Permit (2) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00206
T f C.AR..C1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 31 2020 12:00AM
Parcel: 2S110CB09000
Jurisdiction: Tigard
Site address: 12412 SW AUTUMNVIEW ST
Subdivision: MOUNTAIN VIEW ESTATES Lot: 15
Project: Nguyen
Project Description: New 264 sf deck adjacent to existing 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: Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $6,433.68 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 Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 BckBw Prevntr: 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
Furn>=10OK: 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
N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
NGUYEN,JENNIFER L&CHRIS H DICK'S EVERGREEN FENCE&DECK Required Items and Reports(Conditions)
12412 SW AUTUMNVIEW ST 4815 SE TV HWY
TIGARD,OR 97224 HILLSBORO,OR 97123
PHONE: PHONE: 503-640-7700
FAX: 503-640-0466
Total Fees: $543.04
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
O49..nni_nnln thrn„n P U99_nn1_nnon vnn„,a.,nhtain a rnn.,of the mine nr rliroet n„actinnc in rN IAir by rellinn cnn 9q9 100.7 nr 1 Ann'1'29 91dd
Issued By: t f""c-ZQ-�--J Permiftee Signature: OA/ (37tV5Z.le dA/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 3':
�i����r ,<—. r ill urlutrset»Iti
City of Tigard JUN 2 2 2020 Ree Ardy:
i "1 13125 SW Hall Blvd Tt Daffy 7/ /'2O �0 Permit No�1S rZ0 70_���0(�11114
gard,OR 97223 Plan Revceav
Phone: 503.718.2439 Fax• 503 598 199 •y ri€- 3 )f, ,J Dat�y '7 i 11 14 AA other Pemrit:
i t t :�x 11 Inspection Line: 503 639.4175 ,-_` s, I 4.,1 tc Ready/By: I �/�7� hair la See Page2 for
Internet: www.tigard-or.gov l `'Lt t L U]N i-i 1 i t/I S i(_,i fiedliettmdi 7/ c) 2f) .CK U Supplemental Information
651"lf11 L C t4'7'L tS TZT p /'-t. -
. " TYPE OF WORK
' '
a,C REQUIRED DATA:1-AND 2+FAMILVDWELLING
0 New construction ❑Demolition Permit fees`are based on the value of the work performed.
bilAddition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. �]�
1-and 2-family dwelling ❑Commercial/industrial Valuation: �S'd C{') J�
❑Accessory building ❑Multi-family Number of bedrooms:
1 0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total timber of floors:
Job site address: l'L.q 1z San 04...4446-.n i/1et.J pr New dwelling area: square feet
City/State/ZIP: Ti a e„•-,ri 0i‘ 9-121 q Garage/carport area: square feet
Suite/bldg./apt.no.: 1.Project name: IU 7en 04.6.10, Covered porch area: square feet
Cross street/directions to job site: ft,J S} A,rdrre..f L . Deck area: Z 44 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.
IA,lwll Aliecent 4 Ccirtic^ Oetk (live Valuation: $
&caner' Q.a6�trn oL Attest ✓Fn»..- lioµse Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑'TENANT Number of stories:
Name: Glvr7s• t ) nnire+ P4.ytrx Type of construction:
Address: 12.411- SW f{N{µme Viet.' Si" Occupancy groups:
City/State/ZIP: Ti,•.e*,. 9721y Existing:
Phone:(5o3 ) 35-1-13Y1 Fax:( )
New,
APPLICANT /4 CONTACT PERSON BUILDING PERMIT FEES`
r� to Business name: u ir..�f £Ye✓gr-eeh Fe me A Davy DAD, (Please referrde deposit):
` "s'zr
rdJ r r Structural plan review fee(or deposit): ,235 '7s
Contact name: Chr1 j ito f
FLS plan review fee(if applicable):
Address:
Y81r Si 'r✓ t4 y
City/State/ZIP: 1 i ll s1,e.vr of-. er 12 3 Total fees due upon application:
Phone:(fo3 ) 313-S-77-c Fax::( ) Amount received:
E-mail: o�lc -Sever3re:texe5rMail,CD14 • PHOTOVOLTAIC SOLAR PANELSYSTEMFEES"
CONTRACTOR Commercial and residential prescriptive installation of
roof-tolr mounted PhotoVoltaic Solar Panel System.
Business name: So wig Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
f ei^^C' Solar Installation Specialty Code checklist.
