Permit CITY OF TIGARD MASTER PERMIT
1111 'a
2 COMMUNITY DEVELOPMENT Permit#: MST2022-00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2022
Parcel: 1 S133DD04300
Jurisdiction: Tigard
Site address: 11581 SW SHOREVIEW PL
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.3 Lot: 82
Project: Duffy
Project Description: A new 198 sq.ft. patio sunroom.
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: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $50,000.00 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
Drywall-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:
DUFFY,CYNTHIA S MAY AWNING&PATIO CO Required Items and Reports(Conditions)
11581 SW SHOREVIEW PL 5220 NE COLUMBIA BLVD
TIGARD,OR 97223 PORTLAND,OR 97218
PHONE: PHONE; 503-282-0140
FAX: 503-282-1426
Total Fees: $1,423.62
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
o69-nni-nr11n thrnnnh rIAP QF9_nM-nnon Vnu rnnu nhtni nu J t}ic rulnc nr rlircrt ni iectinnc to('a Inlr:h,,,- Ilinn V77 2 9 10/17 nr,1 Ann 419 714.4
Issued By: L �.,..<,. '( Permittee Signature: -
7 03.639.4175 by 7:00 a.m.for the next available inspection date. CO7
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 le- 2//h / ..2.
Residential RECEIVE
City of Tigard Received MST202Z-e�05
" 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 0 2022 P1in Re Or �� Pemu[No.:
/ Plan Review 2
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 3 7/27-- /1-41' Other Permit
11 n w n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/132 runs: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION NotifiedlMethod:„�/(J/ /�.rT' -i11- Supplemental Information
QV N'u,-r t t',1I.4t �P- 'G
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
�r�I Indicate the value(rounded to the nearest dollar)of all
W Addition/alteration/replacement Cil Other: CC
J U equipment,materials,labor,oxi3etr t for the
CATEGORY OF CONSTRUCTION work indicated on this aJJ""llrcation. ofl
121 1-and 2-familyValuation: / $
dwelling 0 Commerciallindustrial r( ") ,OM, 0
Number of bedroo❑Accessory building 0 Multi-family •
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ) i 5 ?I 3 en/, 5f)Dre t t —PI New dwelling area: square feet
City/State/ZIP: 1 't1ardlR 0e- aaaa3 Garage/carport area: square feet
Suite/bldg./apt.no.: ~I Project name:—bu --Vt? Covered porch area: square feet
Cross street/directions to job site: 1-0in-1-er1 AYE:dr /l-e+ Y CaJ Teri' Deck area: square feet
4' ft'l r �� quar
Other structure area: ► S� V'Ignore fe•ee t!1 1
et
A,1 ` I, REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: \/y1,riu\c A'1' Sumfrerio.KC. tA. 3 I Lot no.: g'„ 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.: I S 1.'6 3-m5 04300
3�
equipment,materials,labor,overhead,and the profit for the
1 DESCRIPTION OF WORK 1 I work indicated on this application.
Ad& a cep Viq�ll-1 b SI.M Cr�Prl -k 6Oc1'&.. Valuation: S
1 O o rea Existing building area: square feet
New building area: square feet
W PROPERTY OWNER 0 TENANT Number of stories:
Name: C;n a1. 'J 4 c .y Type of construction:
Address: ) 15 b 1 S,v,/, 5ko f1'V I Piv.).--?1 Occupancy groups:
City/State/ZIP:—T73ra, OR. 97.33 Existing:
Phone:(ON 75 75 jd J Fax:( )
New:
tgl APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: 1'�� 0\t..7n>� t 'P�-I-t b (Hesse refer to fee schedule)
f Structural plan review fee(or deposit): L�74, 14
I// Contact name: l ) r1\rjg 1
Address:
�rE,.. C�t ttr+6It:, '614 FLS plan review fee(if applicable):
City/State/ZIP: 7( 1Q t �r (717�j S Total fees due upon application:
Phone:665) 28z- COO Fax::(SD3) a.. J , Amount received:
E-mail: myUlWint mei tJM5,14 �J CO PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System,
Business name: ,y� e(N J/�t /1�� �r Submit two(2)sets of roof plan with connection details
Y and fire department access,along with the 2010 Oregon
Address: 1-' f(I�r�b /3i t�A Solar Installation Specialty Code checklist.
City/State/ZIP: //�� Permit Fee(includes plan review
/Ole�/ CJ2 97d l Y and.administrative fees):. $180.00
Phone:(��� �r 1 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 1'd.7345
Total fee due upon application: $201.60
Authorized signature: . � This permit application expires if a permit is not obtained
••J//���A�� within 180 days after it has been accepted as complete.
