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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT III Permit#: MST2021-00107 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2021 Parcel: 2S1110602200 Jurisdiction: Tigard Site address: 14845 SW 100TH AVE Subdivision: MURDOCK HILL Lot: 3 Project: Barton Project Description: Addition to front and back BUILDING Floor Areas Required Setbacks Reauired Stories: 1 Bedrooms: 1 First: 1073 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 13.5 Bathrooms: 1 Second: 0 sf Garage: 150 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Yes Right 5 Detectors: Total: 1073 sf Value: $138,644.58 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 1 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: 1 0-200 amp: 0 W/Svc or Fdr: 9 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: ALT SF VB R-3 1073 Owner: Contractor: BARTON,BRADLEY L.S.PANAS AND ASSOC Required Items and Reports(Conditions) 14845 SW 100TH AVE 17261 SW KELOK RD. 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 LAKE OSWEGO,OR 97034 PHONE: PHONE: 503-209-9600 FAX: 503-697-7094 Total Fees: $6,907.34 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: fto'UNVA.tv'De,Wege Permittee Signature: OVL7lppkcA2Co-vt 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 '43" 312h1 iZ. Residential RECEIVED FOR OFFICE.USE ONI.ti Received 5 Z0Z1 PermitNe.:MS12O2/-�/O7 . City of Tigard Date/B L 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 E! 20Yi Plana Review 5 viI ZI tOther Permit Phone: 503.718.2439 Fax: 503.598.1960 y`TIGARD Inspection Line: 503.b39.4175 CITY OF TIGARD Now eady/By i /, /�I 7 i` [o El see Page 2 for /�� Supplemental Informationn Internet: www.tigard-or.gov BUILDING DIVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed. ❑New constructionIndicate the value(rounded to the nearest dollar)of all RAddition/alteration/replacement ❑Other: equipment,materials,Labor,overhead,and the profit for the work indicated on this application. 13g y.if CATEGORY OF CONSTRUCTION Valuation: $ t BPI-and 2-family dwelling 0 Commercial industrial Number of bedrooms: t ❑Accessory building 0 Multi-family 0 Other: Number of bathrooms:‘* t ❑Master builder ` JOB SITE INFORMATION AND LOCATION Total number of floors: `�e,Ks 5v� A New dwelling area: Ian square feet 1 tj-/3 Job site address: �©�'L' a • �,� L 1 S^a square feet City/State/ZIP: "� (� 0 �� ®7 Z2% — , Suite/bldg./apt.no.: Project name: Fijasotr+79 el A44 4.ktL' , Covered porch area: letzl square feet Cross street/directions to job site: Deck area: b�^ square feet aJP $C-ry a , der 1X� -� y I>c'�/ Other structure area: ..— square feet le r `e2 r giro A[` izerr_ U/i4/ _"I�q, h re REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: rGfee/)Z/T , Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 1 Tax map/parcel no.: equipment,materials,labor,overhead,and the profit f• the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 'PROPERTY OWNER I 0 T�EN�AyNTT Number of stories: Name: t n_AO t A" qsS,AtTj , ` {, fen Type of construeon: Address: `N,Oy j �yl,I We:M r`s-�Cve- Occupant _, , ,s: City/State/ZIP: A & (2_ �7 I 2,7_s.4 sting: Phone:6Q3 57' - 9 3 Fax:( ) New: ISPAPPLICANT QlCONTACT PERSON BUILDING PERMIT FEES* - t e ,,,� / A {Please refer se fee schedule) Business name: L ?A NAt Tj A SSoC (A?t Stmctu al plan review fee(or deposit): 13/56.2_ Contact name: u V VL 'v c��I FLS plan review fee(if applicable): Address: t t 01 � �0 ES Total fees due upon application: City/State/ZIP: LA - es- Oc D IL 97035_ Phone:(ra Fa 9 S2) .,��(.