Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD MASTER PERMIT III •. ' COMMUNITY DEVELOPMENT Permit#: MST2020-00246 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2020 T I i-A l:p g Parcel: 2S111AA04500 I Jurisdiction: Tigard Site address: 8580 SW INEZ ST Subdivision: GREENSWARD PARK Lot: 29 I Project: COATS Project Description: 10.5 sf addition to front entry and add 24.5 sf cover to existing deck. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 18 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $6,026.10 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 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 WI Svc or Fdr: 0 Ea addi 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/voll: 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: ADD SF VB R-3 0 Owner: Contractor: COATS,DAVID&LORNA REV LIV TRU MOUNTAINWOOD HOMES INC Required Items and Reports(Conditions) 8580 SW INEZ ST PO BOX 2257 TIGARD,OR 97224 BEAVERTON,OR 97075-2257 PHONE: PHONE: 503-746-7338 FAX: Total Fees: $723.30 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: t Permittee Signature: See Ccei i Lc. - (\ 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 RECEIVED "' Residential rots oil icr i sf:O'i,V ,II tCity of Tigard AUG 0 5 2020 IRt`an,,A -I 08-'9 2020 �n .:,(46T2o2Oj a1Z4G -• I.h1ne SW I.711.43' Tigard,OR97223 8.19 PLw 7377". I/ 1 /n AAa AA a Phone: s03.71x.2439 Fax so3.s9g.19ft�ITY OF TIGARD oanc uy. (I F[J�,.QJ /� rnl�r Perm": TIGARD Inspection ns� nLine:ti s033.6339. 17s BUILDING DIVISION DU'crRJ M'�' ^'� 63 See Page 2 roe g Q/% /2.: /� I Srppkmraral lnfionaNw Ely- /L Ai 4-iG— TtI'F OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ^ 0 Ncw construction 0 Ihmolitton Permit fees'are based on the value of the work performed. `t? Indicate the value(rounded to the nearest dollar)Mall gr Addnwn alterationreplacement 0 Other: equipment.materials,labor.overhead.pal the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. l OZI, S I-and 2-family dwettwg ❑Cat mercial 0ndustrial Valuation: S 6 ❑Accessory building 0 Multi-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathroom" JOB SITE INFORMATION AND LOCATION� Total number of floors: Job site address: 855 5, -N G,_ sj 1 New dwelling area: t V square feet , 1 City/Stare-7.1P: 175",—L / ©(� C 7.2? y Garage,'carpon area: square feet Suite/bldg.,apt.no.: Project name: ��[Cov_ered porch area: square feet Cross street.'directions to job site: �J _ `_ / NC, n1.ot�Co�4` L9 square feet � .�r�Wp�r�� E X) X 17 'sex) =4.L3,. Other structure area: square feet g.s x IIi Lyi eeJ =44p;de REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: ry1C etf Permit fees'arc based on the value of the work performed. Tax rep/parcel no..f„25 A�� q Indicate the value(rounded to the nearest dollar)of all / rJ l equipment.materials,labor,overhead.and the profit for the 0 0 /1LSCR[PTION OF WORKe . y..5-5,'-'.. work indicated on this application. .. .scre. Ennead e u-rCy a 0r u- C oOe-r- Valuation: S IP lv e.K.-t.s Tin, c-K--- Existing building area: systole feet New building area: square feet A. PROPERTY OWNER 0 TENANT Number of stories: Name: Cs 1 Q f- (-O i-N A. (,wit-, Type of construction: Address:esa) ' T'Nez_ ST Occupancy groups: City"Statc'7.IP: 774,Arrdd e,R c7?