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Permit CITY OF TIGARD SITE WORK PERMIT III IR a COMMUNITY DEVELOPMENT Permit#: SIT2021-00003 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 '� Date Issued: 2/18/2021 T�(� g �` Parcel: 1S134CB02500 Z" 7"5 2 / Jurisdiction: Tigard Site address: 12120 SW SUMMER CREST DR Project: Chibli Subdivision: SUMMER HILLS PARK Lot: 23 Project Description: Erosion control only permit for expansion of existing driveway and new approach off of Summer Crest. 2/25/2021: REPRINT permit to revise description for new approach off of Summer Crest,not 121st per engineering division. Contractor: TUANI TRADES LLC Owner: CHIBLI, ELIAS&ALISSON PO BOX 728 14476 SW HUNTWOOD CT CASCADE LOCKS, OR 97014 PORTLAND, OR 97224 PHONE: 208-695-6885 PHONE: FAX: FEES Description Date Amount Specifics: Erosion Control Only 02/18/2021 $322.80 Info Process/Archiving-Sm$0.50(up to 02/18/2021 $0.50 11x17) Type of Use: SF Class of Work: ALT Project Valuation: $12,000.00 Site Specifics: Excavation Volume: cu.yd. Fill Volume: cu.yd. Impervious Surface: sq.ft. Engineered Fill: Soil Report Required: Paving: Grading: Landscaping: Site Prep: Storn Drains: Retaining Wall: Fire Underground: Accessible Parking: Fence: Total $323.30 Required Items and Reports(Conditions) 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 toto OUNC b !ling 503.232.1987 or 1.800.332.2344. Issued By: z���J/ ,;/1./ /OC. Permittee Signature: i,ov /per/ e 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. City of Tigard INI . II COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: S i 7-2-0 Z/ - oev a3 ' .. - I r � Site Address: .2 1 n/ ,I Project Name: l.:f�l, - t V-Pk Lot #: 7_, 4 Planning Review 4 Pro osal: ems. : . '�i/' ,, , I ' r/Dav, Z/'j .Si- /� Verify address/suite# active in Accqg n River Terr e: No CI Yes,River Terrace Review Addendum S1y Plan Elements: Erosion Control EV copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures �rawn to scale(standard architect or engineer scale) � Footprint of new structure(including decks)and FFE ^5 orth arrow ' L] tility locations&easements(required for new and additions) e address,project or subdivision name and lot number Sidewalk/driveway approach laApplicant information(name and phone number) Location of wells/septic systems 4 Int,o dimensions and building setback dimensions treet tree size,type and location le.uare footage of buildings to be demolished St et names l' FA Existing structures on site orner elevations(2'contours if more than 4'differential) n4'►,•.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ElYes W No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): ' Required: ❑ Yes,applicant was notified ❑ No Received: El Yes ❑ No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: El Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No /DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No gil Public Facilfs Improvement(PFI)Permit: Required: Yes,applicant was notified El No Applied For: Yes ❑ No,stop intake ❑ d Use Case#: ❑ Zoning: Y E Require tbacks: Front: Rear: Side: Street Side: Garage: ❑ Building Heigh . Max.Height: Actual Height: ❑ Landscape Area: % 0 Lot Coverag Max: Entrance El Set back no more th. :'from street-facing wall ❑ ':rallel to street or offset 45 degrees or less Windows El Minimum 12%of area of a I -et-facing facades \���(((��\ r Garage ❑ Garage door is behind widest street- , ' g wall El Yes ❑ No,one of the following is met: El Door extends no more than 5'from ..'! nd there is a covered porch extending beyond garage. El Door extends no more than ' "rom wall an. . - e is a 12 sq ft.window above garage on 2nd floor. El Garage door width is ❑ or less ❑ 50%or less o , ade El 60%or less and includes 7 of following: ❑ Covered porc► ■ Recessed entrance El Wall offset ■ 1'Roof eave ❑ Roof offset El Fire s •.:es ❑ Lap Siding ❑ Roof pitch El Gable, '1. sr gambrel roof El Dormer ❑ - cent siding ❑ Window trim ❑ Window recess ❑ Win..