��_ Fax::( ) Amount received: ^^ / ^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:il: ^ ��� �t r//�)N/v SI �,`r' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1 p�� r�` AS, ,,t C1J ATt ? Submit two(2)sets of roof plan with connection details and rue department access,along with the 2010 Oregon Address: 1(.07 22. QO/ V I'" IQ Solar Installation Specialty Code checklist. C Permit Fee(includes plan review $180.00 City/State(ZiP: Q& 70 �� �J/ and administrative fees): Phone:( j ) -6-7“_ ? �,0 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: t L4� `c S_`p `` 2-1 / Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained gn � within 1/10 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name (ah,Y 1 `� l� WiAcO J1iL,I Date: •g' \2.1 Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) I Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE [Si. t).l \ City of Tigard Deceived Permit No.: Eril 13125 SW Hall Blvd.,Tigard,OR 97223 Associated Phone: 503.718.2439 Fax: 503.598.1960 permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumb ng El Mechanical TIGARU Internet: www.ligard-or.gov ❑ Other. THE FOLLOWING ITEMS :ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. IN ❑ Z. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. L 0 0 3 Verification of approved plat/lot. 0 0 a 4 Fire district approval required. Name of district: . ❑ ❑ m 5 Septic system permit or authorization for remodel. Existing system capacity _ 0 El fiii 6 Sewer permit <-®1/1 Y :E't's:-g ti9 cs—e f 7 Water district approval. ❑ ❑ Do 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 9 Erosion control ®plan 0 permit required. include drainage-way protection,silt fence design and location of catch- & 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state a 0 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 a 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;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 0 0 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- Ei, ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray 1 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. Ni' ❑ 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendutns 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- (if ❑ ❑ 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 ( ' ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered rig 0 0 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 '® 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 '' 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required .0 ❑ ❑ 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 Pg1 0 0 architect licensed in Ore on and shall be shown to be licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 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. Q. ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. llg 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 1E1 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 sit Street Tree 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 theproject arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 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. 'F�/�i s-4-e.� le.(;a /' \i:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46113T(11/02/COM/WEB) Oechanieal Permit mit Applicati FOR OFFICE USE ONLY City of Tigard �� ���'� Date/By:Received s\\q\z� Permit No..IMScLCLk-00\01 • 13125 SW Hall Blvd.,Tigard,OR 97223 ,x i ." gro. Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 y y Jura I ® See Page 2 for I I G A It rl P CITY TIGARL- Date Read /B . Supplemental Information Internet: www.tigard-or.gov OF Notified/Method: pP P' "L_DING DIVISIC TYPE OF WORK 'e COMMERCIAL FEE* SCHEDULE - USE CHECKLIST -^• ��" Mechanical permit fees*are based on the value of the work ❑ New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑ Other: Value:$ CATEGORY OF CONSTRUCTION .t RESH)ENTIAL EUI1H`I`')SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder 0 Other: Description Qty. Ea Total - - Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning t 46.75 Job site address:14845 SW 100TH AVE Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:TIGARD, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:BARTON Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Replace furnace and air conditioner for remodel_Vent bath fan and laundry room