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Permit CITY OF TIGARD MASTER PERMIT III � ' COMMUNITY DEVELOPMENT Permit#: MST2016-00147 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2016 T t�;,�r<.i:� g Parcel: 2S104CB02000 Jurisdiction: Tigard Site address: 13037 SW ASCENSION DR Subdivision: HILLSHIRE WOODS Lot: 36 Project: Davis Project Description: Replace existing upper deck BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right 5 Detectors: Total: 0 sf Value: $17,000.00 Rear: 15 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 Fum>=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 VB U 0 Owner: Contractor: DAVIS,JOHN SCOTT&DOREEN K ASSURANT EXTERIORS Required Items and Reports(Conditions) 13037 SW ASCENSION DR 7640 NE AIRPORT WAY TIGARD,OR 97224 PORTLAND,OR 97238 PHONE: 503-869-8119 PHONE: 907-841-0150 FAX: Total Fees: $680.12 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 &iroug 'AR 952-101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: 1' . - / 6i / Permittee Signature: i ./ . — Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n date. This permit card shall be kept in a conspicuous place on the job site until completion of th. roject. Approved plans are required on the job site at the time of each Inspection. Building Permit Application 4 is« il Residential R.LCEIV IOU oFUI( t: t:St•:o\t l City of Tigard Received ���y, Lir/ Plan R y: 7/5 fes. �. Jap, Permit No.:e5rdDvt'O /T' !' III 4 13125 SW Hall Blvd.,Tigard.OR 972256$P R 1 2 2016 Plan Re+ie++ I� Phone: 503.718.2439 Fax: 503.598.1960 'T, j Other Permit: Date�By: T I G A R D Inspection Line: 503.639.4175 f °I'r y . rti R O Date Ready/By: Juris: I3 See v It ad t t t t Page 2 for Internet: www.tigard-or.gov Notified,Metttod: Supplemental Information Bf111, N1 DIVISION TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 44 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTiON A work indicated on this application. a l-and 2-family dwelling ❑Commercial/industrial - Valuation:l- a/ 000 ❑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: 11 a, ,7 , .w /4. -0. (tom_ 4) l- New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: 93-0 square 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. 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. R 'vre 5.1A4a, •k, fityJ1 t jC Ltwk,1�`r`�,t. ,alk,;,,, Valuation:a $ SX 1.4,N. t, 1\qq . . /0 Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: 0.-_,1 4.52zie\ QN"t,q Type of construction: Address: / :.. 0 3 7 0,„,,,,,,,„,„ j R • Occupancy groups: City State/ZIP: 1 ' `, v 0 ce.., �ry. 17 a Existing: Phone:(5-0A Tr6 9 - I 19 Fax:( 1 New: ` 0 APPLICANT [� CONTACT PERSON BUILDING PERMIT FEES* Business name: °1 S�,(J p,a l Y� ��t-%`j-j-E k1 0 n (Please refer to fee schedule) l J� t 1ov Structural plan review fee(or deposit): l Contact name: J i r I V -.."-T.‘-.."-T.‘ V' ► - Address: \ FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:(��) 0 ) —b Fax::( ) Amount received: PA,/5•q? E-mail: ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �" CONTRAC R Commercial and residential prescriptive installation of roof-top moun es 'hotoVoltaic Solar Panel System. Business name: A_7,5 U RANT EX i ZP' OP. Submit two(2)sets. roof plan with connection details Address: 7 6 !� -t 1 P G and fire department ace ,along wi 1 the 2010 Oregon 1 iky Solar Installation Specialty od tecklist. City/State/ZIP: po © � , SJ' ! Permit Fee(includes eview ��� v and admit five s): 5180'1 Phone:(ate d 77qa Fax:( ) .570 State surcharge( io of permit fee): 521.60 ccs lie.: Ap5— 3/a-7//7 Total f- due upon application: 5201.60 Authorized signature: This permit application expires if a permit is not obtained `dv within 180 days after it has been accepted as complete. Print name: -.1 A T 1.,`T--1- Date: 3 / 16 *Fee methodology set by Tri-County Building Industry Service Board. I: Building.Pernlits$UP-RESPeimitApp.dnc 02.24:20 I i 440-4613T( 1;02::COM:WEBI J City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: ST a0 t (o-CO/ c/7 Site Address: 13 03 7 Sw A sun sero n t r . Project Name: N e.Ani OP C,►t /p otv i s Lot #: (New dwelling= subdivision name;.Addition or.Alteration= last name of owner) Planning Review Proposal: N,Oiv O-e c t - Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ree(3)copies of site plan Existing structures on site ■ .te plan must be on 8-1/2"x 11"or 11 x 17"paper eetprint of new structure (including decks)with finished ■ drawn to scale (standard architect or engineer scale) floor elevations /North arrow ❑Utility locations (required for new,may apply for additions) ite address,project or subdivision name and lot number ❑Loca ion of wells/septic systems /Applicant information(name and phone number) rasion-control (including drainage-way protection, silt fence j21tot dimensions and building setback dimensions design,location of catch basin,etc.) '$)✓vt-mrea,building coverage area ercentage of coverage and /Ll Street names impervious area (applicable i R-12,R-25&R-40) size,type and location arty corner elevations (2 foot contour lines if more than ZI-Pa,,,Eis•tiug trees to be retained with drip line,and tree 4 foot differential) protection measures 0 Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No n—nhiic+acilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake an Case#: N/A- Zoning: R etbacks: Front S Rear S Side S Street Sided Garage '?O )landscape Requirement: � % .�rLot Coverage Maximum: 4))1) Ei-BuiIding Height: Maximum Height Actual Height Vi,ual Clearance 8 asements B--gexsitive Lands: ❑ Yes El No Type $'Crban Forestry Plan t onditions "Met"prior to issuance of building permit Notes: Approved By Planning: n'7 ©61& a II 0 - --CAA-''- Date: 4/ f 3 / I {o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:ABuilding\Forms\BldgPenmitRvw_RES_o 121 16.docx Building Permit Submittal Original Submittal Date: T376 Site Plans: # 5 Building Plans: # 3 Building Permit#: a-Enter building permit# above. Workflow Routing: fa'Planning l -1 nginecring 4ermit Coordinator Lilding Workflow Sign-off: —Sign-off for Planning(include notes from planning review) Route Application Documents: .ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: V.a-.4Date: /;/6 ngineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water 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: dt- 2) Date: li.:-: fZ 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes `�N/A Tigard Trans SDC: ❑ YesN/A Parks SDC: ❑ Yes .ltrN/A (NZPOK to Issue Permit Approved by Permit Coordinator: Date: / //� 1:43uildingvFonns\BldgPennitRvw_RES_012116.docx 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 13037 SW ASCENSION DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2016-00147 David Young Provide hand rail to code at stairway per approved plans. Provide missing 4th ledger lock at skewed beams per approved plans. Violation Summary: Inspector Contractor