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Permit CITY OF TIGARD MASTER PERMIT " ' COMMUNITY DEVELOPMENT1114 Permit#: MST2 02 1-0001 3 T I GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2021 Parcel: 2S110BA03500 Jurisdiction: Tigard Site address: 11575 SW CLOUD CT Subdivision: SHADOW HILLS Lot: 30 Project: Herboth Project Description: 310 sq.ft.two-story addition. Adding (1)bedroom and expanding(1)bedroom. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 1 First: 145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 165 sf Garage: 0 sf Front: 30 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 310 sf Value: $37,962.50 Rear. 25 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 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=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: ADD SF VB R-3 313 Owner: Contractor: AGARD,KIRSTEN ERIN WM D HERBOTH REMODELING INC Required Items and Reports(Conditions) HERBOTH,GLENN ALBERT 6008 NE RODNEY AVE 11575 SW CLOUD CT PORTLAND,OR 97211 TIGARD,OR 97224 PHONE: PHONE: 503-289-1600 FAX: Total Fees: $1,656.79 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 through7' 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: Lo7wy V DeJWce Permittee Signature: DVliAPP A.Catt.0-Y1 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. T� . T Building Permit ApplicatioIRECEIVED - 1 12 Residential City of Tigard JAN 12 2021 Received kVin\ 21 '3, -,03 IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan m Phone: 503.7182439 Fax: 503.599.194)ITY OF TI GARD D�BrnReview /I° 24 6* I ahe'.Pem4 ili,AE:. Inspection Line: 503.639.Q175 f�tt rt„ y,� are Rnay/R. t H See Pace Zfa Internet: www.tigard-or.gov BULL: ..� DM Y)N Nodfied4k8brd: 2''.i 0„--, 17Pt Sit Information I*e 't-,ev,Lcr idn.W TYPE OF WORK- REQUIRED DATh.2-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees'are based on the value of the work performed. Indicate the value(sounded to the nearest dollar)of all la Addition'alteratiwvreplacement 0 Other: equipment,mateziak,labor,overheadyid..-profit for the. CATEGORY OF CONSTRUCTION work indicated on this application .. ,zw,ter, ,,, . ffr 1-and 2-family dwelling 0 Commercial/industrialValuarmon: ���, ❑Accessory building 0 Multi-family Number of bedrooms: I ❑Master builder Q Other. - Number of bathto ras: JOB Z SITE INFORMATION AND LOCATION Total number of floors: Job site address: //S/>5 Slit/ C/, L e t New dwelling axed -3 1 t, square feet C — City/State/ZIP: / ' 1 C)It. 77 L 2L Li Garage/carport ara: square feet I f S`" Suite/bldg.apt.no.: Project name: 11 �y*L Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED,DAT:L COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 3....er) 'a-' Permit fees'*are based on the value of the work performed. Tax mapipatcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the J. DESCRIPTION/J OF WORK //.: work indicated on this application. Ter d .4�r/� c� /4,0---. ©/t e MrJ� Valuation: $ €w lk0.3.1 /'^-+. zs tar.-- Existing building area: square feet ' J New building great square feet -Q PROPERTY OWNER 0 TENANT Number of storiesltl. Name: /'// /� / j p m Ca6G/L w- 7f'/'C i/'� '�G" /�,F2�"' � s Type of mosttuctlan: Address: //3 7 5 .S 1.,‘" e 6- / E- � JJ p occupancy gtoup9: City/State/ IP: !�r r/L is f 7 Z'L—l) Exile Phone:( O b �9 I S 57�3)8 Fax: _ i New: *APPLICANT [] CONTACT PERSON ;Radom MOOT FEES* Business name: (Are rrY'ermJ�aelordmde) i _....___ Smuctural plan revialw fee(or deposit): Contact name: Address: _ FLS plan review re(if applicable): Total fees dul upon application: City/State/ZIP: Phone:( ) J/ n ,ram ///�P�ax::(�./� ) -/- /'/��//� (Amount received: E-mail: G je1:&<igtJ 7-7/.6 G/4 X E C C//t+ PHOTOVOLT SOLAR PANEL SYSTEM FEES' t { Commercial arid rev" ntial prescriptive installation of CONTRACTOR ! roof-top mounted Voltaic Solar Panel System. Business nacre: j„� . s✓ Submit two(2)sets toof plan with connection details ,r and fire department ,along with the 2010 Oregon .4 Address: . Solar lnsrmlleaion S ialtv Cade checklist. y�� `I e ) Permit Fee lades an review City/State/IIP: /dtf'� G' / 2,-`f / ( $180.00 /l and "nistative fees): ���) g�O j� '( ) State suieharge( of permit fee): S21.60 cal lie.: 0 s+ Total fee dui upon application: S201.60 Authorized s vanat re: 6 This permit • ezpires if permit is not obtained efg../dre....../ , within Ili®days a has been accepted as complete. Print 6 name: -,04 j,,, Y� Date:/// ,//2, i •Fee methodology by Tri-County Building Industry Service Board. LaBmWing,Petmits\BUP-RFSPermisApp.doc 02/24/3011 440-4613T(t1/02/COM/WEB) l/ ►2/2 r 0 City of Tigard III 11 COMMUNITY DEVELOPMENT DEPARTMENT G T I G A R D Building Permit Review — Residential Building Permit #: (V\c>"\-2o2.