fan fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:BARTON LIVING TRUST Te) Range hood/other kitchen equipment 33.39 Address:14845 SW 100TH AVE Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:TIGARD, OR 97224 toilet compartments,utility rooms) 2 23.32 Phone:( ) Fax:( ) Attic/emwlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:LS PANAS &ASSOCIATES $14.15 for first four;$4.03 for each additional Contact name:DON MUELLER Furnace,etc. Gas heat pump Address:16722 BOONES FERRY RD Wall/suspended/unit heater City/State/ZIP:LAKE OSWEGO, OR 97035 Water heater Phone:( )503 799-2943 Fax: :( ) Fireplace Range E-mail:DON@LSPANAS.COM Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Lakeside Heating&Cooling MECHANICAL PERMIT FEES* Address: 7021 SW MCEwan Ad Subtotal Minimum permit fee(S90.00) City/State/ZIP: Lake Oswego Or 97035 Plan review(25%of permit fee) Phone:(503 ) 635-5253 Fax:( ) State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB 11F: 227694 This permit application expires if a permit is not obtained within 180 days after it been accepted as complete. Authorized signature: . Fee methodology set by TB-County Building industry Service Board Print name: Jason Charlton Date: 5/18/2021 1:\Building3Pennits\MEC_PCrmitAPP_04U 113 do‘ 440-4617T f I I/02ICOM/WEBi 'Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional $100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:U3uilding\Pcrmits\MEC_PermitApp_040I I3.doe 2 • Electrical Permit Application RECEIVE I iOltttl i.0 i. i ,i.Ovi.v City of Tigard Received S 1 Se\21 1�V permit 'n\ 2OZ\ OO‘O1 II • 13125 SW Hall Blvd.,Tigard,OR 97223 4i€iI i ' 207'' Plan Review g Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 T Y OF TIGARL heady Date/By: Jura I leSee Page 2 for TIGARD Internet www.tigard-or.gov Notilied/Method: Supplemental lnformedoa ,4 (TYPE OF WORK PLAN REVIEW ❑New construction ,faAddition/alteration/replacement Please check all that apply(submit j sots of plane w/items checked): 0 Service or feeder 400 amps or more Cl Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. X 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Cl Addition of new motor load of system. Job#: Job site address: 14845 SW 100TH AVE 100HPormore. ❑""" "E,. "'-2"'1.3' City/State/ZIP: TIGARD, OR 97224 ❑Six a more facidem;.,anina. ❑Health-care facilities. 0 Recreational vehicle parka. Suite/bldg./apt.#: Project name: BARTON ❑Hazardous locations. ❑Supply voltage for more than g. ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Dea•.riptiea I Ctn. I Each I Total 1 • New residential single-or multi-family dwelling cult. Subdivision: Lot#: Includes attached garage. 1.000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,sod/or relocation Name: BARTON LIVING TRUST 200 amps or leSs 4 100.70 2 Address: 14845 SW 100TH AVE 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: TIGARD, OR 97224 601 amps to 1,000amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, r panel A.Fee for branch circuits with q Business name: LS PANAS &ASSOCIATES above sancheiorfercuiteder fee, 1 742 2 each Contact name: DON MU E LL E R B.Fee for branch circuits wirhotw Address: 16722 BOONES FERRY RD service ci f�erree'srat 56.18 2 City/State/ZIP: LAKE OSWEGO, OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)799-2943 Fax::( ) Each manufactured or modular 67.84 2 Email: DON@LSPANAS.COM dwelling,service and/or feeder Reconnect only 67.84 2 1 CON RACTOR 1'tmtp or irrigation circle 67.84 2 Business name: \A►141 J 14'(„L'1, t` (- -%L Sign or outline lighting 67.84 2 tda�W , + i n( �^ ga Signal circuit(s) limited-energy 0 Ste Page 2 2 Address: CJ H LL V panel,alteration,iruaimited-en. City/State/ZIP: L\ f 017o 3 2 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(cO3 i e 1 - L. (p Lf D Fax:613 18 I •- q(011.3 investigation(I hr min) 90.00/hr Email: ndustrial plant(1 hr min) 78.18/hr S+€_.i ee ope- Inc.I nc COW• Inspections for which no fee is 90.00/hr CCB Lic.:16141bs Electrical Lie.:C,'". (p Suprv.Lie.: yb49.1.5 specifically listed Ph hr min) _ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �j-f^-.....