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Permit CITY OF TIGARD MASTER PERMIT si ;111 $ ' COMMUNITY DEVELOPMENT Permit#: MST2021-001 99 T[G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2021 Parcel: 2S114BCO2900 Jurisdiction: Tigard Site address: 16662 SW RIVERWOOD PL Subdivision: RIVERVIEW ESTATES NO.2 Lot: 66 Project: Pittmon Project Description: Bump out south wall at the main floor adding of 287 sqft of heated space. Demo deck space that will conflict with new addition. Build a new 512sf deck and 475sf deck cover off the east wall. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 0 First: 287 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 287 sf Value: $59,086.57 Rear: 15 PLUMBING Sinks: 2 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 2 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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: 5 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-3 287 Owner: Contractor: PITTMON,BRADLEY J& STRAIGHT LINE DESIGN&REMODELING LL Required Items and Reports(Conditions) LAURIE G 4640 SW BEAVERTON HILLSDALE 1 Ersn Cntrl 503-639-4175 16662 SW RIVERWOOD PL HWY TIGARD,OR 97224 PORTLAND,OR 97221 PHONE: PHONE: 503-244-5463 FAX: Total Fees: $3,242.49 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1199�87 or 1.800.332.2344. Issued By: Rally Van,De,Wecje Permittee Signature: 0YliApplt,ca i,o-n Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicationECEIVEC� �-s gala I Residential FOR OFFICE l SI. O\LI DR „ PermitNo.: City ill of Tigard MAY 12 ?FYI p$-1 - fi MsrZoZI-00/99 g DateBy 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n a. Phone: 503.718.2439 Fax: 503.598.1961ITY OF TIGARD DateBy: ?j(/ � I • , Other Permit: TIGARD Inspection Line: 503.639.4175 DateReadyBy: / Jun ® See Page 2for [Internet: www.tigard-or.gov BUILDING DIVISION Notifie thod:l/l i /2_ ill/` G^ Supplemental Information L.w TYPE OF WORK REQUIRED DATA: I-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 W Addition/alteration/replacement ❑Other: v P equipment,meet,materials,labor,o erhead, d theprofit for th CATEGORY OF CONSTRUCTION work indicated on this application. i Q e to, 7 CI 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms e ❑Master builder 0 Other: Number of bathrooms JOB SITE INFORMATION AND LOCATION Total number of floors:3 Job site address:16662 SW Riverwood Pl. New dwelling area P81 square feet 281 City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Pittmon Covered porch area: square feet Cross street/directions to job site: Deck area: 6 a �--square feet r rt SW Riverwood Ln. to LiI square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:2S 114BCO2900 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Bump out south wall at the main floor adding 287 sqft of heated floor space. Demo only the Valuation: $ deck space that will conflict with new addition.Build a new attached deck and cove off of the Existing building area: square feet east wall.Reconfigure kitchen plumbing,electrical,and range exhaust. New building area: square feet 2 PROPERTY OWNER ❑ TENANT Number of stories: Name:Pittmon, Brad & Laurie Type of construction: Address:16662 SW Riverwood PI. Occupancy groups: City/State/ZIP:Tigard, OR 97224 Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES° Business name.Straight Line Design and Remodeling LLC. (Please refer ro fee schedule) Structural plan review fee(or deposit): ,/N47 Contact name:Steve Griffin FLS plan review fee(if applicable): Address:9645 SW Beaverton Hillsdale Hwy Total fees due upon application: City/State/ZIP:Beaverton, OR 97005 Amount received: Phone:(971 )275-3261 Fax: :( I E-mail:steve@straightlinedr.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Straight Line Design & Remodeling LLC. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:9645 SW Beaverton Hillsdale Hwy Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton, OR 97005 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503 )244-5463 / Fax:( ) State surcharge(12%ofpermit fee): $21.60 CCB tic.:195218 � 1 v I I II!// Total fee due upon application: $201.60 < � ,(j Authorized signature: /' This permit application expires if a permit is not obtained ,.�_ within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Steven Griffin Date: '3//2/Z IService Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI' City of Tigard Received Date/By: No 111 r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 TIC A R D 24-Hour Inspection Line: 503.639.4175 El Electrical INPlumbing El Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. 0 0 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity El © 0 6 Sewer permit. 0 © 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 ❑ 9 Erosion control Cl plan ❑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 © ❑ ❑ 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 © ❑ ❑ 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 2 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 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- ❑✓ ❑ 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. © El ❑ 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. