Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2020-00326
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2021
Parcel: 2S109DD07400
Jurisdiction: Tigard
Site address: 12822 SW REMBRANDT LN
Subdivision: BELLA VISTA Lot: 4
Project: Haddock
Project Description: 364 sf deck cover, 857 sf additional decks at different levels&re-decking existing deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $29,316.21 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
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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.'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:
HADDOCK,CHAD E&CHRISTINA C VULCAN DESIGN&CONSTRUCTION INC Required Items and Reports(Conditions)
12822 SW REMBRANDT LN 2856 NE 65TH AVE STE C 1 Geo Tech Report Required
PORTLAND,OR 97224 VANCOUVER,OR 98661 Prior To Pour
PHONE: PHONE: 503-227-9034
FAX:
Total Fees: $1,043.02
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
l _'7 Y f ....
I i '
Issued BY ' ----a " ) � t ., � - -
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Building Permit Application g.— t2.1112•-)
Residential FOR OFFICE USE ONLY
City of Tigard �� v� "� �� RoA e sy /2-/$ 020
AA
Permit No.:MST202O-00324
IN o „ 13125 SW Ha11 Blvd.,Tigard,OR 97223 DEC 0 7 2020 Plan Review % 1 vi /i Irli Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ��-(((�j�//IJJJ �- j
Inspection Line: 503.639.4175 Date Reedy/By: /1 huts: ® See Page 2 for
rlcnii0 CITY OF iiGARD Notified/Method: I)2. 121 j9 �G Supplemental Information
Internet: www.tigard-or.gov BUILDING DIVISION
evil 9rt_ NIA- may
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
Indicate the value(rounded to the nearest dollar)of all
'I Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and t>,A•""Mt a"the t
work indicated on this application, •
CATEGORY OF CONSTRUCTION
1-and 2-family dwelling ❑Commercial/industrial Valuation: $ - pe®�. 4/'441 e,..
❑Accessory building ❑Multi-family Number of bedrooms: 410.<7 T/ i r1/!, • /
❑Master builder ❑Other. Number of bathrooms: 1-349 / ✓ 4/,
JOB SITE INFORMATION AND LOCATION Total number of floors: ! /
Job site address: 119.2 Z Sw Ke yy ov..A4,dk L., New dwelling area: o?y,d/ square feet
City/State/ZIP: --re 3 a,,,.4 , 0 R t 4'7 2 Z.Li Garage/carport area: ,,,1913/6,,.,4uare feet
Suite/bldgJapt.no.: Project name: I"I eiIOX .Covered porch area: square feet
77
Cross street/directions to job site: 0,1 6tdeli Ir�0H „ft 2, De elos gn- Deck area: ` square feet
di ii Cy .LAA- levels, ow a ti 0.GINd 2 fie'x_Vl i-I ' cowl" "rdthey structure area: —2j4i square feet
rif 0.Ytd vt-tjUlti 05 at eyt s lri w9 el tad REQUIRED DATA:COMMERCIAL-USE CHECKLIST
/ ` Subdivision: CPO y g Bull t„{}n Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: Z 5101 t 1C5a 7'1 00 equipment,materials,labor,overhead,and the profit for the
t aSw Q 4- h
DESCRIPTIONL OF WORK work indicated on this application.
Valuation: $
etmb lZ
Existing building area: square feet
New building area: square feet
T2CPROPERTY OWNER1 ❑ TENANT Number of stories:
Name: C.nact a,•„,d C nei s ti vka. I-Eo dd o C k- Type of construction:
Address: i 2 t 2 2 S'e., ?.O 4% fai,et E L v Occupancy groups:
City/State/ZIP: 'r•;9 c rd t il t. , (11 2 2y Existing:
Phone:( ) Fax:( ) New:
gAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer fa fee schedule)
Business name: \I01c l") bes,Ztao, aka Coos If1,04'a^
Structural plan review fee(or deposit): 1,27
Contact name: R,„,ciALJk ,h
FLS plan review fee(if applicable):
dress: 861 C�►ro•yrd Blvd
ity/State/ZIP: VojAcouterI w k 98`Fa‘
one:(V((n ) ZOe{ bI1S Fax::( ) TotalK fees due upon application:Amount received:
^ PHOTOVOLTAIC SOLAR.PANEL SYSTEM FEES*'
E-mail: r ActLket 1 l� V acavk tc• cow, Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: v U�c0..tn t QSi v, p•t„ i l�Ns'yw c-ti'o Submit two(2)sets of roof plan with connection details
g and fire department access,along with the 2010 Oregon
Address: 351, rafarrd cluck Solar Installation Specialty Code checklist.
