Loading...
Permit p CITY OF TIGARD MASTER PERMIT I • COMMUNITY DEVELOPMENT Permit#: MST2021-00532 Date Issued: 01/04/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104CB06900 Jurisdiction: Tigard Site address: 13145 SW CREEKSHIRE DR Subdivision: HILLSHIRE HOLLOW Lot: 22 Project: Dykier Project Description: New deck and stairs 204 sqft with max height of 8'- Designed to carry additional spa load of 5000 lbs 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: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $5,230.56 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 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 SF VB R-3 0 Owner: Contractor: DYKIER,LAWRENCE&PAMELA OWNER Required Items and Reports(Conditions) 13145 SW CREEKSHIRE DR TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $411.98 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 oc9-nn1-nnin fhr, ,h nap ar.9-nnl-Mon Vnii may nhfain rnrn,of}ha ndce nr rlirarf nnacfinnc fn ni eir'by Tallinn cn'3 949 1027 nr 1 Ann'Y29 9'34d Issued By: Edgairdo Ma-(dawaaa" Permittee Signature: ' 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 lob site at the time of each inspection. Building Permit Application g- Iz1 11 , Residential FOR OFFICE I SE ONLY City of Tigard RECEIVE® Received�� y / f/! PermitNo.: �r Lt'O��f3Z 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i 1 �� aDEC 01 2021 Date/By:an L 1.... _ I Alk Other Permit Phone: 503.718.2439 Fax: 503.598.1960 (�J I 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD >mitied/Method: / /G, / SopplementaJ lnforma6on BUILDING DIVISION . 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 "Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application -and 2-family dwelling 0 Commercial/industrial Valuations� * - .�9.1 Number of bedrooms: ❑Accessory building IDMulti-family ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i� I i..{ 5 1 ) C i,e4,:zi„i tie 0 t-. New dwelling area: square feet City/State/ZIP: • • 0 ! • ` r Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 1, — f)4741'1(1/ Covered porch area: square feet Cross street/directions to job site: e Deck area: �quare feet A_ ., Ir.� �`-,Z;n � j d' � �1� � t Other structure area: r„)0�g square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: l 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. (;i tr i11`e(,.) �•o ( r i� C Nt � Valuation: $ ` �-t Q c r 0 tr(f_� Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: 1,_0 w rye vt(,.J! by k L.OA� Type of construction: Address: Ij'yl i 4 A S ) CirteL2 i if,i, I') r Occupancy groups: City/State/ZIP: `7,\=_sa?If t o R (173 Existing: Phone:(6 cop ii i.... 9 {.j Fax:( ) New: At-APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES' (Please refer Wee schedule) Business name: Structural plan review fee(or deposit): Contact name: 0 AFLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax: :( ) E-mail: d PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* k�e � �a • �� Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: �/��t!� Submit two(2)sets of roof plan with connection details C't K--- and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $I80 UI) and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: ( } IAdiAz......A Total fee due upon application: $201.60 ..