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Permit (33) CITY OF TIGARD MASTER PERMIT i. COMMUNITY DEVELOPMENT Permit#: MST2017-00175 Date Issued: 06/19/2017 T[GAR,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111CA11100 Jurisdiction: Tigard Site address: 9564 SW SATTLER ST Subdivision: LAKESIDE PLACE Lot: 2 Project: Chapman Project Description: Removing existing trellis and replacing with 12'x12'patio cover. Reviewed as a patio cover at this time per customer's request; if enclosed at a later date additional plan review and permits are BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Smoke Height 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Detectors: ke Dwelling Units: 0 Third: 0 sf Right: 5 Total: 0 sf Value: $13,875.00 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 0 Storm Sewer: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Tubs/Showers: 0 Garbage Disp: 0 Bckfiw 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 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 Ecompasing: N Other: N Other Description: BUILDING INFO Type of Work: T e of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 0 Owner: Contractor: Required Items and Reports(Conditions) CRAIG CHAPMAN CHAMPION WINDOW CO OF PORTLAND 5271 PASATIEMPO DR 13009 NE DAVO CIRCLE YORBA LINDA,CA 92886 PORTLAND,OR 97230 PHONE: 503-422-6159 PHONE: 503-624-2678 FAX: 971-634-2678 Total Fees: $612.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in acspCdaf_e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ENTION: Ore" e. ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 01-0010 through OA' • -001 •090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ssued By: . / / / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection.ate. fir This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 4 f t' lluilding Permit Application Residential RECEIVE FOR OFFICE 11SE ONLY City of Tigard V 6 7 Received / 7 ,iiii +� I U f Date/By. ':1� /7 y� ..� Permit No.: ST��/7iY��7s 13125 SW Hall Blvd.,Tigard,OR 9 Phone: 503.718.2439 Fax: 50 �g.�g Plan Review eI T T �f_ TIGA'RD Date/By: 1$--aq3)-f Other Permit: 7•t 3111�U Inn www.t 503.639.4175_-or.goBUILDING n}411t���© DoteRdo: 'l Jur s: 0 See Supplemental Internet: www.tigard-or.gov or.gov VV ,V DIVISIONNotified/Method: Information la ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement Other: A Indicate the value(rounded to the nearest dollar)of all G1'f"e Q Cp� g equipment,materials,labor,overhead,and the profit for the "`- work indicated on this application. , Cr�� o)�I'` ol[� of�N�'�'Rt1C"li'To14Y o pp °I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 13/F75 ElAccessory building ElMulti-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: : -, -1'"...10R-RTE I IFOI2hfA o1� OCAno Total number of floors: ci s 6Y c Fa � / s _ Job site address: 5 �� S � New dwelling area: square feet City/State/ZIP: � — T t 6 A 1I c o R 17 a 4f Garage/carport area: square feet Suite/bldg./apt.no.: Project name: L 4A PA,\_A_A Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: / if y square feet *J41 * ,- Subdivision: LA kS t I)-E` P L•.C . Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no oZ J" I j ` Indicate the value(rounded to the nearest dollar)of all 0equipment,materials,labor,overhead,and the profit for the `; lEsc =off 1a '- o) work indicated on this application. _ g`F C2 C> 6 -t<-X I STING' f g£ L(_1 5 A�!rvj' Valuation: $ p r'T c l i i'1'f i [ a x• t o PAT-to Existing building area: square feet C 0 U- 12 i 7(er-(-j TO -9AAA, L, FFP0 7,a New building area: square feet `"` ,.r---1,•-",-. ..__ Number of stories: Name: C. L- 11 1 „ C. erAt, • : A Type of construction: Address: 7 54 if 5 kj �, A r"]-L, LC �' S T Occupancy groups: City/State/ZIP: 1 6 A R D Q Kc't 7.2 2 r Existing: Phone:(5o 3) 1::-/2 _ G /5 ci Fax:( ) New: C APl ll l A T ( ' 31i1)A( PI�� "a�IlC tt� 1 t l /✓l (O .N Riff_l/ f� k./ ,, r . ll� 5 1 Business name: G - Contact name: 3AkeStructural plan review fee(or deposit): Address: r FLS plan review fee(if applicable): 13o0C Af p,� iltt.) GIRc! iii — City/State/ZIP: p 0 7. 0 n Total fees due upon application: ! 2 i�4A1-11 Amount received: 4 /g6"J Phone:(563) -s 7y-3 .a. Y a Fax::( ) + E-mail: n v*po A� * , of Itft > 3t1 Commerci. and residential prescriptive installation of ,"j roof-top mo ted Photovoltaic Solar Panel System Business name: i�po '- ���a �:c��� Submit two(2 ets of roof plan with conln tr ils Address: and fire departure access,alone,witthe 2010 Oregon Solar Installation Sp'. ial -'ode checklist. City/State/ZIP: Permit Fee(i t i i-..elan review +administra• e fees): $180.00 Phone:( ) Fax:( ) CCB lie.: y�s1�3 State .'charge(12%of permit $21.60 Total fee due upon application: • $201.60 Authorized signature: This permit application expires if a permit is not o fined I E within 180 days after it has been accepted as comple Print name: t0 L Date: 3 r 1 *Fee methodology set by Tri-County Building Industry �d Q "n�� t7 Service Board. I:\Building\Permits\BUP-12ESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard III 'l COMMUNITY DEVELOPMENT DEPARTMENT ■ r1cARD Building Permit Review — Residential Building Permit #: 0 .."