„_ Subtotal: Print name: Cum Cli-Virdi 4 s Date:5 -r f " )o91 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: �,, This permit application expires if a permit is not obtained within 180 L{T Print name: E C.rwe,ri Date: S- !' -aQ 3 ( days after it bag been accepted as complete. J' • Number of inspections allowed per permit. 1.\BuildingnPermit6ELC_PermisAap_ELR_ERE.doc Rev 06/]72013 440-4615T(l I e05/COM/WEB gt-cAreit ONcy-N ) ' _' St-pares" "�� Plumbin. Permit Aft libation a ilding Fixtures FOR OFFICE USE ONLY Cityof Tigard 'i"�i't/.1 _ 102'1oieisyd, 5t1c\21 Nv Patrol No.MST zoz1-00101 11111 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF'MA"ado Byrew Other Permit No.: TIGARD nspection Line: 503.639.4175 ,(ate ReadyBy: lure: la See Page 1 for I - et: www.tigard-or.gov g��ILnl r I��I y'lpr(�'gnSedMietbod: Sup.lemental Information ;r r ,. 'I: t t tjtt;rbxi , �`. 1 ft i9 _ r �"vG �. .' .. ;• _ F . .m8 � 4 '&. _. z �".'�"" t .Lr"v3ra"�: ." ...._ ❑New construction 0 Demolition Fvr special inforrnarion use checklist Description I Qty. 1 Ea. 1 Total ON Addition/alteration/replac- .ent 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ s' 't b^' a- . �? r fs' 't rti ;sc�.'F ��*.,"iff,„14,4�'' SFR(1)bath I 312.70 iin 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ` '... ::° s .+ :; SPl`;.,/, d. p ..' Site utilities: �a Catch basin or area drain 18.76 Job site address 11.4 845 S W 1 Co PtUE Drywall,leach line,or trench drain 18.76 City/State/ZIP: 'n(TAZA OR- 61-7 Z Footing drain(no.linear ft.:_J Page 2 Suite/bidg./apt.no.: I Project name:BAP-TQ, A i6 )'TI014 Manufactured home utilities 50.03 ' ross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Irly (2,,t,riv., v‘.12, Sanitary sewer(no.linear ft.: Page 2 , � Storm sewer(no.linear ft.:_) Page 2 (((('���� C \ '# . Water service(no.linear ft.:_) Page 2 Subdivision: l'J tai to_-s Lol o.: Fixture or item: 1`� Tax map/parcel n.. , L awl ` �� Backflow preventer 31.27 .. , r,- Backwater valve 12.51 ,-cn y , ,� a, rti a4;�. Y tr:.;o-. . .. S _ ;e . ._ ... _ .as`> -..L___.` �t`-= .r" ,m Clothes washer I ( 25.02 I13$-rA✓t-i41! of-U7 FlY+-l'U.(Lt , I%) LA,t44-11>ru Ropf•t,. Dishwasher 25.02 1{.KCAt.I-tit* rl•LtA.613(vak -FOR Nt) f5Aot(tcvkk ( Drinking fountain 25.02 IU L2) AtbD 1T1O,J Ejectors/sump 25.02 se..3S. ., x'd41,..tr.:,, .$ 3 >tri m `!'t^? 'i a*- ,� „r Expansion tank I 12.51 Name: BARTON LIVING TRUST Fixture/sewer cap 25.02 r drain/floor sink/hub 25.02 Address: 14845 SW 100TH AVE I Gar.:ge disposal 25.02 City/State/ZIP: TIGARD, OR 97224 Hoseb . 2. _ 25.02 Phone:( ) Fax:( ) Ice mak 12.51 _ ./ \ , ease trap 25.02 Business name: LS PANAS & ASSOCIATES Medical gas( :Iue:S_) Page 2 I Contact name: DON MUELLER I Primer 12.51 Roof drain(com -cial) 12.51 I Address: 16722 BOONES FERRY RD I Sink/basin/lavatory 5 25.02 I City/State/ZIP: LAKE OSWEGO, OR 97035 I Solar units(potable w. er) I 62.54 Phone: (503)799-2943 I Fax::( ) Tub/shower/shower pan I 12.51- E-mail: DON • LSPANAS.COM urinal 25.02 t `" Water closet ' 25.02 s.°' _-00.t- -- - �‹w.- 4. 1,N'°'°i .i+s'r' Water heater 37.52 Business name: ,off -p . 01.esc4(! Apo l--c, Water piping/DWV 56.29 Address: 2i-5 vs. W.O t-, LL A a Other. . 25.02 City/State/ZIP: v.toimu A,©p_ I ?p 3,f5 Subtotal / Minimu permit fee: 572.50 Phone:(Sb1j _7�) WO �gg� Fax: ) CCB Lic.:a(3 t(co / Plumbing Lic.no.: ( 6 1 Et,si'7 Plan review t 5%of permit fee) State surcharge(i t%of permit fee) Authorized signature: a1� �M�'i TOTA PERMIT FEE Print name: Aija Ys.t��t't/ Gv��f a ry y y,.rC Date: s/,' A; This permit application expires if a permit is not obtained within 180 days after it has been accepted a complete. *Fee methodology set by Tri-County Building Industry Service Board. t\Buitdiog\Perm ii\PLMU-PernuApp.doc 10/OlN9 44n-0616T(10102/COM/W6B) `l i( y�r- yN Q PLCIV\114' � City of Tigard 1114 IS COMMUNITY DEVELOPMENT DEPARTMENT ' Building Permit Review — Residential TIGARD Building Permit #: IA S T2OZ1-001 O-1 /2 Site Address: /' C- Si� /6C4 /g1.4 . Project Name: rin Lot #: Planning Review pe_v't Seb 4\20\Z1 - Lil�A .