Permit CITY OF TIGARD MASTER PERMIT
IN 0-."
COMMUNITY DEVELOPMENT
Permit#: MST2020-00297
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2020
[GAR O Parcel: 1S133DA08000
Jurisdiction: Tigard
Site address: 12660 SW SNOW BRUSH CT
Subdivision: AMART SUMMER LAKE NO.2 Lot: 140
Project: DeMars
Project Description: 346 sf 2nd floor addition/remodel to reconfigure space and add (2)bedrooms. Footprint remains
the same. Trade permits to be obtained separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 2 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 346 sf Garage: 0 at Front: 0 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors:
Total: 346 sf Value: $42,371.16 Rear: 0
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 0 Storm Sewer: 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 SrvclFeeders 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:
ADD SF VB R-3 346
Owner: Contractor:
DEMARS,ANDREW W&STEPHANIE CARVER CONSTRUCTION LLC Required Items and Reports(Conditions)
12660 SW SNOW BRUSH CT 7754 NIMBUS AVE 1 Special Inspection-Bolts
TIGARD,OR 97223 BEAVERTON,OR 97008 installed in concrete
PHONE: PHONE: 503-781-3399
FAX:
Total Fees: $1,774.19
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
n9. -0�JC.J�.522-00100090. You
�may obtain a copy of the rules or direct questions to OUNC by calling 503.23^2.1987 or 1.800.332.2344.
Issued By: `11.1OA.Q0 l -ZZ Permittee Signature: Oh Ncl lCali
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 - 10 —1 (20
Residential ftlit utl It I: I sl. tlyl.v
City of Tigard RECEIVED Received/B 'n2n MSzozb_oz97
11 — 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: 9 Permit No.:
g Phone: 503.718/439 Fax: 503.598.1960 teiBy: Ki20(...-01
Plana Review Other Permit:
1 I t i„,tt Inspection Line: 503.639.4175 O CT 0 7 2020 -Dale Ready/By: lurk 61 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: r
ten �i ��� Supplemental Information
rCrITY OF TIGARD ce,(-=n,rc,ice( l,- -
TYPE OF WILUING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement 0 Other Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead, the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application, `Z 7l
kccessory
-and 2-family dwelling ❑Commercial/industrialValuation: a s�
building 0 Multi-family Number of bedrooms: Z,
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I b(a e0 �'c, ) �'no t_l srccil New dwelling area: '7(� , square feet
City/State/ZIPP: T-1 ` - i, Y0 K. 9"7V 3 Garage/carport area: 7 f "i square feet
Suite/bldg./apt.no.: `1' Project name: +[)r,l A k l,/ Covered porch area: square feet
Cross street/directions to job site: tJ 1 Deck area:
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:
Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no.: 1 S 153r) ry (r 00� Indicate the value(rounded to the nearest dollar)of all
�" equipment,materials,labor,overhead,and the profit for the
D t
DESCRIPTION OF WORK work indicated on this application.
q 4 '1-10 of actct i - -, oV'e-( 1-'� a or Valuation: $
I Fjt G I ' rt mCl rlill C S ccrY1 L� Existing building area: square feet
214 I�� r-eo{`N I n.4-6 es OBrm N -7.- New building area: square feet
1 PROPERTY OWNER 0 TENANT SCp1172_4T ; umber of stories:
Name: ...lc)ii rt^c) e C ��rA n I nr 'VI
A F S Tyke of construction:
Address: 1� �l �y/ S n O 1)rt t S�1 C- Y I Occupancy groups:
City/State/ZIP: , 0 L-t�- �3
r Existing:
Phone:( tel7)167 Fax:( )
APPLICANT!! New:
0 CONTACT PERSON BUILDING PERMIT FEES*
Business nami. (.ee.rblcr r�.5 ik(- (Please refer to fee adAedale)
I1 I'd` 7) Structural plan review fee(or deposit):5 7e Contact name: Il 1 I L ra Y V -
Address: -7'7J S\A / N i »,.) L�t S � FLS plan review fee(if applicable):
City/State/ZIP: Q c��r YV-1 n C—1 0 p Total fees due upon received:
ivied:
Phone:(S0-3 -7 i 5"7 iS �l Fax.:( ) Amount received:
E-mail: �/ + PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Cr� "' ` �'YlC R t--+�-- �'ra7n:( 1.(`filY1 Commercial and residential prescriptive installation of
CONTRACTOJ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 0,01 r✓cX co,2 /"l,i r 0 4 a LC- Submit two(2)sets of roof plan with connection details
�� , f ��_ / I m j ) and fire department access,along with the 2010 Oregon
Address: Lt. �f Lj 8
� � YG[S Solar Installation Specialty Code checklist.