�-� y-- Existing: Plante:i'g'©f 7y W5 1q(5V) Fax I /:I New: ---------- ® APPLICANT /il CONTACT PERSON:. . BUILDING PERMIT FEES* (PleaBusiness name: trteuNI- ..% 1APOc7C 14%Vil1 > view feeelo dep.� h):aka 6 L Structural plan review lux deposit): 2, 5� Contact name: i'•fad �� ce/¢ FLS plan review fee(if applicable): Address:83 fie/ A.,j/y, t. v7� Total tees due upon application.. R/i r7L/�?7eN, r 0� ( 0.22,3 Amount reeefved: Phone:5)3 703 9j203 Fax::I ) C-mail:/C46A-4i yLit)014ou-NTl.JNWC)O4�COota_ .Co YHO'1'OVOI:I'.CICSOLARPA\CI-SYS7EMF'EFS* Commercial and residential pascripttvc Installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Huse nee:.name:MOtJ N-r•LiN eJaGf I�Q�te- Submit Iwo(2)sets of roof plan with connection details , ^ and fire department access,along with the 2010 Oregrnn Address:,3�%/ �.) Ni 04&t T v�J�C Solar In iallation Specialty Code checklist. City/State'ZIP: �E�--�2Y e CPI, C? 7100,5 Permit Fee includes plan review r SIR0.00 and administrative ices): Phone:( ()3) 7U(ec �33e Fax:I ) State surcharge(12°aofpemrit fix): S21.60 CCa he.: Q I (�� 31 7 l Total fee duo upon application' S201.60 Authorized tuntature. ! -- Thh permit application expires If a permit is not obtained within 180 days after it has beers accepted as complete. Print name: v / - A`1 Dalc:(�7-�G/ ��,j *Fee methodology sct by Tri-County Building Industry �rQ mil" �f 'off' Service Board. l CJ laWuildingAPermitsVBUP-RF:SPcnnitApp.doe 02:24/2011 440461 iT(I I'02'COMIWER) 4 RECEIVED AUG 0 4 2020 CITY OF TIGARDCleanWater j Services SENSITIVE AREA PRE-SCREENING SITE ASSESSiANTDIV,SION Clean Water Services File Number 20-002016 1. Jurisdiction: Tigard 2. Property Information(example: 15234AB01400) 3. Owner Information Tax lot ID(s): Name: DAVID&LORNA 2S111AA04500 Company: Address: 8580 SW INEZ ST OR Site Address: 8580 SW INEZ ST City, State, Zip: TIGARD, OR, 97224 City, State,Zip: TIGARD, OR, 97224 Phone/fax: 541.974.0059 Nearest cross street: Email: davidcoats56@frontier.com 4. Development Activity(check all that apply) 4. Applicant Information © Addition to single family residence(rooms, deck, garage) Name: kraig leMay ❑ Lot line adjustment ❑ Minor land partition Company: Mountainwood Homes ❑ Residential condominium 0 Commercial condominium Address: 8324 SW Nimbus LN ❑ Residential subdivision 0 Commercial subdivision City, State, Zip: Beaverton, OR, 97008 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5037039203 Other Email: klemay@mountainwoodhomes.com 6. Will the project involve any off-site work? ❑Yes ❑ No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: COVERING EXISTING DECK&ADDING A NEW ENTRY 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 kraig leMay Print/type title CAD Operator Signature ONLINE SUBMITTAL Date 7/24/2020 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. pd 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 06Q4Ji C/h4- Date 08/04/2020 O complete,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 2550 SW Hillsboro Highway • Hillsboro,Oregon 9/123 p: 503.691.3600 f: „t 3_681.3603 - clenn,aa,erservices.org , 180.661' 4 00° , ':'", :::::::::::::::::::•••••••••••••:.::::::::::::::::'''':''':' - ::':''X .. . ... ..... .. .. .... .... .