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Permit
� CITY OF TIGARD MASTER PERMIT '' ' COMMUNITY DEVELOPMENT Permit#: MST2020-00228 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2020 T[ 'l R[7 g Parcel: 2S102CA00215 Jurisdiction: Tigard Site address: 13185 SW ASH DR Subdivision: VIEWCREST TERRACE Lot: 13 Project: Louw Project Description: Replace old deck with new deck. New deck has concrete top and requires shear-wall bracing and special inspections. 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: $10,000.00 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 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckfiw 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 Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: LOUW,JAN PETER A OWNER Required Items and Reports(Conditions) PO BOX 230624 1 Special Inspection-Concrete TIGARD,OR 97281 and Reinforcing Steel 2 Special Inspection-Bolts in Concrete PHONE: PHONE: FAX: Total Fees: $517.67 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 throu if'OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , elerr;21/YLG'/Ltr a--- J Permittee Signature: O� �/ /�G/ �TIOfJ 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 1 7 7 Residential RECEIVED FOR OI FTCE USE ONLY . City of Tigard JUL 0 7 2020, Receives 7 7 4 <71 Permit No.:MS 1 7oGV"Idi • 13125 SW Hall Blvd.,Ti Date : gatd,OR 97223 Plan Review s Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateB : > Al Other Permit: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Dam' �'/sy. ,,G/ ,/2.J .tuna H See Paget for Internet: www.tigard-or.gov Notified/Me[hod: 2G .Qr Cl 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. Indicate the value(rounded to the nearest dollar)of all ril.Addition/alteration/replacement ❑Other: equipment,materials,labor,overlie d the rofit for the CATEGORY OF CONSTRUCTION work indicated on this ap ion. 51( Valuation: $ `A 1-and 2-family dwelling 0 Commercial/industrial � d O (t AccessorybuildingNumber of bedrooms: 0 ❑Multi-family 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: la vp,`7 S w f\ S t 1 p t`,,4 New dwelling area: square feet City/State/ZIP: "`' t ,fir A / c) / a�-12Z'� Garage/carport area: square feet Suite/bldgJapt.no.: Project name: L 04,IV., Q e-GIL, Covered porch area: square feet Cross street/directions to job site: Deck area: Z 4 (.) square feet /1\.t s-c.c- (. % S \.- N. v- IN Vs r ts+2 Other structure area: square feet ✓, �t',U$ S-62t// CA j /2-0 V I DAL_ LETTE -. /2-ee tb '4'&EQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: v I e w r,G s} 1 e.c rcxce 7 \oc.\\. \ Lot no.: 13 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2 Z C. Indicate the value(rounded to the nearest dollar)of all \' A -- CD 0 2.I5 0.'16 Y Vi'L 0 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ z V o,r_v_- o\ a, A z.CAL. L-0 I. 3t\-, vs e t,.r Existing building area: square feet "r` -' ct Q c.3 v'. { o \ c. c av \ r,.n r.'e r- New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: P e_A mot- P. L... o ti.n/ Type of construction: Address: I '3 \ Q,5 S W Ps.S h 0 f Occupancy groups: City/State/ZIP: . .r eX O ( ")1 L"Li) Existing: Phone:(S03) ut`1l_ 31 0 L, Fax:( ) New: E APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* iz,,r 7 (Please refer to fee schedule) 109 Business name: Structural plan review fee(or deposit): 2 5 8 r,,_ Contact name: -j k e� L O v.�e.., Address: 1 \ FLS plan review fee(if applicable): iLI t - 7 7 �1 S w s\i\ Total fees due upon application: 7 City/State/ZIP: r, n r j d ( 0)-7 LL� Amount received: ` Phone:(So3) 4 LA 1 \0 t, Fax::( ) / J Tip / . �QU j /a V o k yy , 1 .0„,,,-1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: J f A. VVV"`��� lJ c7 t r t v t t t Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: Total fee due upon application: $201.60 Authorized signature: /✓ / 7 �� This permit application expires if a permit is not obtained 777 (�1 G/� within 180 days after it has been accepted as complete. / *Fee methodology set by Tri-County Building Industry Print name:? It v ( tR , vs.) Date: 1 - 6 _ Z tJ Service Board. I:\Building\Permits\BUP-RESPern itApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONI.I Received - City of Tigard Permit No.: III ■ 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated permits: • Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N/A 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 El 3 Verification of approved plat/lot. 0 ❑ El 4 Fire district approval required. Name of district: . 0 0 IR 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 El 6 Sewer permit. 0 0 , 1 7 Water district approval. 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 El 9 Erosion control 0 plan 0 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 ® ❑ ❑ 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 ® ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ ❑ 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- ® 0 0 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- (2 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 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 w ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ 2I Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 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 RI 0 0 architect licensed in Ore.on and shall be shown to be a u.licable to the •ro'ect under review. .1U'RISI)l( 'l'ION U. SPF('IFI('S 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 0 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. ® 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 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 t—I 0 ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 