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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00022 T I GA R C7 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2021 Parcel: 2S110BB00400 Jurisdiction: Tigard Site address: 14125 SW 119TH PL Subdivision: None Lot: None Project: Brann Project Description: Pour footings for new deck BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 st Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 at Right: 5 Detectors: Total: 0 sf Value: $3,000,00 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 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Bckfw Prevntr: 0 Catch Basins: 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 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 addl 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 8 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:Y Square Feet: ALT SF VB R-3 0 Owner: Contractor: BRANN,JOLEEN JW GLISSON CONSTRUCTION Required Items and Reports(Conditions) SCANNELL,RICHARD C PO BOX 1057 14125 SW 119TH PL GRESHAM,OR 97030 TIGARD,OR 97224 PHONE: PHONE: 503-957-6174 FAX: Total Fees: $345.71 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. Issued By: 't.t J O Y) L .u#A. Permittee Signature: e Ctpc)r i Ct i-iUk-N J —Callll 503.639.4175_ by 7:00 a.m.for the next available inspection date. C 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. /As:4,, Building Permit Application RECEIVE[ .e Residential RECEIVE[ FOR OFFICE USE ONLY City of Tigard JAN 2 5 2021 ReDceived Z, I{'Z, PemitNo:MS�Z�Z�"OD022 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Dale/By: V 2(�Q21 A F,� Other Permit TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIOr Date Ready/By: �/��yr.y�.�! lug S See ental Ior Internet: www.tigard-or.gov ufied/Ntethod: . r �pQ\ , 1� Supplemental Iuformatiou TYPE OF WORK REQUIRE! t ATA:1-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the * CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 3G0(J 0 1-and 2-family dwelling 0 Commercial/industrial 1 47'1 [-I Accessorybuilding 0 Multi-family Number of bedrooms: ❑Master builder INtOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: (Lt 17 Gw 1(Gi`.1 p( New dwelling area: square feet City/State/ZIP: it 1 (1f�r6t 1-q-UL,I Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Del. (- f G L t:el I Covered porch area: square feet Cross street/directions to job site: Deck area: coo{-i/m.[2 J17i Ili square feet t2 t t'1—�1 ei Gt t'J`1d . Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: (.OV1 I 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.: 17.6 y I i t j GI ; equipment,ma-rials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated o this application. Valuation: $ 5 �✓v,Gt 42 /` _pry / , „� c !'S 1Z9 `y�/ Existing building area: square feet G( C/�f(_ �/ New building area: square feet N PROPERTY OWNER TENANT Number of stories: Yl(t A Name: J in . t T J/ i:. i, t , „_ Type of construction: ` Address: L. I 4„; 5 W I f Occupancy groups: City/State/ZIP: I \i,if f ;'(:-' II Existing: Phone:(5O j) fax:( ) New: ❑ APPLICANT Eir CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ""{ f Structural plan review fee(or deposit): (1 c1 3 f Contact name: J0(- le 1 r`t-t:t. 1 JV FLS plan review fee(if applicable): Address: I L Z� 3 1 [ Ci-4-` ID i Total fees due upon application: City/State/ZIP: .!,f (jy Amount received: Phone:(56 3) 3/, LA)?ii Fax: :( ) E-mail: ,, !1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* i r Commercial and residential prescriptive installation of CONTRACTOR t N►rA roof-top mounted PhotoVoltaic Solar Panel System. Business name: > C7AGk.O II tS a f) r 1 Submit two(2)sets of roof plan with connection details / and fire department access,along with the 2010 Oregon Address: PO TOX , - ,..f-, Solar Installation Specialty Code checklist. City/State/ZIP: "I✓-(4- A.,1,-) G V, CI 4-6":")(. Permit Fee(includes plan review $180.00 and administrative fees): Phone:(SD ) 6 t Ot (ie 6Q Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: I(p?j 1� I p2 I 2_.j Total fee due upon application: $201.60 Authorized signature: ad.-- g This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. bi t Date: I *Fee methodology set by Tri-County Building Industry Print name: J f ✓j �Si Zl Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) i Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received pc11111t No, 41 13125 SW Hall Blvd.,Tigard,OR 97223 AssociI 14 ated 503.718.2439 Fax: 503.598.1960 Assoc aced permits: i I I , \�t I t 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other 'FIlE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 6 Sewer permit. ❑ 0 7 Water district approval. ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 basin protection,etc. 10 ..Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state g ❑ 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 �"C 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 )4 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ J 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. j< ❑ ❑ 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- 431 ❑ ❑ 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 0 A1 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 A 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 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 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 J'�' 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ 24 Two(2)sets each are required for Items 16, 19 20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 2.1 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 lEr 27 "Drawn to scale"indicates standard architect or engineer scale. g 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ [�' Street Tree List. ' \ 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ g 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, ❑ ❑ fit 