- .• :: .": ::::.."..•"..:-.. -- - •.: :.:•::.:::.: 1 ... ............................... ... -. . . .. CI • '''''' '':''':':':'::::':::' :•• ::::::::'::...... ........:: .: ::• ::•::::•:::::: •::.:::: :...::.. .....::..........:.:::.:.:::::::........ .. .. .. .. .1 I CWS FILE NO.2U .........•••••••••••••••..... •••..... •• [K. •• •, ••, ..,...:...., •, ••: „„.:::.:.„.... ......... .„ „ ::.:„:.::::::: :: •„:. „,...;.;. ......;...; ..,. ..„,....,.,.„:....... .. .. .. .. ..: IL . ... ....... ......: :-.. s: ::.: :::-..... . . .s. „:.::L.: ::. :.....s.s .s..„.,.s.„; .s si;.-...,.-..s-s.-,.s.-sss;... .- .. s. .. ..I i Api ••• Wa••-• ••--••••••••••••••••••••••••••-•• • •• • - [1. • •• • ••• •• • - •- - - • •-•-•-•-- - - •-- •• •• •• "- ""-•"•"--"-::•:•:: ... : "-i Can•••••••:••••••••••••••••••••-,••••••- •••••••••••• ••...... •• .4 ........ ...... ... ......... ............. ... ... .... . ........ ...1 . FF ' F liF)N1 ::•:::::::::::::::::::::::::::::::::::::::::::::::::: ::,.,..,. ..,..::.::.:. • •: ••• „,,„.-:: :: •„:.„.:.,..,.„.... ........ .„ „ ...,,:::::::::,.„. .. .,..„,... .. .., ., .. . ..:..:.:::.„„.„„.„. ... ..„. .. :: ..1 ...................................................... .... .. ... .... ... .... ......... .... ......... ......... ........ .. .. ........... ... .. .. ...... .. ... ... .. . .. ................. .. ... .. . .., By_ „„,„,„:,,,,„:,;„,„:,;,,„„s„,„:„;;;;;;;„:„..„,„s„„s„,,,,„„„H„Hs,.,;„„s ,„„; ,,,.,Ertk, , ,„, ,„„ „F... ,,,,,,,„,,,, „, ,:..,..... :::::::: ::::::„. :: ::. ::,....„..,.,..„. .,..s.,H,„.....„,„. .............„. „„s„,.„,.. ..„. ..„.„.,.s:s.„.„:„:„„„,..•.„.„„,„.!„. s,„. .„:„. H. .„-,.... .„„.! SPL ATTAcisIF4ENT •-.-.—. ::.: •- : ::—.: :. .: :-- :„ .. „„F:ii) s: Hss,s L.....:...i.:s..•••••• - s•-• .....-.. --::•—•-• ,:::-.....:.,!:„..............-,.....,..........,.....,..a............:::. . .•,•:..::::::-::::i.-:',•-. ,.'ss. .',... .•-• .:••:. •-::••••ss•:s:s::::•ss.:::: ::: :-.. ..::. —::. :..J. .„; .„ ..;.. .. .. .,..,. ........ 1,....... .::...:....... ..,. .:, .:. ::. .: .............".................." ........... "" • —' .....—`1 ' • — ....... ""'" " ............. "•" ''••"•" " " .........''.... — ............:":: — - - --' - ':..::.:.::."".". ----- ::":::—ss - - s ss -,s,,s s,s- s s s-• - -- ss- ----cr., .... .:-.. .:.. ............ ... ....;.s; .„ „::: ,,i:„::..s. .. „. ..„,.,-,.-,i;,.,;s,„: :,-,,„,,,„:„,„,: ,„. ,„::,, .,,, , ,„:„,,,,,,,,,,,,,,,,,, .„.„ „.„ ,, „„,s.:::! . . . ,s , .s..::: :::.. .. . . .. .;,„. .. „s .;... ssss ,......„: li,s,s,,s:s„,s.. ss:s„,.......„.„4„:„,.,:. ,:,,,:„;„:„,„:::„, :: H. „:, . ..,. :,„„.is...ihi...,..... ••. ••.. :„, .....„i - 4.1e, x..:... li .cm-,);›. ',I: ecK•.,„..,:ii,,,,,,,,J,,,. . . . .,, ..,........................,..................... ., ..!.. ;,.._...., . .. ... ... ....... .. .......... .... ...... .......„,„ .... ..............i. ... . . . . . .1 . . .........,.,........„..-,.,•.,.Tc>....P...„ii...:.:-!'7 :::.