City/State/ZIP: Vart coovLr . W k 98lo(o I Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( gib) 2.041 bits Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 21 2,(p 1f ri Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
-�•'—'+ within 180 days after it has been accepted as complete.
Print name: Date: �1 p *Fee methodology set by Tri-County Building Industry
addiy 1,rwtr� Nov/Z3/a020 Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .
k(p Co h,s c t -E a-h.-FS L L C.&a ram.,"( • Co ivy.
/2./7/ 2d
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
II
TIGARD Building Permit Review — Residential
Building Permit #: M S I LOZO-on 32co
Site Address: 12822 SW Rembrandt Ln
Project Name: Haddock Deck Lot #:
Planning Review
Proposal: New multi-level decks with cover and re-decking existing deck on side of home
❑r Verify address/suite# active in Accela. ❑s In River Terr e: El No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: Y .. ion Control
Olt opies of site plan on 8-1/2"x 11"or 11 x 17"paper y h-t cd trees with drip line and tree protection measures
r4►raw n to scale(standard architect or engineer scale) �" otprint of new structure(including decks)and FFE
7 orth arrow „Jtility locations&easements(required for new and additions)
O'ite address,project or subdivision name and lot number ''i'.ewalk/driveway approach
Or .plicant information(name and phone number) A. anon of wells/septic systems
111,,. dimensions and building setback dimensions Y 1 eet tree size,type and location
V . are footage of buildings to be demolished , 'treet names
II% sting structures on site 'corner 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? j es ° o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Lji es ° o
Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: 11 Yes CI No
Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified CI No Received: 11 Yes 0 No
} SDC Exemption for ADU applied for: El Yes 0No Received: ❑ Yes 0 No
i Public Facilities Improvement(PFI) Permit:
Required: ❑Yes,applicant was notified CINo Applied For: El Yes El No,stop intake
Land Use Case#: 0 Zoning: R-7
❑r Required Setbacks: Front: "'Change Rear: 15 Side: 5 Street Side: NiA Garage: No change
Uuilding Height: Max. Height: 35 LotActual Height: <35
Landsca e Area: 20 % Coverage Max: 80 %
Entrance ' t back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 deg/
Garage Gara e door is ' d widest street-facing wall El Yes
o
Windows Minim 2%of area of all street facing facades .>"
Yes ❑No, the following is met:
gDoor extends no m an 5'from wall and e e is a covered extending beyond garage.
❑u Door extends no more than m wall and there is q ft.window above garage on 2°d floor.
❑ Gara e door width is 12'or less ° ess of facade 60%or less and includes 7 of following:
Covered porch — Recessed ante • offset ❑ 1'Roof eave Roof offset
Fire shingles ,iding ❑Roof itch able,hi.,or gambrel roof A
Dormer
Accent si _ Window tr m Window recess � 'indow projection ❑ Balcony
❑ Visual Clearan ❑ Urban Forestaylan
❑ Se ands: ❑ Yes U No Type:
Co 'tions met prior to issuance of building permit
Not :
Approved By Planning: Date: .2-C�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_122419.docx
V
Building Permit Submittal
Original Submittal Date: /2 7/Zo
Site Plans: # 3
Building Plans: # 3
Building Permit#: IEnter buildings pfermit#above.
Workflow Routing: 'Planning Lg.-Engineering ['Permit Coordinator &Building
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
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations an. st details,if applicable,etc.
Notes:
i� "i////ir i Date: �,7 2O
By Permit Technician: L,/ ��
Engineering�/ Review
ErS-lope at building pad: 261
IConditions"Met"prior to issuance of building permit rj1e„t_
IEasements (encroachments)per engineering conditions of approval and plat I7 f 4
CI Water Quality/Quantity Facility: ����//'
Assess Water Quality Fee in-lieu: ❑ Yes L`7 o
Assess Water Quantity Fee in-lieu: ❑ Yes L No
LIDA Facility on lot: El Yes
Yes L7 No
Er
u Final Plat Recorded: /1-1/44
❑ NOT Approved by Engineering: Date:
Notes:�
C� Approved by Engineering: i,,..Ga f 50 Z.,a., Date: l Z//r/e"Z d
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Pe mit Coordinator Review
3 C nditions "Met" prior to issuance of building permit
pproved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
pC Exemption: ❑ Received Does not a
0It:4IC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes A
Parks SDC: ❑ Yes A
LIDA CI N/A
OK to Issue Permit
Approved by Permit Coordinator: .—SC Date: h-i)(.e/.2-6
I:\Bui Id ing\Forms\BldgPermitRvw_RES_122419.docx
1
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
Itil - i
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: tri �tV L.I V ttY.
