Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00161
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 05/10/2021
9 Parcel: 2S103CA00212
Jurisdiction: Tigard
Site address: 13140 SW HOWARD DR
Subdivision: WOODCREST NO.2 Lot: 24
Project: CALLAWAY
Project Description: 75 sq.ft. kitchen addition.-Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 75 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 75 sf Value: $68,000.00 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 Storm Sewer. 0 •
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bdcllw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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 add'I 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:
ALT SF VB R-3 75
Owner: Contractor:
CALLAWAY,KEVIN J EVERGREEN RENOVATIONS Required Items and Reports(Conditions)
13140 SW HOWARD DR 14605 SW BONANZA CT
TIGARD,OR 97223 BEAVERTON,OR 97007
PHONE: PHONE: 503-735-5650
FAX:
Total Fees: $2,452.78
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: Nally VcusliDe.We.fte PermitteeSignature: 0YliApp1.i.C'.a. Lc-YL
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.
AY diIf/,/,z, -4,4( rCANOVar. 8T
Building Permit Application
Ai -
Residential FOR OFFICE USE ONLY
. Cityof Tigard RECEIVE Received 1t a�/1 rlyr_
g Permit No.: 1 .V'1/b
r 13125 SW Hall Blvd.,Tigard,OR 97223 llalcBy. I lA/`
.IIIIPlan Review
• Phone: 503.718.2439 Fax: 503.598.1960 8 pR y % 2 Date/By: NA 'U Other Permit:Aim-D l_moo
i
T IGAR D Inspection Line: 503.639.4175 di 4 1, 4�L Date Ready/By: 111 ��y/// Juris: El See Page 2 for ��
Internet: www.tigard-or.gov CITY
Notified/Method:�i PI i l Supplemental Information
CITY OF TIGARCi i.i,,.,, /—�
TYPE OF WB)I(fI DING DIVISION REQ ' D DATA:1-AND 2-FAMILY DWELLING
❑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.
dwellingValuation: $ �' 8f0007
and 2-family ✓
❑Commercial/industrial `�
❑Accessory building 0 Multi-family Number of bedrooms: l�
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: /
Job site address: /3/yQ s 5� �( 2a j�e, New dwelling area: -75- square feet �s—
City/State/ZIP: 7v;/ (o cr f O f 9 t e 1�1���C. Garage/carport area: square feet
Suite/bldg./apt.no.: f J`7 c Project name: 7`O� Covered porch area: square feet
Cross street/directions to job site: n
SeJ �A/JJ� l' � Deck area: square feet
-Pk.) H01.OQ4 d Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
/3,,' equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
/3 k ' Existing building area: square feet
CO L '.(._rhLA"Z. S.4134:2��'a' .0 New building area: square feet
Vel PROPERTY OWNER ` 0 TENANT a Number of stories:
Name: r
rf G a4o Type of construction:
Address: 7 /y 0 Sc /��1w 4ci ��® Occupancy groups:
City/State/ZIP: cod / �, ? 3 -- g
��� / � Existing:
Phone:(�3 / �X- 9 )c Fax:( ) New:
f�-Af PPLIC uANT //�/ ❑r CONTACT PERSON BUILDING PERMIT FEES*
(PleasBusiness name: 7 `) 1j er20.., i,,,,,L �/17s , —77^ review fee
tojepe schedule)
Vl"l Cllfd'� I�..r/r L!'/ 1, Structural plan review fee(or deposit):
Contact name: /t_lied sc„)eess
7J n� FLS plan review fee(if applicable):
Address: ��f�a (' ) - 0/`S 11 1
City/State/ZIP:`' id 4 f���/r, q7. �I � Total fees due upon application:
Phone:(341 ) 95-3_'72 r'/ Fax::( ) Amount received:
E-mail: Kam.v.to,D S(A) e lss t� cyy�rLj,/� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR 4 Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: c".0 n ,r /1 n 0� 0 ��f f Submit two(2)sets of roof plan with connection details
-6/!/'j'C1G �'�t7 ` ' and fire department access,along with the 2010 Oregon
Address: 4'8 '1/ c Sr A 0/7C' ,� Solar Installation Specially Code checklist.
City/State/ZIP:i/Oc 7� d�,wed e 7,2 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(3/) 95 -x�5e/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: /Z7 /!�! 11I r }}qq
`tC R/ 7/j,) Total fee due upon application: $201.60
Jcatiza, y)7 I.
Authorized signature: This permit application expires if a permit is not obtained
( � /8,/ 2/
within 180 days after it has been accepted as complete.