-':::2 1 •::. ::..: : • • ::• ::: :: ::::: -' :::. ::. ':. •:. ....., — .... .,. :: :•------, •-.• - - ..... :ii .. ••••::.]:..]...:.i:ii::.:::. COVE 4:: --- -----': 1: •:• :.•:. :- "•". ": :".:::: - -•-. -'-:::•1" :: ":.:::::":"1 :i":: - .. .........' " " " . - ................... .. .. .. .. ." ::::::::.:::::-:.:::::::::::.",.: ,".-:::: • .I.: -. •.- . 0 - -.: - ..:.:.•. .:••::,r• . .:, .:,.::::•,t;,:::..::. .,.. .:. .::.;..... ... .... ... . .... . .-.;.;.::.:..;.;.......-... .. ... ...1 " • --"--"--.......:":........................1:- . . ...... ii :":, :: ::::: :: .::.:... " "-:: ":::li . .---tr.:::- ::. :".: :::...... :: ::.::: . :: : :::::•:::::•:•:::.::. :• ••• .• .::. . :...........:..:...:::::.................. .......::. •••......•••••••• • •• •• •• •• •••-•••• •- .-. I . .: ..................:::„.. ----" • ----" .::.,.::::.,.::.:.::::.:::.,,:::...::. .::. .::..::.:.::.:::::::.:,. ..:. .,:...,.. ...I .:: .: .:. ::.:.::.:......... .. .. ......;... ,. ... :: .. . .. . ::,•,,,,.,,,,.,,,.,, .. .. .. ;:j - .----.•.---.-------•.------•••••••• .•••••-•-•••----•-•••••--•••• •• •• -------••--. •• ..... ::: .: ., ..- ::::::•::::::::::, .. ....... .;.. .. .. .. .. . .. .. ............... .. .. .. .. ... -•••••••••••••••-••••••••-•-••••••••••••••• ------ ------•:------- -:-- - - •. -•...•";::: ::::. .:• ,,..... ...; .... .... .... ............ ....... ... ....... ..... .. .. .. .. .. .. . ..,.............. .. .. .. .. .......................................................... ........ ............9.,..... . ... .... . : . . ... .. ... ...... .... ._ ., ,. ... •. .,. ............ . ... ..c.fil ;;;;;;;;;;;;;;;; ; ; , ;;,;;;...;.....:..;;;.;;;;;; ;..,,„,.,,,,,..„..„..„. ,;„.,.„.„„,„.". :„ .„. „. .„, •• •• ..... ....:..:.:.:."".:. •• " .:....:.:: .' : •::': ..:.:.::.:::...".:.::::.::::::::': K?:..........:,.........": :: :: . i:: ::::::: ...::::: .•.::::!:.:.: .. " :.":": . ::.,..":. :. : ... ::.•.!• :: :..::.:" :: 4"I 4.AP:F11:.Z0X;•:• \''‘'"------ ENTRy.:::1::Ift,;o114::.:::::::::::::::. ::::::::::::::]::::::::::.::::H.:::::::. ::::. .::. ::"::::::::"":"::::::::::;i::;:::. ..:...:...:.:.•:: :: :: ... : .. ....,.„„.,.....,.. .. . . 1 ;:::.::::::::•::::: :: ::. :: .:.. :• ••••••••••••••••••••••••••••:•..:::.:.,.:.,., .. ..: .. .. .. .: ....:.::::.,....... :: .:..:..:::i 1 .................""•"......"• ";-.;.....•.................::.::::::::•::::•:::••••••::':•;":" •••••••••••••••;;;;":::: :' " - " ••• - •::-• :::- • .- ••••---• - •• • - • • •••••••-•-•• ;;;;;;;•.;;, ;;;;;;;;•::::1................................................................ ........................ . ............... . . .. ..„...„.........................Ni,,. R.G, F .4.i... -N. --.77:74.'":,\............. .. .. ,...,.„.„.„.„...,. „ .„ ...... „ ... ::,:,.„.:.„-„,-,'„;.;„.„...",.-:...--...„„„„.: •• ••. ••• •: • ::, :•:::•::::•,-. .•-•":. '...:.' '......:....:...1 ::.:;.:;.'.'::_..::......-•-•-•':• :.:..:::...:.::.• :..:::.::.::.:...........':.:..:..:.X 4::.:.::.::.:....:.::..:.:.: ...... :.:. :::'.'......::.::.:.:':.....::.. ...... :..... ".... ': '..... ::.:..:::.:....::.:....:.......:..:.......::.:.::.'.. :::..::f....."'-....".:.: .". .. .: .. • '.:..'.E".'...'....'.f...