\— UUU\3 Site Address: 11575 SW Cloud Ct Project Name: Herboth Addition Lot #: Planning Review lib/•'-1 :44/1"seg s;.t.p1cw, Proposal: 2-story addition on side of existing house -ets.c-froef'" j, a,t 404./AMIAct ElVerify address/suite# active in Accela. ❑o In River Terrace: El No ❑ Yes, River Terrace Review Addendum Site Plan Elements: � --'�'rosion Control 0' copies of site plan on 8-1/2"x 11"or 11 x 17"paper �y'1(d%twined trees with drip line and tree protection measures 0�rawn to scale(standard architect or engineer scale) `ootprint of new structure(including decks)and FFE 0 Torth arrow °' tility locations&easements (required for new and additions) !Lite address,project or subdivision name and lot number _sidewalk/driveway approach 0 pplicant information(name and phone number) .. J.ocation of wells/septic systems 12,4t dimensions and building setback dimensions .itreet tree size,type and location t`,,.ware footage of buildings to be demolished °'t et names 0 xi i g structures on site rner elevations(2'contours if more than 4'differential Ori ►,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? es ° o 0 Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): j I J► g1V1 Required: CI Yes,applicant was notified No Received Yes No ❑ Wa r Met ture Unit Work e -Additio , e dels and ADUs A., /�-S r v Req ' ed• ❑° ,ap as notifie No eceived: , o" �Tf EM�C i II SDC xemption for ADU applied for: ❑Yes Q No Receive : Yes ❑' No ii Public Facilities Improvement (PFI) Permit: Required: q Yes,applicant was notified El No Applied For: ❑ Yes ❑ No,stop intake II Land Use Case#: El Zoning: R-2 0 Required Setbacks: Front: 30 Rear: 25 Side: 5 Street Side: N/A Garage: 20 ❑o Building Height: Max. Height: 30 Actual Height: 15 � -.ndscape Area: % ❑ Lot Coverage Max: Entrance U Set back no more than 8'from street-facing wall ❑ Parallel to street . . fset 45 degrees or less Windows I i, :, urn 12%of area of all street-facing facades t� Garage I Gara ... 's behind widest street-facing wall N I -s ❑ No,one of the following is met: Door exten. ,o more than 5'from wall and the - ' a covered porch extending beyond garage. Door extends no m. • than 5'from wa i there is a 12 sq ft.window above garage on 2"d floor. 11 Gara e door width is N12'or : 150%or less of facade 60%or less and includes 7 of following: Covered porch P. :< -ssed entr. - ElWall offset 1'Roof cave Roof offset Fire shingles Lap Siding R.• .itch ❑ Gable,hi ,or gambrel roof ❑ Dormer Acce. '. g 0 Window trim 0 v •w recess Window projection ❑ Balcony ❑ Visual Cleara. ❑ Urban Forestry Plan ❑ Sens';,- ands: ❑ Yes ❑ No Type: onditions met prior to issuance of building permit Notes: El Approved By Plan. 'ng: C----->1/--�— -02, Date: 1/13/21 Revisions (after B ' .ing Submittal only) Reviewer D to .>Revision 14 / Approved ❑ Not Approved Revision 2: I Approved ❑ Not Approved 1:1Buil ding\Forms\BI dgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: \\\2`2\ Site Plans: # Building Plans: # 3 Building Permit#: Q Enter buildingermit# above. �y Cr Workflow Routing: El Planning Engineering LI Permit Coordinator ❑ Building Workflow Sign-off: Et Sign-off for Planning (include notes from planning review) Route Application Documents: Q 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 and trust details,if applicable,etc. Notes: By Permit Technician: 'O\' \Jc L - Date: 1\21 2\ Engineering Review ts Slope at building pad: /79 Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: �y Assess Water Quality Fee in-lieu: ❑ Yes L7 No Assess Water Quantity Fee in-lieu: ❑ Yes EUN LIDA Facility on lot: ❑ Yes LS No gFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 1 Approved by Engineering: g . I-t s ►4 ys_ Date: a,• I—.).o .r Revisions (after Building Submittal only) _Reviewer Date Revision 1: gApproved ❑ Not Approved l� , v .s t4 . �`�{'L� Li Revision 2: ❑ Approved ❑ Not Approved 's` Permit Coordinator Review r•JRConditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 1 Notes: Revisions (after Building Submittal only) Date Sent to Applicant: /(L 5��{� 1iYM Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Er Does not apply DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes g N/A Parks SDC: ❑ Yes E N/A LIDA ❑ Yes N/A El-OK to Issue Permit n Approved by Permit Coordinator: (/1�/"L- Date:2 2J Z I:\Building\Forms\BldgPermitRvw_RES_122419.docx W 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 4 Transmittal Letter TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223•503.718.2439•v.•ww.tieard-or.eov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: tc/eir_ Akr4z ,�.J.� �i/ APR 72021 COMPANY: /..4. a i�Y- kz"f i; ZIA!• CITY OF TIGAI iy: PHONE: 3'0 1 6 919 ' EMAIL: 6//Apliti*jy ,.) /WIllL. coryt RE: I/c 7 5 fg C/, / 44. /1.S`t2021 — O°b13 (Site Ad ))dresss (Permit Number) (Poject name or subdivision name and lot nunber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Q( Additional set(s)of plans. Revisions: Cross section(s)and details. !' Wall bracing and/or lateral analysis. >e Floor/roof framing. Basement and retaining walls. X Beam calculations. x Engineer's calculations. Other(explain): I/ REMARKS: S7-e7000 FO O FILE USE ONLY All Fees Routed to P tTechnician: Date: q �r3 Initials: LTA ' Fees Due: U Yes ❑No Fee Desbrrptio : Amount Due: ti i2 �� (,c t`, $ �" P $ Special Instructions: �,{ Reprint Permit(per PE): ❑Yes jK No I D Done Applicant Notified: r- Date://)jz/j.i III Initials:g•, (c—.,,sc i 6)