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 El 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. l:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: MST 20 Zo " DQ Z Zte Site Address: 131$S SIN Onv-e, Project Name: LwVJ Lot #: Planning Review Proposal: R',p I0.cc d eC - XVerify address/suite# active in Accela. In River Terrace: No El Yes,River Terrace Review Addendum Site Plan Elements: it 'rosion Control ' 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper L"'etained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) L'ootprint of new structure(including decks) and FFE orth arrow j utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach applicant information(name and phone number) ocation of wells/septic systems of dimensions and building setback dimensions Nrtreet tree size,type and location ' quare footage of buildings to be demolished Street names LFxisting structures on site ❑Corner elevations (2'contours if more than 4'differential) ,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes,KNo impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes'No Clean Water ervices-Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified NtNo Received: ❑ Yes No .1K Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ''No Received: ❑ Yes ❑ No 1 SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No " Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified XC No Applied For: ❑ Yes ❑ No,stop intake WA Land Use Case #: Zoning: 12.-i S ) Required Setbacks: Front: VJ/A- Rear: l S Side: Street Side:N( f— Garage: I)/Q ,trBuilding Height: Max. Height: ' i Actual Height:$I Landscape Area: % of Coverage Max: Entran El S ba no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windo ❑ b tam 12%of area of all street-facing facades Garage G rag door is behind widest street-facing wall El Yes El No,one of the following is met: oor extends more than 5'from wall and there is a covered porch extending beyond garage. ❑ oor extends no ore than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door wid • 12'or less ❑ 50%or less of facade CI60%or less and includes 7 of following: ❑ Covered po ch DIRecessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset Fire shingle CI Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance 1WrUrban Forestry Plan g CO �",,�`` Sensitive Lands: g Yes ❑ No Type:'11h .We+tatild I \ . CuY'\C tOi Apr Con on met prior to issuance of buildin permit �J Notes: } (OL(fll2'tf OVIIv� In dICluVhc art ih0 �IQYhdY Q!/rLVUtGVnI..Qi'l� (h� J CUYYI�toY ' Approved By Planning: Date: l 1 (i'i 14 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7/7/2- Site Plans: # 5 Building Plans: # Building Permit#: Enter building permit# above. Workflow Routing: Planning engineering rmit Coordinator '-B -Building Workflow Sign-off: - 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 io iinal 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: `;zl'--� Date: 323/Zen Engineering Review ('Slope at building pad: 1 - Conditions "Met"prior to issuance of building permit k/s— Casements (encroachments)per engineering conditions of approval and plat /+/'' Detater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2rNo Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: ❑ Yes ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: O Approved by Engineering: j ,7 Date: 747/7000 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review onditions "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: 2 IC Exemption: 0 Received , Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A Tigard Trans SDC: 0 Yes I N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A Y-� OK to Issue Permit Approved by Permit Coordinator: -Date: 7/Z 4W-- 1::\Building\Forns\B1dgPermitRvw_RES_122419.docx RECEIVED /1.57-,20-20 00 3 �� OCT 0 7 202(j1eanWater� Services SENSITIVE AREA PRE-SCREENING SITE ASSESSIT'GARD G DIVISION Clean Water Services File Number 20-001978 1. Jurisdiction: Tigard 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Peter A Louw 2S12CA-00215 Company: Address: 13185 S.W.Ash Dr OR Site Address: 13185 S.W. Ash Dr City, State, Zip: Tigard, Or, 97223 City, State,Zip: Tigard, Or, 97223 Phone/fax: 503-442-3106 Nearest cross street: Ash Avenue&Ash Dr. Email: jpalouw@hotmail.com 4. Development Activity(check all that apply) 4. Applicant Information 0 Addition to single family residence(rooms, deck, garage) Name: Peter A Louw ElLot line adjustment D Minor land partition Company: ❑ Residential condominium ❑ Commercial condominium Address: 13185 S.W.Ash Dr ❑ Residential subdivision 0 Commercial subdivision City, State, Zip: Tigard, Or, 97223 IDSingle lot commercial ❑ Multi lot commercial Phone/fax: 503-442-3106 Other Deck Replacement Email: jpalouw@hotmail.com 6. Will the project involve any off-site work? ❑Yes ❑ No ❑ Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: The new deck is not a standard design. The engineered design has a slightly smaller foot print than the old deck. 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. All 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 Peter A Louw Print/type title Signature ONLINE SUBMITTAL Date 7/16/2020 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT 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. ❑ 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. CIE Based 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 PLAN(S)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 PROVIDER LETTER IS REQUIRED. Reviewed by d6� Date 08/04/2020 Onc 2mplete,email to: SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Main Office f 2OM)S',J a i t siagr. Highway ayi Hil Shorn_ Oie gori 97123 pi 503.6f i.3600 f: 501081.3603 t - 1waaters t e5 orq