Permit Support Document City of Tigard
II ■ .
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A K D Building Permit Review — Residential
L.
Building Permit #: (MSS ao\Gl_on-SI-61
Site Address: I(p811 SW SUxish IYie, ems* s :
Project Name: Ppj tp1 e aostla..k �I�:�ptPJ Lot #: 13Z
(New elling= ubdivision name;Addition or Alt non=last name of owner)
Planning Review 7/2c : /2 E�r,S 7� St rc i°c9-r.J 4c'-t t'L '"S S
Proposal: 9—
Verify address/suite# active in Accela. it,In River Terrace: 0 No ' Yes,River Terrace Review Addendum
Site Plan Elements: l rosion Control
b43 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ightetained trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and ENE
th arrow
or pUtility 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) Nilf,ocation of wells/septic systems
;gLot dimensions and building setback dimensions CIP treet tree size,type and location
Square footage of buildings to be demolished treet names
misting structures on site Comer 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? iyiji allo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Dins No
SI Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified ig,No Received: ❑ Yes ❑ No
Public Facilities Improvement(PH)Permit:
Required: 0 Yes,applicant was notified X No Applied For: 0 Yes 0 No,stop intake
Land Use Case#: PDP:1-Cil . 7DOOP ,g Zoning. 12-t 2
Requires Setbacks: Front �} Rear: IC) Side: 3 Street Side: Garage: 26
Building Height: Max.Height: N Actual Height: aLandscape Area: % ❑ Lot Coverage Max: So
Entrance II Set back no ore 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows Ii Minimum 12'o of a a of s street-facing facades
Garage II •arage doo,is b d wi. •-• street-facing wall CI Yes ❑ No,one of the following is met
le Door -xten no . . - . 1 5'from wall and there is a covered porch extending beyond garage.
❑ c so extents no ,• �'+n 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
■' Garage do r wi is 0 12' . less 0 50%or less of facade ❑ 60%or less and includes 7 of following.
❑ Covered orch 0 Reces•-d entrance ❑ Wall offset 0 1'Roof cave 0 Roof offset
❑ Fire s ' les 0 Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
0 Accent s ding 0 Window trim 0 Window recess 0 Wmdow projection 0 Balcony
Visual Clearance Urban Forestry Plan .
rSensitive Lands: I Yes El No Type:ems V��-C�YYLC 111rl IIIt(/l.Va�u eJ
onditions met prior to issuance of building permit v hot kJ tint
Notes: 7 X Approved By Planning: — Date: ' -ho/LS
Revisions (after Building Submittal only) Re�'ewer Dat
Revision 1: xi Approved ❑ Not Approved f i 19 1-0
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fors\BIdgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: a(l4`tq
Site Plans: #
Building Plans: #
Building Permit#: Enter building pe7ait#above. — J
Workflow Routing. GIrPlanning SiF ngineering [ermit Coordinator LNBuilding
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
y.riginal plan review routing form.
LW Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: J, 10 11C(
Engineering Review
13"-Slope at building pad: 27,
Conditions"Met"prior to issuance of building permit ryA,
a Easements (encroachments)per engineering conditions of approval and plat
Er Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes [-No
Assess Water Quantity Fee in-lieu: 0 Yes L"I No
LIDA Facility on lot: 0 Yes Er No
Final Plat Recorded:
0 NOT Approved by Engineering: Date:
Notes:
Q Approved by Engineering: j�se„,,,,,I Date: 7 Doll 9
Revisions (after�Bu�ding Submittal only) er Date
ED Revision 1: Approved 0 Not Approved �✓-' Ej
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
KConditions "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:
Revision Notice 3: Date Sent to Applicant:
1❑j3'DC Fees Entered: Wash Co Trans Dev Tax: f�Yes 0 N/A
(/ Tigard Trans SDC: 42'Yes 0 N/A
Parks SDC: RrYes 0 y/A
LIDA 0 Yes N/A OK to Issue Permit AV
/ G )l9
Approved by Permit Coordinator:
SS\10 10
l:\Building\Forms\BldgPenoitRvw_RES_022819.docx
II •
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 = " Transmittal Letter
T]G n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
�l JUL 13 2020
FROM: �tm- [sv v s S CITY OF TIGARD
COMPANY: l/s/ ��-vv v�pv1 BUILDING DIVISION
PHONE: I? qc f ;ST 3/ BY:40
RE: /&1'1 SL) 6/Ask tic efigsr 5 /fin ST Zbr R- 0021I
ite Address) (Permit Number)
c61-174r - ct. r Z-Crr 13 - y 7Z S S�`C
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. - Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): .5.6-45— �/ —2i / 7 — fs�/'L,}-A/ 9 770A1
REMARKS:
FO7 O ITTjOE USE ONLY
Routed to Perm' echnician: Date: 15 I `//2p2[p Initials:
Fees Due: Yes ❑No Fee Desc ptio Amount Due:
ys_ 01/1 re.AA%(_(/
Special
Instructions:
Reprint Permit(per PE): ❑Yes No ❑ Done
Applicant Notified: Date: Initials:
1:1Building\FormslTransmittalLetter-Revisions_061316.doc
RECEIVED
JUL tg 0 247 k rz /9- (cam 7 7
CITY F TIGHI-iD
BUILDING DIVISION/ " tp/ 7 Szt) 5 et.A45,,e//✓�
Co err T S7
Plan 3410
• Furnace now in attic-old furnace room in garage converted to water heater room
• Fireplace different dimensions
• Windows flanking fireplace reduced in size from 2-6 5-0 to 2-0 2-0
• Great Room rear-facing windows converted from 3 individual windows into an 8-0 5-0 XOX (this
would be same for daylight basement rear wall window also)
• Exterior door leading to patio off Great Room converted from swing door to 6-0 6-8 SGD. Patio
shifted 39" right and grew 24"to accommodate new SGD and kitchen window
o Since SGD, changed patio platform to a 12"x 42" step (where necessary, depending on
topo)
• Master Bathroom full wall between tub and shower converted to glass wall above tub platform
• Master Bedroom rear-facing windows converted from 6-0 5-0 SL to an 8-0 5-0 XOX
• All reed glass removed
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II _ " Transmittal Letter
WARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
,w
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 2 0 2020
FROM: t, 1(Y)w IN 5 CITY OF TIGARD
COMPANY: "' com`,csv- Miy-r v m BUILDING DIVISION
PHONE: `'\-,1 Up `Z 5c�'51 By:.e00
RE: LIA1 h..4 L11L, CD( f m- •Zo - 00211
(Site Address (Permit Number)
1 LD- t3Z
(Project name or subdivi n name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): �l41 ' \p,N,
REMARKS: -\ . QSLV s.Ql7^-- � S :a, Uvk% (— 1(I 312.V
FO OFF CE USE ONLY
p
Routed to Permit Technic'an: Date: 16 111 Z6Za Initials: AA—
Fees Due: ❑ Yes No Fee Desc tion Amount Due:
.15/..
g5 $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
L\Buildmg\Forms\TransmittalLetter-Revisions_061316.doc