• 'projection El Balcony ❑ Visual Cie. ce 0 Urban Forestry Plan ❑ Se •live Lands: ❑ Yes 0 No Type: E C. ditions met prior to issuance of building permit No es: — ������ J Approved By P nning: Date: J Revisions (after B ilding Submittal only) Review L_ Date Revision 1: Approved ❑ Not Approved `+ - �/Z,. / Revision 2: 0 Approved ❑ Not Approved / 1:\Building\Forms\BldgPermitRvw_RES_122419.docx I Building Permit Submittal Original Submittal Date: j�/dA/ Site Plans: # 3 Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: @Manning iThEngineering Q-Prrrnit Coordinator $$wilding 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. cl=l_-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. C/EGC, Notes: e ZS ,2/ : e/i/G---g6"0,0 04.J-1-7 - /*9 C i it /A✓ ri ,� By Permit Technician: ' Date: 2/2'21 48 001 Engineering Review IoC�Zoe 00o 7y c?"Slope at building pad: a`/ ErConditions"Met"prior to issuance of building permit h/R Er-Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: Er Yes ❑ No Assess Water Quantity Fee in-lieu: 2' Yes ❑ No LIDA Facility on lot: ❑ Yes No Final Plat Recorded:Fr NOT Approved by Engineering: Tom,f ,jY, (n"e'-7 Date: 1/251 Zd Z/ Notes: wit 1 tat/ ire Li DO- if Nam) d riUtws,y and a) °i L (‘ 2XCeecl 1000 -F}2 !'ke4se shy/ ,/,iaimil07s of new dpi wG l ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) viewer Date Revision 1: P Approved ❑ Not Approved /re h--- yi ` 6ZJz5/2"Zl Revision 2: ❑ Approved ❑ Not Approved Pe Coordinator Review \J ditions "Met"prior to issuance of building permit 0 • pproved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: �/.2.c7•1 r Revision Notice 2: Date Sent to Applicant: ODC Exemption: ❑ Received /Does not apt DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1N/A !` Tigard Trans SDC: ❑ Yes 4 N/A Parks SDC: ❑ Yes 'l/J N/A LIDA ❑ Yes1 N/A OK to Issue Permit Approved by Permit Coordinator: ,f Date: ---Qb-r-/-21 1:\Building\Fonns\BldgPennitRvw_RES_122419.docx Yiui.e. .M(zuaetu n+N utEN a.rs.,'eiu f txX.✓lsitnt.eiUrJUN!6Nrus/.i: CITY OF TIGARD ` . # i.� f- SITE WORK PERMIT I . ' COMMUNITY DEVELOPMENT `�, J U L Permit#: SIT2021 00003 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/18/2021 T# �'� O g Parcel: 1S134CB02500 Jurisdiction: Tigard Site address: 12120 SW SUMMER CREST DR Project: Chibli Subdivision: SUMMER HILLS PARK Lot: 23 Project Description: Erosion control only permit for expansion of existing driveway and new approach off of 121st Ave. Contractor: TUANI TRADES LLC Owner: CHIBLI, ELIAS&ALISSON PO BOX 728 14476 SW HUNTWOOD CT CASCADE LOCKS, OR 97014 PORTLAND, OR 97224 PHONE: 208-695-6885 PHONE: FAX: FEES Description Date Amount Specifics: Erosion Control Only 02/18/2021 $322.80 Info Process/Archiving-Sm$0.50(up to 02/18/2021 $0.50 Type of Use: SF 11x17) Class of Work: ALT Project Valuation: $12,000.00 Site Specifics: Excavation Volume: cu.yd. Fill Volume: cu.yd. Impervious Surface: sq.ft. Engineered Fill: Soil Report Required: Paving: Grading: Landscaping: Site Prep: Storn Drains: Retaining Wall: Fire Underground: Accessible Parking: Fence: Total $323.30 I Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions t OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: e/24,trzyt.