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Permit v010 RECEIVED //d/y` AeO JUL 2 0 2021 CITY OF TIGARD City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION IN44 Request for Permit Action Tic,G A R D` 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.rigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: Q Owner ❑ Applicant ❑ Contractor 0 City Staff Check(i)one REFUND OR Name: INVOICE TO: (Business or Individual) Philip LaRouche Mailing Address: 9342 SW 7 9 t h Ave City/State/Zip: Tigard, OR 97223 Phone No.: 503-4 4 9-97 63 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): Q CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: MST2021-00091 Site Address or Parcel #: 9342 SW 7 4 t h Ave Project Name: LaRouche Residence Office Subdivision Name: Boulevard Heights Lot #: 15 1 EXPLANATION: We no longer wish to build this detached office structure Signature: / k1;/?J ;i41// Date: _ 7/ 2 a( 2) Print Name: Philip D LaRouche Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-9 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date „ B. . Refund Processed: Date At I'}' By d 0 Invoice Processed: Date By Permit Canceled: Date / 6/77By b Parcel Tag Added: Date By I:\Building\Porm s\RcgPemiit Action_105$4.doc . Building Permit Application V s, . . E - 3 /5 Residential RECEIVE FOR OFFICE USE ONLY Cityof Tigard Date By: 3l�$`2� � Permit No.:MS` ZOZI"� \ 14 r 1312 SW Hall Blvd.,Tigard,OR 97223 MAR 1 ``' /121 Plant Review D Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Al la PI See Page 2 for TIGARD g g BUILDING DIV SIOr' Notified/Method: SupplementalInformation Internet: www.ti and-or. ov �� TYPE OF WORK RFQUIRFD 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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5, 000 . 00 ®Accessory building 0 Multi-family Number of bedrooms: 0 Ell builder ❑Other: Number of bathrooms: 0 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: 9342 SW 7 4 th Ave New dwelling area: 225 square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Office Shed Covered porch area: 6 0 square feet Cross street/directions to job site: SW Cedar c r e s t Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Boulevard Heights Lot no.: 15 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 S 12 5 DB 0 3 2 0 0 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OE WORK work indicated on this application. Construction of office s on the North Valuation: $ side of the property, will include power Existing building area: square feet and natural gas heater New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Philip & Lisa LaRouche Type of construction: Address: 9342 SW 7 4 th Ave Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone:(5 0 3) 4 4 9—9 7 6 3 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to schedule) Business name: Structural plan review fee(or deposit): Contact name: Philip & Lisa LaRouche Address: 9342 SW 7 4 th Ave FLS plan review fee(if applicable): City/State/ZIP: Tigard, OR 97223 Total fees due upon application: Amount received: Phone:(5 0 3) 4 4 9-9 7 6 3 Fax: :( ) E-mail: phillarouche03@gmail . com PHOTOVOLTAICSOLARPANELSYSTEMFEES* Commercial and residential prescriptive installation of ,��� CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: {� Solar Installation Specialty Code checklist. N- r" City/State/ZIP: OW � Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: 7,/, 0T, ,, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Philip D LaRouche u c h e Date: 3/15/2 0 21 *Fee methodology set by Tri-County Building Industry p Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 4151 2,1 g v COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c RD Building Permit Review — Residential ! Building Permit #: R3 4-2- MS�'ZOZ\-OOOA 1 Site Address: SSW 74th Ave Project Name: LaRoucht Lot #: Planning Review Proposal: New detached accessory structure 0 Verify address/suite#active in Accela. El In River Terrace: 0 No ❑ Yes, River Terrace Review Addendum Site Plan Elements: erosion Control III copies of site plan on 8-1/2"x 11"or 11 x 17"paper _Retained trees with drip line and tree protection measures 0Drawn to scale(standard architect or engineer scale) _ootprint of new structure(including decks)and FFE orth arrow tility locations&easements(required for new and additions) IS bite address,project or subdivision name and lot numberdewalk/driveway approach 12 pplicant information(name and phone number) ���—notation of wells/septic systems 12 • dimensions and building setback dimensions _,Street tree size,type and location W,,uare footage of buildings to be demolished Street names 0 •-ting structures on site _:orner elevations(2'contours if more than 4'differential 1.