Permit CITY OF TIGARD MASTER PERMIT
n COMMUNITY DEVELOPMENT Permit#: MST2020-00260
Date Issued: 10/15/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB07200
Jurisdiction: Tigard
Site address: 15270 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 70
Project: Maginnis
Project Description: Remove&rebuild existing 377 sf deck&add 270 sf of deck cover/roof
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: $15,767.39 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
Bcktlw 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'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
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:
MAGINNIS,PAT&LAURA OHLAND ROBERT J DOMZALSKI Required Items and Reports(Conditions)
15270 SW THAMES LN 15385 SW THAMES LN
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: PHONE: 503-349-6332
FAX: 503-746-4459
Total Fees: $863.31 •
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. 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: 1 Permittee Signature: See G' 1,4-ct o�
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.
%
o
- 4)I3(12o-8
I Building Permit Application
Residential RECEIVED P, ,aOFflt'1:: lSEAA ULy
o_Reived Permit N City of Tigard D�ceeB . D�o2.-2ozo .na msrzvZo-ea z6o
Q Ili • 13125 SW Hall Blvd,Tigard,OR 97223 q G 3 1 2020 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Da eB -: 1, .?� -. Dui Permit:
r 1 _r n O n K t1 Inspection litre: 503.639.4175 Date ReaayBy: l B see Page 2 for
CITY OF i EGARD ./0 S' 20 -(0- Fin Internet: www.tigard-or.gov BUILDING DIVISION �" " Supplemental Information
11 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
0 Addition/alteration/replacement 2 Uthec bECK r(BECK QQOF equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. i l 7 7
IA 1-and 2-family dwelling ElCommercial/indnstrial Valuation: $ f 1 trQI C).--•
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: i 5 2---1 S \ 1(\a.`(YI Pc-7 Lac\P New dwelling area: square feet
.' City/State/ZIP. T` l Q ,, b\ , C.i 7_2 9 Garag�`left grpO t areas square feet
C Suite bldg.iapt.no.: Praj�t name: Q�n c, \c n�eK square feet
i Cross streetdirections to job site: 9C) •-j-. U ()0,11 M OU( I►1� Deck area '311 square feet
iQ,s qA ) 1 e - -),<'\I ,c16 ) 0.+cl1h4 0t1 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE C'WECICi 1ST
Subdivision: c ,.iV e4 ‘T ace E S Lot no.: -70 Permit fees'are based on the value of the work performed.
t
Tax map/parcel no.: Z C- \Q)g Z CB[D Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPITON OF WORK work indicated on this application.
6E 'R ' e:ASTIO6 DECK - REBUILD NEW Valuation: $
Rs PER PI-PA (OecX 9 VECJIC C1aVE2(Raw Existing building area square feet
New building area: square feet
IX PROPERTY OWNER ❑ TENANTNumber of stories:
Name: `-P \ ti Lc0 Ca M A n r i S Type of construction:
Address: IS 2:1 t - ni Me_s et Occupancy groups:
City/State/ZIP: T1 G3 4( c'(2— 9/Z7- Existing:
Phone:(5 `'j(04- 7'2 (e, Fax ( ) New:
APPLICANT E.111 CONTACT PERSON BUILDING PERMIT IMES*
(Please refer to fee schedule)
Business name:
s a Structural plan review fee(or deposit): 5 70
Contact name:
obi FLS plan review fee(if applicable):
Address:
City/State/ZIP • Total fees due upon application:
Amount received:
Phone:( ) Fax::( )
E-mail: £a C-re,®fn NN IS O. r e,to ei e • j/►'1 mmercOVOLTAIC SOLAR PANEL SYSTEM FEES*
�cONTRA(�l OR Commercial and residential prescriptive installation of
`` �^ /� roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PsCrjll,.S �T o• to_ 1CYI(l,(O I e t\- let. Submit two ) ent of roof alonglon with connection 20i 0 details
.` and fire department access, with the 2010 Oregon
Address: k Z j j,w . 1KMME.S L .. Solar Installation Specialty Code checklist.
City/StauclZIPtq,Ap_pu OR• 911 T Permit Fee(includes plan review $180.00
' and administmtivefees):
Phone:(5 67)) 3 Li 1 .- to.b32 Fax:( ) '-- -• State surcharge(12a/o of permit fee): $21.60
CCB lie.: '6)Cilk::a J� Total fee due upon application: $201.60
Authorized signature: ( 441; This permit application expires tin permit is not obtained
l j within ISO days alter it kas been accepted as complete.
Print name: �, late: a Fee methodology set by Tri-County Building Industry
I4.0 S.t,n,.,Board.
I:\Building\PenmitsBUP-RESPermitApp.doc 02/24/2011 440-46 g/3(II/02/COM/RTEB)
Building Permit Application Checklist
One- and Two-Family Dwelling , , tl: 4 m l•r_t. LSE ()NI.)