(C%r't- Pro' Isal: D/77L72 �Z(�b-e Verify address/suite# tive in Accela. (in River Te ce: No ❑ Yes,River Terrace Review Addendum Si Plan Elements: +++___^^^ PJEr•.ion Control ,copies of site plan on 8-1/2"x 11"or 11 x 17"paper �S,' -tained trees with drip line and tree protection measures VJlplrawn to scale(standard architect or engineer scale) VI Footprint of new structure(including decks)and FFE ttorth arrow ':'i 'ty locations&easements (required for new and additions) o address,project or subdivision name and lot number �: +ewalk/driveway approach tLoplicant information(name and phone number) .cation of wells/septic systems dimensions and building setback dimensions it'',eet tree size,type and location 10;•uare footage of buildings to he demolished V• treet names NiE ' • • structures on site Comer elevations(2'contours if more than 4'diffe teal) IV.•t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ON impervious impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes V o ❑ Clean Water rvtces—Service Provider Letter (lot platted prior to 9/10/1995): Required: Yee` applicant was notified ❑ No Received: ❑ Yes No ❑ Water Meter F. ture Unit Worksheet—Additions,Remodels and ADUs J quired: Yes,applicant was notified ❑ No Received: ❑ Yes IIo DC Exemption for ADU applied for: ❑ Yes f1d" No Received: ❑ Yes 1a No rublic Facilities Improvement (PFI) Permit \\ ``�� Required: ❑ Yes,applicant was notified No plied For: ❑E Yes ❑ No,stop intake W$1 and Use Case#: / r Zoning: e A -� FA equired Setbacks: Front: �0 Rear: / Side: Street Side: y-iGaxage: w VJ Building Hei ht: Max. Height: Actual Height: l3a Landscape r a: % ��ot Coverage Ma . Entrance et back no more than 8' from street-facing wall Parallel to street or offset 45 degrees or less Windows tfinimum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall 6d Yes ❑ No,one of the following is met: ZO Door extends no more than 5'from wall nd there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2"d floor. arage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ • indow trim ❑ Window recess 0 Window projection ❑ Balcony 11 Visual Clearance 1#.I rban Forestry an t'Q 11 Sensitive Lands: ❑ Yes No Type: II Co tions met prior to issuance of building permit �� No s: < Approved By Planning: `— �' Date: 5/24/ Revisions (after Building Submittal only) Re ewer D to Revision 1: Approved ❑ Not Approved 21 - 1 1 Revision 2: ❑ Approved ❑ Not Approved I:1Building\Forms\BldgPermitRvw_RES_I 22419.docx Building Permit Submittal Original Submittal Date: o /3L�1021 Site Plans: # Building Plans: # Building Permit#: [a-Enter building permit#above. Workflow Routing: (<]-Planning CQ-Engineering 61-Permit Coordinator 1-Building Workflow Sign-off: Et-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er-Building: original permit application, site plans,building plans,engineer and beam calculations a trust details,if applicable,etc. Notes: By Permit Technician: Date: 120$/2921 Engineering Review ,,elope at building pad: 5 /a (d Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes I No LIDA Facility on lot: id Yes El No ❑,Final Plat Recorded: c-----"— •L,I( NOT Approved by Engineering: Date: 3 2�' �J �.y Notes: Z/�l� /S /��ilc" !S k� �C�i-eve-y J1 -6 2,1 trApproved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ff 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: 2 / Lc Revision Notice 2: Date Sent to Applicant: SDC Exemption: CI Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes [2 N/A Tigard Trans SDC: ❑ Yes ,ram N/A Parks SDC: ❑ Yes / N/A LIDA /I Yes ❑ N/A !