Permit CITY OF TIGARD MASTER PERMIT
111 ' COMMUNITY DEVELOPMENT Permit#: MST2021-00023
r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2021
T t C;;�t,t.7 9 Parcel: 2S109DA06200
Jurisdiction: Tigard
Site address: 15058 SW GREENFIELD DR
Subdivision: SUMMIT RIDGE Lot: 39
Project: Talbert
Project Description: Replace existing 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 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $2,826.92 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 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 add9 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
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
TALBERT,BRUCE&MICHELLE STRONGHOLD FENCE AND DECK Required Items and Reports(Conditions)
15058 SW GREENFIELD DR 7061 OFFENBACH CT NE
TIGARD,OR 97224 KEIZER,OR 97303
PHONE: PHONE: 974-273-6047
FAX:
Total Fees: $327.10
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 952-001-0090.0�1, 1 /_ (1� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877,or 1.800.332.2344.
L.
Issued By: \--\10\, Q0t � Permittee Signature: � (Niil C. 01
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 i3- ► 29124
•
Residential RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received JAN 2 8 1021 21 `� 2\ Permit No.:MST 21J�1 cx323 Date By:
71r 13125 SW Hall Blvd..Tigard.OR 97223 Plan Review ic��
Phone: 503.718._24 39 Fax: 503.598.1960 2!I l hi, Other Permit:
Date By:
TIGARD Inspection Line: 503.639.�1175 BUILDING
OF TIGARD Date Ready By: )�tri. ® See Page 2 for
Internet: ww.tigard-or.goc BU,IILDING DIVISION N iGed 31cdu.1: 12. / � 114 supplemental Information
TYPE OF WORK REQ IRED DATA:1-AND 2-FAMILY 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 0 Other: equipment.materials.labor.overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 2
2-family dwellin Valuation:
1-and $ ►r�1�;0 Z43 r9
❑Commercial:industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: is oy 0 S W Gruc#A Ida hr.
New dwelling area: square feet
City State ZIP: "arm Q� 0I T 2ZA Garage carport area: square feet
Suite/bldg.'apt.no.:_J Project name: Covered porch area: square feet
Cross street directions to job site: C t 1 AKl� b�}CU& a Deck area: it square feet
v t� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax nut trccl no.: Indicate the value(rounded to the nearest dollar)of all
p p` equipment.materials.labor.overhead.and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Te ( t small au.k attot straU's owi,at Valuation: $
c,tbu1 E . tit v(s-E( t 4A Ai-. Existing building area: square feet
tot 9 New building area: square feet
jg PROPERTY OWNER 0 TENANT Number of stories:
Name: ineie_keLit r (bed.e- Type of construction:
Address: is o5& S L.) (.�(�/neiu - , ct D�,. Occupancy groups:
T( a
City/State ZIP: a ,,1.d ,oK L Q�-`' -2Ztf Existing:
Phone:(503) �L1c 4054 Fax:I ) New:
tx APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refet to fee schedule)
Business mane: I tl/V044tiv) v
Structural plan review fee(or deposit):
Contact name: R, (a,I,� Oct a4 c�2
-�j� T L /r FLS plan review fee(if applicable):
Address: TQ�O( €€ern.botc4 C4- 1U G
City State ZIP: i LZtr.. ` op_ l�.3a� Total fees due upon application:
` Amount received:
Phone:(cot 2,q3 `jg- Fax::( )
• e PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: kyta),�3"r, ttotc e91NAt'4( . C,®wt
I Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S.fte Pr 0 it � � ry�i1�1 \ c,k Submit two(2)sets of roof plan with connection details
�� �n � ci E and fir e department access.along hec the 2. Oregon
Address: C. Solar Installation Specialty Code checklist.
City.State ZIP: r y /J (� 2 Permit Fee(ine1 des plan review $18(1.O0
Kett(�Q�` t 01�.� '[�+�03 and administr;uiVe fees):
Phone:1OR() 24-3 0(4 f Fax:( ) State surcharge(12° of permit fee): S2L60
CCB lie.: Z 3 1 7-8 t j (7i 3 7-L Total fee due upon application: S201.60
Authorized signature:/�// "�i This permit application expires if a permit is not obtained
f r(/ within 180 days after it has been accepted as complete.
Print name: K..v r'Ilir aa Ixt,c/6 Date: I 111Z.7.1 z l *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pernits,BUP-RESPermitApp.drx 02 24 2011 440-1613T(11'02.COsf WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of TigardE Received Permit Nu.:
Dane B):
Associated permits:
w 13125 SW Hall Blvd..Tigard.OR 97223
Phone: 503.718.2139 Fax: 50 3.598.t 960
24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing 0 Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0
2 Zoning. Flood plain.solar balance points.seismic soils designation.historic district.etc. ❑ ❑ ❑
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: _ . 0 ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. 0 ❑ ❑
7 Water district approval. 0 0 0
8 Soils report. Must cam original applicable stamp and signature on tile or with application. 0 0 ❑
9 Erosion control 0 plan 0 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 ❑ ❑
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 he completed if
copyright violations exist.
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if 0 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:mid
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads.connection details.vent size ❑ 0 0
1 and location.
13 Floor plans. Show all dimensions.room identification,window size,location of smoke detectors,water heater. 0 1 0 I 0
furnace.ventilation tans.plumbing fixtures.balconies and decks 30 inches above grade.etc.
14 Cross sections)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. 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.•
I
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations:for non- 0 1 ❑ 0
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 1 0 0
locations. Snow attic ventilation.
