Permit CITY OF TIGARD MASTER PERMIT
.1111
COMMUNITY DEVELOPMENT Permit0: MST2O21-00179
T I GAR 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2022
Parcel: 2S102BB00813
Jurisdiction: Tigard
Site address: 10340 SW JOHNSON ST
Subdivision: BROOKSIDE PARK Lot: 7
Project: Avendano
Project Description: Addition on side of home. Responding to Code Compliance letter for new building built w/out
permits. (DCC2021-00041)
BUILDING
Floor Areas Required Setbacks Required
Stones: 0 Bedrooms: 0 First: 189 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 11.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 189 sf Value: $23,144.94 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: Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 0
9Water 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
Fum<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 SvdFdr. 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 amp: 0
801-1000 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-3 189
Owner: Contractor:
TORIBIO,DARIO AVENDANO OWNER Required Items and Reports(Conditions)
LORENZO,ARACELI PALACIOS DARIO AVENDANO 1 Special Inspection-
10340 SW JOHNSON ST 10340 SW JOHNSON Concrete Reinforcing Steel&
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: PHONE: 971-203-9860
FAX:
Total Fees: $1,156.28
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 mare
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
w7-nnl_nnln thrnunh elm=OF911p1_nnOn Vni i may"Main a rnna nt the mace nr r+irort nnaa+inns fn f11'NC by sore,,cal 919 10R7 nr 1 ROn 119 91dd
Issued By: Eolgardo-Maldv l.1;4o- 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 job site at the time of each inspection.
t3uilding Permit Application B' 5bil21
Residential RECEIVE[
. Cityof Tigard Received G d /�y-� 7q
g DJ / Permit No.:1..�S 1 Z���-W! ( /
111 I
• 13125 SW Hall Blvd.,Tigard,OR 97223Q 4 ".ill" Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. -7/ /�Zvi9 Other Permit:
TIGARD InspectionLine: 503.639.4175 CITY CFTIGARL DateReady/By � SeeP. e2for
Internet: www.tigard or.gov BUILDING DIVISION °tifiedh`ed'°d ' /� /� l 1FT Supplemental Information
/.,
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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. /
® I-and 2-family dwelling 0 Commercial/industrial Valuation: $1] p 23 [t c
❑Accessory building 0 Multi-family Number of bedrooms: I '
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10340 SW Johnson St.; New dwelling area: 189 square feet
City/State/ZIP:TIGARD OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:Dario Avendano Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
4.7(141 r---/ �Gk/6�.91'/' i/ - 77 V r«Ce{ �G Cif. Other structure area: square feet
lv to r/IR/� /SS 4-t'o�Cc' . r f_ (2t4 se I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivi ion:W257890 Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no.:2S102BB00813 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.
RESPONDING TO CODE COMPLIANCE LETTER FOR NEW BUILDING BUILT Valuation: S
WITHOUT PERMITS . Existing building area: square feet
DCC2021.00041 New building area: square feet
181 PROPERTY OWNER _4 TENANT Number of stories:
Name:DARIO AVENDANO Type of construction:
Address:10340 SW JOHNSON ST., Occupancy groups:
City/State/ZIP:TIGARD OR 97224 Existing:
Phone:(971)203-9860 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:SIMPL HOME DESIGNS (Please refer taJee schedule)
Structural plan review fee(or deposit): /ZContact name:MIKE MONTGOMERY
ap
Address:5531 SW BUDDINGTON ST FLS plan review fee(if applicable):
City/State/ZIP:PORTLAND OR 97219 Total fees due upon application:
Phone:(503)515 6495Amount received:
Fax::(503)719-4825
E-mail: MikeopsiA /AfabFfe.o/ey, Ks PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR `3 Commercial and residential prescriptive installation of
e2 roof-top mounted PhotoVoltaic Solar Panel System.
Business name:HOME OWNER 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:(503) Fax:() State surcharge(12%of permit fee): $21.60
CCB lie.:
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.
Print name:MIKE MONTGOMERY Date:05/04/21 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR 01Flcl: t Si: O l
City of Tigard Received
g DatelB Permit No.:
11 II 13125 SW Hall Blvd.,Tigard,OR 97223 Associated ts:
a Phone: 503.718.2439 Fax: 503.598.1960 P
ermi
i c A R D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ElMechanical
Internet: www.tigard-or.gov la Other: E DECK REPLACED
THE FOLLOIYI.A(. I I FINIS ARI. REQUIRED FOR PLAN RF.V !FIN �r. • � •��
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ :+ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 El
3 Verification of approved plat/lot. El ❑
4 Fire district approval required. Name of district: • 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 El
6 Sewer permit. 0 El
7 Water district approval ® ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 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
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 ® ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ El
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. ® ❑ ❑
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 0
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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 El
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 Ei
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ 13.1
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0
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:,.licable to the ,ro'ect and r review.