Print name: /j /�N�1e- Date:et V l"�, *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111
Building Permit Review — Residential
TIGARD
Building Permit #: 091/-07i2'Q09 4' 1
Site Address: t( 5 ) 514 sjl,auto2w P( .
Project Name: '` 1— s� al-c f14 Lot #: g 2
Planning Review I
Proposal: /J&A) L41 v o 1�'O{Ait 4 I�;if ecc 64_0Gt 17 . ax
w Verify address/suite #active in Accela. ❑ In River Terrace: No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: 0Fe&eieii CouLol
03 copies of site plan on 8-1/2"x 11"or 11 x 17"paper e ees wr p e an
V Drawn to scale(standard architect or engineer scale) (Footprint of new structure(including decks) and FFE
forth arrow tility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number t>i7lSidewalk/driveway approach
jiil Applicant information(name and phone number)
it Lot dimensions and building setback dimensions
gs to e emo s e RStreet names
VIZExisting structures on site ,
, era , d >4-000'sfofi mrec au ea er at dl n rtev-" n"10
inipervioets-area(applicable if Rv,H. 12, 6-641 dT.. If s - ' n ,
prior to 9/10/1995):
Required: ❑ Yes,applicant was notified It No Received: ❑ Yes E No
_ e__e orksheet-Additions Remodels and ADUs
Required: E Yes,applicant was notified Z I. No Received: ❑ Yes ❑ No
❑ SD FxPmr t F r a t�i r pplie 7 F T' rR) No Received: E Yes 0 No
Required: ❑ Yes,applicant was notified )1 No Applied For: ❑ Yes ❑ No,stop intake
❑ Laud UseCase#' 17) Zoning: R.- '4 '5
p Required Setbacks: Front: 20 i Rear: 15 t Side: 5' Street Side: 15 ' Garage: Zd 1
1 tl
V Building Height: Max. Height: �JOI Actual Height: la 7
x:
Enanse n "__t--'- -_ --_ _ ___ o' c_ o. r, n s
um oo area o a sree - a s
Garage a e door is behind widest street-facing wall ❑ Yes ❑ No,one o o owing is met:
❑ Door no more than 5'from wall and there is a covered porch e g beyond garage.
❑ Door extends no mor 'from wall and there is a 12 s ow above garage on 2"d floor.
❑ Garage door width is ❑ 12'or less ° or le acade ❑ 60°/u or less and includes 7 of following:
❑ Covered porch ❑ Recessed e ❑ t ❑ 1'Roof cave ❑ Roof offset
❑ Fire shingles ap Siding ❑ Roof pitch ❑ Gab e, ambrel roof 0 Dormer
❑ A si 'ng ❑ Window trim ❑ Window recess ❑ Window p ' 'on ❑ Balcony
ti2t Sensitive Lands: ❑ Yes ,. No Type:
p Conditions met prior to issuance of building permit
Notes: (�
N Approved By Planning: .IYi T Date: 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal Original Submittal Date: O2/
Q 7)22
Site Plans: # e3
Building Plans: # 3
Building Permit#: [rEnter building permit#above.
Workflow Routing: [rrPlanning [lVEngineering ErPermit Coordinator [Er-Building
Workflow Sign-off: 12"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.
f3 uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: wer/
Engineering Review
Slope at building pad: „r„.2X
0 C itions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ❑'No
Assess Water Quantity Fee in-lieu: 0 Yes Er-No
� LIDA Facility on lot: 0 Yes [Elo Add Fee: 0 Yes 0 No
2 r'inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
2rApproved by Engineering: f 4 , rC 5 r1 C- - Date: ,�- ..2-• zozZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 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:
yr SDC Exemption: ❑ Received ,,Zr Does not apply
71/SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: 0 Yes �N/A
Parks SDC: ❑ Yes /A
,
LIDA 0 Yes N/A
(`J OK to Issue Permit
Approved by Permit Coordinator: A'0\lvA— Date: 21 2O2 2
I:\Building\Forms\BldgPermitRvw RES 1208021.docx
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
. " Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DA = _ :aa ,;
DEPT: BUILDING DIVISION
LIAR 3 Ira
FROM: Bill Moore
CITY OF TtGARU
COMPANY: May Awning BUILDING DIVISION
PHONE: 503-282-0140 CF
EMAIL: mayawning@msn.com
RE:• 111581 SW Shoreview MST2022-00054
(Site Address) (Permit Number)
Duffy
(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: Backup Calculations if needed,Please expedite,thank you
FOR FFICE USE ONLY
Routed to Permit Technici : Date: 3(7 ?i'� Initials:
Alf-
Fees Due: ❑ Yes [o Fee Descrip on: Amount Due:
$ p
Special
Instructions:
Reprint Permit(per PE): [ Yes [ No ❑ Done
Applicant Notified: ( Date: 3f 6uI93- Initials: %;,