City/State/ZlP:( r� Permit Fee(includes plan review
t vie, I�, D '77 and administrative fees): $180.00
Phone:(S 7 i�J -7 f c c Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: CI G?Q �
1 Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: a �--. -> �, Date: 1 6 -i— V *Fee methodology set by Tri-County Building Industry
i Service Board.
1:1Iluilding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Building Permit Aaalicatlon Checklist
One-and Two-Family Dwelling 1 ou urn It 1 u! 11v 1 1
City of Tigard Received
i 4 13125 SW Hall Blvd.,Tigard,OR 97223
IllitDate/0y: Pmmit No.:
ci Phone: 503.7182439 Fax: 503.598.1960 �"" B1edPCf1"'a'
! t,;,1;;., 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
I IIE 101.1 01V'I\G FFF1iti :1RI: REQUIRED FOR PI, 1\ RI.A !I AN 1 ,s •I) N 1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ is
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ b;
3 VFire
on of approved
l ❑❑ 0
4 district approval required. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ,y
6 Sewer permit. ❑ IQ CI7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ►;
basin protection,etc.
10 _3_Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 14g„ 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.
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ' 0 ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements I
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 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, il ❑ 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 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 ❑ '
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- 'B1 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 1L 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered yi, 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 yl 0 El
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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 0 0
architect licensed in Ore:on and shall be shown to be :y.licable to the .ro'ect under review.
.11.RISI)l(' 1 1O\.11, SI'I:Clh ICS
23 Three(3)site plans are required for Item I I above. Site plans must be 8-1/2"x 11"or 1 I"x 17". 2 • ❑
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. r_� O ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. CI [] Fij
27 "Drawn to scale"indicates standard architect or engineer scale. A 0 •
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable).and City of Tigard C_l 0 r
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval. f
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 Ya-
on a lot of record approved prior to September 9,1995.
1:1BuildingtPeamits\BLJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
r-15 -Doa9 7 NOV 09 2020
CITY OF TIGARD CleanWate>\ Services
SENSITIVE AREA PRE-SCREENING SITE ASSg§ IsloN
Clean Water Services File Number 20_002747
1. Jurisdiction: Tigard
2. Property Information(example: 15234AB01400) 3. Owner Information
Tax lot ID(s): Name: Andrew and Stephanie DeMars
1 S133DA08000 Company:
Address: 12660 SW Snow Brush ct
OR Site Address: 12660 SW Snow Brush ct City, State, Zip: Tigard, OR,97223
City, State,Zip: Tigard, OR, 97223 Phone/fax:
Nearest cross street: Email:
4. Development Activity(check all that apply) 4. Applicant Information
▪ Addition to single family residence(rooms, deck, garage) Name: Nicholas Carver
❑ Lot line adjustment 0 Minor land partition Company: Carver Construction LLC
ElResidential condominium ❑ Commercial condominium Address: 7754 SW Nimbus Ave
El Residential subdivision 0 Commercial subdivision City, State,Zip: Beaverton, OR, 97008
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5037157158
Other Second floor addition over existing first floor. Email: carverconstructionllc@gmail.com
6. Will the project involve any off-site work? ['Yes 0 No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
2nd floor addition over existing 1st floor.Foot print of the home does not change at all.
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 Nicholas Carver Print/type title Owner
Signature ONLINE SUBMITTAL Date 10/6/2020
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.
❑ 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.