Print name: Krf ta PA ER).ei S: S Date: 0 "Ser methodology set by Tr-County Building Industry'�TB�YII/ `!J Service Board.
L1Building\Permits\ P-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
__ .
City of Tigard■ 3� 12,1
iIII ~ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: (57727001 I —(10/(v/
Site Address: 13140 SW Howard Dr
Project Name: Callaway Lot #:
Planning Review
Pr posal: Addition and interior remodel
Pr
address/suite# active in Accela. 1"10-1ver Terrace: No ❑ Yes, River Terrace Review Addendum
cSitl lan Elements: rosion Control
���opies of site plan on 8-1/2"x 11"or 11 x 17"paper \ detained trees with drip line and tree protection measures
JC.Pr wn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
orth arrow „jitility locations&easements (required for new and additions)
'address,project or subdivision name and lot number A idewalk/driveway approach
Vplicant information(name and phone number) cation of wells/septic systems
✓- t ensions and building setback dimensions eet tree size,type and location
uaze footage of buildings to be demolished eet names
xis • g structures on site , orner 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 replaces? es 74.
'impervious area(ap licable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown. es 7 0
❑ Clean Water S rvices—Service Provider Letter (lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: ❑Yes uQ No
Water Meter Fixture Unit Worksheet—Addi . ns,Remodels and ADUs
111/41
Required: 0 Yes,applicant was notified No ie Received: El Yes
SDC Exemption for ADU applied for: El Ll No Received: ❑ Yes No
Public Facilities Improvement(PH) Permit
Required: 11 Yes,applicant was notified No plied For: ❑ Yes ❑ No,stop intake
�a -d Use Case#: Zoning: I 7
h egequired Setbacks: Front: ..0 Rear: IS Side: S Street Side: ilfr Garage: . -f)
Ad Building Height: Max. Height: 30 Actual Height: J
andscape Area: % ❑ Lot Coverage Max: °.
Entrance I I Set back no more than 8'from street-facing wall ❑ Parallel a reet or offset 45 degrees or less
Windows I M 6:.-.um 12%of area of all street-facing facades
Garage Gara doo '- .ehind widest street-facing wall ' I Yes 11 No,one of the following is met:
Door extends ore than 5' from wall a • i ere is a covered porch extending beyond garage.
Door extends no more . :.. 5'fro . .'.I and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 12'o s�I 50%or less of facade
Covered porch / `ecessed entrance I Wall offset B 1'0%R000xf less eaveand includes 7 of following:
Roof offset
Fire shingle Lap Siding ❑ Roof its ❑ G 6
able,hi ,or gambrel roof ❑ Dormer
Ac siding Window trim Window re Window projection ❑ Balcony
❑ Visual Clear. . - ❑ Urban Forestry Plan
❑ Sens.;'- ands: ❑ Yes ❑ No 'Type:
P ditions met prior to issuance of building permit
No s:
Approved By Planning: Date: 3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
l:lBuilding\Forms\BldgPermitRvw_RES_122419.docx A
Building Permit Submittal
Original Submittal Date: 3/iy�
Site Plans: #
Building Plans: #
Building Permit#: ��� buildin ermit#above. L`�'F'
Workflow Routing: lanning ngtneering ermit Coordinator g
Workflow Sign-off: E�'�S�t�g�n,-off for Planning(include notes from planning review)
Route Application Documents: E{1-E<Ineering: (1) copy of permit application, (1) site plan, (1) building plan and
on 1 plan review routing form.
U.Suilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 74, W" (../A. A.rc S' Iv,•.L(. Si, 4741 Linpl. t AS die st/I/}I anol /C k
By Permit Technician: Date: ad,L7/�/ ir-r"Vvr-0(
Engineering Review
Slope at building pad: /Z'2„
a-Conditions "Met"prior to issuance of building permit H/t
asements (encroachments) per engineering conditions of approval and plat *AL7 Water Quality/Quantity Facility: Er
No
Water Quality Fee in-lieu: ❑ Yes E7 No
Assess Water Quantity Fee in-lieu: ❑ Yes 'RNo
LIDA Facility on lot: ❑ Yes Eli\lo
Ikt^inal Plat Recorded:N/A
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: 7 -legr{'GKc.y Date: W 2'7/2oe/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
l -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:
0 SDC Exemption: ❑ Received Does not a ly
,SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes VN/A
Tigard Trans SDC: ❑ Yes ea N/A
Parks SDC: ❑ Yes i N/A
LIDA ❑ Yes 0'N/A
Zi OK to Issue Permit
Approved by Permit Coordinator: Date: 412/1IV 2/1
hik 1:1Building\Forms 1BldgPermitRvw_RES_I 22419.docx