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Permit CITY OF TIGARD MASTER PERMIT N. COMMUNITY DEVELOPMENT Permit#: MST2021-00278 Date Issued: 08/04/2021 T i G A R.C 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD02500 Jurisdiction: Tigard Site address: 14875 SW 79TH AVE Subdivision: DURHAM ACRES Lot: 49 Project: Dodds Project Description: New 520 sq ft accessory structure#1. Plumbing permit required for rain drain connection to be obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke No Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $26,665.60 Rear: 5 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: 0 Storm Sewer: 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT ACS VB R-3 0 Owner: Contractor: DODDS,RICHARD P ERIC'S QUALITY BUILDING INC Required Items and Reports(Conditions) DOWNS,MALISSA M 4204 EGAN ST 1 Ersn Cntrl 503-639-4175 14875 SW 79TH AVE GERVAIS,OR 97026 TIGARD,OR 97224 PHONE: PHONE: 503-989-5762 FAX: Total Fees: $1,069.10 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 QF9_nM-M1n fhrnnnh(TAR oc9-nn On Vni,mow nhtoin o rnnv of tho niloc nr riirorf ni ioefinne Sr.(11 IN(:by rollinn criq 919 10R7 nr 1 R(1n AR9 9441 Issued By: v tie-d Permiftee Signature: 0i1/. ,e- t C4"177Gi Al 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. 4u/ /diii ♦ / - 3Co/2/es l4uilding Permit Application "—"7 , a,i Residential RECEIVED Received FU12OFFICE l'SFOvf l City of Tigard Rate/B : o7f / o / . PennitNo.:MST2O21'�Z /8 Ill iii 13125 SW Hall Blvd.,Tigard,OR 97223 JUL © J 2021Plan Review—, n 1 Phone: 503.7I8.2439 Fax: 503.598.1960 Date/By: �a f �'(, Other Permit Inspection Line: 503.639.4175 CITY I 1� Date Ready/By. _ / J 0 See Page 2 for I 1 C;\tt t> tt NotifiediMetltod: 71 ep /. I i1,) Cfi Supplemental Information Interact: www.tigard or,gov r^I g} t F ,,4"�.I,�_I: ��° l,,I s a. iM4-t1- 1�G tee. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING eNew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,an the profit f�e�b CATEGORY OF CONSTRUCTION work indicated on this application. (j(J I . ,� � Valuation: $ n 0 1-and 2-family dwelling 0 Commercial/industrial -, ` (Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ElOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7 .7‘,4. New dwelling area: square feet City/State/ZIP: f i 4/r.v Garage/carport area: square feet Suite/bldg./apt.no.: ` Project name: Covered porch area: square feet Cross et/directions to job site: Deck area: square feet 6 /`2- 'V( 6 t Z. L- 1 6 Other structure area: 59.0 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 1 Valuation: $ / Existing building area: square feet iry..,)\-- -Po r ri*jrN trr-A:0 eon rti 4,/,‘)f t c a PPa(- �( New building area: square feet 1°".i PROPERTY OWNER " _ 0 TENANT 1 Number of stories: Name: /1/ '/l 2;) Type of construction: Address: // X/ ,,J 7 /f' ) Occupancy groups: City/State/ZIP: j f/e'ir /1/f Existing: Phone:6d - 5--95/ / Fax:( ) New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): 235.73- Contact name: �� 7 - <i.i t' FLS plan review fee(if applicable): Address: .. /1 Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) Qti(',Yl�F (,�j�`� �1„ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: i.,' �'WC1 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. r� _ Submit two(2)sets of roof plan with connection details Business name: ,,6'S- / , Cir/A✓ 1-T/ /'ftj f and fire department access,along with the 2010 Oregon Address: 1 � roams �7.4 li Solar Installation Specialty Code checklist. -{ / � Permit Fee(includes plan review City/State/ZIP: is )t} ( ,/l -' LT"6/2(1. /,S , 0 4 y 7'���' and administrative fees): $180.00 Phone:( 4'� (p 2, Fax:( ) _ State surcharge(12%of permit fee): $21.60 CCB lie.: t2 e ,, _2/ Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained -a •� M �, within 180 days after it has been accepted as complete. Print name: - .‹,,,/. s Date ' ,.1' ' *Fee methodology set by Tri-County Building Industry / " � %,, '�" 1 rI Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1 2/COM/WEB) Lt C: _ /ti ('t i et ' Building Permit Application Checklist One- and Two-Family Dwelling 1.1.m ()Hi( i. 1'S1'. O'v1.v Cityof Tigard Received Permit No.: III131 SW Hall B►vd.,Ti ard,OR 97223 Associated permits: 11 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical i iA 1'i} Internet: www.tigard-or.gov 0 Other: TIlE FOLLOWING ITEMS ARE REQL-IRED FOR PLAN REVIENN 10, No N'1 I `Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ■ Ir 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 6 Sewer permit. 0 ❑ 0 7 Water district approval. ❑ 0 8 Soils report. Must c original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ b in protection,etc. 10 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 0 ilding 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 he 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 0 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 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 0 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. ❑ 0 0 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- 0 0 0 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 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 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 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 0 0 0 architect licensed in Ore on and shall be shown to be a 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 1 I"or 11"x 17". 