18 Easement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 Cl 0
1 systems_see item 22_--[neineer's calculations.' . •
xcurrent
19 Beam calculations. Provide two sets of calculations using code design values for all beams and multiple joists 0 0 ❑
over 10 feet long and or any beanujoist carrying a non-uniform load_
20 Manufactured floor/roof truss design details. El ❑
{ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e..shear wall,roof truss)shall he stamped by an engineer or 0 0 0
architect licensed in Oregon and shall he shown to he a licable to the ro"ect under review.
•
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for item 1 I above. Site plans must he 8-I/2-x 11--or I i"x I7-. ❑ ❑ ❑
24 Two(2)sets each are required for Items 16. 19.20 and 22 above. 0 ❑ ❑
1 25 Building plans shall not contain red lines or tape-ons. "Mirrored-building plans will not he accepted. 0 ❑ 0
26 -Reversed-building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 ❑
27 `Drawn to scale indicates standard architect or engineer scale. ❑ 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 0 0
Street Iree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations.driplines. 0 0 ❑
and protection measures must be drawn to scale and must include the project arborist's signature of apples ai.
• 30 A Clean Water Services-Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0
c 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. i995.
I:\BuildinglPenuits;BUP-RESPennitApp.dex 02 2-f2011 440-4613T(I Ii02'COM!WEB)
y
City f Tigard I( 28(2 l
.o g
q COMMUNITY DEVELOPMENT DEPARTMENT
_ ..
TIGARD Building Permit Review — Residential
® OV .,K,,,Yf,04,r,,0,496.M7,-nit ,o'*,/•.M#.isv,k r.t14 Rrcl,sd.Y"sk:F'Y+i'Jir Abi.'.hig(.,6,41-v',P'N'}'n•tfk,0P, ir. '.l,E.,-,tM.., ,,,1",,:*',.,,,,, b`J.;:SC+".d'„Y+FtVA&I V44,t. F~Nt {0.,.,,
Building Permit #: IV\S-XZChZ\`Cop Z
Site Address: / q3 Q/11) ? 0 'I g, cbr
Project Name: /a/ Lot #:
Plan ng Review
Pr oral: O AD ka/refoL et. e 4,. _ 1 s--7&;44.
Verify address/suite # active in Accela. if;/ n River Terrace: 'ICJ No 0 Yes,River Terrace Review Addendum
SSPlan Elements: ❑Erosion Control
2(copies of site plan on 8 1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures
raven to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
h orth arrow wUtility locations&easements(required for new and additions)
to address,project or subdivision name and lot number ❑Sidewalk/driveway approach
(1/J .plicant information(name and phone number) ❑Location of wells/septic systems
Lo dimensions and building setback dimensions 0ttreet tree size,type and location
UP..uare footage of buildings to be demolished S et names
J Exi z g structures on site . er elevations(2'contours if more than 4'differential)
1���,/at area,building coverage area,percentage of coverage and ' >1,000 sf of impervious area created or replaced? El Yes differential/
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
' Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
SDC Exemption for ADU applied for: El Yes El No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes El No,stop intake
and Use Case#: N / ❑ Zoning. N
'equired Setbacks: Front: IN/ 'Rear: !S� Side: S Street Side: l./4— Garage: X)M
7 Building Height: Max.Height: Actual Height: /
Ili a dscape Area: % ❑ Lot Covera•- Max:
.
Entrance ir. -t back no more than 8'from street-facing wall t' 'arallel to street or offset 45 degrees or less
it
Windows CI Minim °, of area of all street-facing facades A
Garage El Garage door is behin. .est street-facin . ..1 ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more tha -'-.om wall and there is a covered porch extending beyond garage.
❑ Door extends no m. - a an 5'from w.I : .. there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door wid . ' ❑ 12'or less ❑ 50%or less . .cade ❑ 60%or less and includes 7 of following:
❑ Co , -a porch ❑ Recessed entrance ❑ Wall offset 'Roof eave El Roof offset
Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or . el roof ❑ Dormer
❑ Accent siding El Window trim El Window recess ❑ Window project. ❑ Balcony
f isual Clearance ❑ rban Forestry Plan
II SSsitive Lands: Yes CI No Type: Sly .eS
onditions met prior to issuance of building permit 0\ ti
J
).42 C%
No es: 2
Approved By Planning: 4-)e
----- r � Date: /•D-fis•/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: `\Z.Cb\Z\
Site Plans: #
Building Plans: # 3
Building Permit#: g Enter building permit#above.
Workflow Routing: Ca' Planning Q' Engineering Q'Permit Coordinator C'Building
Workflow Sign-off: ['Sign-off for Planning(include notes from planning review)
Route Application Documents: Ey Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
g'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \'O\\ J C\AD W-C Date: 2`IA\Z\
Engineering Review
['Slope at building pad: /` ''b
Q/-Conditions "Met"prior to issuance of building permit r!14-
YQ Easements (encroachments)per engineering conditions of approval and plat {µfs`
iiii Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2'.--No
Assess Water Quantity Fee in-lieu: ❑ Yes L� No
LIDA Facility on lot: ❑ Yes Ga'No
Final Plat Recorded: vl It
❑ NOT Approved by Engineering: Date:
Notes:
Cam►}TApproved by Engineering: /V,gy f- ,a. Date: z/'//2oZ/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit 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:
4 SDC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes V/A
to Issue PermitLIDA ❑ Yes A
OK _
Approved by Permit Coordinator: Date: S�/-7/
I:\Building\Fonns\BldgPemiltRvw_RES_122419.docx