DEPT: BDIVISION
A JAN 112021
FROM: i t1-lioNy ALLE,V
CITY OF TIGARD
COMPANY: VULCAN DEsicN A C,oNsTRuCI I OA/ BUILDING DIVISION
PHONE: (c,7 I) 3a-0i`l.-1 o By:87
7
EMAIL: A A me ,v K•AO V W..cAN DC•COM
RE: l a5(Q�- SW ,EA•tBP.A.VDT 1-it),T►(DARD 7` 7 & "(
(Site Address) (Permit Number)
14Aan0r.I
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: escription:
-g (s) p (A
Additional set(s) of plans. ,3 Revisions: VLA,US 1 F.N6o4ExR6n.G
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):
REMARKS:
FOR O FICE USE ONLY
Routed to Permit Techni ' : Date: 1 1 Z{ Initials:
Fees Due: ❑ Yes Fee Des rtpti n: Amount Due:
1\---) 3 (\'---\ -''":"---: $471$
Special
Instructions:
Reprint Permit(per PE): n Yes U No E Done
Applicant Notified: Date: Initials:
•
Lina Smith
From: Agnes Lindor
Sent: Thursday, August 20, 2020 7:13 AM
To: Lina Smith
Cc: Tom McGuire
Subject: Permit Coordinator
Follow Up Flag: Follow up
Flag Status: Flagged
Hi Lina-
While I am gone next week, thank you for helping out with these! For the red folders:
1. Residential permits(MST) to existing units (does not include new houses or ADUs):
- Check to see if engineering approved or if they need revisions. If they need revisions, email the applicant their
comments and copy the engineer, me,Albert, and building. Write on the routing sheet that you contacted
applicant, the date and your initials. Place a copy of the email in the red folder. Update workflow with "revision"
under Permit Coordinator. Even with revisions, I still go ahead and add any fees if any.
- No TDT or SDCs are due
- If box next to "LIDA on lot?" is checked yes, add $300 LIDA fee. PFI Permit Fee (LIDA) is located at the very
bottom of the B_MSTR fee schedule in accela. You will just type "1" in the quantity box and click Submit. Do not
invoice any fees.
- Complete the routing sheet:
o N/A next to conditions box(typically these do not have any Land Use so this does not apply) and Does
not apply under the SDC deferral
o Check all boxes that for TDT/SDC as does not apply.
o Approved box if you can approve this permit, not revisions are required leave this part blank.
- If approved, update work flow in accela under Permit Coordinator as approved and route to Allyson. If not
approved, place red folder on the shelf above table in pod area.
2. Commercial/Mechanical or Site work with NO Land use:
- Same process as above except that once approved route to Tom H. (I just put them on his chair)These also very
rarely have LIDA.
3. New Residential (house and ADUs):
- Same general process as#1, except:
o Look up the land use case (listed on routing sheet) to make sure all conditions are met. Most of the ones
we have been getting have been met. Check the box on the routing sheet.
o For houses not in River Terrace and not ADUs,you will add the following fees under the B_SDC fee
schedule. The TDT is added manually toward the bottom at a rate of$8,968 for a house. Click submit
and DO NOT invoice.
1
.. . ,
Fee Schedule: I B_SDC v 1 \ Version: i V08.1412019 v I
Fee Calc.Factor: Job ValuetContracto6S40.000 OD
Fee Item Unit Otiantny Notes
,
Wash Co Trans Dev Tax- SF Detached Each .
Wash Co Trans Dev Tax-Apartment Each
- '
Wash Co Trans Dev Tax-Condominium,Townhouse Each
Wash Co Trans Dev Tax-Manufactured Housing(in park) Each I
Wash Co Trans Dv Tax-Assisted Living Each I
Wash.Co Trans Dev Tax-Continuing Care Retirement Each
,
Tigard Trans SDC Improvement.-SF Detached Dwelling. Each I 1
Tigard Trans SDC Reimbursement- SF Detached Dwelling Each il
Tigard Trans SDC River Terrace-SF Detached Dwelling Each
.,
i
Tigard Trans SDC Improvement-Other Residential Each
Tigard Trans SDC Reimbursement-Other Residential Each i
Tigard Trans SDC Myer Terrace-Other Residential Each
Tigard Trans SDC Improvement-Non-Residential Dollar Aml
Tigard Trans SDC Reimbursement-•Non-Residentral Dollar Amt I -
'Tigard Trans SDC River Terrace- Non-Residential Dollar Amt
Parks SDC Improvement- SF Detached Dwelling Each i 1
Parks SDC Reimbursement- SF Detached Dweihng Each i 1
Parks SDC Neighborhood-SF Detached Dwelling Each i 1
--- , —
Parks SDC River Terrace-SF Detached Dwelang Each i
—
Parks SDC Improvement-Other Residential Each i
Parks SDC Reimbursement-Other Residential Each
f Parks SDC Neighborhood-Other Resident ,--
ial Each 1
i—
Parks SDC River Terrace-Other Residential Each
Parks SDC Improvement-Non-Residentral-Per Employee Each :
.
