Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00252
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2020
TIGARD Parcel: 2S102CD02708
Jurisdiction: Tigard
Site address: 13560 SW ASH AVE
Subdivision: FREWING'S ORCHARD TRACTS Lot: 26
Project: Weston
Project Description: 855 sf addition;enlarge living room, relocate kitchen, add master suite&laundry room. WATER
METER UPSIZE REQ'D PRIOR TO FINAL INSPECTION.Trade permits obtained separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 855 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 12.5 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: Yes
Total: 855 sf Value: $104,703.30 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=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 SvclFdr: 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:
ADD SF VB R-3 855
Owner: Contractor:
WESTON,MICHAEL J&CRYSTAL S OWNER Required Items and Reports(Conditions)
13560 SW ASH AVE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $4,703.31
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
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 T Ahb�tW 1 Permittee Signature: drst
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.
City of Tigard
11141 'I COMMUNITY DEVF.I OPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: M ST 2020`W 2
Site Address: 13560 SW Ash Ave
Project Name: Weston Addition Lot #:
Planning Review
Proposal: 855-square-foot addition on existing house
E] Verify address/suite #active in Accela. El In River Terrace: El No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: ilrosion Control
OS copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1 Retained trees with drip line and tree protection measures
o brawn to scale(standard architect or engineer scale) 7ootprint of new structure(including decks)and FFE
CI orth arrow \ ,.Itility locations&easements(required for new and additions)
elite address,project or subdivision name and lot number •iidewalk/driveway approach
pplicant information(name and phone number) cation of wells/septic systems
0, .t dimensions and building setback dimensions V,Street tree size,type and location
'.� quare footage of buildings to be demolished street names
rl:
.sting structures on site l'..,,orner elevations (2'contours if more than 4'differential
&•.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? Ui es ° o
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑r Yes,applicant was notified ❑ No Received: es ❑r No
❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: ej ° No
SDC Exemption for ADU applied for: ❑Yes ❑r No Received: 11YeSr I No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑r No Applied For: ❑Yes ❑ No,stop intake
Land Use Case#: Q Zoning: R-4.5
❑s Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: NSA Garage: 20
II ;uilding Height: Max. Height: 30 Actual Height: 12.5
V andscape Area: % of Coverage Max:
Entrance .. Set back no more than 8' from street-facing wall ❑r Parallel to street or offset 45 degrees or less
Windows 1 Minimum 12%of area of all street-facing facades
Garage ° Gara e door is behind widest street-facing wall ❑r Yes ❑ No,one of the following is met:
Door extends no more than 5' from wall and there is a covered porch extending beyond garage.
Door extends no more than 5' from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑r Gara Il e door width is — 12'or less ❑r 50%or less of facade 60%or less and includes 7 of following:
Covered porch — Recessed entrance ❑ Wall offset 1'Roof eave Fire shingles Lap Siding
Accent siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof ❑ Dormer
Window trim Roof offset
Window recess UWindow projection ❑ Balcony
II Visual Clearance Urban Forestr�y)lan
II Sensitive Lands: ❑ Yes LOCI No Type:
II met prior to issuance of building permit
Nov
s•
CovApproved By Planning: Date: g 020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:1Building\Forms 1Bl dg Penn itRvw_RE S_122419.docx
Building Permit Submittal
Original Submittal Date: °e-/e -2a20
Site Plans: # 3
Building Plans: # ,_,3
�-7_E
Building Permit#: [ nter buildingermit#above. �
Workflow Routing: Planning Engineering E Permit Coordinator 2-13uilding
Workflow Sign-off: 2-Sign-off for Planning(include notes from planning review)
Route Application Documents: 0'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. trust details,if applicable,etc.
Notes:
By Permit Technician: 2 //�4'7" Date: a5p.. .Jffi(J
Engineering Review
Slope at building pad: 3,14 //
l'Conditions "Met"prior to issuance of building permit h(ti
2 Easements (encroachments) per engineering conditions of approval and plat n
E
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I I o
Assess Water Quantity Fee in-lieu: ❑ Yes ��]� No
Er
LIDA Facility on lot: ❑ Yes No
Final Plat Recorded: "l`
❑ NOT Approved by Engineering: Date:
Notes:
['Approved by Engineering: �,.� Date: WJW 0/i'&'
Revisions (after Building 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:
DC Exemption: ❑ Received hr Does not a y
❑ 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
ZIOK to Issue Permit /�
Approved by Permit Coordinator: j / Date: 1 .11/fr__
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Branden Taggart
From: Branden Taggart
Sent: Friday, October 9, 2020 6:21 PM
To: kendra.duong@icloud.com
Subject: RE: Building Permit: MST2020-00252 - 13560 SW Ash Ave.
Attachments: Owner Responsibility Form.pdf
Kendra,
Additionally,we will need you complete the attached Owner Responsibility Form prior to permit issuance.
Thanks,
Branden Taggart
q City of Tigard
is „ Senior Permit Technician
s Community Development
TRIARD
13125 SW Halt Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-orgov
From: Branden Taggart
Sent: Friday, October 9, 2020 5:51 PM
To: kendra.duong@icloud.com
Subject: Building Permit: MST2020-00252 - 13560 SW Ash Ave.
Hello Kendra,
The Building permit for your addition is ready to issue now. The balance due is$4,057.86, and I have attached an
invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(MST2020-00252) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to
pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays.
Thank you,
Branden Taggart
q City of Tigard
si Senior Permit Technician
Community Development
TIGARD
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or.gov
1
L I finished the Planning/Zoning review for this permit, and I've routed it to the Building Division for
review. Please submit the following additional items:
1. You'll need to obtain a service provider letter from Clean Water Services. Please fill out this form
online and upload your site plan here: https://www.cleanwaterservices.org/documents-
forms/pre-screen-form/
2. Since you'll be adding bathroom(s), please fill out this water meter worksheet:
https://www.tigard-or.gov/document center/UtilityBilling/Water MeterWorksheet-
Additions Remodels ADUs.pdf
This won't delay Building's review of your permit, but they'll need these items before the permit can be
issued. When you obtain these items, please send them to tigardbuildingpermits@tgard-or.gov(also
copied on this e-mail).
Thank you,
Lina Smith
Assistant Planner
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
E-mail: LinaCS tgard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to
public record laws. If requested, e-mail may be disclosed to another party unless
exempt from disclosure under Oregon Public Records Law. E-mails are retained by the
City of Tigard in compliance with the Oregon Administrative Rules "City General
Records Retention Schedule."
2