/"-- /-7 - 00 l 7 `.3---- Site Address: _ c 1"/ .c7I ) (S 174Z/ `S 7 Project Name: kx ,d Lot #: (New dwellin subdivision name;Addition or Alteration=last name of owner) Planning Review 1 Proposal: A) / / X /c /7 r') C2 Verify site address/suite#exists and activ rn permit system.\5 giver Terrace Neighborhood: g No ❑ Yes,See River Terrace Review Addendum Attached Siy Plan Elements: Vg ree(3)copies of site plan xisting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale)ill oor elevations Pi orth arrow � lity locations(required for new,may apply for additions) 1)4 e address,project or subdivision name and lot number ation of wells/septic systems plicant information(name and phone number) 'r sting trees to be retained with drip line,and tree t dimensions and building setback dimensionsilk trotection measures Lot area,building coverage area,percentage of coverage and OA-et tree size,type and location d pervious area(applicable if R-7,R-12,R-25&R-40) 11 Street names Property corner elevations(2 foot contour lines if more than Irm water quality facility,if>1,000 sf of imperviou 4 of differential) area is created or replaced. On site plan: ❑ YesNo lean Water S ces—Service Provider Letter(lot platted prior to 9/10/1995): /Yes Required: Yes,applicant was notified ❑ No Received: E No ‘ttAV15ublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified 'V No Applied For: ❑ Yes ❑ No,stop intake 11 li and Use Case#: // oning: P-.- FA Required Setbacks: Front +}� Rear Side Street Side Garage _ AIandscape Requirement: _s_ % _rap Lot Coverage Maximum: % J /4 Building Height: Maximum Height s Actual Height I i6 it 17 t f isual Clearance sements $11: nsitive Lands: ❑ Yes ZNo Type yl� PA7rban Forestry Plan 0 Prynditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: CS- /(p Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_042017.docx Building Permit Submittal Original Submittal Date: 6//la//7 Site Plans: # 3 Building Plans: # 3 Building Permit#: I Enter building permit#above. Workflow Routing: a Planning ❑-Engineering 2-"Permit Coordinator aBuilding Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: :a" Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ginal plan review routing form. Oa Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: , C6 ) Date: 6plc G Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit LI 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: LI Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: L fi Date: 5-/J---/ 7 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 !�'' /A Tigard Trans SDC: ❑ Yes v-N/A Parks SDC: ❑ Yes IV-N/A LIDA ❑ Yes ''A N/A 11 r K to Issue Permit proved by Permit Coordinator: Date J s -----_ I:\Building\Forms\BldgPermitRvw_RES 091216.docx HGEIVED � �I`�Y1620i7 ' Clean Water Services File Number U� 'DING vOF ARC?ISION C1eanWate\Services 17-000746 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information(example 1S234A801400) 3. Owner Information Tax lot ID(s): 2S 111CA11100 Name: Rosemary Chapman Company: Address: 9564 sw Sattler St. Site Address: 9564 sw Sattler St. City,State,Zip: Tigard,Or,97224 City,State,Zip: Tigard,Or,97224 Phone/Fax: 503-422-6159 Nearest Cross Street: E-Mail: joe.burnett@getchampion.com 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Joe Burnett ❑ Lot Line Adjustment ❑ Minor Land Partition Com an Champion Window p y: ❑ Residential Condominium ❑ Commercial Condominium Address: 13009 NE David Cir U Residential Subdivision U Commercial Subdivision U Single Lot Commercial LiMulti Lot Commercial City,State,Zip: Portland,Or,97230 Other Phone/Fax: 503-572-3242 12x12 patio cover E-Mail: joe.burnett@getchampion.com 6. Will the project involve any off-site work? ❑Yes ki No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Remove existing trellis and install 12x12 patio cover on existing deck.Add two small footings. 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 and/or 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. PrintlType Name Joe Burnett Print/Type Title Patio Room Supervisor ONLINE SUBMITTAL Date 3/7/2017 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. ed Reviewed by L. .4 Date 3/8/17 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax (503)681-4439 • www.cleanwaterservices.org