`w.�t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ° o 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: 0 Yes,applicant was notified. ❑ No Received: ❑Yes 0N4i II Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified 0 No Received: ❑Yes Q No j II SDC Exemption for ADU applied for: ❑Yes Q No Received: ❑Yes ❑ No ) II Public Facilities Improvement (PFI) Permit: Required: 0 Yes,applicant was notified 0 No Applied For: ❑ Yes ❑No,stop intake II and Use Case#: ❑r Zoning: R-4.5 Required Setbacks: Front: 20 Rear: 5 Side: 5 Street Side: N/A Garage: N/A El Building Height: Max.Height: 15 Actual Height: 10.5 mu lb .ndscape Area: % ❑ Lot Coverage Max: % Entrance Set back no more than 8'from street-facing wall I Pa - to street or offset 45 degrees or less Windows try, 12%of area of all street-facing facade Garage Gara e door'- .ehind widest street-facing wall 1J ❑Yes ❑ No,one of the following is met: Door extends n. •re than 5'from w. .nd there is a covered porch extending beyond garage. Door extends no more ' wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door width is I 1 ' . ess 1 50%or less of facade 60%or less and includes 7 of following: Covered porch 1 Recessed entrance 1 Wall offset ❑ 1'Roof eave Roof offset Fire shin!. III Lap Siding ❑ Roof itc I Gable,hi-3,or gambrel roof Dormer --nt siding I Window trim U Window reces Window projection ❑Balcony ❑ Visual Clea _ ce ❑ Urban Forestry Plan 0 Sen .: e Lands: ❑ Yes III No Type: P. onditions met prior to issuance of building permit Notes: L_ El Approved By Planning: -- Date: 3/17/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved - I I:\Building\Forms\BldgPermitRvw_RES_122419.docx 1 Building Permit Submittal Original Submittal Date: 3\k$1-2-k Site Plans: # 3 Building Plans: # 3 Building Permit#: Er Enter building ermit# above. R Workflow Routing: ❑'Planning II Engineering L} Permit Coordinator 2 Building Workflow Sign-off: Q Sign-off for Planning(include notes from planning review) Route Application Documents: 2 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. DBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: jX\---)v Ci LAj _ Date: 3W\ZA Engineering Review `❑'Slope at building pad: 7% conditions "Met"prior to issuance of building permit h Easements (encroachments) per engineering conditions of approval and plath/4.' Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes [Er-No LIDA Facility on lot: El YesLrl No Er Final Plat Recorded: AA- El NOT Approved by Engineering: Date: Notes: Lr Approved by Engineering: -7" f ,'y ,.k Date: 3/Z Z/Z o z/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 41-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 la Does not a..ly IXsDC Fees Entered: Wash Co Trans Dev Tax: ,et es t► N/A Tigard Trans SDC: YCNYes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A jOK to Issue Permit Approved by Permit Coordinator: Date: /23 2,)?.�, 1:\Building\Forms\Bl dgPermitRvw_RES_122419.docx ...::.> r. .rr+rw. erraerrva ..rrrss.e w+rr:awr e . aarr > rxNa+NNsrwrwrwrwmw.rxwNxrwvsrvNrlrnfswNesNNfarM NNisyswsMw rewiwM/tMrf/Nsi>Nal#uIUH.NaMfNWfU.RfttYirHfIFHiNFNiNISMiIbNMNW>4Y4ia4Mh.YddH/dau+14Ns1afrMNsNIN>xKk/xMNtMtNx Dianna Ornelas From: #Building Permit Technicians Sent: Friday,July 23, 2021 10:14 AM To: phillarouche03@gmail.com Subject: FW: Request to VOID permit MST2021-00091 - 9342 SW 74th Ave Attachments: Reg PermitAction.pdf Importance: High Hello Phill, We are waiting for the attached permit action form to be completed and returned so that we may cancel this permit. Please complete and email to TigardBuildingPermitsPtigard-or.gov at your earliest convenience. Thank you. Dianna 1. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Allyson Armstrong<AllysonA@tigard-or.gov> Sent:Thursday,July 1, 2021 8:56 AM To: phillarouche03@gmail.com Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Request to VOID permit MST2021-00091 -9342 SW 74th Ave Phill, Per our conversation I understand that you will not be moving forward with this project. Please complete the attached Request for Permit Action form and return to tigardbuildingpermits@tigard-or.gov. Please let us know if you have any questions. Permit Technicians — I will return the original application to the office with note that we have requested the permit action form. Thank you, Allyson 1 Allyson Armstrong City Of Tigard (503) 71&-2612 Work (503) 718 8137 Mobile AllysonAC tigard-or,govr 13125 SW Hall Boulevard Tigard, Oregon 97223 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." 