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-RESPermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB) CleanWater\�`Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 21-000391 1. Jurisdiction: Tigard 2. Property Information (example: 1S234AB01400) 3. Owner Information Tax lot ID(s): 2S110BB00400 Name: Joleen Brann and Rich Scannell -R9494396--- Company: Address: 14125 SW 119th Place OR Site Address: 14125 SW 119th Place City, State,Zip: Tigard, OR, 97224 City,State,Zip:Tigard, OR, 97224 Phone/fax: 5033806039 Nearest cross street: Gaarde Email: brannellhouse©gmail.com 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Joleen Brann and Rich Scannell ❑ Lot line adjustment 0 Minor land partition Company: ❑ Residential condominium ❑ Commercial condominium Address: 14125 SW 119th Place ElResidential subdivision ❑ Commercial subdivision City,State, Zip: Tigard, OR, 97224 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5033806039 Other Email: brannellhouse@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: Please feel free to call with any questions 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 Joleen Brann and Rich Scannell Print/type title Signature ONLINE SUBMITTAL Date 1/29/2021 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. ❑ 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 Date 2/8/21 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 Rrviseed 22020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org YO OS � .x ,,, oos � dW ILLINIOIA � � — . n. a M „ —. wo_ r33115113n00 zm. d s ".mrmiaaw6,10... . I w w ua.xm,33xa .t a__sue ,ma .e, ua s oschusp8 .3i3rv�na.acx a idi r. y .uWy OUIYUML I[ V,Mudwp.� eJpM •• — ea tv xawyHVAw'9d3-soH w aas1a4W 14 • ,.w,.s Isah4No5 SZ LPL ,a,M. nalaantaral ale rt.wox.�„°°°:3. .Vt..9N5 6ePovy MS q ` ..,w y 3,wrowruo arc ortreo r. 3vo.. p Y pp�jW j0 Md •nw.wuw�. 9 3 s s WYad pus Ya s3,ox,o J .,..,k,......x„x..a u x,. �.W.wo m"xAoo'�,'o'xvywn anm A3�°amaoxn w.vwsvm3eauoam Aww . w.ma vuvWi.ewxws+ry a,aw,xAral'a as wvx.ua ,v 10 9Pn xwa.oxr.saxmn maw mt wmee vax aloe CO �ki n:uxituut h+xsm ' S. 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City of Tigard 1 (261 : " COMMUNITY DEVELOPMENT DEPARTMENT lig a Building Permit Review — Residential TIGARD Building Permit #: MSTZ.csz.\-- ZZ Site Address: JL//.2 Ji) J/ a Project Name: Jan aea4/1./ / Lot #: Plan ' g Review Pro osal: r-.0 Verify address/suite#a ve in Accela. n River Terrace: No 0 Yes,River Terrace Review Addendum Sit Plan Elements: EErosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures wnP to scale (standard architect or engineer scale) C;lrootprint of new structure(including decks)and FFE VA b orth arrow Utility locations&easements(required for new and additions) Y.S' a address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) ❑Location of wells/septic systems VA +. dimensions and building setback dimensions ❑Street tree size,type and location 1 II.'.,uare footage of buildings to be demolished ❑ tr=-t names G Exi g structures on site Ili A. • er 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? ❑Yes impervious area(ap licable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes o ❑ Clean Water rvices—Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑ Yes VJ No 4*w Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No oi SDC Exemption for ADU applied for. ❑ Yes ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: 0 Yes ❑ No,stop intake and Use Case#: 0 Zoning: ,� ll �+ 10Vequired Setbacks: Front: e2(.7Rear: / Side: c Street Side:N Garage: e 2O Fr Building Height: Max.Height: Actual Height: L 7 r. andscape Area: % 0 Lot Coverage Max: Entran 0 Set back no more than 8'from street-facing wall ❑ Parallel to street or offs " .egrees or less Windows ■ urn 12%of area of all street-facing facades Garage ❑ Garage ... is behind widest street-facing wall 0 0 Yes • No,one of the following is met: ❑ Door ext-,• o more than 5'from wall and there is a : -red porch extending beyond garage. O Door extends no m. - than 5'from wall and •- e is a 12 sq ft.window above garage on 2"d floor. 0 Garage door width is 0 12'o s ■ 110 or less of facade 0 60%or less and includes 7 of following: O Covered porch 0 Rece---. en - 0 Wall offset ❑ 1'Roof eave 0 Roof offset ❑ Fire shingles P ap Siding 0 R.. _.itch ❑ Gable,hip,or gambrel roof 0 Dormer ❑ Accent ,•:. g ❑ Window trim ❑ Win., recess ❑ Window projection ❑ Balcony ❑ Visual Clearanc- ❑ Urban Forestry Plan ❑ Sensim - ands: 0 Yes ❑ No Type: • "o Lions met prior to issuance of building permit No -:: Approved By Planning: — Date: -2- Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: k\ZS''Z-1 Site Plans: # 3 Building Plans: # A Building Permit#: Er Enter building permit# above. Workflow Routing. Q Planning Ca- Engineering ['Permit Coordinator [ Building Workflow Sign-off C' Sign-off for Planning(include notes from planning review) Route Application Documents: [ya'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [iVBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: V- JGn l.,t3e' ( _ Date: 21 I1 Z- E,nngineering Review a h/ Slope at building pad: 12 2Y-Conditions "Met"prior to issuance of building permit N 161 Easements (encroachments)per engineering conditions of approval and plat A/ '- ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes R No Assess Water Quantity Fee in-lieu: ❑ Yes Q'No �/ LIDA Facility on lot: 0 Yes [No [ Final Plat Recorded: N/" ❑ NOT Approved by Engineering: Date: Notes: ErApproved by Engineering: 7ht�J garb-"�_/,_,_ Date: 2/4tkkf../ Revisions (after Building Submittal only) � Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review 4 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: 04 SDC Exemption: 0 Received Does not appll SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes !!4/iV/A Tigard Trans SDC: ❑ Yes /A Parks SDC: LIDA0 Yes 7 ❑ Yes N/A I OK to Issue Permit _ Approved by Permit Coordinator: �� Date: CA/ I:\Building\Forms\BldgPenuitRvw RES 122419.docx