Permit City of Tigard
41 COMMUNITY DEVELOPMENT DEPARTMENT
111 i
T I G A R D Building Permit Review — Residential
Building Permit #: j ? 7 2020- 2Zta
Site Address: 14170 SW 119th PI
Project Name: Briley Deck Replacement Lot #:
Planning Review
Proposal: Replace existing deck and railings
ElVerify address/suite # active in Accela. Q In River Terrace: ❑• No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: rosion Control
I: copies of site plan on 8-1/2"x 11"or 11 x 17"paper detained trees with drip line and tree protection measures
el Drawn to scale(standard architect or engineer scale) _Sbotprint of new structure(including decks)and FFE
0 orth arrow c6,. Jtility locations&easements(required for new and additions)
D.ite address,project or subdivision name and lot number _Sidewalk/driveway approach
lEpplicant information(name and phone number) ,..ocation of wells/septic systems
Q • dimensions and building setback dimensions _Street tree size,type and location
h�1�:1 uare footage of buildings to be demolished '': -et names
d -sting structures on site C I. Omer elevations(2'contours if more than 4'differential
Sli.t area,building coverage area,percentage of coverage and 1,000 sf of impervious area created or replaced? es o
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified ❑ No Received: 0 Yes II No
Water Meter Fixture Unit Worksheet—Additions, Remodels and ADUs
1 Required: ❑Yes, •applicant was notified ❑No
1 Received: El Yes El No
( SDC Exemption for ADU applied for: ❑Yes ❑° No Received: El Yes ❑° No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ElNo Applied For: ElYes ❑ No,stop intake
Land Use Case#: ElZoning: R-4.5
❑✓ Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20
El Building Height: Max. Height: 30 Actual Height: 12
S . dscape Area: % ❑ Lot Coverage Max: %
Entrance 1 Set back no more than 8'from street-facing wall I 'arallel to street or offset 45 degrees or less
Windows I
;.\,tt;.-. 12%of area of all street-facing facade "\oldik
Garage I Gara e doo ' behind widest street-facing wall �U ❑Yes ❑ No,one of the following is met:
Door extends s ore than 5' from .I and there is a covered porch extending beyond garage.
Door extends no mor- .• ' .om wall and there is a 12 sq ft.window above garage on 2"d floor.
❑ Gara e door width is I or le El50%or❑less of facade 60%or less and includes 7 of following:
il,g
Covered porch Recessed entrant- Wall offset Fire s '.: -s Lap Siding 0 Roo . ❑ Gable,hi ,or gambrel roof Dormer
ent siding Window trim 1'Roof cave Roof offset
Windo ess Window projection 0 Balcony
❑ Visual Cie. . ce ❑ Urban Forestry P1an
❑ Sen e Lands: 0 Yes U No Type:
onditions met prior to issuance of building permit
Notes:
El Approved By Planning: Ord Date: 8/12/20
Revisions (after Building Submittal only) Reviewer Date
Revision is ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 122419.docx
Building Permit Submittal
Original Submittal Date: Day/2020
Site Plans: #
Building Plans: #n
Building Permit#: [n14-��,, �nter buildin permit#above. n
Workflow Routing: I�mtanning U Engineering ❑ Permit Coordinator LET building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
'
Route Application Documents: rEngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
EtBuilding: original permit application, site plans,building plans,engineer and
beam calculations an, trust details,if applicable,etc.
Notes:
By Permit Technician: ' ,:; v Date: eg'.202Gro
Engineering Review
❑ Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ e4/A ❑ No
Assess Water Quantity Fee in-lieu: ❑ eV ` ❑
LIDA Facility on lot: es A No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
❑ Approved by Eng' - •ring: Date:
Revisions (after Bu' •ing 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:
❑ SDC Exemption: ❑ Received ❑ Does not aggly
❑ SDC Fees Entered: Wash C ans Dev Tax: ❑ Yes U N/A
d Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes 0 N/A
LIDA ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_RES_I22419.docx