City of Tigard Received
S"'" Dam : Permit No.:
• 13125 SW Hall Blvd,Tigard,OR 97223
a � Phone: 503.718.2439 Fax: 503.598.1960 P. 'rated perm;s:
TI CARD 24-How Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tiganl-or.gov ❑ Other:
"EDE FOLLOWING [TENTS ARE REQUIRED FOR PLAN REVIEW .,1 es yr, y'.'•
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • ■ J.
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. ❑ ❑
3 Verification of approved plat/lot ❑ 0
4 Fire district approval required. Name of district: 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit
7 Water district approval
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 i_Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state El 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 he completed if
copyright violations exist. / 0 ❑
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property cornerI!elevations(if
there is more than a 4-IL elevation differential,plan must show contour lines at 2-fl.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 drai nage. .,(
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size (J ❑ ❑
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- E3 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. 1 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 [�
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 El ❑ ❑
locations. Show attic ventilation_
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 2
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 [I 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 El 0 0
architect licensed in Or on and shall be shown to be licable to theproject under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. []
25 Building plans shall not contain red lines or tape-ons. `Mirrored"buitdingplans will not be accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 di
and protection measures must be drawn to scale and must include the project arborist's signature of approval. El
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. * VI-EASE AIM SE — REB.'ntpirtg fl occK
E0o(rsc To @E. EKCA`iljt64 P( IMND
I:\BuiklinePermits\BUP-RESPemdtApp.doc 02/24/2011 440-4613T(1 LO2JCOM/WEB)
City of Tigard
lig ■
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: AUT2 920^Qd2,e)
Site Address: 1521D CSvI T -i am eS
Project Name: 0.401 hh IS Lot #:
Planning Review �Li
Proposal: ])'&,K ip�p, 1+
0.Verify address/suite# active in Accela. 5.. In River Terrace: K No Yes, River Temwe Review Addendum
Site Plan Elements: Erosion Control A GnI L
X3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Wftetained trees with drip line and tree protection measures
Y.RDrawn to scale(standard architect or engineer scale) Footprint of new structure(mcluding decks) and FFE
North arrow AalUtility locations&easements(required for new and additions)
. ite address,project or subdivision name and lot number Sidewalk/driveway approach
NI-Applicant information(name and phone number) !Location of wells/septic systems
L*ot dimensions and building setback dimensions Istreet tree size,type and location
Nikquare footage of buildings to be demolished Street names
. Existing structures on site '4orner elevations (2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes l No
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 Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified g. No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified -a-No Received: ❑ Yes ❑ No
,./St" SDC Exemption for ADU applied for: ❑ Yes ,$No Received: ❑ Yes ❑ No
,N, Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Iv'°f Land Use Case#: 54. Zoning: P--4
a Required Setbacks: Front: 2-0 Rear: L5 Side: 5 Street Side:N/A— Garage: 20
'f Building Height: Max. Height: O Actual Height: $Zj
Landscape Area: % lot Coverage Max: %
Entrance ? Set bac. no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows I\ Minim , 1 %of area of all street-facing facades
Garage II crag: doo is behi . widest street-facing wall ❑ Yes ❑ No,one of the following is met:
■ I'oor xtends • more than 5'from wall and there is a covered porch extending beyond garage.
• G oor xtends • , ore than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
Ili Garage doo width 1I 12'or less ❑ 50°/0 or less of facade ❑ 60%or less and includes 7 of following:
❑ Cover d porc ■ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire s gles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Ili isual ClearanceJrban Forestry Plan
►" Sensitive Lands: ❑ Yes X No Type:
(*Conditions met prior to issuance of building permit
Notes:
VI Approved By Planning: V (keAs. _ Date: q u 2,0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
1:\Building\Forms\BldgPermitRvw RES 122419.docx
Building Permit Submittal
Original Submittal Date: e '3/•2 2-0
Site Plans: # 3
Building Plans: # 3
Building Permit#: IF-Enter building permit#above.
Workflow Routing: Er Planning I7 Engineering L'Permit Coordinator E'Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: WEngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: //� / Date: 91,2A,D2t,
Engineering Review
p' Slope at building pad: 7"4
211Conditions "Met"prior to issuance of building permit as/ -
2"1:asements (encroachments) per engineering conditions of approval and plat w/ '-
C XTater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C�No
Assess Water Quantity Fee in-lieu: ❑ Yes EVNo
LIDA Facility on lot: ❑ Yes Ger\lo
62"Final Plat Recorded:a/w
❑ NOT Approved by Engineering: Date:
Notes: •
'Approved by Engineering: ,f Date: 91312020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
11-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:
,ra SDC Exemption: 0 Receivedoes not apply
(SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 913k____
I:\Building\Forms\BldgPermitRvw_RES_122419.docx