„4_, Permittee Signature: e9'� /f 7,0�G/e, e ��// Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 'V,.: Building Permit Application C C - Z//c, Site Work RECEIVED Cityof Tigardeceived FEBF 1 0 Date/By: 4111 Zl 4V ParmitNo.:S-/7 O2/i10003 9 ., 13125 SW Hall Blvd.,Tigard,OR 97223 202] plan Review / Phone: 503.718.2439 Fax: 503.59$.1%0-r-Y Q� TI Date/By: Other Permit. r t i,Art Inspection Line: 503.639.4175 GARD Dace Rowdy/By: �ryd Juris: See Page 2 for Internet' www.tigard-or.gov DIJILD1f�IG DIVISION Notified/Method- 71-: "Y Supplemental Information sa ✓,� e.. q ,�-� a a4g it bdw �,`., ' '" OF , {` t ` 'TAy I«RAND 2t-P 1.MILY DWELLING 0 New construction 0 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. ❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: S 2./ 0te ❑Accessory building 0 Multi-family Number of bedrooms: EMrIzL ❑Master builder [Other: p rl ve w4 y r Number of bathrooms: JOB SITE INFORMATION AND,LOCATION Total number of floors: Job site address: /Z/10 S lam? SG iymf e r Ci s 1- ]�Dr. New dwelling area: square feet City/State/ZIP: ( / AYd t) -2/2-3i t�. 2/2-3 Garage/carport area: square feet Suite/bldg./apt.no.: d Project name: V y- a CrieS<a0 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DkIAt•COMMERCIAL-USE CRECKLIST Subdivision: Svmi1e V !'i11ll U RY k Lot no.: Z,3 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2 65 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION O!7'WORK I work indicated on this application. 1s9 C./I- Valuation: S C) aA f/S/or1 of eX/s It'ec ty 4,41 d ✓l.'A U f/1 ( p X/ f t2Pri�W w�y Of/= / /2 1 r� Ave Existing building area: square feet E/'L"btir Al C Cy 77 4/L, Q/v'. Pe ./y/7 New building area: square feet PIt 'E+t`I"!t'O?1 '; a" ED 1* l * _, Number of stories: Name: Fire's C44ii Type of construction: Address: /Z(t?o SW .,SU /1�°f/�PY t,u'.S D,Y'. Occupancy groups: City/State/ZIP: Fry' ¢✓d ©k q72 Z3 Existing: Phone:(log ) 7( `- /E0 e Fax.( ) New: ,,i~c Ap: t �,. ❑ CONTACT PERSON ,,, ' - ' . --- Business name: All contractors and subcontractors are required to he fit,_ Contact name: Cr//�S C�/ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: fat S�✓ rJ41 . "3' fir. jurisdiction in which work is being performed.If the City/State/ZIP: TT,,d 04, cry-L2-2 applicant is exempt from licensing,the following reasons apply: Phone:(9 ) 7f 4f (9te 8 Fax::( ) E-mail: q 494; /7 i1 e, /J7 , (nv., '1 Business name: j j, AN/ 77€4",A s 1 - c _._ ::BUILDING PERMIT FEES* Address: p Q go -7,, 1Plaarp-i fe toles ) Structural plan review fee(or deposit): City/State/ZIP: C-4 r,,,9-. Lei C S Q/2- 9 704 �e 4P 9,s 6 fees- FLS plan review fee(if applicable): Phone:( 0 �ax:( ) CCB lie.: a 9,ry.tK/3 /. //a i Total fees due upon application: Amount received: Authorized signature: --�'' 7.—y This permit application expires if*permit is not obtained / ` j within 180 days after it has been accepted as complete. Print name: l': (7 as (rrl/ l/- Date: z//0 j a/ * Fee methodology set by Tri-County Building Industry Service Board. h\BuildingWerm its\SIT-PermitApp.doe 08/02/2016 440-4613T(11/02/COM/WEB) OFFICE COPY R E C H V E D Driveway Expansion Plan FEb 1 ad 12120 SW Summer Crest Dr CITY OF TIGARD Tigard,OR 97223 SW Summer Crest Dr BUILDING DIVISION Existing Curb onion Control Measures Slope Fir Fir Fir Property Line Fir 0 / Dumpster Tree Tree Tree Tree lumpster will be used __ ,1- \.. rnn � o store all excavated Existing ro naterial and transported o o a dump accordingly. Driveway Fire Hydrant in/Out Garage 48' ediment will be Mew "" `"__ edimeined within Expanded Driveway naintairoperty line,but if any Expanded �+� off of 121st Ave ets away,the streets Driveway __ �� - scope sill be swept of any left -____ 16 ever material collected ' '" - , �-- Ind placed in the ________ - �.� lumpster. �- I �� b 4 concrete washout Gas - :ontainer will be used to Electric Concrete :lean out tools,left over Meter Residence Washout :oncrete material.This will be placed into the -o lumpster and disposed 125' o in accordingly. add inlet protection to a ro ,p :losest downstream a ;treet inlet drain 0 Existing old driveway off of 121st Ave ----____` MI w, 120' Ell 120' =1 CITY OF TIGARD Inlet Approved f ii Protection Contitionally Approved [ I For only the work as described in: PERMIT NO. e27721_0000S See Letter to: Fa iw [ I Attach [ I Job Ad ess: J)jam S Sc.( z-t7 ti C se�— .6- By: -4.�6 Date: /w�/zj