Permit • CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2020-00238
Date Issued: 09/24/2020
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AC00900
Jurisdiction: Tigard
Site address: 12980 SW 132ND AVE
Subdivision: None Lot: None
Project: Norton
Project Description: Replace existing 353 sf 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: 20 Smoke
Right: 5 Detectors:
Dwelling Units: 0 Third: 0 st Ri 9
Total: 0 sf Value: $8,602.61 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 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
Drywall-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?500 st: 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:
NORTON,BRIAN D& STANLEY DEWAYNE MOORE Required Items and Reports(Conditions)
MARGARET E 6107 SW MURRAY BLVD#263
12980 SW 132ND AVE BEAVERTON,OR 97008
TIGARD,OR 97223
PHONE: PHONE: 503-522-0047
FAX:
Total Fees: $477.24
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
952-001-0010tthhr000ugh OAR 952-001-0090.I You may
obtainob a copy of the rules or direct questions to OUNC by calling
/50�3.2332.1987�orr1.800.332.2344,
Issued By: Mika. . �l ���'J Permittee Signature: ` oy►7 CAL\v
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.
P
Building Permit Application ,2l
RECEIVED 1 IEC IVED FOR OFFICE USE ONLY
Received
City of Tigard JUL 2 2020 Date/B 0 o' •~=' d�♦ PenntNo. s '241
�_�� _
1,1
'� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
R�J1TY OF Tl /►� • ' ome<Permit:
Phone: 503.718.2439 Fax 503.598.1 GARD DateB . $ 'LaZtS
1;i_ \ r, Inspection Line: 503.639.4175 BUILDING DIVISION �teR� �y _ ?.0 S (� See Supplemental
Internet: www.tigard-or.gov Notified/Metho 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
fia Addition/alteration/replacement ❑Other: equipment,materials,labor,overheadAmd the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. tip 1 `(d-I_
4 r� l-and 2-family dwelling 0 Commercial/industrial Valuation: $ '2_,go sa
❑Accessory building ❑Multi-family Number of bedrooms:
Number of bathrooms:
❑Master builder ElOther:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 121 y-O $ J 3224 4 . via New dwelling area: square feet
City/State/ZIP: -'gaud1 c R q122-2 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 14*r 3r1 DeG� Covered porch area: square feet
Cross street/directions to job site: _Gat(cit., Deck area: 3 5 3 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.
ltEeidicc, c_ lsfln (lc L. _
Valuation: $
Existing building area: square feet
New building area: square feet
VI PROPERTY OWNER 0 TENANT Number of stories:
Name: 5(14n No(}O(l Type of construction:
Address: l2+t g a &e.*. )37—"I A Ni t • Occupancy groups:
City/State/ZIP: ►t rJJ.a r d , v 'I 7 223 Exi sting:
Phone:( ) Fax:( ) New:
121.„APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: � r1 p Core C.rry-).4'W:f ire) view feePlease e( rdepositdttte)
Structural plan review (or deposit):
Contact name: 5-hail 04),CQ�
Address: FLS plan review fee(if applicable):
�a10'7 5,0 ryivrra .I')CI • t ' 2t:-
City/State/ZIP: j-eq,10 r 4- - r O2 C -1 Z2 3 Total fees due upon application:
Phone:( u ) ( )�0 n�, Amount received:
3 �ZZ� O o t�'f Fax:
E-mail: tyl p0 ¢ cl Pt IL S. Carr, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: vran 14bt)Yo Co n S 4-r i,.c-h orb Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (, I etl, 5t.) milt('f-tw l3jIVAl . 2-4 5 Solar Installation Specialty Co&checklist.
City/State/ZIP: 5eA..t2f-,-art 012. 41,Z 22°j Permit Fee(includes plan review siso.00
/ and administrative fees):
Phone:(5 0 3) 522,gy C y"1 Fax:( ) haat,. State surcharge(12%of permit fee): $21.60
CCB lie.: 1 0 5 Mir Total fee due upon application: $201.60
Authorized signature: This permit application expires if a pernit is not obtained
���1JJJVV���. within 180 days after it has been accepted as complete.
Print name: s}0.r1 M-Alm r 2J Date: I.,/zo f ZO *Fee methodology set by Tri-County Building Industry
Service Board.
1:13uilding\Permits\BUP-RESPermitApp.dac 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One— and Two-Family Dwelling FOR OFFI(I. I tiF. ONLY
City of Tigard Received
g Date/B : Permit No.
+ 13125 SW Hall Blvd.,Tigard,OR 97223
1. m Phone 503.718.2439 Ric 503.598.1960 Associated permits:
Ti GAR D 24-Hour lnspecticn Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.iigard-or.gov ❑ other:
THE FOLLO\I ING ITEMS ARE REQI IRGU FOR PLAN REVIEW 'o' Nu VA
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • ■ •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ■ 0 0
3 Verification of approved plat/lot ❑
4 Fire district approval required. Name of district ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 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. ❑ ❑
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
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
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 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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- ❑ ❑ ❑
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
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
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 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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 0
architect licensed in Ore on and shall be shown to be licable to the ro.ect under review.