II.RISDi("I'IONAl, SPF,CIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or II"x 17". ® 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. El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ® [3 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
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, 0 0
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.
I1Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Property Owner Statement
Regarding Construction Responsibilities
Cregon Law requires reucteetial construction perrrtt rypplirsi'ds who are not xansad wih the
Cotlsituct;,on corltactors Board to sgn the►olleviirip statement before a bdilding permit cart be
iSskMett. (ORS 101.32& (2))
Thke statement Is required for residential building,electrical,rrf+ehurical,and pawnbirig permits.
Licensed architect and engineer a apticants,exempt tiom 4lcensing under ORS 701.01047). need net 4
subedit/Ike staterrert TVs T.tatr;nc rt will be Rid with the permit
Please strait the appropntate tier'
1h a
t own. teside rn,Or We reside Ue..the completed etZUGture and rrry eneral c.onUBGtor Is.
Mans Ceal. Eppiurbon
DON
I w utiorrn fTTy general contractor twat all avbccttrattlots who work on ttte skructure MVO be
eccn%ed with tee Construction Contractors Board.
Or
~V will be pertorrrung work on per.verrty town, a resid th
ence at I reerlde in, or a re chat I will
tes+de in. tit hire 3u ntsr.► rs, I will roe Only 3ubt#rrtractore 11.encad west trio Conistruction
p Contrattors mid. I t ctr.n9a rrry mtr#aced hire a general o3ntraCibl`, I vrts select a contractor
who Is ircens,ed fo rt'h the CCB arxt we irrr eColaty air*the none of the ccetractor to they office
wasuirbp t?rrs 1344idir.j r"rrrrrt+L
• I i3ev a,ad crud 4hter,.`rndthe Ir?otrtikllan r1',@ice to His About Gonstrwetien Reepora llltite,
i•
and Ie hereby cetttty th�stt them etier'ore th9e borer/own er rb Wflet+t is true and accurate.
L
Irnrr.tlrrrretd Nerd 4
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la s e, OA*. f .02
C1eanWater Services
SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT
Clean Water Services File Number 21-002054
1. Jurisdiction: Tigard
2. Property Information(example: 1S234AB01400) 3. Owner Information
Tax lot ID(s): 2S102BB00813 Name: DarioAvendano
Company:
Address: 10340 SW Johnson St.
OR Site Address: 10340 SW JOHNSON ST City, State,Zip: Tigard, OR,97223
City,State, Zip: TIGARD, OR, 97223 Phone/fax: (971)203-9860
Nearest cross street: SW Brookside PI Email: dary715@gmail.com
4. Development Activity(check all that apply) 4. Applicant Information
❑x Addition to single family residence(rooms,deck,garage) Name: Mike Montgomery
El Lot line adjustment 0 Minor land partition Company: Simpl Home Designs
❑ Residential condominium 0 Commercial condominium Address: 4931 SW76th Avde 211
❑ Residential subdivision ❑ Commercial subdivision City,State,Zip: Portland, OR, 97225
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5035156495
Other Enlargement to the existing kitchen space, 18x10'6 Email: mikem@ezpermits.biz
6. Will the project involve any off-site work? ['Yes ❑ 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 Mike Montgomery Print/type title
Signature ONLINE SUBMITTAL Date 7/20/2021
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.
O 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.
❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 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 PROVID R LETTER IS REQUIRED.
Reviewed by Date 9/8/21
Once 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
evisec 2/202C
Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f: 503.681.3603 • cleanwaterservices.org
City of Tigard
,ihN COMMUNITY DEVELOPMENT DEPARTMENT
6
TIGARD Building Permit Review — Residential
Building Permit #: I-S'r2021-00175
Site Address: 10340 SW Johnson St
Project Name: Avendano Lot #:
Planning Review
P oposal: Addition on side of home
Verify address/suite #active in Accela. ` IV In River Terrace: No ❑ Yes, River Terrace Review Addendum
Si lan Elements: rosion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) ,00tprint of new structure(including decks) and FFE
o th arrow tility locations&easements(required for new and additions)
t address,project or subdivision name and lot number �J 'idewalk/driveway approach
plicant information(name and phone number) .ocation of wells/septic systems
ensions and building setback dimensions eet tree size,type and location
are footage of buildings to be demolished tre names
g structures on site er elevations (2'contours if more than 4'differential-
t area,building coverage area,percentage of coverage and 1, 00 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- e Waterrrvicespp Service Provider Letter (lot platted prior to 9/10/1995): — �
Required: Yes,applicant was notified ❑No Received: Yes No
II Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs 3/7 1, 157
Required: ID Yes,applicant was notified 11 NoReceived: Yes 11 No
► 1 SDC Exemption for ADU applied for: ❑Yes ❑ No Received: ❑ Yes ❑ No
II Public Facilities Improvement (PFI) Permit:
Required: ❑Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
II and Use Case#: ❑ Zoning:
Yo equired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20
Bpilding Height: Max. Height: 30 Actual Height: A s---A�",tom[' andsca Are : % , [fir 11 t Coverage Max:
Entrance back no more than 8 from street-facing wall arallel to s eet or offset 45 degrees or less
Windows k Minimum 12%of area of all street-facing facades
Garage _ door is behind widest street-facing wall '�� Yes CINo,one of the following is met:
Door et no more than 5'from wall ere is a covered porch extending beyond garage.
