Permit (27) CITY OF TIGARD MASTER PERMIT
Ili ' ''. COMMUNITY DEVELOPMENT Permit#: MST2016-00278
T[WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2016
Parcel: 2S 104CD00400
Jurisdiction: Tigard
Site address: 13645 SW BLUE GUM CT
Subdivision: HILLSHIRE ESTATES Lot: 4
Project: Haustedt
Project Description: Replace existing hand rail on deck. No change to deck structure.
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: $4,000.00 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
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
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 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:
HAUSTEDT,OLAF C&DEBBIE SUE OWNER Required Items and Reports(Conditions)
13645 SW BLUE GUM CT
TIGARD,OR 97224
PHONE: 503-524-6665 PHONE:
FAX:
Total Fees: $238.63
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. A NTION: Oregbry law require, you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 -0010 through OAR 95.-0.<0-090. i•-m=y obtain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.,0%, 32.344`` y
Issu d By: ,� �( _ LLL „�� Permittee Signature: 14•, .�
Call 503.639.4175 by :00 a.m.for the next available inspection.a e.
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 il 15 ,,i,, : , •1 ./ ,,, 1
FOR OFFICE LSE am.)
City of Tigard Received
Tigard,
Permit No.: H 1---„:"6/&.__Oes 2,7s•
• "I 13125 SW Hall Blvd., OR,.9.7223 4 2 il If-)
11Date/B : C /6, , I
Plan Review ...„, ,„. r Other Permit:
111 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : /-6- J.-
T 1(,A R 1.) Inspection Line: 503.639.4175 7 ' ,, , 1 Date Ready/By: ..., Juris. 0 See Page 2 for
Internet: www.tigard-or.gov ' Notified/Method: i l II' 161 41a. Supplemental Information
'
TYPE OF WORK REQUIRED DATA:1-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
g
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
Cgl 1-and 2-family dwelling 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 6, ii- 5 r3Lvc: 6 um c 7 New dwelling area: square feet
City/State/ZIP: 77 6/1/zo 0,e 9 22.3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ,Oc-ci< Raie,../AiG Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet 1.11.6,7
S 1.-0 L.LJ C- C-:c. i%1 c r/ S t-4.3 Al/L. L sAi/ize PP. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /4/t_t_ _5/..///eCz c-5 TA re.s Lot no.: iti- Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 2 51Y- C 0 — 00V-c30 41/e20.3 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ‘71" 4)4'0.
,' C'PLICC- az-0 itetiLiAl 0/2Y ReY7
Existing building area: square feet
New building area: square feet
!T.1 PROPERTY OWNER 0 TENANT Number of stories:
Name: C)L /9•C f Oe/3/3/a /1/9 cisrd-0 r Type of construction:
Address:/3 6 '5 64.1.i 6 uiv? cr Occupancy groups:
City/State/ZIP: ri 6 ii a 12 0 ie ?Fzza Existing:
Phone:( 3)6 z ii-.. (.6 4 6 Fax:( ) New:
1 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:
(Please refer to fee schedule)
A///9
Structural plan review fee(or deposit):
Contact name: c:7 4/9,c Hig 1.}_sr 6.0 7
FLS plan review fee(if applicable):
Address: /3 (9 44.5 /3 La 6: 6 ej iv? cr:
Total fees due upon application:
City/State/ZIP: r/6 /9.,ei, 0/2 77 22 3
Amount received:
Phone:(.5-03) .5 2 44... CG. 4,5 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 04151/: /?3y- Ar 6 A.9)9 ic.. . c...,0A4
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: OtA_D 13 t12—" ...--- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Aye. Solar Installation Specially Code checklist.
