Permit CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2020 00202
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2020
Parcel: 1 S125CD08900
Jurisdiction: Tigard
Site address: 7524 SW RED CEDAR WAY
Subdivision: JACKSON WOODS Lot: 4
Project: Hilligoss
Project Description: Install a 252 sf wood framed patio cover.
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: Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $6,141.24 Rear: 5
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 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
Ecompasing: N
Other. N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
HILLIGOSS,TYLER&CYNTHIA PROFESSIONAL GROUNDS MANAGEMENT Required Items and Reports(Conditions)
7524 SW RED CEDAR WAY PO BOX 25618
TIGARD,OR 97223 PORTLAND,OR 97298
PHONE: PHONE: 503-206-5900
FAX:
Total Fees: $505.08
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
952-001-0010 through a 952-001-00 . You, y obtain a cop of the r irect questions to OUNC by calling 503.y12.1987 or 1.800.332.2344.
^Issued By: � �� /` .1/G/ jr. �/ rmittee Signature: ..r. r
Call 503.639. 175 by 7 m.for the next available inspection date.
4100,
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.
.5/
. Building Permit Application
Y
Residential r \J E l� .-, soli Orflcl 1 N1•:c)Nl.v
Cityof Tigard p (1 Received l. L�
131SW Hall Blvd.,Tigard,OR 97223 MAY 1 3 2020Pla Data1BY' / '/ /�S C) Permit No PIS -�n-u,,_�j�i
Il Dan Review/
Phone: 503.718.2439 Fax: 503.598.1960 �. Date/By: Other Permit:
Inspection 503.639.4175 u OF 1� r+�
<i q R n F � �•`�! � Date Readyi6 nor $I See Page 2 for
Internet: wvw.tigard-or.gov l i 1'\ (� Nat Method:Rm.(1 NG j_ ( J151 . ? ' Supplemental Information
,
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
p� Indicate the value(rounded to the nearest dollar)of all
Jw Addition/alteration/replacement ❑Other:
equipment,materials,labor,overhead,snip profit for the
CATEGORY OF CONSTRUCTION- work indicated on this application.4 1
n_ X I-and 2-family dwelling 0 Commercial/industrial Valuation:
J IDAccessory building ElMulti_family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1t Zy �W o / w,,p New dwelling area: square feet
City/State/ZIP: 'f ate► , / • Gara carport area: square feet
Suite/bldg./apt.no.: Project name: 111 I ►T:)SS , tit" 2_ square feet
Cross street/directions to job site: Deck area square feet
SW 1 x} foe Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: LI Permit fees*are based on the value of the work performed.
Tax map/parcel no.: V,2,,A LA '1 BC1 q Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
�
DESCRIPTION �OF�WORK
R work indicated on this application.
91)\1006 ` 1Q va y
c) l XI i p/c \Rs `r ` Valuation: $
{{ Existing building area: square feet
New building area: square feet
13 PROPERTY OWNER ❑ TENANT Number of stories:
Name: C4tIl* dti II , O SS Type of construction:
Address: 1 ,u ,,\>, Oto �(A l? W q. Occupancy groups:
City/State/ZIP: '� CA 1t=-�t D Cj1 ZZ"3 Existing:
Phonc:(567) (p 1-y > 2`-9 Fax:( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 9 ,5 ,,1 etve I y, r 1 S . A,I••�A {pleasanfsrroYreschrduf
Contact name: t`� 1't("4N-,��V w��e/v I J M ) t t. Structural plan review fee(or deposit): r nl
SO X 4 . t ^ t FLS plan review fee(if applicable): /
Address: 1' L� W
i� ' ` a h 1 cl Total fees due upon application:
City/State/ZIP: fir. (�1'{'lij at
t ) 3 L_ U Amount received:
Phone: Fax::( )
E-mail: dtz�•, Ve. l ��[�yv{ e tY, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
C)CONTRAChO' `I s . Commercial and residential prescriptive installation of
``'\ y•�� roof-top mounted PhotoVoltaic Solar Panel System.
Business name:VVD 116U S+,�l 0.1S Mt [V(A tiNt� Submit two(2)sets of roof plan with connection details
Address: �N� C t� "j "� and fire department access,along with the 2010 Oregon
�o I,2X iJ's. �iJ t v Solar Installation Specialty Code checklist.
City/State/ZIP: b y) (Y1d D 2 G)12 Cl Permit Fee(includes plan review $180.00
t and administrative fees):
y, )
Phone:(� 1) 2 '� !` t Fax: ) State surcharge(12%of permit fee): $21.60
CCB lic.:40. ICI g(..p5O J
/ j 7- 1 Total fee due upon application: $201.60
Authorized signature: }G Vsat, This permit application expires if a permit is not obtained
within 1.80 days after it has been accepted as complete.