`r OK to Issue Permit Approved by Permit Coordinator: Arrb Date: 614, (2..ozii I:\Building\Forms\B1dgPermitRvw_RES_122419.docx 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 I Transmittal Letter T l G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 •503.718.2439 • www.tigard-or.gov TO: City of Tigard Permits- Holly Van De Wege DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Brad Barton COMPANY: NA CITY OF TIGARD PHONE: 503-784-8836 BUILDING DIVISION By: w EMAIL: bradosull@gmail.com RE: 14845 SW 100TH AVE., Tigard, OR 97224 MST2021-00107 ' (Site Address) (Permit Number) Barton Remodel (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 2 Revisions: Permit revisions from architect Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Thank you for your help. FOR OFFICE USE ONLY Routed to Permit Technician: Date: S7,'-//L I Initials: Fees Due: ❑ Yes i..No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: _Date: 6./ /zj Initial • CleanWater,``Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 21-000795 1. Jurisdiction: Tigard 2. Property Information(example: 15234AB01400) 3. Owner Information Tax lot ID(s): 2S111CB02200 Name: Brad and Cassandra Barton Company: Address: 14845 SW 100th Ave OR Site Address: 14845 SW 100th Avenue City, State,Zip: Tigard, OR,97224 City, State,Zip:Tigard, OR,97224 Phone/fax: 503-577-9358 Nearest cross street: Email: cassandra.neumann@gmail.com 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Marianne Wilson Stein ❑ Lot line adjustment 0 Minor land partition Company: LS Panas and Associates ❑ Residential condominium 0 Commercial condominium Address: 16722 Boones Ferry Road ❑ Residential subdivision 0 Commercial subdivision City,State,Zip: Lake Oswego, OR, 97035 O Single lot commercial ❑ Multi lot commercial Phone/fax: 360-521-5455 Other Email: marianne@Ispanas.com 6. Will the project involve any off-site work? ['Yes 0 No ❑Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: This project is an addition to an existing home. 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 Marianne Wilson Stein Print/type title Design Manager Signature ONLINE SUBMITTAL Date 3/11/2021 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. X 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. O 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 PROV ER LETTER IS REQUIRED. D. Reviewed by �y71 --- Date 3/26/21 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 oroo Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f.503.681.3603 • cleanwaterservices.org i r?02•l- 00101 Water Meter Fixture Unit Worksheet for Additions/Remodels/A EIV ED Please complete the following information: MAR 2 9 2021 Customer Name: 'FeAZAD CACZA&W ie_A Qx2s)/.) CITY OF TIGARD BUILDING DIVISION Service Address: Street/Suite#: !484S S 43 ioe-' A YE City: 71 7,4 C.O State: C9-12_ Zip: a?Zz y Phone Number: t.j ' Email: L b-C' y_ LP 0 • SZi - s-L{S-S-- YNar(avnle_%._ Ls p atlas . CrA►r Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total, the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer I x 4 = .4- x 4 = Dishwasher ( x 1.5 = , f x 1.5 = 1"Outside Water Spigot t x 2.5 — 2.S' x 2.5 = Water Spigot, each add'1 x 1 — ( x 1 = ( Kitchen sink ( x 1.5 — ( . S� x 1.5 = Laundry sink 1 x 1.5 = i ,,-- x 1.5 = Lavatory(bathroom sink) 2 x I = 2- 2 x 1 = 2 Water closet, I.F GPF(toitet) `Z.. x 2.5 = 5j i x 2.5 = 2•S Bathtub/whirlpool x 4 = x 4 = Shower stall ( x 2 = 2. ( x 2 = 2, Bath/shower combo ( x 4 = .4 x 4 = Current Points: 2-• ( Proposed Increase: 7. 'c Current Points+Proposed Increase= 31•S. = New Total Points =Required Meter Size 3/Cf Meter Sizes: 1 to 30 points= 5/8" 30.5 to 37 points=3/a" 37.5 and over points= 1" New Meter Size Needed for New Total Points: �/-i Cost: $ I2j t SS •O (see page 1) Current Meter Size per Utility Billing: - Cost: $ 9" 4 9''. q. (see page I) New Meter Size Cost minus Current Meter Size Cost= $ -4 V S OD (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) FOR OFFICE USE ONLY Current Meter Size Confirmed with UB J Bentley 03/29/21 Signature of UB Representative Date I:/Building/Forms/WaterMeters 070120_tdd.dOCX Page 2 Lina Smith From: Planner on Duty. Sent: Wednesday, March 24, 2021 1:55 PM To: marianne@Ispanas.com Cc: #Building Permit Technicians; Planner on Duty Subject: Building permit for Barton Addition - 14845 SW 100th Ave Hi Marianne, I finished the Planning/Zoning check for this one and routed it to Building for processing. Please submit the following additional items: • Service provider letter from Clean Water Services (CWS)—please fill out this form and upload your site plan here: https://www.cleanwaterservices.org/documents-forms/pre-screen-form/ o When you receive a response from CWS, please submit a copy to the Building Division • Water meter worksheet(since it looks like you're adding bathrooms): o Please fill out this worksheet: https://www.tigard- or.gov/document center/UtilityBilling/Water MeterWorksheet-Additions Remodels ADUs.pdf o Submit the completed worksheet to UBOnlinePav@tgard-or.gov o Utility Billing will then respond to let you know if the current water meter size is sufficient for additional plumbing fixtures to be added, or if the water meter size needs to be upsized o Submit Utility Billing's response to the Building Division When you receive the items outlined above, please send them to tigardbuildingpermits@tgard-or.gov.This won't delay Building's review of your permit, but they'll need these items before the permit can be issued. Thank you, Lina Smith Assistant Planner City of Tigard Planning Division 13125 SW Hall Blvd.Tigard, OR 97223 Phone: (503) 718-2421 E-mail:tigardplanneronduty@tgard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested. e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 Lina Smith From: Lina Smith Sent: Friday, March 26, 2021 11:53 AM To: marianne@Ispanas.com Cc: Agnes Lindor; Boris Piatski;#Building Permit Technicians Subject: RE: Building permit for Barton Addition - 14845 SW 100th Ave Hi Marianne, Our Engineering Division has requested you submit a revised site plan showing a LIDA facility: https://www.cleanwaterservices.org/media/1935/lida-homebuilding.pdf. If you have any questions, please contact Boris Piatski in Engineering at (503) 718-2463; he's also copied on this e-mail. Submit your revised site plan with a completed transmittal sheet to tigardbuildingpermits@tigard-or.gov: https://www.tigard-or.gov/document center/Building/TransmittalLetter.pdf Thank you, Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard, OR 97223 E-mail: LinaCS@tigard-or.gov From: Planner on Duty<tigardplanneronduty@tigard-or.gov> Sent: Wednesday, March 24, 2021 1:55 PM To: marianne@Ispanas.com Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Planner on Duty <tigardplanneronduty@tigard-or.gov> Subject: Building permit for Barton Addition - 14845 SW 100th Ave Hi Marianne, I finished the Planning/Zoning check for this one and routed it to Building for processing. Please submit the following additional items: • Service provider letter from Clean Water Services (CWS)—please fill out this form and upload your site plan here: https://www.cleanwaterservices.org/documents-forms/pre-screen-form/ o When you receive a response from CWS, please submit a copy to the Building Division • Water meter worksheet (since it looks like you're adding bathrooms): o Please fill out this worksheet: https://www.tigard- or.gov/document center/UtilityBilling/Water MeterWorksheet-Additions Remodels ADUs.pdf o Submit the completed worksheet to UBOnlinePay@tigard-or.gov o Utility Billing will then respond to let you know if the current water meter size is sufficient for additional plumbing fixtures to be added, or if the water meter size needs to be upsized o Submit Utility Billing's response to the Building Division When you receive the items outlined above, please send them to tigardbuildingpermits@tigard-or.gov.This won't delay Building's review of your permit, but they'll need these items before the permit can be issued. i