-:. -. - ........:1 •] :.:..]]].:]]]•.:.:: F....::: i.]:1'.:.]:FH:::]::::i.::: .:.: ]i Hi:E:i.::::r:i:::::::i:.....]. .'..........i...... ::. ::. ::: ::• : ..i.i..:..i.:.i.... ::i.::...... .i....:......'..,i .............. ....................„,..,::: „.„.„..... ,...„.„„„,.„.: ...,„ „„.„„:,....,.. ,... .., :., ,....... .... .. .. . ............ .__ . _ _ _._ ................ ......... ..................(i................... .. .. ....,,.„...,--.....„......---- •, ....................................... .. _ . .. . . .. -- El_ •• ••••• ......... ••••• •• :: ::••••••••••••••••••••••••••••••••••••••:: • - • - :::-:: - - :- - • :::1 ::::::::: :- . --:•::•::• - -•:: ::::--•::••.::EL........::-:-:: • :: .:•:: •• -- -•:: :: - - ::::"r••:::::::::::::::::::::::r Err:Err:Err:-: ..:...r..ir..::.....lir..:...r.r:::..:. -- :.r.:::.. :r.;.::...::.1 :•:::::::::: . 4 ...::::.:.:::::•: •• . ••• .:::.::::. ••••: •• •-••••••••••••••••••••• - • - - •- •-I 1 .:.:.::... .. ..:.............::.:::::::::::..::• ::••:•:••::.::.:.:::.: ;.:::::::::::::•::•:: •.: :: :::i: ..-.........:::.....••••••.•.: •••• ::.:::::.•.:•.:.•••:::.••:::.•.:::::•.:.:::::::::::::::::.:::::.:.: :..:::.:::•-•-.:::.::.:::.::.:.. .: ..,..::. .,.-...,i , „„„„„ „„ .„.„:„:„:,....................... ............................................... : • •-• - •••••.1.......... ..................................... x...... . ..... ...........„:„.,:„„„:.:„,..„. .....,.:.„:::,.,:. . „.„,... ......... C) ------ - -:: -- - „: - ":: •: ::.:::::::.::::::::::::; ................................ . .............: "D,„ „„„.,.. ..... ..... ... .„. „„. „,. ..• ... „..„. „,.„,„ ,. „„„„...„.....::...........„:.„:.„:.„,.„.„:„... ... ... ....... . „,....„ „i:..... ::::.:.................................. .. ................................. .................. . . .... .. ..:.:.::::::::::::::: - :::::: ::::.:::::::::::::::: :::::::::. ••.. „,.„, .,i ..... . .;.. .. ..., , „„ „,„,..„„............... .:..,; . ..„.„, :. , .. . . • :::;;:;::::; ::::::::::::. .. .. .. .. ;, ;,,,:::::::;:: , : ::,„ ,..., : , :. ::.: ::.::.: .:... ......:, .......;;..;;. ,;.,.... ....;.;.;.:.v (E) SITE SCALE: In = 20 —011 INTERIOR LEaEND EXTER:OR (E) . EXISTING izzzzA3.5" [NITE I / / / / A 5.5' INTE / / / / j 2><E. EXTI City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: MSTWW `00249 Site Address: 35-60 SA1 I nc z_ eel" Project Name: CQGtVS Lot #: Planning Review Proposal: CvVeY P� arbAil a y i cle( cover ,i Verify address/suite#active in Accela. El- In River Terrace: [N. No D Yes,River Terrace Review Addendum Site Plan Elements: NINErosion Control X3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper (Retained trees with drip line and tree protection measures gI Drawn to scale(standard architect or engineer scale) toOrootprint of new structure(including decks)and FFE 'North arrow 1'Utility locations&easements(required for new and additions) bite address,project or subdivision name and lot number Yidewalk/driveway approach Applicant information(name and phone number) ocation of wells/septic systems ,ot dimensions and building setback dimensions hiktreet tree size,type and location Square footage of buildings to be demolished 7.l'.treet names .Existing structures on site ►:Corner elevations (2'contours if more than 4'differential) tot 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$,I.Io 'VI-Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: Yes ❑ No l Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ' No Received: ❑ Yes ❑ No -P-SDC Exemption for ADU applied for: 0 Yes `I No Received: 0 Yes 0 No NO- Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes 0 No,stop intake [s and Use Case#: 0 Zoning: / :4 Required Setbacks: Front: it) Rear: 6 Side: CJ Street Side:FJ! A's- Garage: N I pc EL Building Height: Max.Height: 920 Actual Height: ± t B Landscape Area: % Lot Coverage Max: % • Entrance Set back no more an 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows II ' ' um 2%of rea of all street-facing facades Garage 1I e< .ge do or is b d wides treet-facing wall ❑ Yes ❑ No,one of the following is met: • ■ Doo exte s no mor: th 5'from wall and there is a covered porch extending beyond garage. ❑ ►.o exte ds no mo than 'from wall and there is a 12 sq ft.window above garage on 2°d floor. v Garage do r wi th is 0 12'or I- s 50%or less of facade ❑ 60%or less and includes 7 of following. ❑ Covered orch ■' 'ecessed : trance 0 Wall offset 0 1'Roof eave 0 Roof offset ❑ Fire s les •l Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer ❑ Accent iding Ii Window trim 0 Window recess 0 Window projection 0 Balcony isual Clearance 'L;' Urban Forestry Plan Sensitive Lands: 0 Yes K-No Type: Art Conditions met prior to issuance of building permit Notes: ] Approved By Planning: A— ,A Z Date: E I i al 2-0 Revisions (after Building Submittal on ) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: pe-05-2o20 Site Plans: # t 3 Building Plans: # 3 Building Permit#: l9 Enter building permit# above. Workflow Routing: Z-Planning [ -Engineering [ -Permit Coordinator Er-Building Workflow Sign-off: Fe—Sign-off for Planning(include notes from planning review) Route Application Documents: O'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [Building original permit application,site plans,building plans,engineer and beam calculations an. . st details,if applicable,etc. Notes: lir By Permit Technician: ,l y, / Date: S' 9 ZO2O Engineering Review Er-Slope at building pad: 2 Z.—Conditions "Met"prior to issuance of building permit M/'.— [asements (encroachments)per engineering conditions of approval and plat H/G` E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes E No Assess Water Quantity Fee in-lieu: 0 Yes 0' No LIDA Facility on lot:/ ❑ Yes ❑'No El—Final Plat Recorded:"` ❑ NOT Approved by Engineering: Date: Notes: D—Approved by Engineering: ��,,`4. Aj Date: 1h4/ Lo Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: El Approved 0 Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit 1(` Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Oet SDC Exemption: 0 Received Does not apr VSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes cJ N/A Parks SDC: ❑ Yes 01/ltl/A LIDA ❑ Yes {i N/A OK to Issue Permit Approved by Permit Coordinator: — S/ Date: g/'24/2 e IdBuilding\Forms\BldgPermitRvw RES_122419.docx