23 Tla ee(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 1T'. El
24 Two(2)sets each are required for Items 16,19,20 and 22 above. _ 0 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 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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 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.
I:1Buildmg\PermitssBUP-RFSPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
i II ■ o COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: I'1 5 r'Lo-Z p - p o Z 3 ?
Site Address: 12-g SO Svc I7)?�1161i
Project Name: N p0pn j Lot #:
Planning Review
Proposal: D�,- v-q)Wiry-t n-}
Verify address/suite# active in Accela. In- In River Terrace: 51 No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: Erosion Control
1i3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures
,Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
Worth arrowMA-utility locations&easements (required for new and additions)
$Site address,project or subdivision name and lot number hf(•Sidewalk/driveway approach
.�/(Applicant information(name and phone number) ❑Location of wells/septic systems (VI:- y p\I Cu,lol�
SlLot dimensions and building setback dimensions treet tree size,type and location
{ quare footage of buildings to be demolished Street names
`,xisting structures on site Corner elevations(2'contours if more than 4'differential)
rikof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes IgNo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Ie7No
RI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: I Yes,applicant was notified ❑ No Received: Yes 1K No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: E Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
t\tAr SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
'01. Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
NLand Use Case#: 2-0I4 Zoning: 4-S n
Required Setbacks: Front: 0 Rear: 15 Side: S Street Side: NI/iT Garage: I Pr
R Building Height Max. Height: 31.Y Actual Height: tfl
OA-Landscape Area: % PgrLot Coverage Max: %
Entrance II Set ba k no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II um %of area of all street-facing facades
Garage II t ar do r is .-hind widest street-facing wall ❑ Yes D No,one of the following is met:
10 o ex • .s no more than 5'from wall and there is a covered porch extending beyond garage.
❑ o r ex - .., no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
r Garage d or . - . 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following:
0 Co eyed porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave ❑ Roof offset
0 Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection 0 Balcony
M isual Clearance Urban Forestry Plan '�" Y�
Sensitive Lands: ;..Yes *it No Type:LOVJ I Milt rek+t/ 4U (j "iL
Conditions met prior to issuance of building permit
Notes:
A, Approved By Planning: yyvl p Date: S'I t]ZO
Revisions (after Building Submittal only) V Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:1Building\Fortns\BIdgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 7/Zf/2'd
Site Plans: # 3
Building Plans: #
Building Permit#: Ef Enter building permit#above. ,�
Workflow Routing: l Planning '-En herm
gineering it Coordinator building
Workflow Sign-off: ErSign-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.
I uuilding original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ) ,,
By Permit Technician: ji') ��" ts.e Date: r11/Ae.2-O
Engineering Review
21.--Slope at building pad: 2
Q.'---Conditions "Met"prior to issuance of building permit is Aii-
E'1"lasements (encroachments)per engineering conditions of approval and plat M AI-
R--Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 11(No
Assess Water Quantity Fee in-lieu: ❑ Yes 2/No
LIDA Facility on lot: ❑ Yes (�No
El/Final Plat Recorded: it('"
❑ NOT Approved by Engineering: Date:
Notes:
12rApproved by Engineering: %r1c,+f-253.o'`Lk Date: Wishh°zo
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
OS-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 14.Does not a ly
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
OK to Issue Permit Approved by Permit Coordinator: °e(" Date: g In I2,0
I:\Building\Fonns\BldgPermitR vw_RES_122419.docx
RECEIVED
JUL 21. 2020
CITY OF TIC ' ' nWater�"Services
BllI1.D!NG DIMS
SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT
Clean Water Services File Number 20-001982
1. Jurisdiction: TIGARD
2. Property Information(example: 1S234A601400) 3. Owner Information
Tax lotID(s): 2S104AC00900 Name: Brian Norton
Company:
Address: 12880 SW 132nd.Ave.
gfj Site Address: 12980 SW 192 d.Ave. City,State,Zip: Tigard,OR 97223
City,State,Zip:Tigard,OR 97223 Phone/fax:
Nearest cross street: SW Gaarde Email:
4, Development Activity(check all that apply) 4. Applicant Information
❑+ Addition to single family residence(rooms,deck,garage) Name' Stan Moore
❑ Lot line adjustment 0 Minor land partition Company: Moore Construction
❑ Residential condominium ❑ Commercial condominium Address:6107 SW Murray Blvd.2289
❑ Residential subdivision ❑ Commerdal subdivision City,State,Zip: Beaverton,OR 97008
0 Single lot commercial CI Multi lot commercial Phone/fax: eos-522-o047
Other Email: stanerneoredecks.com
6. Will the project involve any off-site work? Oyes /No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project
Replacing current deck V shaped 24'x 7'&22'x 10'-8'
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. Ail 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.
Print/type name Sian Moore Print/type title Owner
Signature Date 72012020
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPIJCANI 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.
Cl 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 19-5,Section
3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable
local,State and federal law.
XBased 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 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.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 PLANS)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 PROXIMO LETTER IS REQUIRED.
Reviewed by G 4L1.,. ✓ —'— Date 8/11/2020
Once complete,email to:SPLReview@cleanwaterserviees.org • Fax(S03)681.4439
OR mail to: SPL Review,Clean Water Serdices,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123