Permit CITY OF TIGARD MASTER PERMIT
`. a COMMUNITY DEVELOPMENT Permit#: MST2020-00296
Date Issued: 09/01/2021
T I G A RI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111 BA09000
Jurisdiction: Tigard
Site address: 9515 SW ELROSE ST
Subdivision: 1994-019 PARTITION PLAT Lot: 2
Project: Ellis
Project Description: Replacing existing deck in same footprint and cover 456sf total deck. Upper deck and cover 160sf
each. Lower deck including stairs is 296sf.
BUILDING
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: $14,911.60 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: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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 SF VB R-3 0
Owner: Contractor:
ELLIS,TRINITY&HOA CREATIVE FENCES&DECKS INC Required Items and Reports(Conditions)
9515 SW ELROSE ST 23300 SW STAFFORD MILL DR
TIGARD,OR 97224 WEST LINN,OR 97068
PHONE: PHONE: 503-826-7641
FAX: 503-521-9840
Total Fees: $756.64
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 equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QF9-M1-Afro thrnnnh n •c9-nni -non,nn m ,nhtni. .'-e nr ilir t nnactinne to nl!nu-.by, Minn�iM((\9]39 I0R7 nr ann 119 9zaa
/, Y�
Issued By: �/A�/ ���ii�`L/i i✓/..��y Permittee Signature: �jr L` !�,?5A
Call 03 . •.•175 by 7 01 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 q 151'20-;----b
Residential RECEIV: , i FOR OFFICE 1 SF 0\1.1
City of Tigard ;)acwav3ccyd./0 if,,2020 :A Pcrntil No.;/49.2020-06-29k;I
III " 3 1125 SW Ilan Blvd.,Tigard,OR 97223
I . - 202ii Plan Review IIII
. ' Phone 503.718.2439 Fax: 503.598.1960 SEP 15 paten, OP Z..,1 reA-." Oilier Peritut:
639A175 503 Line: . Data ReadyiBy: RI See Page 2.Por
TIGARD InspectionCITY OF TIGARPsioatkai ( li. Juns.
Internet: www.tigard-orgov --- siii dem e Mat Worm:dim]
BUILDING DIVISION ,
It a.,..e.1..............1..
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Pi!, Addition/alteration/replacement 0 Other, equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: L.35;f7Cir 1 ii q I 1-and 2-family dwelling 0 Commercial/Indust!ial (
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 oLhe, Number of bathrooms,
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: I5Ic ‘21,A1 .1..4-4c,,E. si-feev New dwelling area: square feet
LA City/State/ZIP: TV.040 v(41- 41111-Li Garage/carport area, square feet
Suite/bldg./apt.no: Project name: Covered porch area: . square feet
Cross sirect/directions to job site: Deck area: _. ,:rsttifiql)squat c feet
1:* CV. C /e'. .-, t1:77,1fiErrilM - NO square Icet
61\ N. N 1E7-QtrIERED DATA:COMMERCIAL-USE CHECKLIST
% Subdivision: Lot no.: Punta 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.
etit./6ct , ')%%`)Dn6 Pe-t 1E Fcci-PF‘eli- -I- Valuation: $
e1-1) COQ- Existing building area: square feet
New building area, square feet
--
1:81 PROPERTY OWNER 0 TENANT Number of stories:
.,
Natue: 1\2-1A t-( ak,tc, Type of construction.
Address: 1515 toAi alto 5 E:, St-)1,Ger Occupancy groups:
City/State/ZIP. 1.1(Alt-t) Cif- 1111-9 Existing:
Phone:(9)3) WO-49 I ti Fax-( ) New:
54 APPLICANT i:4 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to pe srhedille)
Business name- Cf2EATI VC, FeilLES 4: balf-S
Sinictural plan review fee(or deposit): 295:07
Contact name: YVVIVt-:40,., 64-iLANIN-D
FLS plan review fee(if applicable):
Address: '2:;3 CO kJ (PTIN'rtr40 VilU, L111-40e
Total fees due upon application:
City/State/ZIP: 1,Re›T 1...mri cjit. cnio(k
t Amount received:
Phone:(93)921- ici 2-t Fax:
'E-mail 1
WC eAli C. i'YIC1•I (.0 fir
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
: Il t.-Jcw7;k , •
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System
cc Business name c Km v v(... s 4, Submit two(2)sets of roof plan with connection details
: ic F\--; i ., bgi
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: $180.00
and administrative feesl_
Phone:( ) Fax ( )
State surcharge(12"/o of permit fee): $21.60
COB lie.: iit-iLice,3
Total fee due upon application: S201,60
Authorized signature:
This permit application expires If a permit Is not obtained
'
i act, VI Rhin 180 days after it has been accepted as complete.