0 24 Two(2)sets each are required for Items 16,19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑ 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 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, ❑ ❑ 0 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. I:lBuilding\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT illill ■ T1cARD Building Permit Review — Residential Building Permit #: M ST202( - 0027 8 1 Site Address: 14875 SW 79th Ave Project Name: Dobbs [314i .41 Lot #: Planning Review Proposal: New 520 SF accessory structure g7 Verify address/suite#active in Accela. ® In River Terrace: ® No El Yes, River Terrace Review Addendum 1 Site Plan Elements: Et Erosion Control N3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Retained trees with drip line and tree protection measures NDrawn to scale(standard architect or engineer scale) Xi Footprint of new structure(including decks)and FFE [North arrow tlJtility locations&easements(required for new and additions) k Site address,project or subdivision name and lot number IiiiSidewalk/driveway approach XApplicant information(name and phone number) h ocation of wells/septic systems )>(7Lot dimensions and building setback dimensions fl Street tree size,type and location square footage of buildings to be demolished kStreet names ®Existing structures on site 1Corner elevations(2'contours if more than 4'differential) f,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [bras ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ® Yes,applicant was notified ❑ No Received: ❑ Yes Xl No K] Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified at No Received: ❑ Yes ❑ No ila SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit: ' ' Required: ❑ Yes,applicant was notified kl No Applied For: ❑ Yes ❑ No,stop intake rut Land Use Case#: EI Zoning: 12"."1-S ® Required Setbacks: Front: na Rear: 5 Side: 5 Street Side: na Garage: na ee Building Height: Max.Height: 15 Actual Height: ila Landscape Area: % fib Lot Coverage Max: Entrance Set back no more than 8'from street-fac wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Mi n.;{ . of area of all street-1(41g ac Garage ❑ Garage door is behind wi reet-fac' w1111 ❑ Yes ❑ No,one of the fo ' met: ❑ Door extends no more than wall and there is a covered porch ' g eyond garage. ❑ Door extends no more than 5'from wa ere' q t.window above garage on 2°d floor. ❑ Garage door width is ❑ 12'or less o or less o e ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ entrance ❑ Wall offset f eave ❑ Roof offset ❑ Fire shin le Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambre ❑ Dormer ❑ nt siding ❑ Window trim ❑ Window recess ❑ Window projection Balcony t Visual Clearance ILNI Urban Forestry Plan ® Sensitive Lands: f7 Yes ❑ No Type: Low value habitat I@ Conditions met prior to issuance of building permit Notes: ;d Approved By Planning: Date: l l (% 2()21 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 7 I:\Building\Forms\Bl dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: ,0J/4 2a2/ Site Plans: # Building Plans: # 3 Building Permit#: L17 Enter building permit#above. Workflow Routing: [Planning [Engineering ["Permit Coordinator ®'Building Workflow Sign-off: Ii'Sign-off for Planning(include notes from planning review) Route Application Documents: l'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 d trust details,if applicable,etc. Notes: By Permit Technician: / Date: IJ 7 /5 2%21 Engineering Review ope at building pad: �o Conditions"Met"prior to issuance of building permit o(- CiKEasements (encroachments)per engineering conditions of approval and plat hlb. Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: ❑ Yes F/-No Assess Water Quantity Fee in-lieu: ❑ Yes NV-No LIDA Facility on lot ❑ Yes RrNo 12/Final Plat Recorded: 144 ❑ NOT Approved by Engineering: Date: Notes: ErApproved by Engineering: gt.;,G Date: 7J///20l' Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review %.IA-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: izt SDC Exemption: ❑ Received /Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ) N/A Tigard Trans SDC: ❑ Yes ,, N/A Parks SDC: El Yes N/A LIDA El Yes / N/A yr OK to Issue Permit Approved by Permit Coordinator: Date: 1 I VA(7A vl I:\Building\Forms\BldgPermitRvw_RES_122419.docx fy.S-% o.2/ CAD 7 P / V/ 75 fit) 7 Clean Water Services-Service Provider Letter RECEIVED AUG 0 4 2021 Submission Date: 8/3/2021 Confirmation#: 617 ?CITY OF TIGARD Applicant Name: Allen Baer Review Type: Partner City P't�fY' F ev pP DIVISION Contact Email: allen@ericsqualitybuilding.com Ground Disturbance: 999 Sq. Ft. Contact Phone: 503-989-5762 New Impervious Area: 999 Sq.Ft. Primary Address: 148/5 SW 79TH AVE Mod.Impervious Area: 0 Sq.Ft. Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Addition Affected Tax Lots: 2S112BD02500 INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Permit or Review Required Next Steps Environmental Site Assessment No Review Water Quality Treatment Review TBD Contact city(primary jurisdiction)responsible for land use review and permit and Stormwater Inspection issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit with Site Plan issuance. Line Tap Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Disconnection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit Plan issuance. Easement Review TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us•2550 5W Hillsboro Highway•Hillsboro,Oregon 97123 phone:503-681-5100`email:splrevlew@cleanwaterservices.org'website:www.cleanwaterservices.org/permits-development