Permit p CITY OF TIGARD MASTER PERMIT
1/11 s • COMMUNITY DEVELOPMENT Permit#: MST2020-00224
Date Issued: 09/10/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CA00943
Jurisdiction: Tigard
Site address: 13580 SW VILLAGE GLENN DR
Subdivision: VILLAGE GLENN Lot: 43
Project: Bistline
Project Description: 498 sf accessory structure.
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: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $12,136.26 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 add!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:
NEW ACS VB R-3 0
Owner: Contractor:
BISTLINE,HOLDEN SCOTT&STEFANI OWNER Required Items and Reports(Conditions)
13580 SW VILLAGE GLENN DR 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $530.47
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 OAR 952-001-0090.1- /y l^Youu�,may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198703.2 or 1.800.332.2344.
Issued By: u!M 151.J �F'C,Q.Q ck Permittee Signature: o t rippl 1 c
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 ?/Z—
Residential 1 ECEI V • FOR OFFICE USE ONLY
City of Tigard Received �y
13125 SW Hall Blvd.,Ti u Date/By: 5 eV/Q Permit No./1,57-2424,�0.7Zt�
• Tigard,OR 97223 J U L 0 2 202 �T��
Phone: 503.718.2439 Fax: 503.598.1960 Dat By: ! a
DatelBy: Other Permit•.
TI1;,1t.11 Inspection Line: 503.639.4175 CITY OF TIGARDnateReady,ny:( ,unit: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISInI s ethed:6 / Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
1New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
` CATEGORY OF CONSTRUCTION
` work indicated on this application. , -
'\\ ❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 12113U
Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 0
JOB SITE INFORMATION AND,WC.A'IiRBI Total number of floors: I
Job site address: I A New dwelling area: square feet
� ��n&n� 5OU L.i�. Cyr of � �,
City/State/ZIP: I ( 6c,Y'f) d le- g 1 d-j, Garage/carport area: 1, f J square feet
� 1
Suite/bldg./apt.no.: Project name: "�04 S 145 Covered porch area: r�4N square feet
Cross street/directions to job site: r« 1 nc I (I�Q n,,, G C`J 9r Deck area: „/PC square feet
�J1' Other structure area: co square feet
A
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
N
Subdivision: / 1 Lot no.: e) 27 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: a-4(0`- C.71 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESORPTION OF WORK work indicated on this application.
4 C if-�'a SC3' rirI Jli r, �r S rfro
G �, f tirL- Valuation: $
G��4'I')C. JJ Existing building area: square feet
C o _ . / / � �,r,)"'a_ 10,i iri D'r/�(Y-i New building area: squarefeet
�PROPERTY OWNER ANT Number of stories:
Name: /
�(�� �h���� Q�Qi n Type ofcanstruction:
Address: < 3 g-° jl VI,i/a 6 &-- Occupancy groups:
City/State/ZIP: , Sef' l Cl' j Existing:
Phone:(.c 6—f q 7 G2 7 a ,Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
J - (Please refer toles schedalee)
Business name:
,S-AM r ‹ 4-✓0'/f' Structural plan review fee(or deposit): /-7, P3
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIl': Total fees due upon application:
Phone: Amount received:
( I ) Fax::( )
E-mail: ! 1 �`fil l"AAn/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
.2 -t-w,,cl t I t
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C v" i4 e—g--. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: N.0 a W IQ,. p (P(¢i\iS I (s t L1—Y �/� Solar Installation Specialty Code checklist.
City/State/ZIP: ' -�1'b r.1"S ST7� LA)ftlS r3.U. L r t Permit Fee(includes plan review
It $180 00
and administrative fees):
Phone:( ) el ��-r-� L �A )IT t7-k-� P i'il' State surcharge(12%of permit fee): $21.60
CCB lic.: D 1, j-kJ Irk)A/gYL. 1S 60-51r7A.16,— Pal r-it -,
Total fee due upon application: $201.60
Fad- A-I• — TtC.s e
Authorized signature: � /) � • This permit application expires if a permit is not obtained
s e within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: / � �� /S�� Date: 7/� /�)/� Service Board.
I:1Building\Permits\BUP-RESPermitApCp.doc 02/24/2011 440.4613T(1 f/0022///CCtO/M/WEB)
11111 City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
C ;
TIGARD Building Permit Review — Residential
,..
Building Permit #: h 5 T Zd 74 — 00 7-Z 1
Site Address: /gg 3O .21( ) 1% r
Project Name: 6/ /1U2_ / ecp� Ram
/ ,..e • Lot #:
Plan g Review /
r
Pre .osal: 99g yi .7Cc€.I O sine
CA/
m Verify address/suite# active in Accela. � River Terrace: No 0 Yes,River Terrace Review Addendum
Sitg^Plan Elements: Ofir.sion Control
3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper \.010 tamed trees with drip line and tree protection measures
7 P. awn to scale(standard architect or engineer scale) 11 :.otprint of new structure(including decks)and FFE
orth arrow 15 i ility locations&easements(required for new and additions)
address,project or subdivision name and lot number i. walk/driveway approach
.plicant information(name and phone number) 10 ation of wells/septic systems
FA Lo dimensions and building setback dimensions i` :eet tree size,type and location
1''>.uare footage of buildings to be demolished t,.Spt�r t names
15 Exis structures on site I\*met elevations (2'contours if more than 4'differential)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 0 s IQIyA
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No
0 Clean Waterices—Service Provider Letter(lot platted prior to 9/10/1995): /
Required: Yes,applicant was notified ❑ No Received: ❑ Yes No
Water Meter Fixture Unit Worksheet—Addi:.ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified Yi No Received: ❑ Yes 4(o
SDC Exemption for ADU applied for: El
No Received: ❑ Yes II No
Public Facilities Improvement (PF1) Permit:
Required: ❑ Yes,applicant was notified NJ No "ed For: 0 Yes 0 No,stop intake
and Use Case#: n [ I Zoning: f� C-
quired Setbacks: Front: �G C' Rear: . Side: Street Side: Garage:
2 Building Height: Max.Height: Actual Height: 12
a e Area: °A 0 Lot Coverage Max: %
Entrance no more than 8'from street-facing wall A1 K ❑ el to street or offset 45 degrees or less
Windows 0 Minimum 1 ea of all street-facing facades 1_
Garage 0 Garage door is behind wi eet-facing w 0 Yes ❑ No,one of the following is met:
0 Door extends no more than 5' and there is a covered porch extending beyond garage.
❑ Door extends no mo an 5'from wall an " a 12 sq ft.window above garage on 21'd floor.
❑ Garage door wid 12'or less 0 50%or less of faca 60%or less and includes 7 of following:
❑ Co porch 0 Recessed entrance 0 Wall offset 0 1' ve ❑ Roof offset
ire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambre r DI Dormer
1 ❑ Accent siding Window
❑ Window trim ❑ recess 0 Window projection LTBalcony
(Y! Visual Clearance rban Forestry
VrAWensitive Lands: ❑ Yes NJ No Type:
ta(K.•..tions met prior to issuance of building permit
No •s:
I7/ Approved By Planning: — Date: 9 /s -Lp
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
I:\Building\Fors\BldgPennitRvw_RES_1224I 9.docx
Building Permit Submittal
Original Submittal Date: 7/2„./ 'L!�
Site Plans: # `3
Building Plans: #
Building Permit#: C - Enter building permit#above.
Workflow Routing: EP-Planning gineering ermit Coordinator -$Building
Workflow Sign-off: ['Sign-off for Planning(include notes from planning review)
Route Application Documents: Er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
��original plan review routing form.
Ef Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .1!2 ,d7e Ja a._-- Date: 7`/S/7v
Engineering Review
[Slope at building pad: 2%
R�onditions "Met"prior to issuance of building permit "/`
Er Easements (encroachments)per engineering conditions of approval and plat ^/"r/
IR-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: 0 Yes lJ No
LIDA Facility on lot: ❑ Yes [No
Er-Final Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: j ti % Date: 7/z,/2e?C
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Permit Coordinator Review
I -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:
J,SDC Exemption: 0 Received Does not apply
,N—SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes gi N/A
LIDA 0 Yes rg N/A
TA—OK to Issue Permit
Approved by Permit Coordinator: Air
Date: 1(21 ')
I:1Building\Forms\BldgPermitRvw_RES_122419.docx
/ spy-\\6- 7 REGISTERED
CITY ,r. 011ARU PROFESSIONAL
�� PI ��IIR� LAND SURVEYOR
), Initlexle� _ REGON
/ o0
0 $ FEBRUARY 08, 2000
kcpe' o. _l 1 S n L ♦ JO 59999 �LSDE
1_,C1 f' T EXPIRES: 06/.30/20
\ 42
`
\OUND\" IRON ROD
® f00
00.
\\ 5` 40'
\ ` / Main Floor(Existing) \
0 \ `
2�'p
A FOUND 5/8" IRON ROD WI i ,'
YELLOW PLASTI 'P
p0 �L ` INSCRIBED " ' LAKE /1/ /'
20° sue. • , , ut TAN Ts"
00, ` Accessory / ti ,,
Structure 10' WIDE
\ ` ANITARY SEWER
\ EASEMENT y
�y ,•
R off/ N
•
\ 20 \ \ \ \ / e /6 _/
.-• 5� /
.1 ems. 6206 —
\ \ �- FOUND 5/5" IRON ROD
k \ NOTE:
THE PURPOSE OF THIS SURVEY IS TO DEPICT
\ THE LOCATION OF A NEW GARAGE BUILDING
RELATIVE TO THE SOUTHWESTERLY PROPERTY
UNITS OF MEASURE ARE \ LINE OF THE SUBJECT PROPERTY. THE
DECIMAL FEET, NOT FEET BUILDING AS DEPICTED IS THE OUTER FACE
AND INCHES \ \ \ OF THE STEEL SIDING.
13580 SW VILLAGE GLENN DR
c"--1IS/i ' PROPERTY LINE EXHIBIT
SUMMIT LOTH 43OUTLAGE 1/4 OF
SITUATED IN THE SOUTHWEST 1/4 OF SECTION 2,
LAND SURVEYORS TOWNSHIP 2 SOUTH, RANGE 1 WEST,WILLAMETTE MERIDIAN,
12950 SW PACIFIC HIGHWAY, SUITE 255 CITY OF TIGARD,WASHINGTON COUNTY, OREGON
TIGARD, OR 97223 .ai Na: OAR: SCALE: PREPARED rare
PHONE & FAX: 503.928.5589 998-340 04/1.7/20 1"=20' HOLDEN BISTLINE
cory, Plotted: Apr 17, 2020 — 4:39pm, Z:\998-340 SE Village Glenn Dr\_DWgs\Misc\998-340_Work.dWg