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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00327 T I GAR T-: 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2021 Parcel: 2S109AC05700 Jurisdiction: Tigard Site address: 13177 SW NICOLE LN Subdivision: WILSON RIDGE NO.2 Lot: 25 Project: Weaver Project Description: Dividing bonus room into office/bedroom. BUILDING Floor Areas Reauired Setbacks Required Stories: 0 Bedrooms: 1 First: 0 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,150.00 Rear: 0 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.'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: WEAVER,SAMUEL&KELSEY OWNER Required Items and Reports(Conditions) 13177 SW NICOLE LN SAM WEAVER TIGARD,OR 97224 13177 SW NOCOLE LANE TIGARD,OR 97224 PHONE: PHONE: 503-358-9753 FAX: Total Fees: $325.21 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 q59-nnl-nnln thrnnnny hh flAP Q59-nn1-nnQn vni.mev nhraln a...run.,or*ha nJne nr dirar*nu.eunne 1n n��uC h..�aninn gni 919 10R7 nr 1 Ann 119 9Zdd Issued By: C V VFW Permittee Signature:eige OYIiAUp�(GLt10►t 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 iob site at the time of each inspection. Building Permit Application '13-7/1/21 Residential RECEIVED FOR OFFICE l S11 O',I.1 City of Tigard Received /-. jST2Oy JULDate B :��/< �� Permit No.:I-1 V I202f 403 13125 SW Hall Blvd.,Tigard,OR 97223 1 2021 Plan Review Phone: 503.718.2439 Fax: 503.598.1960-ITy ���! Other Permit: tl> OF fU Date/B T I G A l:D Inspection Line: 503.639.4175 A Date Ready/By: H See Page 2 for Internet: www.tigard-or.gov BUILDING OOP g1 )!j Notified/Method: NM Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2 ► i.;,,. t:.(!;G Permit fees*are based on the value of the work performed. ❑ New ecnstruction ❑ Demolition Indicate the value(rounded to the nearest dollar)of all p Add_io alteration/replacement ❑ Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. I-and 2-family dwelling ❑Commercial/industrial Valuation 2 it 5o 0 Accessory building El Multi-familyNumber of bedrooms: ' 0 Master builder El Other: Number of bathrooms Q JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i 31'(.7 SW ),I ieol e List, New dwelling area: square feet City/State/ZIP: I i3m3- PP) `(l ZZL Garage/carport area: square feet Suite/bldg./apt.no.: Project name: tctvs R M 1s)1y .e of) Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Pr • 'ec`9 044.01 r{J 1,4ZC.v kt/L a' ay,, Other structure area: square feet 1u ri * iI 'i n fr. 7 REQUIRED DATA:COMM,RC1AL-USE CHECKLIST bdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax ma %parce]no.: '�$ y �A 5� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. biVi`�,,vl, '`4 DrtJS �!\c�c k.l'x ;t11,,,,, �v�xC:c,. J v��r�?,c�j�'t.` Valuation: $ ',..../ Existing building area: square feet '1-t .12— M ()i U l �j f �G„4,rNew building area: square feet ) . 1t2O OWNER 0 TENANT `l /Number of stones: Name: /,l td Vet-- Type of construction: Address: t3\11 U A;c \ G.) A. Occupancy p y groups: City/State/ZIP:j;q a3 C)A ativz q Existing: Phone: A 1 ?<'l.., 97.S\ Fax: ( ) New: ,APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: _ :6Piease refer tpfee aehedulkl , • Structural plan review fee(or deposit): /Ace Contact name: jotMe ( kelSe� WernVe3' - W Address: FLS plan review fee(if applicable): City/State/ZIP: — Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail: �,(�p�VC.6gm, 3ke�,i-C:c�!� PHOTOVOLTAIC` SYST FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:06,1,nd Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $24:6yg CCB lic.: Total fee due upon application: 3tt1 . 0 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 6c(M WeAV eT Date: (j / 3o ) z I *Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received - Ass Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associa ed permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ID Plumbing 0 Mechm:icaI TIGAKU Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No NIA I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ rA 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ E 3 Verification of approved plat/lot. ❑ ❑ 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ ❑ 6 Sewer permit. 0 ❑ ❑ 7 Water district approval. 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. El ❑ 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state A ❑ 0 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 0 ❑ L 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 izi and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 21- 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 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 ❑ 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 El ❑ 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 0 JZ systems,see item 22,"Engineer's calculations." . r�l 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 Iti over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ Q 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 architect licensed in Ore:on and shall be shown to be a I 1 licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 11"or II"x 17". El ❑ 0 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 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 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ 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. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(I1/02/COM/WEB) Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be 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. J or 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. �ea VeT Print Name of Permitrm Applicant Signature of Permit Applicant Date Permit#: SZ_2Z.SZi'O321L Address: L ) /J;LCA %rn, y, 7r trw:.iliv lI ' Issued by: OA) Date: °A -,ZI This Copy for Permit Offices City of Tigard 0 ■ COMMUNI'IY DEVELOPMENT DEPARTMENT IN T 1 c A u D Building Permit Review — Residential Building Permit #: Msr2o2 ,60327 Site Address: 13177 SW Nicole Lane Project Name: Weaver Lot #: Planning Review Proposal: Remove 3 windows (33 SF)and install 2 windows (40 SF) E Verify address/suite# active in Accela. in In River Terrace: ❑ No ❑ Yes, River Terrace Review Addendum Elements: ❑Erosion Control ❑3 copies o . on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree prot- = -.sures ❑Drawn to scale(stan t or engineer scale) EFootprint of new structure . .: .ecks)and FFE ❑North arrow ❑Utility location : _ ents(required for new and additions) Site address,project or subdivision name and lot I—S •- . veway approach No site ❑Applicant information(name and phone number) -plan 'on of wells/septic systems ❑Lot dimensions and building setback dim required. Street tr:- -•.- and location ❑Square footage of buildin s' shed L Street names ❑Existing struc e ❑Comer elevations(2'contours ifm. - differential) ❑ g coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? No " 'o impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No C Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No E Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes 0 No ID SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No g] Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified Xi] No Applied For: ❑ Yes ❑ No,stop intake ,RALand Use Case#: E Zoning: R-7 NRequired Setbacks: Front: Rear: Side: Street Side: Garage: F Building Height: Max.Height: Actual Height: RP Landscape Area: % ®ALot Coverage Max: Entrance IP Set back no more than 8' from street-facing wall Parallel to street or offset 45 degrees or less Windows Xl Minimum 12%of area of all street-facing facades increase from 33SF to 40 SF Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the . - . _ - no more than 5'from wall and there is a covered .o • - - : .eyond garage. ❑ Door extends no I • Not applicable - • .window above garage on 2nd floor. ❑ Garage door width is ❑ 12' - ,cade ❑ 60%or less and includes 7 of following: ❑ Cove ecessed entrance • 1 all of set — • -- -.ve ❑ Roof offset ire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam.re .. "' •. er ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ B. co i Visual Clearance 'RI Urban Forestry Plan © Sensitive Lands: ❑ Yes ❑X No Type: E Conditions met prior to issuance of building permit Notes: fI ® Approved By Planning: M' Date: 8/12/2021 Revisions (after Building Submittal only) ((JJ Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Bui Iding\Form s\BldgPermitRvw_RES_122419.docx Building Permit Submittal ..�J Original Submittal Date: 0�dV2/ Site Plans: # Building Plans: # 3 Building Permit#: P"Enter building permit#above. Workflow Routing: D'Planning ❑ Engineering ❑ Permit Coordinator E 1cuilding Workflow Sign-off: If�Sign-off for Planning(include notes from planning review) Route Application Documents: l ' ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. IV uilding. original permit application,site plans,building plans,engineer and beam calculations and t details,if applicable,etc. Notes: By Permit Technician: Date: 48 �-2A31✓ Engineering Review ❑ Slope at building'..d: ❑ Conditions "Met"p or to issuance of building permit ❑ Easements (encroachm. ts) per engineering conditions of approval and plat ❑ Water Quality/Quantity F^..ity: Assess Water Quality Fee r-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-.•u: ❑ Yes ❑ No LIDA Facility on lot ❑ Yes ❑ No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of buil permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submi al only) Revision Notice 1: D e Sent to Applicant: Revision Notice 2: 0ate Sent to Applicant: ❑ SDC Exemption: ❑ Received ❑ Does not apply ❑ SDC Fees Entere.. Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A LIDA 0 Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1`\Build ing\Forms\BldgPermitRvw_RES_122419.docx