Door extends no mor 5'fr all and there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 1 ' ess °°or less of facade 60%or less and includes 7 of following:
Covered pore Recessed entrance fret 1'Roof eave Roof offset
Fire ' g es Lap Siding ElRoof itch a ' or gambrel roof Dormer
P ccent siding Window trim 11 Window recess Wino 'ection ❑ Balcony
2 isual Clearance ❑,Urban Forestry'Plan
Se..itive Lands: ®'Yes ❑ No Type: Floodplain &vegetated corridor
1�%.• 'dons met prior to issuance of building permit
of
Approved By Planning: Date: %/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\B ui I ding\Fors\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: d5/41/.2421
Site Plans: #
Building Plans: # 3
Building Permit#: El Enter building e iit# above. /
Workflow Routing: Planning L► Engineering L q EI Permit Coordinator Building
Workflow Sign-off: E 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.
ErBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trus ails,if applicable,etc.
Notes:
By Permit Technician: Date: DS/4/ZOJ4
Engineering Review
L .Slope at building pad: 2?
�I
EConditions "Met"prior to issuance of building permit N/w
rdsements (encroachments) per engineering conditions of approval and plat,,A,_.eater Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: ❑ Yes a No
Assess Water Quantity Fee in-lieu: ❑ Yes E No
LIDA Facility on lot: ElYes lit--No
Er
Final Plat Recorded: fl A—
O NOT Approved by Engineering: Date:
Notes:te
E Approved by Engineering: %;,,.1161>4441 Date: //o 124e1
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 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:
ESDC Exemption: ❑ Received Does not amIy
SDC Fees Entered: Wash Co Trans Dev Tax: Yes yN/A
IG
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes ,VN/A
LIDA ❑ Yes N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Atra "el\-- Date: S11A5(
I:\Building\Forms\BI dgPerm itRvw_RE S_122419.docx
Plan#
1
P-2y3 U L`r --�'
Floors Large S r\ -�
'i---tior
Bed rooms Small ,(� Q.l��')
WC
LAV
Tub 5/1 q/7A
Basement 1�� , _ � dv( �pmM�yU" �'l'
Vent 1st Floor
Water Heater 2nd Floor (t4�ZA • n� rw'1 �- ��� W�5
Sc 3rd Floor \�\ , 11 y` �r��,� an ,�, ,
School R 3 Total
Garage n�G , „� .�.,. rr\.0
Total 1`- a'`'"" Q '�- _ ,�o.
O� `l�lzl
#for Elec
\4‘) ProrNaL u-v.J)4-cl.to,r a_cc.A--53 47 ' i j
t/2 ) Pry 04e, 1 Loa,i l P La41
\/., 3/
5,10
O
\AT) \A-OUS 11\A.t- V\4.0 o‘_Wc-- 0,-rx_a___ \Dt. 'i`-e-44 ?
•ov �t2 /n-uc1' ---) rv\otr` 0 c
VG/ PrD0431- Os U2-
X-t..3- r-Vi"._„ 0,r. -.e._. ,or,,L11 \is n 0 ,r,y"._ Or\ bd,.[Jt'fr---1--
• Cf,-ti� o,J ` 4Dv\ J--100-r
rr4A-t1- 2 - 1
IZIK)
lgzl (-(
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
N111111 Transmittal Letter
r t c_,n i.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ALLYSON ARMSTRONG DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: MIKE MONTGOMERY JUL 7 ZOZI
COMPANY: SIMPL HOME DESIGNS CITY OF TIGARD
PHONE: 503-515-6495 BUILDING DIVISPIN4. 1 Zr
EMAIL: mikem@ezpermits.biz
RE: 10340 SW JOHNSON ST. MST2021-00179
(Site Address) (Permit Number)
DARIO AVENDANO
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2 Revisions: d1.0-2.0 and d3.0
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Feel free to call with any question
F 4 1.-/ USE ONLY kit
Routed to Permit Technician: Date: 11 l/f� Initials:
Fees Due: ❑ Yes ❑No Fee Description: Amount Due:
$ f2L------ ,
\ \ ra: $
Special
Instructions:
Reprint Permit(per PE): 0 Yes ��No 0 Done / /
Applicant Notified: �� Date: ?/'/ (d f Initials: