Permit ` +ig 1 ,, CITY OF TIGARD MASTER PERMITl
It ' COMMUNITY DEVELOPMENT Permit#: MST2015 00228
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 2S104AB09200
Jurisdiction: Tigard
Site address: 12354 SW 131ST AVE
Subdivision: MORNING HILL NO.6 Lot: 121
Project: HOPKINS
Project Description: Replacing existing 350 sq.ft. 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: $15,000.00 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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:
ALT SF 0
Owner: Contractor:
HOPKINS,MARC W&DENISE S THREE RIVERS CUSTOM DECKS INC Required Items and Reports(Conditions)
12354 SW 131ST AVE 23885 S MOUNTAIN TERRACE
TIGARD,OR 97223 BEAVERCREEK,OR 97004
PHONE: PHONE: 503-632-8777
FAX: 503-632-8770
Total Fees: $638.77
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. ATT . a . • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul-s are set forth in OAR
952-00 .410 through OA' •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1.800.332,344.
-. '344./
Issu d By: A
. �4 A_�s��f..t411—. Permittee Signature: L _ ��
Call 503.639.4175 by 7:00 a.m.for the next available inspe• 'on date
This permit card shall be kept in a conspicuous place on the job site until co ••etion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application r rny�s- tb.
Residential ``��N FOR OFFICE USE ONLY
City of Tigar 0 l VV Received
Permit No.:m57L j c
NI 13125 SW Hall Plan Review
L Phone: 503.718. Fax: 503!4813'1i t 5 Date/By: l D j 7/i c Other Permit:
T f G A R D Inspection Line: 503.6 1�/5 Date Ready/By: ' Juris ® See Page 2 for
Internet:'www.tigard or `���� �e1�9 Notified/Method: /5" Supplemental Information
O ( �r
,;'6 - _' a. REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
0 New construction ❑Demolition
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.
Valuation: $ v 4) d
1-and 2-family dwelling 1=ICommercial/industrial S
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l2 3 5-4 5) /;;or A,. New dwelling area: square feet
City/State/ZIP: -7 ,Tei di�r-4 t 04_ '772.2-3 Garage/carport area: square feet
Suite/bldg./apt.no.: 1 Project name: L-/(1�e-!N S Covered porch area: square feet
Cross street/directions to job site: /�) • �l,,d Deck area: 3 � square feet
idel
�S 1t. h •
,1T' Other structure area: square feet
e_ L� �,I.�S ft J I t REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 4;, Jre W r Lot no.:, //LA" Permit fees*are based on the value of the work performed.
`1 `S` li I ^ Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: Y1` ' ( `t liC t•-'''
i, equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK C" work indicated on this application.
g Qt(-4
c el-c `.lam Valuation: $
Existing building area: square feet
New building area: square feet
tr PROPERTY OWNER 0 TENANT Number of stories:
Name: i'1 A7-c__ r f -/'2 , /-i,)„,k4 W j Type of construction:
Address: 1 Z- i_( Sj /3/ /r 7}I/tt Occupancy groups:
City/State/ZIP: z4 - (/ C O X7-7 Z7 Existing:
Phone:(99) 5 7 1 '72 (. Fax:( ) New:
p".1....AYCANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee se*edulc)
Business name: 7)1✓�, (2_ e.vi-,--,_s (1,,./...;6.41'2- 1_1-1. /rs Structural plan review fee(or deposit):
Contact name: 'b4 ) Li
-
FLS plan review fee(if applicable):
Address: -23 JS— S/'1c.( 7-7<,..--„,-- —
City/State/ZIP: _ Total fees due upon application:/ /`j' , 020
Erv�Gt� (c cot > 7a) V
Amount received:
Phone:(.0 ) S i 4 - (.,„ -----,..--.6 Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. •
Business name: ��� �� (05f e1„`_ yL Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Z3�Ui J -Ter / Solar Installation Specialty Code checklist.
City/State/ZIP: .� CYC �)d�[� Permit Fee(includes plan review $180.00
I �„ ���'?^"{ and administrative fees):
Phone:( (' Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: leo<-U/ $f 7!, 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.
Print name: Date: *Fee methodology set by Tri-County Building Industry
!IM (j,t�t ��lZ S //.5—
Service
Service Board.
L:\Building\Permits\BUP-RESPermitApp.doc'02/24/2011 4404613T(I 1/02/COM/WEB)
City of Tigard
IIIr COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
49
Building Permit #: t.-frjTgot S1o9a-‘6
Site Address: /a3S / ` /3 c-J /4 ,
Project Name: /� ,,.;,7,q ,� I' •►,�aPrnvLot #:
(Ne welling=subdivision name;Addition or eration=last name of owner)
Planning Review
Proposal: Ce4_ jr,FP cY/itii,
Verify site address/suite#exists and active in permit syst . •
sliver Terrace Neighborhood: 0 Yes VNo
Si P .n Elements:
r ree(3)copies of site plan 'sting structures on site
IP te plan must bg on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
RI II awn to scale(standard architect or engineer scale) floor elevations
1P'.orth arrow U1 f'tility locations(required for new,may apply for additions)
i te address,project or subdivision name and lot number 11 cation of wells/septic systems
plicant information(name and phone number) It'It°.•sion control(including drainage-way protection,silt fence
tut.t dimensions and building setback dimensions esign,location of catch basin,etc.)
14/I ht area,building coverage area,percentage of coverage and Street names
impervious area(applicable if R-7,R-12,R-25&R-40) At eet tree size,type and location
Operty corner elevations(2 foot contour lines if more than 413Wsting trees to be retained with drip line,and tree
foot differential) protection measures
Clean Water?ervices—Service Provider Letter(lot platted prior to 9/10/1995): /
Required: Yes,applicant was notified 0 No Received: lu/Yes No
talfPublic Facilities Improvement(PFI)Permit:
Required: ID Yes,applicant was notified l No Applied For: El Yes 0 No,stop intake
Oland Use Case#:
is Zoning: ae_ I71 S—
Setbacks: Front ad Rear /.. Side S Street Side /5 Garage ./5—
��� Landscape Requirement: %
,1 " of Coverage Maximum:
/ Bi
MBuilding Height: Maximum Height ac Actual Height
OPrVisual Clearance
asements /
,VA Sensitive Lands: /Yes 0 No Type vQ�/
6?7` ,�.. s
KUrban Forestry Plan
5�.onditions "Met"prior to issuance of building permit S(�--Li,n/.' �� �
Notes:
Approved By Planning: u: Date:
Revisions (after Building Submittal only) .----- Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
l:\Building\Forms\B IdgPennit Rvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date: /A/7/Pr
Site Plans: # 3
Building Plans: # hJ
Building Permit#: Z.-Enter building permit#above.
Workflow Routing: Planning 12'/Engineering Permit Coordinator wilding
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
tf-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable etc.
•
Notes: L/ �`- l ' V J
By Perm' Technician: . Ci Date: /
Engineering Review
EI"SlSlope at building pad: e%C
L? Conditions"Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat //4
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes l 'No
Assess Water Quantity Fee in-lieu: ❑ Yes Cr'No
LIDA Facility on lot ❑ Yes [No
El NOT Approved by Engineering: Date:
Notes: r,
Approved by Engineering: KA 4 }�__,,_, Date: /2 1-/5--
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
❑ 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: El Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
JOK to Issue Permit
Approved by Permit Coordinator: a Com- -) Date: /c - 9
1:\B ui(ding\Forms\BIdgPermitRvw_RES_070915.doc x
Clean Water Services File Number
C1eanWateer Services 15-003844
•
Sensitive Area Pre-Screening Site Assessmenti-AECEIVE
1. Jurisdiction: TIP ra
2. Property Information (example 1S234AB01400) 3. Owner Information
DEC 7 'NIS
Tax lot ID(s): 2S104AB09600 Name: Marc&Denise Hopkins Gay OF
Company: QUING DNtSiQPI
Address: 12354 SW 131st Ave
Site Address: 12354 SW 131st Ave City, State, Zip: Tigard,OR 97223
City, State, Zip: Tigard,OR 97223 Phone/Fax:
Nearest Cross Street: SW Benish E-Mail:
4. Development Activity (check all that apply) 5. Applicant Information
❑ Addition to Single Family Residence(rooms,deck,garage) Name: Jim Gates
❑ Lot Line Adjustment ❑ Minor Land PartitionCompany: Three Rivers Custom Decks
❑ Residential Condominium ❑ Commercial Condominium
Address: 23885 S Mountain Ter
❑ Residential Subdivision ❑ Commercial Subdivision
❑ Single Lot Commercial ❑ Multi Lot Commercial
City, State, Zip: Beavercreek,OR 97004
Other Phone/Fax: 503.632.8777
Replace an existing deck that is decayed E-Mail: jgates@decksby3rivers.com
6. Will the project involve any off-site work? J Yes J No ❑ Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
We are simply replacing a rotten deck with a new one within the same footprint as existing
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 Jim Gates Print/Type Title President
ONLINE SUBMITTAL Date 12/1/2015
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 302.1. 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 kea 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.
Li This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
Li 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 44"x, /.._---• Date 12/1/15
2550 SW Hillsboro Highway • Hillsboro.Oregon 97123 • Phone: (503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org
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
12354 SW 131ST AVE, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00228
David Young
Provide missing blocking above beam at cantilever joists per approved prescriptive
plans.
Provide full bearing at lower stair stringers.
Provide attachment at upper stair stringers per approved prescriptive plans. Dropped
ledger with supports missing nails not approved per prescriptive plans.
Violation Summary:
Inspector Contractor