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Permit 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 III Transmittal Letter TIGARD) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: City of Tigard DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Jim Gates $EP 120Z1 COMPANY: Three Rivers Custom Decks, Inc CITY OF TIGAII l PHONE: 503.519.6550 3UILDING DIVIS OC +' EMAIL: jgates@decksby3rivers.com RE:• 95'38-SW 69th Ave. MST2021-00230 (Site Address) (Permit Number) Haack (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Engineered plans/Calculations 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): jai MARKS: Same deck outline with revisions to the post/beam layout- Engineered and calculated. FOR /i7Z... FCE USE ONLY Routed to Pein ' Tf�ician: Date: ( Initials: Alk Fees Due: 1` T Ye ❑ No Fee Description: Amount Due: $ Dd VI/ 1 $ $ Special Instructions: Reprint Permit(per PE): El Yes /�y� No ❑ Done rOA , Applicant Notified: Date: 7!06�' Initials: 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 I k,A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: City of Tigard DATE RECEIVED: DF,PT: BUILDING DIVISION RECEIVE' FROM: Three Rivers Custom Decks, INC AUG 1 0 201! COMPANY: Same L,ITY OF TIGAFii ZUILDINGD1VISIO�sy: ' , PHONE: 503.519.6550 EMAIL: jgates©decksby3rivers.com f RE: 9 g9 W 9th Ave. Tigard,OR 97223 MST2021-00230 (Site Address) (Permit Number) Haack-21037 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3 Additional set(s)of plans. 3 Revisions: Change in framing on main part of deck 3 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: Our customer has a previous set of plans drawn up by an Engineer w/calculations. They wanted to make changes to the outline of the deck so we redrew them from scratch. Turns out they wanted to go with a 1 beam system on the main deck which was previously engineered, so we have drawn to match that engineering. 12"center 2x10's/6x12 Beam/6x6 posts FOR OFFICE USE ONLY Routed to Permit Techni ian: D e: Initials: AA- Fees Due: ❑ Yes Fee Description: Amount Due: $ $ p--- i\.)b -e- $ Special Instructions: Reprint Permit(per PE): 0 Yes No ❑ Done Applicant Notified: Date: ���/',� )� Initials: INCITY OF TIGARD MASTER PERMIT y r COMMUNITY DEVELOPMENT Permit#: MST2021-00230 Date Issued: 07/15/2021 T.I Is;/% I:.I'+ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S125DA06800 Jurisdiction: Tigard Site address: 9585 SW 69TH AVE Subdivision: KINGS VIEW Lot: 54 Project: Haack Project Description: Replace 440 sf of existing deck BUIDING 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: $10.626.00 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 Drains: Storm Sewer: 0 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 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'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 N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: HAACK,WILLIAM H&MICHELLE N THREE RIVERS CUSTOM DECKS INC Required Items and Reports(Conditions) 9585 SW 69TH AVE 23885 S MOUNTAIN TERRACE TIGARD,OR 97223 BEAVERCREEK,OR 97004 PHONE: PHONE: 503-632-8777 FAX: 503-632-8770 Total Fees: $688.72 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 oc?_nni-nnln thrnunil OAR Q59-nn1-Orion Vm i mov nhtoin A enmr of thedim,.rInc nr dirt nunctinnc to r1I IMr.by 1 rollinn cn5 949 10A7 nr Ann 1'49 9R46 Issued By: HvyVav De.WP.ge -__ PermitteeSignature: 0wApplica'tiQ t Call 603.639.4176 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. i Building Permit Application RECEIVED - it 2 Residential FOR OFFICI. l SE ONLY J U N 1 0 2021 Received La o City of Tigard DetoBy: DG (G/2a2/ C6' pc-mit No.:M 5r2 02 f•(XJ 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF ITIGARD Plan Review � 2 Phone: 503.718.2439 Fax: 503.598.1 Date/Br f r Ot�cr Permit: Inspection Line: 503.639.4175 11LDINGDIVISION DateReadyBy: �� ® See Page 2far 71GAKU Internet: www.tigard-or.gov Nodfied/Method: f y/� 1Te Supplemental Information b 1 fl'/L X J TYPE OF WORK REQUIRED DATA:I.AND 2-FAMILY DWELLING 1 ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all „12ddition/alteratiott replacement ❑Other: equipment,materials,lab ,overhead,and the profit for Irk CATEGORY OF CONSTRUCTION work indicated on this ap ication. 1 0/ (OZ,(p 0-and 2-family dwelling ❑Commercial/industrial Valuation: ❑Accessory building 0 Multi-family Number of bedrooms: k` ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1, S 5443 (� .f,_j_ e- New dwelling area: square feet City/State/ZIP: ! 