X 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 (�.�•vf i Lq.. Date 10/22/2020
Once 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
Rc''ised 211010
Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org
'ON 20
City of Tigard
;l C COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c n u D Building Permit Review — Residential
Building Permit #: M ST2020-00297
Site Address: 12660 SW Snow Brush Ct
Project Name: De Mars Addition Lot #:
Planning Review
Proposal: 2nd story addition to existing house; no change to building footprint or setbacks
QVerify address/suite # active in Accela. ❑° In River Terrace: El No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: I rosion Control
Di copies of site plan on 8-1/2"x 11"or 11 x 17"paper I 'etained trees with drip line and tree protection measures
111)raven to scale(standard architect or engineer scale) I
\ ootprint of new structure(including decks)and FFE
0 orth arrow I tility locations&easements(required for new and additions)
Illsite address,project or subdivision name and lot number ''idewalk/driveway approach
0 pplicant information(name and phone number) `,... l - .cation of wells/septic systems
Ocr.t dimensions and building setback dimensions C" I 'treet tree size,type and location
.,1:.uare footage of buildings to be demolished ° ' eet names
'sting structures on site IT .rner elevations(2'contours if more than 4'differential
N..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 To
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑Yes,applicant was notified ❑s No Received: es ❑° No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs j1 '1I6 g T'
Required: El Yes,applicant was notified El No Received: El Yes El No
SDC Exemption for ADU applied for: ❑Yes ❑r No Received: 11 Yes ❑° No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ElNo Applied For: El Yes 11 No,stop intake
Land Use Case#: ElZoning: R-7
❑ Required Setbacks: Front: No change Rear: No change Side: No change Street Side: N/A Garage: No change
ElBuilding Height: Max. Height: 35 Actual Height: 23
ElLandsca1,e -a: No change % Q Lot Coverage ax: O Change %
Entrance �, %et back no more than 8'from street-facing wall arallel to street or offset 45 degrees or less
Windo, s ' Minimum 12%of area of all street-facing facades
Garage e.ra:e door is behind widest street-facing wall ❑Yes I o,one of the following is met:
P.. -xtends no more than 5' from wall and ere is a co ed porch extending beyond garage.
Door exten. •. more than 5'from wall and ., - is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is — •' .r less 111 i Vo or less of facade 60%or less and includes 7 of following:
Covered porch , Rece -.'- . ce ❑Wall offset 1'Roof cave Roof offset
Fire shingles ap Siding 1 .itch ElGable,hi ,or gambrel roof ❑Dormer
Accent g _ Window trim recess Window projection ❑ Balcony
❑ Visual Clearan - ❑ Urban Forestry Plan
0 Sens" - ands: ❑ Yes U No Type:
E onditions met prior to issuance of building permit
Notes:
El Approved By Planning: u _ Date: 10/15/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:1Buil ding\Fonns1BIdgPerm itRvw_RE S_1224I9.docx
Building Permit Submittal
Original Submittal Date: `0A77/026
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter buildin ermit# above. nn qq ��/
Workflow Routing: Planning ngineering l ermit Coordinator tT tsuilding
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.
nnB[ uilding: original permit application,site plans,building plans,engineer and
beam calculations and details,if applicable,etc.
Notes:
By Permit Technician: 4- ,/%; • Date: /O// /2.020
Engineering Review
u Slope at building pad: z z,
ErE/Conditions "Met"prior to issuance of building permit ,t f'
ErEasements (encroachments) per engineering conditions of approval and plat q I'.--
aWater Quality/Quantity Facility: �y
Assess Water Quality Fee in-lieu: I] E�Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes Er.--No
LIDA LIDA Facility on lot: ElYes EJ No
lnn
inal Plat Recorded: ✓i (`�
❑ NOT Approved by Engineering: Date:
Notes:
H Approved by Engineering: 7 'F.Ia 4w' Date: w/Z/?.d7.(J
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
,„1Conditions "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:
1l SDC Exemption: ❑ Received L/I Does not amty
II SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ,N/A
Tigard Trans SDC: ❑ Yes VI/A
Parks SDC: ❑ Yes I/A
LIDA ❑ Yes N/A
OK to Issue Permit 7
Approved by Permit Coordinator: _ ` Date: h /2-0
1:\Building\Forms\BldgPermitRv w_RES_122419.docx