2 Property Owner Statement Regarding Construction Responsibilities NAi z1 Oregon Law requires residential construction permit applicants who are not licensed witGI1l'ee..fi i BARD Construction Contractors Board to sign the following statement before a building perrrailliOte: ;ION issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or X I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Philip D LaRouche Print Name of Permit Applicant 3/16/2021 ignature of Permit App icant Date Permit#: • Address: ,('a b1 . �;.a� w . pR r Issued by: ....._.._.. Date: __......_. This Copy for Permit Offices 1 REV EIV7r- 1 i Sw BAR 1 5 1011 Tay,c, e F t Aga CITY OF TIGAK dUILJING GIB O, t i 1 C '" , iri pproei z Date: A Initials'. i' U7� N_ riv \ g i 1 i i i 5'Setback Proposed new 25'x Property Line ' 10'shed with porch .1/ 2 1 LaRouche Residence Shed Remote ProjectLocation ;— , s Office Addition 9342 SW 74th Ave, Tigard, OR 97223 A1.0 Site Plan 20'Setback —��, A1.1 Floor Plan 1 A1.2 Roof/Ceiling Plan 1 A1.3 Cross Section A1.4 South Elevation A1.5 North Elevation 71_ 1 A1.6 East and West Elevations I Scope of work to include addition of a 10'x20' stand alone shed/office space with porch of the front. 1 Site Plan A1.0 Scale: 1" = 30'-0" LaRouche Residence Shed/Remote Office A1 .0 - Site Plan 9342 SW 74th Ave, Tigard, OR 97223 Martin Natural Gas Heater 100 amp sub panel AA cb 0 0 In weather cover o CD GFCI Porch off front 0 14 —4'-6" 0 Switches for lights 020 amp 0 0 T —20'-0" Ai oA1.2i Floor Plan Scale: 1/2" = 1'-0" N LaRouche Residence Shed/Remote Office Al .2 - Floor plan 9342 SW 74th Ave, Tigard, OR 97223 i 1 1 1 1 1 z 1 i 1 i z i 1 z , 0 1 Can light in enttry i i i W i .=,) r-1'-10"-1 V 4 (4 4'-7" D) 4 0 W OMEN= 0 I/ k< cam' "--I- Light fixture centered Ceiling fan centered over door 1 in space Q 4'-7" D S I i 3 1 To w 10'-0" D 1 1 1 i I CC Roof/Ceiling Plan x .'.. Scale: 1/2" = 1'-0" I N A LaRouche Residence Shed/Remote Office A1 .3 - Roof/Ceiling Plan 9342 SW 74th Ave, Tigard, OR 97223 5/8"gypsum board Simpson Strong Tie H1Z 2x6 framing R-24 insulation 1/2"sheathing Asphalt shingles i 1 5/8"gypsum board 2x6 framing R-19 insulation 1/2"sheathing Hardie plank siding typical k 0 0 0 ao 4"concrete pad with#4 rebar at 24"OC EW Rigid Insulation with 1/2"x10"Anchor bolt •- ,-- v \ vapor barrier tape at 24"OC with plate washer - ,.; io ' (2) #4 rebar Of' 0horizontal at -01 0' 3"-* .,; f- 4"crushed Rock '• T foundation 0'-2" 1 10'-0" 1 Cross Section A-A LaRouche Residence S.' 8/Remote Office A1 .4 - Cross Section A1.4 Scale: 3/4" = 1'-0" 9342 SW 74th Ave, Tigard, OR 97223 I I I I 1 I I I I I I I I I I I I l l l l III I 14 i9 L +.. Foundation: 6" wide by 1-6' tall stem walls with 4" slab on grade over 2" rigid insulation over 4" 3/4" minus Porch 6'-0" 4" exposed aggregate porch with 1' thickened edge 1 South Elevation Vent for portable ac A1.5 Scale: 1/2" = 1'-0" LaRouche Residence Shed/Remote Office A1 .5 - South Elevation 9342 SW 74th Ave, Tigard, OR 97223 1 I 1 1 1 I I 1 1 I I I I I I I I I T i i 1 f ( I I I I I I I T ' T I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 1 I 1 I l I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 ( 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I . 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 T 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I A 1 8'-0" ►, 4'-0" 5'-0" 4'-0" 3'-6" ► I I + + I Awing Window 0? Awing Window 0;0 o 2 8'-6" z s a I in 3 x z ,71 v L V 14 i x 4'-6" ► 20'-0" 1 i 1 North Elevation 1 A1.6 Scale: 1/2" = 1'-0" i 1 1 a 1 1 1 l LaRouche Residence Shed/Remote Office A1 .6 - North Elevation 9342 SW 74th Ave, Tigard, OR 97223 a i s a 1 n,.-,�,..-. �.-.....,..,,,.,�-..- W-..�.:.,,._��--.ee,. ,... - ....,..,.,.:...-.-.:., ..:,.-...- .-,..-,.�,..-,,.�.-,..vim-.�-�.«.x.-.- .,..-.�,.. v-...t= = a -_..,..�..-...,,.-.-°_--. -,-..-., s--.,- ..-.-.- -w--._-..-,. .,w- ..._- .-._-.,-,-...... .-. -.--.-......,-,.._-ww-•=-.�- -..-,�-.. ...:».--.::- -�-._ -.n-._-e.-t_.:.- ---e.,. ,. _ r -_ Light fixture centered over door ... ram_. �sr®®■ _1�1�■®..._ — _.ag, r�WIsiturer �espl�rElMe.._-�� il Ai- __ I i ! — 1 i Match cultured i — stone of house 4, 1 1 s — I andbeams at — entry i i - __ a — 1 L 1 1 s 4 10 0" 11/1 r 10'-1/4" ►, 5'-0" 1 West Elevation 1 East Elevation A1.6 Scale: 1/2" = 1'-0" Al Scale: 1/2" = 1'-0" LaRouche Residence Shed/Remote Office A1 .7 - Elevations 9342 SW 74th Ave, Tigard, OR 97223