Date: 1b17,.0 Print name. (At ci , pctiLL-' *Fee methodology set by Tri-County Building Industry
449-
Service Board.
1:11luilding\Permits\13UP-RESPeimitApp.doe 02/24/2011 440-4613T(11/02/C(tMTWEB)
97/s/2),
City of Tigard
111 ' COMMUNITY DEVELOPMENT DEPARTMENT
T1rARD Building Permit Review — Residential
Building Permit #: MST2020 -CO296
Site Address: 9515 SW Elrose St
Project Name: Ellis Deck Replacement Lot #:
Planning Review
Proposal: Remove/replace deck and add cover
QVerify address/suite#active in Accela. 0 In River Terrace: ❑o No CIYes, River Terrace Review Addendum
Site Plan Elements: erosion Control
0: copies of site plan on 8-1/2"x 11"or 11 x 17"paper ' .etained trees with drip line and tree protection measures
01t rawn to scale(standard architect or engineer scale) ° •. print of new structure(including decks)and FFE
0 orth arrow \.�i r *ty locations&easements(required for new and additions)
!Lite address,project or subdivision name and lot number •idewalk/driveway approach
0 applicant information(name and phone number) ocation of wells/septic systems
0 • .. ensions and building setback dimensions \ .3treet tree size,type and location
,._. .are footage of buildings to be demolished .''„Street names
0 xi ting structures on site °Zorner elevations(2'contours if more than 4'differential
i►v*.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
ElClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑° Yes,applicant was notified 0 No Received: ❑Yes 0 No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑Yes,applicant was notified ❑ No Received: CI Yes ❑° No
SDC Exemption for ADU applied for: CI Yes ❑° No Received: ❑ Yes ❑° No
Public Facilities Improvement (PFI)Permit:
.\\YI:
Required: ❑Yes,applicant was notified ❑° No Applied For: CI Yes CI No,stop intake
Land Use Case#: 0 Zoning: R-4.5
ClRequired Setbacks: Front: N/A Rear: 15 Side: 5 Street Side: N/A Garage: N/A
ElBuilding Height: Max. Height: 30 Actual Height: <30
1 . •dscape Area: % ❑ Lot Coverage Max:
Entrance Set back no more than 8'from street-facing wall ❑ Parallel to street or offset •_ .egrees or less
Windows N ' . . 12%of area of all street-facing facades
Garage Gara e door i :• 'nd widest street-facing wall [t 1 El Yes I o,one of the following is met:
Door extends no • e than 5' from wall and re is a c• ed porch extending beyond garage.
Door extends no more th. -'from wall and t._ - is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is I 12'or less 1.•I'/0 or less of facade 60%or less and includes 7 of following:
Covered porch I Rece •. entrance P Wall offset Fire shingles / ap Siding
1'Roof eave Roof offset
CIRoof itch 0 Gable,his,or gambrel roof _ Dormer
Accent g 0 Window trim Window recess Window projection ❑ Balcony
❑ Visual Clearan - ❑ Urban Forestr ,Plan
❑ Sensi ' ands: ❑ Yes ❑ No Type:
IN onditions met prior to issuance of building permit
? Notes: C ^�
0 Approved By Planning: _ — _�1 Date: 10/19/20
F Revisions (after Building Submittal only) Reviewer Datc
Revision 1: ElApproved CINot Approved
i
j Revision 2: CIApproved CINot Approved
"r? 1:\Building\Fonms\BldgPermitRvw_RES_122419.docx
r
:f
Building Permit Submittal
Original Submittal Date: q44--.2020
Site Plans: # 3
Building Plans: # 3
Building Permit#: Er Enter buildin permit#above.
Workflow Routing: Planning Engineering Permit Coordinator El—Building
Workflow Sign-off: Er 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.
lbuilding: original permit application, site plans,building plans,engineer and
beam calculations and $.t details,if applicable,etc.