Parks SDC Reimbursement- Non-Residentral- Per Employee Each
I —I --
i 1E
211114'14W4144%41g7laikANAlliaARVIciAilial"381 ,,
Tigard Trans Sat Improvement Dollar Amt 1
-----
Tigard Trans SDC Reimbursement Dollar Aml
Tigard Trans SEC Ryer Terrace Dollar Amt I
Parks SDC Improvement Dollar Arnt
Parks SDC Reimbursement Dollar Amt I Quantety36 -."'
Parks SDC Neighborhood Dollar Amt
Parks SDC River Terrace Dollar Amt 1 H
For Detached ADUs,you will add the following fees.The Wa County TDT is the same amount as for a house,the Tigard
Transportation and Parks are charged the "other residential" rate.
2
Fee Schedule: I B SOC v 1 ,., Version: v011412019 v[
_
Fee Catc, Factor: Job Vaiuei.Contractorn.00100
Fee Item Unit Quantity Notes
Wash Co Trans Dev Tax-SF Detached Each
[
Wasr Co Trans Dev fa*.-Apartment Each
:.,
Wash Co Trans Day Ta, - CondommiumiTownhous.e Each ! ,
Wash Co Trans Dev Tax- Manufactured Housing cm park) Each
Wash Co Trans Dev Ta,.-Assisted LAP0141 Each
Wash Co Trans Dev Ta> -Continuing Care Retirement Each mmem4xx,,,,troxew*Esrxvi*r..ra.
—.--
Tigard Trans SDC Improvement-SF Detached Dwelling Each
......._
Tigard Trans SDC Reimbursement-SF Detached Dwelkag Each i
Tigard Trans SDC River Terrace-SF Detached Oweillang Each
,---,— ,=,,.-
1
- —
Tigard Trans SDC Improvement-Other Residential Each I
Tigard Trans SOC Reimbursement-Other ResIdenhal Each i
Tigard Trans SDC River Terrace-Otner Residential Each
fl gard Trans SDC Improvement-Non-Residentia/ Dollar Amt
Tigard Trans SOC Reimbursement- Non-Residential Oular Amt
Tigard Trans SDC River Terrace-Non-Residentai Dollar Arnt
_rt ,,,T***.ii,[*,,,, , IFY. _
_
Parks SDC Improvement-SF Detached Dwelting Each
Parks SDC Reimbursement -SF Detached Dwelling Each
ParICs SDC Neighborhood-SF Detached Dwelling Each
Parks SOC River Terrace-SF Detached Dwelling Each
_ ,.— ......-- --
.,..,--,.tt..-.,,,
Parks SDC Improvemem- Other Residenha! Each i
I ..._...___
Parks SDC Reimbursement-Omer Residemial Each ;I
Parks SDC Neighborhood-Other Residential Each ..e
_ .
Paws SDC River Terrace-Other Residential Each i
_1 _
-------""—"-4——
Parks SDC Improvement-Non-ReEach sidentiat-Per Employee f- —1
, .........._ _
Parks SDC Reimbursement-Non-Residential-Per Employee Each -
Tigard Trans SDC Improvement Dollar Amt i
Tigard Trans SDC Reimbursement Dollar Amt ..Tigard Trans SDC River Terrace Doliar Amt I
_
Parks SOC Improvement Dollar Am! i.---------
Parks SDC Reimbursement Doiiar Amt 1------' —
Parks SDC Neighborhood DoNar Amt 1
Parks SDC River Terrace Dollar Amt I
For attached ADUs, you will add the same fees as the detached ADU for Tigard Transportation and Parks(charge the
other residential as shown above). The Wa County TDT rate for attached is: $5,207.
3
- On the routing sheet, there is an SDC exemption box. If there is not paper work with the application, I check with
Mai if they submitted have an approved exemption. (`;'they did have her send you a copy, print, and add to red
folder. You will check that SDC box and say that it was received.You will still add the fees even if exemption was
received. Building will back these out once in post review.
Ok, I think that covers it! Let me know if you have any questions. I would just leave the commercial with land use or have
Albert help you! Q
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesLPtigard-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."
4