Print name: , '1d ( (,,,, d K`tt®V vV Date: 5 ( I'• '2.02d *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemiits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WF B)
Dianna Ornelas
From: Dre Cordova <dre.c@pgmpdx.com>
Sent: Wednesday, May 13, 2020 4:12 PM
To: #Building Permit Technicians
Subject: PO Hilligoss
Attachments: 2019-09-2019 Calc's 219391 (4).pdf; 2019-09-20 Hilligoss Structural Plans 219391
(4).pdf; 191009_Hilligoss Landscape BidSet (1).pdf; Hilligoss - Building Permit
Application .pdf; Hilligoss - Site Plan.pdf
Warning!This message was sent from outside your organization and we are unable to verify the sender
Hello,
Please see attached project plan, engineer calculations, site plan, and application for review. Please let me know if you
have any questions or are in need of any further information.
Best,
Drea Cordova
Managing Director, GM
PGM Nursery AG-L1025636NGH
PGM Landscape LCB#6832
PGM Construction CCB#198650
"Bringing Design to Life"
971-237-8746(cell)
503-206-5900(office)
1
illCity of OMMUNITY Tigard
a C DEVELOPMENT DEPARTMENT
T 1 G ARD Building Permit Review — Residential
Building Permit #: 15 i 20 2(7 40 2-0
Site Address: 1 24 5vf RteG( Cedar V\J
Project Name: 4 I t L1 05 Lot #:
Planning Review
Proposal: POCK Q Dm-- —q,CceS5oh.I 5-tYULAA.F-e
Verify address/suite # active in Accela. In River Terrace: X No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: XFrosion Control
Xcopies of site plan on 8-1/2"x 11"or 11 x 17"paper (1 `etained trees with drip line and tree protection measures
>Prawn to scale(standard architect or engineer scale) F ootprint of new structure (including decks)and FFE
►:' orth arrow itI .tility locations&easements (required for new and additions)
►: ite address,project or subdivision name and lot number 'i:,rdewalk/driveway approach
�'� pplicant information (name and phone number) AiOocation of wells/septic systems
.:11 .ot dimensions and building setback dimensions 'k treet tree size,type and location
KASquare footage of buildings to be demolished Street names
Xxisting structures on site tet omer elevations(2'contours if more than 4'differential
oloolo
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes No
,,,,,,{{impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes�No
Ate. Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
.Nt Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified AL-No Received: ❑ Yes ❑ No
PsDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
XPublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified `I No Applied For: ❑ Yes ❑ No,stop intake
NtA-Land Use Case#: ❑ Zoning: P. 4-S.
.k Required Setbacks: Front: NA/9- Rear: S Side: 5 Street Side: NJ A- Garage: 20
❑ Building Height: Max. Height:. 115 Actual Height: t(Z
I' Landscape Area: % 'Lot Coverage Max: °/u
Entrance II Set back no mo than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II Minimum 2% f area of all street-facing facades
Garage 11 arage d..r is ehind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
• Do.r ex nds n e more than 5'from wall and there is a covered porch extending beyond garage.
❑ Poore ends . o - than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
■ Garage .oor 'dth' A 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Cover pore • Recessed entrance 0 Wall offset ❑ 1'Roof cave 0 Roof offset
❑ Fire s ' glen 0 ap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Acce siding ❑ Wmdow trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance { Urban Forestry Plan y
Sensitive Lands: )K Yes ❑ No Type: Lap/ VatIU& IroLI,rI t
*Conditions met prior to issuance of building permit
Notes:
WApproved By Planning: 11y,� Date: �20
Revisions (after Building Submittal only) v Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Bu i ld ing\Forms\B IdgP ermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: Si/3i 20
Site Plans: #
Building Plans: # ,3
Building Permit#: Enter building permit# above.
Workflow Routing: Planning LTEngineeringC 'ermit Coordinator ding
Workflow Sign-off: 2—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.
-'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 4), 6524,4-1.41at.4--)
By Permit Technician: Date: /ZQ/ZO
Engineering Review
VI Slope at building pad: Ai��J
,,Conditions "Met"prior to issuance of building permit 4/41
L✓J Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes CNo
Assess Water Quantity Fee in-lieu: ❑ Yes ['No
LIDA Facility on lot: ElYes ZNo
Pi/Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
"Approved by Engineering: Date: Zd2.ef7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ 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:
141 SDC Exemption: ❑ Received VI Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes 17 N/A
Ig OK to Issue Permit
Approved by Permit Coordinator: V Date: /0I25 12,
1:1Building\Fomrs\BldgPennitRvw_RES_122419.docx