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- © ❑ ❑ 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered © 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 © ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. © 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required © 0 El 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 © ❑ ❑ architect licensed in Ore•on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". E1 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 El ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑ and protection measures must be drawn to scale and must include the project 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. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Mechanical Permit Applicatio FOR OFFICE [SE ONLY City of Tigard �� I�� LReceived Permit No.:�61--2 2I_!'Y'1��G} Date/By: v �-v i-l. W I 13125 SW Hall Blvd.,Tigard,OR 97223 g 14. ry02) Plan Review � i ' Phone: 503.718.2439 Fax: 503.598.1960IIA �' '` Date/By: Other Permit. l I i;41:11 Inspection Line: 503.639.4175 Date ReadyBy: tuns Ed See Page 2 for Internet: www.tigard-or.gov CITY OF TIGA�iU Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST - Mechanical permit fees*are based on the value of the work ❑New construction ►I Addition/alteration/replacement perfonned.indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. i Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1:1 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑ Master builder El Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:16662 SW Riverwood Pl. Furnace 100,000 BTU(ducts/vents) 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:Pittmon, Brad & Laurie Duct work 2 23.32 46.64 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or SW Riverwood Ln. 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.:2S114BCO2900 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Extend exisiting HVAC branch plenums to new floor space, add fireplace 23.32 range vent. Run new gas line to fireplace at livingroom. Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �� PROPERTY OWNER Other: 23.32 ❑ TENANT Environmental exhaust and ventilation: Name:Pittmon, Brad & Laurie Range hood/other kitchen equipment 1 33.39 33.39 , Address: 16662 SW Riverwood Pl. Clothes dryer exhaust 33.39 City/State/ZIP:Tigard, OR 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 I APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Straight Line Design & Remodeling LLC. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Steven Griffin Furnace,etc. Gas heat pump Address:9645 SW Beaverton Hillsdale Hwy Wall/suspended/unit heater City/State/ZIP:Beaverton, OR 97005 Water heater Phone:(503 )244-5463 Fax: :( ) Fireplace 1 14.15 Range E-mail:Steve@straightlinedr.corn Barbecue CONTRACTOR Clothes dryer(gas) Business name:Straight Line Design & Remodeling LLC. other MECHANICAL PERMIT FEES* Address:9645 SW Beaverton Hillsdale Hwy Subtotal 94.18 city/state/ZIP:9645 SW Beaverton Hillsdale Hwy Minimum permit fee($90.00) Phone:(503 244-5463 Fax ( ) Plan review(25%of permit fee) 23.54 State surcharge(12%of permit fee) 11.30 CCB lie.: 195218 TOTAL PERMIT FEE 129.02 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: S ___A * Fee methodology set by Tn-County Building Industry Service Board Print name:Steven Griffin Date:5/12/21 I:1Building\Permits1MEC_Permi[App_040113.doe 440-4517T(I I/02/COM/WEB) .. . Electrical Permit Application RECEIVE r FOR OFFICE USE ONLY City of Tigard M AY ] 2 ? 2 Received Date/By: Permit is titsT-2_/21-00 t le J 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 6,i Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: Related Permit i1: Inspection Line: 503.639.4175 Ready Date/By: Inns a See Page 2 for I IT;Ahl1 Internet: vvw.tigar d or.gov BUILDING DIVISIO Notified/Method: Supplemental Information I TYPE OF WORK PLAN REVIEW j ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ►� less to ground,2-family dwelling ❑Commercial/industrial ❑Accessory building grd,or exceeds 14,000 0 Commercial-use agricultural Multi-family Master builder Other: amps for all other installations. buildings. ❑ y ❑ ❑ 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#:20026 Job site address:16662 SW Riverwood PI 100HP or more. ❑"A","E","1-z","t-s", City/State/ZIP:Tigard, OR 97224 ID Six or more residential units. occupancy. g ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Pittmon ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE SW Riverwood Ln. Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S 114BCO2900 Ea.add'l 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) i Renewable Energy 0 See Page 2 ill PROPERTY OWNER l 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Pittmon, Brad & Laurie 200 amps or less 100.70 2 Address:16662 SW Riverwood PI. 