mount'; 'hotoVoltaic Solar Panel System.
Business name:SL Green Construction Co,LLC Submit two(2) -ts : roof plan with tonne.'on details
and fire department ac s,along with - 2010 Oregon
Address:12559 SW Main St. Solar Installation Special • ,ode •-cklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(includes p . .-view
S180.00
and admin. . .tive -
Phone:(503)372-6888 Fax:(503)747-4503
� State surcharge..., o of permit fee): $21.60
CCB lic.:199421
Total fee due upon application: $201.60
Authorized signature:/� / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
i 1l f *Fee methodology set by Tri-County Building Industry
Print name: 1 f I I� Date: I S Service Board.
I:\Building\Permits\BUP-RESPerrnitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
L
1
City of Tigard'PI ■
COMMUNITY DEVELOPMENT DEPARTMENT
T i G A R D Building Permit Review — Residential
,U1
I
Building Permit #: )-16-1-696,/4 'C"u 153
Site Address: 4:34Li(p T Pm /- 1/U.c, OL._
Project Name: ,y) ,4 Lot #:
(New ' g=s division name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A/e& deL / --C }--r
Verify site address/suite#exists and active in permit syste .
f taiver Terrace Neighborhood: ❑ Yes V No
Sit lan Elements:
ree(3)copies of site plan st sting structures on site
e plan mu bg on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
.wn to scale(standard architect or engineer scale) floor elevations
IU 11 orth arrow >r, i'ty locations(required for new,may apply for additions)
Ir. i - address,project or subdivision name and lot number 11. ation of wells/septic systems
I/ .plicant information(name and phone number) 0, ': . 'on control(including drainage-way protection,silt fence
7. .t dimensions and building setback dimensions d tgn,location of catch basin,etc.)
I et area,building coverage area,percentage of coverage and treet names
impervious area(applicable if R-7,R-12,R-25&R-40) meet tree size,type and location
eperty corner elevations(2 foot contour lines if more than /sting trees to be retained with drip line,and tree
4 t4'ot differential) protection measures
V Clean Water Spvices—Service Provider Lette of platted prior to 9/10/1995):
Required: Yes,applicant was notified No Received: ❑ Yes No
/$iblic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified V No Applied For: ❑ Yes ❑ No,stop intake
/ tnd Use Case#:
_ Ioning: P-7 (12?) t 1
D Setbacks: Front i(J ,Rear �6 Side Street Side A fl/Garage ay
ti andscape Requirement: °'<,
/ ot Coverage Maximum:
wilding Height: Maximum Height Actual Height
tsual Clearance�A
asements 4 r-ecs'r
[ Sensitive Lands: Yes ❑ No Type Q - iii-A e� ji' t
t/4kban Forestry Plan
/14 nditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: /,,, ,,� Date: ® "-
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 1=1 Approved El Not Approved
l:\Building\Forms\BldgpermitRvw_REs_070915.docx
+ �M
Building Permit Submittal
Original Submittal Date: X/
Site Plans: #
Building Plans: # 3
Building Permit#: a Enter building permit#above.
Workflow Routing: [2'Planning C Engineering Permit Coordinator Building
Workflow Sign-off: Q'Sign-off for Planning(include notes from planning review)
Route Application Documents: R-Engineering: (1) copy of permit application, (1) site plan,(1) building plan and
original plan review routing form.
Ei Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,, 4 1 Date: _ /5
Engineering Review
[: S/lope at building pad: 7X
[ ' 1onditions "Met"prior to issuance of building permit
l2J/Ease is (encroachments)per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: _4L_jj Date: "1e5
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 issuancc of building permit
❑ Approved,NOT Released: Date:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
I. IJOK to Issue Permit
Approved by Permit Coordinator: / c,/v"------- Date: )7)-6/‘
1:\Building\Forms\B1dgPermitRvw_RES_070915.doc x
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9646 SW FERN HOLLOW CT, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00153
David Young
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9646 SW FERN HOLLOW CT, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00153
David Young
Recall MST final with 2 separate open MEC final inspections to close all permits.
Deck and stairs ok, will pass all final inspections together.
Violation Summary:
Inspector Contractor