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Permit ill CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00010 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2021 T[GA A.D Parcel: 2S103BB02000 Jurisdiction: Tigard Site address: 12285 SW 124TH AVE Subdivision: BROOKWAY Lot: 20 Project: Gill Project Description: New 1,178 sf garage/shop. All trade permits to be obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: 13 Bathrooms: Second: sf Garage: 1178 sf Front: 14 Smoke Dwelling Units: Third: sf Right: 5 Detectors: Total: sf Value: $57,403.94 Rear: 15 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Drywell-Trench Drain: Other Fixtures: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Fum>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: 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 Owner: Contractor: GILL,PETER J AND SHARLENE MICHAEL LOUIS MELE Required Items and Reports(Conditions) 12285 SW 124TH AVE PO BOX 907 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 GRESHAM,OR 97030 PHONE: PHONE: 503-784-9232 FAX: Total Fees: $3,464.15 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 plan his 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 require u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009 Y u ma obtai a copy of the rules or direct questions to OUNC by calling 503.232 /.119877 or 11.888000.0..332.2344. , Issued By: Permittee Signature: 47( � 6/1. VC%� 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 Checklist One-and Two-Family Dwelling rt l it O l r t t I I. l l)\l l City of Tigard Rece Permit No.: 14 13125 SW Hall Blvd,Tigard,OR 97223 Associated Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ l'Iceribnas 0 Mechanical Internet: www.tigardor.gov ❑ Other. THE 1'OLLONVING ITi'.NIS :1R[: 12F:QCIRI:D 10k P1..1N RF1 y 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • • • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ■ 0 ❑ 3 Verification of approved plat/lot. - � 4 Fire district approval required. Name of district U 5 Septic system permit or authorization for rt mn It 1. Existing system capacity • ❑ 0 • 6 Sewer permit. 0 ® • 7 Water district approval. 0 LxJ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 9 Erosion control ❑plan ❑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 ❑ 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. 11 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 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 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 El 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 0 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- ❑ 0 Cl 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 0 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0 systems,see item 22,"Engiineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑ 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 Ei 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 0 architect licensed in Ore on and shall be shown to be licable to theproject under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 1T'. 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. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 El 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:1Building\Permits\BUP-RESPemvtApp.doc 02/24/2011 440-4613T(11/02/COM/WEH) Building el'iel-i 1c�tm — Rr12 0120 dal ECEIVED cltty of Tigard DEC 31 2020 iz/2e (DO ST2 1.1 -©ooro tyl"Pane 5wtLn Rlvd 4"TFaitd CNt 98 i a..i ' rheas b7LO 7A--(I OOO9 inspscnos soLinee 339 nit so3.spa Y©rTIGAFU u> s..Pie.atr Line 9 ztl4w v �y U}�ff Dp1 N�I/'+DIVISION. 1.i5-__ t Wand caw tigantvr.gov iJV1�V1fYL7 tt`V'L7�©t� tl.tisa►gA.t6.d '7-{i✓Ct aeppinvrnYt lrafostlw 0 New construction 0 Demobtion Permit fees'ate bated on the value cribs work(minuted permed ts ✓ahrraa enkeplawornt 0 Indicate the value poed to the nearest dolor)(Wall equipment,materials.labor.overhead,and the profit for the . ;,.�`� +'+ �n a„� WQtk Indleatdd m Ibu applicaticta. .:rv ..:-'+.:vim • �. _ ❑1-and 2-Canal dwelling 0 Con Valuation: $ Gl9 9��• a I o Accessory building 0 Mule-!unity Numbs of bedrooms: / '(tJ o Master builder [tr• b. Number of bathrooms: Total number of tlotxa: Joh site address: i as~a - .5 VI /a t-tt ^ A u'. New dwelling area: square feet City/Stsut2JP:7-.'1 /'^Oe_, Cc. ! 7e7++J Gmagekarportaea: square feet }Swtebldgiapt-no.: Project name:ts A-i Oft? ' I rt/tpt J e _ Covered porch area: $(lame feet lOosf atred/dimtiana to job site:% /01 c../ - ArAr dtis /,,T t/.4 doss Deck area: equate feet 7^e s IJr.,- Other structure area: j 17 % square feet 1 i r G✓/ft t r, 6r /a y l'iif•t. 4 siA„„ /fir ,. - Subdivision: Or.p 6,4:. ,G La no.a 0 Permit feat'are bred on the value ofthe work perfamed. LNir.*o the value(rounded to the nearest dollar)dell m Tax apJparcei no S • : • r I • r equipment,materials,l ,overheatt and the profit for the F �a � cc.l ri �#'+s zi -: workIIIdtCated On this application. add. £ CI-T—;* E h e d /17 0.i4p • Valuation: $ )t di) . 5 it.,e.i 1 tO rr Z.I/I Czar TAG r i©� Existing building area: wipes feet �, �.✓< 1 , New building area: square feet r " Number of atones: dame: Pe.E e. -;/I Type ofconstruction: (dams: 1aa 8 6- 1-.