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,per panel A.Fee for branch circuits with Business name:Straight Line Design & Remodeling LLC. above service or feeder fee, 7.42 2 each branch circuit Contact name:Steve Griffin B.Fee for branch circuits without service or Address:9645 SW Beaverton Hillsdale Hwy branch circuider fee,first j 56.18 6•i8 2 t City/State/ZIP:Beaverton, OR 97005 Each add'I branch circuit 4 7.42 2.4,68 2 Miscellaneous(service or feeder not included) Phone:( 971)275-3261 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:steve@straightlinedr.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Three Dog Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:5250 SW Camaron Rd. panel,alteration,or extension. City/State/ZIP:Portland, OR 97221 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)421-4879 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: /_ jl�l Inspections for which no fee is 90.00/hr CCB Lie.:138509 Electrical Lie.:46130'S Suprv. ic.: `f� specifically listed 1,`/hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: (I$,7Z Print name:Eric Ernst Date:5/12/21 ID Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 14. z; • TOTAL PERMIT FEE: // Authorized signature:��, (3 i 7 This permit application expires if a permit is not obtained within 180 Print name:Steven Griffin Date:5/12/21 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building'Permits 1ELC_PetmitApp_ELR_ERE.doc Rev 06/17/2015 440-46157'(11/05/COM/WEB t • Plumbing Permit ApplicationRECEIVE r Building Fixtures FOR OFFUI I SE ONLY' . City of Tigard h Received Date/By: Permit No. M tSTZOZ(-40 i ` / IN v 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.196CITY OF TIGARD Date/By:Plan 1eW Other Permit No.: TIGARD Inspection Line: 503.639.4175 - BUILDING DIVISION DateReadyBy: Allis: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ►� Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 12 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building El Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:16662 SW Riverwood PI Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Pittmon Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW Riverwood Ln. Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.:2S114BCO2900 Backflow preventer 31.27 I DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Install 2 new sinks and faucets, and a dishwasher Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Pittmon, Brad & Laurie Floor drain/floor sink/hub 25.02 Address:16662 SW Riverwood Pl. Garbage disposal 25.02 City/State/ZIP:Tigard, OR 97224 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Straight Line Design & Remodeling LLC. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Steve Griffin Roof drain(commercial) 12.51 Address:9645 SW Beaverton Hillsdale Hwy Sink/basin/lavatory 2 25.02 50.04 City/State/ZIP:Beaverton, OR 97005 Solar units(potable water) 62.54 Phone:(971 )275-3261 Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:steve@straightlinedr.com CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Troy Elliot Plumbing Water P tPing/D WV 56.29 Address:PO BOX 1958 Other: 25.02 City/State/ZIP:North Plains OR 97133 Subtotal Phone:(503 )309-5750 Fax:( ) Minimum permit fee: $72.50 75.06 Plan review (25%of permit fee) 9.00 CCB Lie.:152130 Plumbing Lie.no.:34-402PB State surcharge(12%of permit fee) 18.77 Authorized signature:/���--- ✓I /e1 J^ TOTAL PERMIT FEE 102.84 Print name:Troy Elliot Date: S`/z1Z I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Pennits\PLMU-PermitApp.doc 10/01/09 440-4616T(t0/02/COM/WEB) City of Tigard INr COMMUNITY DEVELOPMENT DEPARTMENT i TIGARD Building Permit Review — Residential Building Permit #: M$T2021-00199 Site Address: 16662 SW Riverwood PI Project Name: Pittmon Lot #: Pl ning Review Pr posal: Addition on the rear of existing hou Verify address/suite#active in Accela. n River Terice: No ❑ Yes, River Terrace Review Addendum SitQ4 lan Elements: o . n Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper ' ed trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) '' otprint of new structure(including decks)and FFE arrow 'ty locations&easements(required for new and additions) to ddress,project or subdivision name and lot number �/idewalk/driveway approach plicant information(name and phone number) ^ �4 . ation of wells/septic systems ensions and building setback dimensions �1 Freet tree size,type and location are footage of buildings to be demolished Yet names 'sting structures on site 3 2orner elevations(2'contours if more than 4'differential ix,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L1Yes o pervious area(a licable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facili shown? LJ�_es o Clean Water rvices—Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑No Received: Yes ❑No II Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No II SDC Exemption for ADU applied for: El Yes ❑ No Received: Yes ❑No II Public Facilities Improvement(PF1)Permit: Required: ❑Yes,applicant was notified ❑ No plied For: ❑Yes El No,stop intake II and Use Case#: Zoning: R-7 equired Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: N/A Garage: 20 .:uilding Height: Max. Height: 35 Actual He' ht: Landsca.e Area: --2 0 % Lot Coverage Max:__ 0/0 Entrance I .ack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d-•- •s or less Windows Minimu %of area of all street-facing facades . Garage 1111 Gara e door is be ;•a widest street-facing wall 0 0 Yes I •,.,one of the following is met: Door extends no mo .an 5' from wall and there is a coy- -. porch extending beyond garage. Door extends no more than am wall and th- - ' a 12 sq ft.window above garage on 2nd floor. ElGara e door width is 12'or less ':io or less of facade 1160%or less and includes 7 of following: Covered porch Reces -: -ntrance 1 offset _ 1'Roof eave Roof offset Fire shingles ap Siding ❑Roof itch Gable,hio,or gambrel roof Dormer Accent g Window trim I111► Window recess _ Window projection El Balcony 0 Visual Cleara - ❑ Urban Forestry Plan ❑ Sen ': - ands: ❑ Yes U No Type: i C.. .itions met prior to issuance of building permit N. es: gri Approved By Planning: Date: S---f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Z -/2 202-( Site Plans: # 2 Building Plans: # 3 Building Permit#: E'Enter building ermit# above. nn TT Workflow Routing: 'Planning engineering Permit Coordinator &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. nn'L wilding: original permit application, site plans,building plans,engineer and beam calculations and t t details,if applicable,etc. Notes: By Permit Technician: Date: ag ' 7/212-/ En ineering Review Li Slope at building pad: /0 ' aConditions "Met"prior to issuance of building permit n/a. Easements (encroachments) per engineering conditions of approval and plat ?1 r/6.- Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ENo Assess Water Quantity Fee in-lieu: ❑ Yes R'No LIDA Facility on lot: ❑ Yes Er No Final Plat Recorded: y4/4.-- ❑ NOT Approved by Engineering: Date: Notes:� LJ Approved by Engineering: 7cp 1 ier-k.Gt' Date: s]/t/ZGZ/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review N41.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: SDC Exemption: ❑ Received 4 Does not a ply SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit I Approved by Permit Coordinator: Date: 51114024 I:\Buil ding\Forms\BldgPermitRvw_RES_122419.docx C1eanWater\ Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 21-000091 1. Jurisdiction: Tigard 2. Property Information(example: 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name: Laurie&Brad 2S114BCO2900 Company: Address: 16662 SW Riverwood PI. DECEIVED OR Site Address: 16662 SW Riverwood PI. City, State,Zip: Portland, OR, 97224 City,State,Zip: Portland, OR, 97224 Phone/fax: + 1 2 gI12 Nearest cross street: SW Riverwood Ln. Email: CITY OF TIGARD 4. Applicant Information 4. Development Activity(check all that apply) BUILDING DIVISION ® Addition to single family residence(rooms, deck,garage) Name: Steven Griffin ❑ Lot line adjustment ❑ Minor land partition Company: Straight Line Design and Remodeling LLC. ` ❑ Residential condominium 0 Commercial condominium Address: 9645 SW Beaverton Hillsdale Hwy ❑ Residential subdivision 0 Commercial subdivision City,State,Zip: Beaverton, OR,97005 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 9712753261 Other Email: steve@straightlinedr.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: Simple addition and deck. 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. I 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 I knowledge and belief,this information is true,complete,and accurate. 1 Steven Griffin Designer Print/type name Print/type title 9 Signature ONLINE SUBMITTAL Date 12/29/2020 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. g 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. ❑ 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 PROVIDER LETTER IS REQUIRED. Reviewed by L�.I�+�'-••r.- A.,, . Date 1/14/21 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 Revised 212020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org f NOTES: �- —____________ =79' 8" RECEIVED ONEW 430 SOFT DECK 50'-9" O \ ATY ? 2 9921 APPKOX II' DECK HEIOHT \ 2 3005QFT MAIN FLOCK j CITY OF TIGARD Q LEVEL ADDITION \,BUILDING DIVISION a ®3 6 WOODEN FENCE \ 4t I,ISOSQFT CONCKETE DKIVE \ Zji / O �)j 0 5F1-sidewalk 6° curb \ �--I� I5' 20026 BUILT 1995 S 14'9 \ 1 \BC / / I 1 / \ m o N TAXLOT ID. 2511402900 / ( o �\ / \ a BUILDING 2,880sq�+ \ I I N. / \I. \ I a� a.)pz ACKES. .23 O. \�_I \ / \ \\ O • ZONE. K-7 Y ( \V \ 3 I II \ i \� 5• �� // 1 I I T--- �3 II I // I I A 1 / /T\ \ • ry---------,74,4„. Ar --1 / \ / \ , I / ' , / ."\ 15' CD ' 193" 86'-8" DATE. • ///lll/---/ . 2/29/202.• SHEET. • 57'-2" 01