Permit Fee(includes plan review
City/State/ZIP: $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signature: /ea.(
A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: CI 1-RA kii=9 U $rd.-0 7- Date: 6,- Z?../6,
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE LSE ONLY
Cit of Tiand Received Permit No.:
3g Associat
� 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T I G A R D Internet: www.tigard-or.gov
0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N./;k
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 ❑ . 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
systems,see item 22,`'Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ❑
architect licensed in Ore.on and shall be shown to be a..licable to the •ro.ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ •
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
l:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
J
7/1/15 TO 6/30/16 REAL PROPERTY TAX STATEMENT
WASHINGTON COUNTY OREGON * 155 N FIRST AVE., RM 130 * HILLSBORO, OREGON 97124
PROPERTY DESCRIPTION MAP: 2S14CD-00400 ACCOUNT NO: 82036572
SITUS: 13645 SW BLUE GUM CT,
2015-2016 CURRENT TAX BY DISTRICT:
COLL-PORTLAND 107.29
ESD-NW REGIONAL 58.36
SCHOOL - TIGARD 1,890.89
TIGARD/TUAL/AFTER LOL 279.96
EDUCATION TAXES: $2,336.50
LEGAL DESCRIPTION CODE AREA: 023.74
HILLSHIRE ESTATES, LOT 4, ACRES .20 WASHINGTON COUNTY 853.01
REG-METRO SERVICE 36. 65
PORT-PORTLAND 26.62
FIRE-TV FIRE & RESCUE 578.65
CITY-TIGARD 953.44
VALUES: LAST YEAR THIS YEAR CLEAN WATER SERVICES 0.00
UR-TIGARD-DOT 26.66
MARKET VALUES: WASHINGTON COUNTY LOL AFTER 225.04
LAND 172, 760 189, 480 AQUATIC-TIGARD TUALATIN 34.14
STRUCTURE: 290, 610 277, 820 REG-METRO-AFTER 1/1/2013 36.62
TOTAL RMV VALUE: 463,370 467, 300 FIRE-TV FIRE & RESCUE-AFTER 1 171.64
TAXABLE VALUES: GENERAL GOVERNMENT TAXES: $2, 942.47
ASSESSED VALUE 370, 320 381,420
BOND-METRO SERVICE DIST 5.76
BOND-SD #23-TIGARD 69.19
BOND-TIGARD/TUALATIN-AFTER 492.38
BOND-TV FIRE & RESCUE AFTER 50.58
PROPERTY TAXES: $6, 103.71 $6,241 .04 BOND-CITY OF TIGARD AFTER 159.82
BOND-METRO SERVICE AFTER 68.88
APPEAL DEADLINE December 31,2015 BOND-PCC-AFTER 115.46
Value Questions 503-846-8826 BOND AND MISC TAX: $962.07
Tax Questions 503-846-8801
Business Personal Property Questions 503-846-8838
Other Questions 503-846-8741 2015-16 TAX (Before Discount) $6,241.04
PROPERTY TAX PAYMENT OPTIONS
(See back of Statement for payment instructions.)
Due Discount Net Amount Due
Pay DELINQUENT TAXES: NO DELINQUENT TAXES DUE
In Full 11/16/15 187.23 $6,053.81
2/3 11/16/15 83.21 $4,077.49 (See back for explanation of taxes marked with an asterisk(*).
113 11/16/15 NONE $2, 080.35 Delinquent Tax Total is included in payment options to the left.)
MAKE PAYABLE TO:Washington County TOTAL (After Discount)
Online- https://ecomm.co.washington.or.uslpropertytax $6,053.81
Pay By Phone: 1(888)510-9274
Many factors can affect the amount of your tax bill.
If you live in a taxing district that has new voter approved Bonds or Local Option Levies,your property taxes may inaease more than 3%
If you made any major renovations or changes to your property prior to the assessment date of January 1,your property taxes may increase more than 3%.
For additional information please referto the Press Release at www.cep.washinaton.orus'AssessrnentTaxation or you can call the county offices at(503)846-8741.
All Payments Processed Upon Receipt
Y Tear Here V Tear Here
RETURN THIS PORTION WITH PAYMENT - SEE BACK OF STATEMENT FOR INSTRUCTIONS
9nIc_9Ma n-___ v.r...n....—....,a Qa..a. wecwunTnu cniIMTV nRCnnu I ACCOUNT NO: R2036572