-; j a Y t-s A.ester • Occupgacygam: 1 sty/State/ZIP: rill),,- L.J //r. q 7,2. '3 Existing: Bone:W03) Fax:( ) New: tsiness name:1/ i I f G .4 t-L- z e 0.t" e l iTi"' Structural plan review fee(or deposit): ,-- Cf erect name: �Littif a r11••,v1G-- `��a�Ar �.. dress: L a !�A' a 'I FLS plan review fee(if applicable): P/Sta0e/ZIP: erre S A or r✓►f /• 9,0 1 Total fats due upon application: Kos) 7�h�-4a 3 2 Fax::( ) Amamt received: ail:11 .ea. �:: z..:, . QCIa]dad rCatdeattal preectlphve matalatr0a of - a - ;t _ . . roof-top mounted Photovoltaic Solar Panel System. nets name:)`Ji i � L QytS %�"64 4- T •"" and fire dquirtment Submit two(2)sets of maf plan with connection details '�: (" t� 0OiY 4.0V Solaraccess,aloe brkh the 2QIQ Oregon Specialty Code chtctr6at State/ZIP: G..lt!S ly zt i+-r Ar g 7 a 3 a Permit Fa(includes plan review $180.00 ::(f j�) 7g�� �+3 �i Iax:( ) and administrative fees): F State surcharge(1r/e of permit fee): $21.60 lc.: i S Total fee due upon application: S201.60 sized signaAue: #"/ / / Tvs Pit aPPtkatlt►a esplro Ff a perms Is / �� wkYia 1lID days attet tt ku beta aceeptrd n see e r C �!c Date: .z a/ 0 24, .Feemethodo Bosrd�set by Tri-County Building industry ervicenglPermits1BUP-RESPcnni pp.doc 02/24/2011 13T(I lA)2 COM/WEB) W3124 City of Tigard 1111 ■ COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Residential Building Permit #: M5T2oi.i —000 I Q Site Address: 12285 SW 124th Ave Project Name: Gill Shop Addition Lot #: Planning Review Proposal: Add new shop onto side of existing house ❑r Verify address/suite # active in Accela. Q In River Terrace: ElNo ❑ Yes, River Terrace Review Addendum Site Plan Elements: :,..Erosion Control 121 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ktetained trees with drip line and tree protection measures INIIrawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE Q 'orth arrow ...inky locations&easements(required for new and additions) li.ite address,project or subdivision name and lot number sidewalk/driveway approach 12 pplicant information(name and phone number) vocation of wells/septic systems IS TA r dimensions and building setback dimensions �itreet tree size,type and location iv.quare footage of buildings to be demolished street names ting structures on site °Comer elevations (2'contours if more than 4'differential AI••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? L(1 es ° o ElClean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑r Yes,applicant was notified ❑ No Received: El Yes El No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑Yes,applicant was notified CINo Received: ❑Yes ❑✓ No SDC Exemption for ADU applied for: ❑Yes ❑r No Received: El Yes ❑' No Public Facilities Improvement (PH) Permit: Required: ❑Yes,applicant was notified ❑r No Applied For: ❑Yes ❑ No, stop intake ElLand Use Case #: ADJ2020 00009 Q Zoning: R-4.5 ❑s Required Setbacks: Front: 14 Rear: 15 Side: 5 Street Side: NSA Garage: 20 El :uilding Height: Max. Height: 30 Actual Height: 13 Landsca ea: % Lot Coverage Max: ntrance et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ° Minimum 12%of area of all street-facing facades Garage e door is behind widest street-facing wall f \❑ Yes No,one of the following is met: Door e no more than 5' from wall and ere- vexed porch extending beyond garage. Door extends no mo 5' from wa ere is a 12 sq ft.window above garage on 2nd floor. ❑ Gar e door width is 12tor, °o or less of facade 60%or less and includes 7 of following: Covered porch ecessedrentrance et 1'Roof eave Roof offset Fire s s Lap Siding ❑Roof itch Ga or gambrel roof Dormer ccent siding Window trim Window recess Window 'on ❑ Balcony +, isual Clearance ❑ Urban Fores Plan 0 ensitive Lands: ❑° Yes U No Type: Vegetated corridor FA Conditions met prior to issuance of building permit Notes: El Approved By Planning: Date: 1/8/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms1BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 1242 0/SO Site Plans: # 3 Building Plans: # -3 Building Permit#: 42 Enter building.zermit#above. n ^ Workflow Routing t❑^I l nning L�J^E'ngineering rmtt Coordinator n-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 originalor� plan review routing form. � �lsuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 42 e 5 Ac.„-- Date: //Z/Zj Engineering Review Slope at building pad: 9J;? Conditions "Met"prior to issuance of building permit ElEasements (encroachments) per engineering conditions of approval and plat h/4- 0 Water Quality/Quantity Facility: Er Assess Water Quality Fee in-lieu: s ❑ No nU YYe Assess Water Quantity Fee in-lieu: Yes n❑n��No ��/ LIDA Facility on lot: ❑ Yes 1y'lvo Final Plat Recorded: h f - ❑ NOT Approved by Engineering: Date: Notes: Mail- pc./ ce -.yl .-/tu !17 8 bL /f 5-0 z cIi 7 1,7.Ob L7 Approved by Engineering: , _ _ ,.. Date: li/3/202/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved emit 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: q 01 SDC Exemption: ❑ Received Does not app SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes /A Parks SDC: ❑ Yes /A LIDA ❑ Yes V /A OK to Issue Permit Approved by Permit Coordinator: Date: //3 j 1:1B ui I di ng\Forms\B I dg Perm itRvw_RES_122419.do cx