(I Authorized signature: ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: ��� � *Fee methodology set by Tri-County Building Industry Print name: �l x) `�h.V et l��/��i-C AS �( _ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard ,iliII COMMUNITY DEVELOPMENT DEPARTMENT 1 T1cAUD Building Permit Review — Residential CI Building Permit #: M5fzb21-00 53 Z Site Address: t '7 't S SLAi Cv --e►i v Jr. II Project Name: H i R A lATr-e_ fiditc uv-- Lot #: 2..2- Planning Review _ ' P.Ol Proposal: A f--H-gLY1 . PPGk , LA Verify address/suite# active in Accela. ❑ In River Terrace: igl No ❑ Yes,River Terrace ReviezvAddendum Site Plan Elements: til3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper • ❑ ) Footprint of new structure(including decks)and FFE North arrow QUtillity 1 c R.PasemPntc (ro=.:«o I s i e Ca.fl.l1lj�'t'�T Site address,project or subdivision name and lot number idetraik/diivcway arr,,,ach Applicant information(name and phone number) p'Lot dimensions and building setback dimensions gg4feet$ce ,e ryp sid 1 ws 4i el2• n enlnrP n Fntol:1P„F h„a•1:.,ge t- hP,leinnlish&l treet names gaExisting structures on site v firms(?L rn'tnr,rc: h' d' -lifferenti,l) ?Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes laNNo impervious area(applicable if R-7,R-12,R-25&R-40) If TPse i o Required: ❑ Yes,applicant was notified ❑ No Received: El Yes El No r�TTF•i�e _' ---> 1 1 �] 1' Tl 1 1 1 A T\T T LJ W atci Meter Fix LULL V llll W Gi—A , Required: El Yes,applicant was notified El No Received: El Yes El No no-- ,i�re � an ❑ Yes ❑ No Received: El Yes ❑ No hnin.ovelIlell '1larri.11t.- Required: ❑ Yes,applicant was notified ❑ No Applied For: /❑ Yes ❑ No,stop intake . t t Xi Zoning: 'v � Gil Setbacks: Front: 4$ Rear: ( 5 Side: Street Side: 10 t Garage:20 ® ei Building Height: Max. Height: 3 5 Actual H ht: Landscape Area: `'-6 °A° J Lot Coverage Max: C) A'F �_—� __71� 11APl �r� t�S�P(TYPPC 1 1Ti7�7 A7r1 - S'• %.E1 fQCQ �� Ga Garage door is behind widest street-facing wall El Yes ❑ No,one following is met: xtends no more than 5'from wall and there is a covered o ending beyond garage. ❑ Door exten s than 5'from wall and there' q t.window above garage on 2"a floor. ❑ Garage door width is El 12'or less or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch se entrance et El 1'Roof eave ❑ Roof offset ❑ Fire shin LJ Lap Siding El Roof pitch ❑ Ga , ' brel roof El Dormer ent siding El Window trim ❑ Window recess El Window pr ❑ Balcony ❑ Urban Forestry Plan 1—,n S T _ El Yes ❑ No ��rt,_--•,...�. Type: -Mti.tons met prior o ssu Notes: re) Approved By Planning: 4 i Date: 1y/�_ 2.► 'Revisionsl (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: L 2/0 I / .c2J Site Plans: # Building Plans: Building Permit#: Enter building permit# above. Workflow Routing: lVPlanning DJ/Engineering EPermit Coordinator ©-uilding 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. CV'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 07 2024 Engineering Review �/ ❑ Slope at building pad: i4 R Conditions "Met"prior to issuance of building permit Et-Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2No Assess Water Quantity Fee in-lieu: ❑ Yes �No LIDA Facility on lot: ❑ Yes ['No final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: R Approved by Engineering: (K _ 65)4 Ci'� Date: f 2_-8., Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review (1kConditions "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: zizr SDC Exemption: ❑ Received 'Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Vr N/A Tigard Trans SDC: ❑ Yes ' N/A Parks SDC: ❑ Yes jX N/A LIDA ❑ Yes $ N/A 71 OK-to Issue Permit Approved by Permit Coordinator: Date: a Zle►I?,OZ1 1:\Building\Fonns\B1dgPennitRvw_RES_122419.docx • RECEIVED Property Owner Statement DEC ® 12021 Regarding Construction Responsibilities g(CITYOFTIGARD Oregon Law requires residential construction permit applicants who are not licensed witfil?4ING DIVISION! 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: w,1 — 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 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. e VLc' c'- V'J k 1 E v- Print Name of Permit Applic nt If ` <<�36'1 ' Signature of Permit Ap. c nt Date Permit#: _._... — ---._-.__-- . F Address: ( 1 ,5 S L) Ac ..1C 311t _-_C) 1� q `#.�lrfrY►!tYHls � Issued by: Date: [-�1 This Copy for Permit Offices