1 r t �i Z3 Garage/carport area: square feet Suite/bldgJapt.no.: T Project name: Covered porch area: t square feet Cross street/directions to job site: Deck area: VA a 0 oquare feet I Other structure at-•: square feet REQUIRED DATA:COIs MERCLAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on tle value of the work performed. Indicate the value(rounded:o the nearest dollar)of all Tax map/parcel no.: _ equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this appl :atiun. 17,r a .eszt_ 4"l� ��` Valuation: Existing building area: square feet New building area: square feet RROPERTY OWNER 0 TENANT Number of stories: Name: 'ej 0.,,, $.,..ko, 8.s_ Type of construction: Address: OIST3J�Si) (act"-ci0. e__ Occupancy groups: City/State/ZIP:-y W- t ce_ q •_ Existing: Phone:O -71_Z4 Fax:( ) New: ,arAPPLICANT ❑ CONTACT PERSON BUILDING 1}ERMIT FEES* (Please refepo fee schedaly Business name: --ripy+(,L Q(i}dy c 1z, _ lD.ecle:5 _1..n,C._ Structural plan review fee(. deposit): Contact name: ;f v,,rt 6 es �� FLS plan review fee(if plicable): Address: Z 3�CCU SS' viA cek T / Total fees due upon plication: City/State/ZIP: IXiG,tlf/r1r-cr.L (x.-. P170051- Amou received: Phone:( 52.3Sit Cl �5d C Fax::( ) t y . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: J(�/I tes%c ec b �rivers corn Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVollaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: ,---(7nY t r. QJl1.e.%, 64 S ki st.. 1 and fire department access,along with the 2010 Oregon Address: Z�cYi-3 S' S (Ma_rvluieA T•//'4-r•e Solar Installation Specialty Code checklist. City/State/ZIP: $� _ Permit Fee(includes plan review $180 00 a 4J air X !(c/ Fyf ] and administrative fees): Phone:( S VP S l5 -(aS SU Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Iic.: t g7st0 Total fee due upon ap:lication: $201.60 Authorized signature: This permit application expires if a permit is not obtained 8n within 180 days after it hat been accepted as complete. * 24,re Date: �0///�L/ Fee methodology set by TO-County Building Industry Print name: � L, r� ,+F� Service Board. g.� h 1:\Building\Pennits\BUP-RESPermi1App.doc 02/24/2011 4404613T(11/02/COM/WEB) �`4 ,2,q4, ��r t/`l. City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT e II TIGARD Building Permit Review — Residential Building Permit #: 1.-1 STzozr --0QZ40 Site Address: 9585 SW 69th Ave Project Name: Haack Lot #: iP anning Review roposal: Remove/replace deck on rear of home Verify address/suite#active in Accela. In River Terrace: No ❑ Yes, River Terrace Review Addendum Si Plan Elements: _'erosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper j2etained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) ootprint of new structure(including decks) and FFE rth arrow ..,.Inlity locations&easements(required for new and additions) e address,project or subdivision name and lot number \D ,lidewalk/driveway approach plicant information(name and phone number) , L..[ocation of wells/septic systems ' ensions and building setback dimensions --d"rr t tree size,type and location are footage of buildings to be demolished eet names ' g structures on site iorner 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 replaced? es impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o ❑ Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ElYes,applicant was notified ElNo Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified LI No Received: ❑Yes El No \ SDC Exemption for ADU applied for: El Yes El NoReceived: 11 Yes ❑ No N Public Facilities Improvement (PH) Permit: Required: El Yes,applicant was notified El No plied For: El Yes El No,stop intake and Use Case#: gJ Goring: R-4.5 tend Setbacks: Front: N/A Rear: 15 Side: 5 Street Side: N/A Garage: N/A Building Height: Max. Height: 30 Actual Height: N..C- II IN ,ndsca.e Area: % ❑ Lot Coverage Max: °, Entrance N Set back no more than 8' from street-facing wall Pa . - . street or offset 45 degrees or less Windows .,•. 12%of area of all street-facing facades N..^) Garage I Gara e door is .- ... widest street-facing wall 11Yes ❑ No,one of the following is met: ❑gDoor extends no mo - ...n 5' fro.. ...I and there is a covered porch extending beyond garage. uuDoor extends no more t. .-• wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara.e door width i 112'or less 151' . : ess of facade 60%or less and includes 7 of following: MI Coy- -• porch I Recessed entrance I Wa I . -t 1'Roof eave Roof offset ire shingles I Lap Siding ElRoof itch I Ga. .'1,,or gambrel roof Dormer II Accent siding I Window trim U Window recess I in.: . .rojection ❑ Balcony isual Clearance rban Fores Plan • 7 S sitive Lands: ❑ Yes � No Type: Steep slopes nditions met prior to issuance of building permit Approved By Planning: ---- Date: /0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved 1:113ui l ding\Forms\B ldgPermitRvw_RE S_122419.docx I Building Permit Submittal Original Submittal Date: a/t0/02/ Site Plans: # ,3 Building Plans: # 3 Building Permit#: a-Enter buildingermit# above. R Workflow Routing: Q'Planning Engineering El-Permit Coordinator a-Building 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. Building: original permit application, site plans,building plans,engineer and beam calculations an st details,if applicable, etc. Notes: By Permit Technician: Date: pC/i 6/1-02-/ Engineering Review EySlope at building pad: /31 C9 Conditions "Met"prior to issuance of building permit "," 'asements (encroachments)per engineering conditions of approval and plat 0+ 1'" Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 'No Assess Water Quantity Fee in-lieu: ❑ Yes I3No ry LIDA Facility on lot: ❑ Yes L7 No afinal Plat Recorded: 0 fc•' ❑ NOT Approved by Engineering: Date: Notes: E Approved by Engineering: 'riffs s j4,,.?1,(c 147 Date: 6,ii-dion Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Per' it Coordinator Review i1'' . ditions "Met"prior to issuance of building permit 1; �V• pproved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: " C Exemption: ❑ Received Does not a.. C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 7I N/A - Tigard Trans SDC: ❑ Yes Up./A / Parks SDC: ❑ Yes 71 /A / LIDA ❑ Yes J N/A ti OK to Issue Permit Approved by Permit Coordinator --------•-'"""-7-1 =--- Date: I:\Building\Forms\B IdgPermitRv w_RES_122419.docx l Building Permit Application RECEIVED la 2 Residential FOR OFFICE I SE ONLl" City of Tigard JUN 1 0 2021 Received Dale/By: 0''' oz/ P r No.. M ST Zo2f bri23 _ ' 13125 SW Hall Blvd.,Tigard,5003R599782123 CITY OF i JGARD Plan Review Phone: 503.718.2439 Fax: Q60'BUILDING DIVISION D°te Bp. a rPermit: 1 1 G n It U Inspection Line: 503.639.4175 Date Ready/By: J. •• ® See Page 2 for Internet: vvww.tigard-or.gov Notified/Method: 1r-1 Supplemental Information .s 3.:i ....A .TYPE OF WORK; -41451�. ,...4. )IlYG;�:.: �r,n - 1JI12ED�ATA: t trY 0 New construction ❑Demolition Permit fees*are based o..' e value of the work performed. Indicate the value(round.i to the nearest dollar)of all ddition/alteration/replacement 0 Other: equipment,materials,lab."„overhead,and the profit for the si:* 1 , ;' •-i r CATEGORRY OF CO**9:coN I - work indicated on this am ication. -and 2-family dwelling 0 CommerciaVindustrial Valuation: 23 t_000 ❑Accessory building • ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: t 7-14-072414f aJOI3 S,TE RVFO1214ATIONJ ow m,OTIppi Total number of floors: Job site address: /5 9 S 54. f (ICJ `P _ New dwelling area: square feet City/State/ZIP: -1-j A-yd C C Ci 71_2_:- Garage/carport area: square feet Suite/bldgJapt.no.: {{ Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feel Other structure ar square feet REiOIRE:ii*fA:CO, 1 er w. z. Subdivision: Lot no.: Permit fees'are based on i -value of the work performed. Tax map/parcel no.: indicate the value(round-.f r the nearest dollar)of all equipment,materials,labo l overhead,and the profit for the :i # ' DE CR ON OF �VORIC: work indicated on this appl ation. ,�� N o �e 4��i r _c- Valuation: Existing building area: square feet New building area: square feet • OPERTY OWNER ❑ TENANT Number of stories: Name: ?\so, i„„ker_ci,lam Type of construction: Address: 0 .-Sr., (phi{ -PY>.e.._ Occupancy groups: City/State/ZIP:---rat, A-rk I c _ q7tt2% Existing: Phone:(.526) - -_7Z,Zf Fax:( ) New: ,®S%PPLICANT . 0 CONTACT PERSON °BUILDING RMIT FEES* ' Business name: otr_ 2211-o . C J " De-de-5 1NLreviewfee( der.posit): Structural plan fee( deposit): Contact name: FLS plan review fee(if af+plicable): Address: 23 c-3, onOv.4ti4rr,N --o'1ost:.2 1 Total fees due upon application: City/State/ZIP: l�w(ntll/r-J,fC-L 77UC�� F Phone:( 'j�) < r�iAmourti received: G1',r(pS --e) Fax::( ) _ E-mail: `' a to s�dac es 1.73 rivers , corn\ PHOTOVOLTAIC SOL L PANEL SYSTEM FEES' 9 CONTRACTOR Commercial and residential prescriptive installation of - roof-top mounted PhotoVoltaic Solar Panel System. Business name: Ti.,,,-.._„_ Rit 1,e,•j [4 S.(T4„_ ! - Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 7 7 3 -S s 1M0, ,\-{. ^y /1,4c_e Solar Installation Specialty Code checklist. Permit Fee(includes plan review I City/State/ZIP: (cajo,,y�,� (c/ �� ' and administrative fees): S180.00 Phone:( 4VPS iC/ ,(aS SO Fax:( ) State surcharge(12%of pgmmtit fee): S21.60 CCB lie.: I/E37.0 Total fee due upon application: 5201.60 Authorized signature: ` This permit application espi-es if a permit is not obtained within 180 days after it hat been accepted as complete. /1� *Fee methodology set by Tri-County Building Industry Print name- �^ a Date: �O>' /�FIZ Service Board. \ rm 1:\BuildingWermitsBUP-RESPeitA✓ppp..doc 002/24/201 1 440-4613T(I I/02/COM/WEB) -