Notes:
By Permit Technician: �i c r,...., Date: /p-/7-472O
Engineering Review
lope at building pad: /4
Eronditions "Met"prior to issuance of building permit h/4-- /
EEAsements (encroachments) per engineering conditions of approval and platin(A-
L 1
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes B'No
Assess Water Quantity Fee in-lieu: ❑ Yes R'No
LIDA Facility on lot: ❑ Yes RNo
Final Plat Recorded: N f t—
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: '7yy,,,f- .,?>... �l e�,, Date: /v/ZO/ZaZo
Revisions (after Building Submittal only) Reviewer Date 1
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Permit Coordinator Review
,4Conditions "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:
0 1 SDC Exemption: ❑ Received VDoes not apply,
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes /A
LIDA ❑ Yes Ltd N/A
OK to Issue Permit
Approved by Permit Coordinator: �- Date: /0 2{�
I:\Building\Forms\BIdgPermitRvw_RES_122419.docx
RECEIVED
SEP 1 2021 CITY OF TIGARD CleanWate{r Services
SENSITIVE AREA PRE-SCREENING SITE ASSESS IIM°IvlslOh
Clean Water Services File Number 20-002841
1. Jurisdiction: Tigard
2. Property Information(example: 15234AB01400) 3. Owner Information
Tax lot ID(s): Name: Trinity Ellis
Company:
Address: 9515 SW Elrose Street
OR Site Address: 9515 SW Elrose Street City, State,Zip: Tigard, OR, 97224
City, State,Zip: Tigard, OR, 97224 Phone/fax:
Nearest cross street: SW McDonald Street Email:
4. Development Activity(check all that apply) 4. Applicant Information
® Addition to single family residence(rooms,deck,garage) Name: Michael Aylward
❑ Lot line adjustment 0 Minor land partition Company: Creative Fences and Decks
❑ Residential condominium ❑ Commercial condominium Address: 23300 SW Stafford Hill Drive
❑ Residential subdivision ❑ Commercial subdivision City,State,Zip: West Linn, Or, 97068
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503.929.1921
Other Deck replacement in same footprint Email: mcaylward@gmail.com
6. Will the project involve any off-site work? Dyes 0 No ❑ Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
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 Michael Aylward Print/type title Project Manager
Signature ONLINE SUBMITTAL Date 10/16/2020
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.
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.
lsJ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 1 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 ./14 O6¢�.1ryt.c. Date 10/29/2000
Onc 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 2/2020
Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org
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FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please compete this.iiiiin when submitting information for plan review responses and revisions.
I
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T i R;,\R.r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: P-I,I,VxM 46t\Cr DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVEL
FROM: Mt L-7-- kt Lk/NJ 1) AUG 4 2i2i
COMPANY: CQ-CPT‘JC r- AL'> -E- "V-05) CITY OF TIGARL,
PHONE: (t5'�)CIA-(crb
BUILDING DIVISIO BY: —
EMAIL: PACGtv)I No\f(k e. onct 1 . (.00
RE: °iC)-1 * LLQ-c 5 5-rck,eX fl 5 T 202.D-OO -9 Qp
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: , Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. )< .3 Engineer's calculations.
Other(explain):
REMARKS:
t
FO SE ONLY �/�
Routed to Permit Technic : Date: j ((a TICEZ( Initials: y� �"S
Fees Due: ❑ Yes NE.....„-lie Desc iptio Amount Due:
$(
.6. 5,,,,...-
1 ‘.._,7 IOC\i Li r..------- $
$ _
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ DoneApplicant Notified: Date: 1)� 7SN(x.------
k 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
= rIN Transmittal Letter
. 14.-\r<n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: Michael Aylward
RECEIVED
COMPANY: Creative Fences and Decks DEC 2 3 2020
CITY OF TI ARD
PHONE: 503.929.1921 BUILDING DI1Ig'ION 'j
EMAIL: mcaylward@gmail.com
RE: 9515 SW Elrose Street MST2020-00296
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
a Floor/roof framing. Basement and retaining walls.
Beam calculations. ' Engineer's calculations.
Other(explain):
REMARKS: See attached for requested engineering on roof cover tie-in.
FO F ICE USE ONLY
Routed to Permit Technician: Date: �(0 Z I Initials:
Fees Due: 11 Yes Nee Desc do : Amount Due:
pv 10 6
$ , 2:5--.
Special
Instructions:
Reprint Permit (per P ): ❑ Yes No ❑ Don
Applicant Notified: )g
Date: 7� Initials:
1