City/State/ZIP: $Krii,, Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503) NO -71o0 Fax:(S'p3 ) 6Y0-p 66
State surcharge(12%of permit fee): $21.60
CCB lie.: /D d 3 VO
Total fee due upon application: S201.60
Authorized signature: ��R /t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: CJ ri$to,P 1t{ A. goy 3„0 *Fee methodology set by Tri-County Building Industry
/ le Date: C`2(l Service Board
1:1BuildinglPermitslBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/wEB)
City of Tigard
IIIe 7 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review - Residential
Building Permit #: /I'/ S 7- -o 2 - 0 U Iv ( ,
Site Address: /.29l Q S10 `i1/7
Project Name: ,ems glinnv4.4o
Lot #:
Planning Review �C
Pro1sal: /j-,ev Cieck en rear e ,
Rif Verify address/suite# active in Accela. %In River Terrace: No ❑ Yes,River Terrace Review Addendum
SityPlan Elements: ii osion Control
dcopies of site plan on 8-1/2"x 11" or 11 x 17"paper • 4.ained trees with drip line and tree protection measures
Tfil raven to scale (standard architect or engineer scale) •1'.1 tprint of new structure (including decks) and FFE
��.Jrth arrow It. i N. "tv locations&easements (required for new and additions)
' e address,project or subdivision name and lot number
i G ;y ewalk/driveway approach
.plicant information(name and phone number) �Ao. ation of wells/septic systems
rA L.t dimensions and building setback dimensions Po . eet tree size,type and location
11:.uare footage of buildings to be demolished i' :' eet names
'i 'sting structures on site VA Corner elevations(2'contours if more than 4'differential)/
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes
a
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown% Yes No
IA lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): TTTTTT�����'��'��,
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
iTater Meter Fixture Unit Worksheet—Addi ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified L7 No Received: ❑ Yes ❑ No
CSDC Exemption for ADU applied for: ❑ Yes /No Received: ❑ Yes El No
> ublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified 1l0 No AA••ed For: El Yes ❑ No,stop intake
IVO and Use Case#: L7 Zoning: 9-
FA equired Setbacks: Front: A-2/4 Rear: is Side: Street Side: /C) Garage: PM'
AA ding Height: Max. Height: 3� Actual Height: (i' '
Landscape Area: ...2-0 % L✓f Lot Coverage Max: P3D
Entrance back no more than 8'from street-facing wall ❑ Parallel to st or offset 45 degrees or less
Windows ❑ Minim °°of area of all street-facing facades
Garage CI Garage door is be •dest street-facing wall N 'es ❑ No,one of the following is met:
El Door extends no more 'from wall and re is a covered porch extending beyond garage.
❑ Door extends no more than 5'fro and there is a 12 sq ft.window above garage on 2°d floor.
❑ Garage door width is ❑ 12'o s ❑ 50°° s of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
❑ Fire shin ❑ Lap Siding ❑ Roof pitch ❑ Gab , . or gambrel roof ❑ Dormer
El ent siding ■ Window trim ❑ Window recess ❑ Win ojection ❑ Balcony
tO, isual Clearance L* rban Forestry Plan
PI Sensitive Lands: FA Yes ❑ No Type: Cl'L9�es'
Illy onditions met prior to issuance of building permit vv
es:
Ve Approved By Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms 1B ldgP ermitRv w_RE S_122419.docx
Building Permit Submittal
Original Submittal Date: (9/3 y j2d 2a
Site Plans: #
Building Plans:
Building Permit#: enter building permit#above.
Workflow Routing: Er-Planning $ Engineering D-Permit Coordinator Building
Workflow Sign-off: ErSign-off for Planning(include notes from planning review)
Route Application Documents: e'F.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: � Date: 7/7/20
Engineering Review
VSlope at building pad: 3, Z
onditions "Met"prior to issuance of building permit h fart
LvJ Easements (encroachments) per engineering conditions of approval and plat n41,
Water Quality/Quantity Facility: ,�/
Assess Water Quality Fee in-lieu: CILam'Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes DVNo
LIDA Facility on lot: ❑ Yes Li/No
3'Final Plat Recorded: N if-
❑ NOT Approved by Engineering: Date:
Notes:
"Approved by Engineering: /" ,�,,�7�� Date: 7//y/Zola
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
to
Permit Coordinator Review
jam-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:
SDC Exemption: ❑ Received Does not apply
h'SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes V N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes yi N/A
J OK to Issue Permit
Approved by Permit Coordinator: kriL Date: 1 Ii`f I
I:\Building\Forms\BldgPermit Rvw_RES_122419.docx