Permit Support Document4
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City of Tigard • OMNII'Nl'1'Y DEVELOPMENT DE PAT MEN f
IN2 Request for Permit Action
I I .iAR.D 13125 S\V' l lall Blvd. • l'ii,,,trd,Oregon 97223 • 503-718-24:.39 • www.ti,;;ard-or.gTOv RECEIVED
JA Y. 41021
TO: CITY OF TIGARD CITY OF TIGARD
Building Division
13125 S\\ 1 I.all Blvd.,Tigard,OR 97223 3UILDING DIVISION
Phone. 503-7I8 2439 Fax: 503 598-19(a0 Tigardl3tuldingPermits((i)tigard-or.gov
FROM: ❑ Owner ,Applicant ❑ Contractor ❑ City Staff
Check K✓)one
REFUNDt'� OR Name: }(kr
INS'OIC mi
E TO: illumines or tndn,Jua1) V e lkC G( �Y /1if
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Mailing Address: 1 15_.1..._._6 t� ...._.'Fppvt ce, ce 1"tt 1 .Cs
City/State/lip: To t I-1p r(.Llf Qk......... 7_...... 1 ( .__
Phone No.: .__._.. .
PLEASE TAKE ACTION FOR THE IT'EM(S) CHECKED (✓):
8 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#: 114572011 "0 4) 1 1-t/
Site Address or Parcel#: I � {� �j l lt).G 0,. 1.C_.._......(elf.
Project Name: ......._.__....._. ....__.
Subdivision Name: Lot #:
EXPLANATION: at 0,4-o e-,r r ant re�frii1 , ►^-to J P.c-1- 4 p cv w i-
Signature: Date: 61/?., 2 .
m Print Nae: ; t K t� s
Refund cy I Poli
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• Not more than 80"/u of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80°/u 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 3-4 weeks for processing refund requests.
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.. . TOIL OFFICE USE ONLY..= >::..:::::..,F..:;.:...__.—___
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, „, i.,fit,Adm.sn: Date 1/5 1,Cy 1Sv 7 Route ro Records: 1J.uc 13
lea fund Processed: Date By invoice Processed: Date 13y
1'c rant Canceled: Date \Z1 By k�J Parcel Tag Added: Date 13},
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Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard Received
g Date/B : '(;., t( Ap Permit No.: , —1 1
r 13125 SW Hall Blvd.,Tigard,OR 97223 `- Plan Review
II ■ Phone: 503.718.2439 Fax: 503.598.1960 �^` 1 �.? 2019 Date/B : I 4 Lt, Other Permit:
T I G A R D Inspection Line: 503.639.4175 C Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov '' Notified/Method: `� Supplemental Information
,i , it-
TYPE OF WORM( REQUIRED DATA:1-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
igi Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
C1-and 2-family dwelling ElCommercial/industrial Valuation: $ 1'21 0�,
/❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13!�$5 5 10 Tr rol.f., 'r r.i- New dwelling area: square feet
City/State/ZIP: 'j ` ot4 0?� 17�),-5 Garage/carport area: square feet
v I C
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: 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.
vt-� q Valuation: $
C/'Laft ✓ C2) n,t�.) G Ivt A 1rl �,t✓tv�J
r �� ✓ Existing building area: square feet
New building area: square feet
K.PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tat 414 t°r-- ? i 1'4G y Ja 11 K V\ Type of construction:
Address: I Occupancy groups:
City/State/ZIP: Existing:
Phone:(/12._) 6‘, ! ,13 Z Z Fax:( ) New:
A
PPLICANT Qm CONTACT PERSON BUILDING PERMIT FEES*
Business name: 2 I �1�/ f.. eti (Please refer In fee schedule)
Contact name: AA F,o .��S`�] YWcrStructural plan review fee(or deposit):
��++�ia Y� `-'7��r"`fff P V r- J FLS plan review fee(if applicable):
Address: ( D i s-1 5 W Bt9C?,,5 T�-e►�r 'kJ Total fees due upon application: ) 3
City/State/ZIP: r4-1 a I4 � �
0 17 -2 l 1�4 '1.(
1
Phone:(Cr7/) 7 5 7D ( g Fax::( )
Amount received:
E-mail: p PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ar.aeltiA Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Z��e-�ti.1...( by �1k/' h 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.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: ter Z r Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
4 0/1 Re/ �� Date: 7,� 6 ' *Fee methodology set by Tri-County Building Industry
Print name:
////TTTT°°°° 1 ' ( Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
mom.
City of Tigard
TIGARD
December 18, 2019
RE: Adding two new openings
Project Information
Building Permit: MST2019-00454 Construction Type: VB
Address: 13585 SW Westridge Terrace Occupancy Types: R3
Area: Stories: 2
The plan review was performed under the Oregon Structural Specialty Code (ORSC) 2017 edition.
The submitted plans have been reviewed and the following information is required prior to issuance
of the permit.
1. Per ORSC R106.1.3 Information on braced wall design shall be on plans. Braced walls shall
be either prescriptive design per ORSC 602.10 and seismic design category D1 or designed
by a register design professional licensed in the state or Oregon.
Please let me know if you have any questions.
Thank you,
Allyson Armstrong
VOID
Tanner & Tracy Johnson First Floor plan C4E:( L-R -3 \‘'
) G. . ......R1—. , LI .'
DEC 16 2019
Gil Y 1...)FT*ARD
31,11L.DINGDiVISION
----"v
location of work \
4
Johnson, Tanner and tracy
Elevation existing
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Johnson, Tanner and tracy
Elevation proposed
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Johnson, Tanner&Tracy Framing Existing
INTERIOR VIEW
Gas Fireplace
insert
Johnson, Tanner&Tracy Framing PROPOSED
INTERIOR VIEW
New S1/2xA" Doug fir Headers
GI
36" 36"
m �
~— Gas Fireplace
insert
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Propert Line
.4,_7' V 0 I D
(Y) W
LD 29,67'
Property Line
-P -P
tiD
Property Line 7,51' 13,41'
W �
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10,53' 3,06'
co Mr2e/q-,0041C9
34,78' w
ry
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o 3 41'
� 17,08'
10,53'
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31,89' I
4 / AlterSitePlah
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Propert Line 13585 SW Westridge Terrace
Tigard, OR 97223
scale 1"=10'