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Permit
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 yourproject. City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT ! Transmittal Letter r i c;A f. n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AP FROM: LO rC' S^` ��< (fls 2022 COMPANY: ( ) /L' 'u k/aif (L CITY OF TIGARD PHONE: 7- •(-- Z Z—6 2� BUILDING DIVISICR13y: EMAIL: 0.-0(6fC"aa:SCC(C) (A enix cox RE: ( 31I`( S TQ U/ -6*t) t( 3IZ 22 -00©(-� (Site Address) yLQ (Permit Number) (Project name or su 'vision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Z.-- Engineer's calculations. Other(explain): REMARKS: t Y � _ L: l,.�C1 c,,` C kit �t C.0 <S S -(‘ FO OFF CE USE ONLY Routed to Pe Techni ' . Date: l l 4 22 Initials: 44 Fees Due: Yes No Fee Desc ptio : Amount Due: 2 ne‘6^ ,IOAA Ce-Wc(tc) �.f.3� $ yS , Special Instructions: _ Reprint Permit(per PE): ❑Yes No/�— ❑Done`'. Applicant Notified: Date: `mil /.2-E) /2_z_ Initials: M I:\Building\Forms\TransmittalLetter-Revisions_0'73120.doc 71 CITY OF TIGARD MASTER PERMIT _ • COMMUNITY DEVELOPMENT Permit#: MST2022-00017 T I 1.'.•A R 1_) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2022 Parcel: 2S109AB06900 Jurisdiction: Tigard Site address: 13114 SW STARVIEW DR Subdivision: FORAN Lot: 11 Project: Gander Project Description: Build a 762 sqft patio cover. 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: $19,537.68 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 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: GANDER,IAN R&ELORA CDMX BUILDERS Required Items and Reports(Conditions) 13114 SW STARVIEW DR 16165 SW MILAN LN 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97223 PHONE: PHONE: 971-322-6867 FAX: Total Fees: $941.52 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 OF9-M1_nnln fh 1 frill fIAP QF9.M1-nnQf1 Vnii aw nhiain a rnnv of tho rnlac nr rlirart nnocfinne in fll!Mr by Tallinn cn4 919 10R7 nr 1 R(111 TO 9944 Issued By: ) J Permiftee Signature: Gil aPOCcd (� 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. Building Permit Application Pbdin ;r Residential , ,V FOR MTH I: F SE O\I.\ City of Tigard r11 Ci +1 G rj{ Received 6/ (3 J202 :AW Permit No. ST�2,r�C 7 13125 SW Hall Blvd.,Tigard,OR 97223-M1 ') L G 9 Plan Review / '' 1t Phone: 503.718.2439 Fax: 503.59 60 Date/By: l�//2�/ AA Other Permit 1 t ,,`�.� Inspection Line: 503.639.4175 +J'4I, C : tti��'� /Anru-t�! Date Ready/By:/ 1gAiri,.... Juds: ® See Page 2 for Internet: www.tigard-or.gov l.PLC'ipNIC41 i,,4 VISlO Notified/Method: ! i Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 tA,Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,I and the Bro tf r the CATEGORY OF CONSTRUCTION work indicated on this application. 4 lL __� Valuation: $ ❑ 1-and 2-family dwelling 0 Commercial/industrial . / ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: d Job site address: 3 New dwelling area: square feet V, City/State/ZIP: (s(`;t.(f I it_0 � 9 Z Z 3 Garage/carport area: square feet Suite/bldg./apt.no.: J Project name: D e't.; Covered porch area: �)Lsquare feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CkIECKLIST 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. `C 4 Valuation: $ t U ' ac\�k (.:i 4 5"F- e CC ,? > t Existing building area: square feet New building area: square feet IA PROPERTY OWNER 0 TENANT Number of stories: Name: —I—AA.) ()/N/L.1 0 E e..... Type of construction: Address: t 3 1 I e..( S a.) t irz_u) (e(Li (2!, Occupancy groups: City/State/ZIP: ( ci h 12,D e)2 9,7 ZZ 3 Existing: Phone:(9?,) /�, - 5-9 Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: �'��'', L�� (PleaserejerrojeeschedutJ J 6,6 Structural plan review fee(or deposit): 2qy 07 Contact name: ( s- . v.—� j' t Address: ( C.3 c�S S(,}) IC t.. �0,'-i. FLS plan review fee(if applicable): �' �- Total fees due upon application: City/State/ZIP: 7/.50,.�a 0 g z2 j Phone: _ ' Fax::( ) Amount received: E-mail: ��v , Pailf . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* L( V E'> -�t%J � (-c east Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: C,1.L- � . l L Submit two(2)sets of roof plan with connection details / and fire department access,along with the 2010 Oregon Address: 16, t6 S- 3 it). L,.. �1 e_ Solar Installation Specialty Code checklist. City/State/ZIP:' Crx,+ 0C. 9Z3 Permit Fee(includes plan review $180.00 ( and administrative fees): Phone:(5?i ` a c+-6-, Fax:( ) // State surcharge(12)/0 of permit fee): $21.60 CCB lic.: / i 5`) S 7 &? 12-� Total fee due upon application: $201.60 Authorized sigma This permit application expires if a permit is not obtained/� ,� r- within 180 days after it has been accepted as complete. Print name: -' (C) 4 V Date: - *Fee methodology set by Tri-County Building Industry �I/ Service Board. 7 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A RD Building Permit Review — Residential Building Permit #: HST2022.-COo(7 Site Address: 1n S") gg4-0ArkriYAAJp( Project Name: PO ra Lot #: 1 1 4 Planning Review pp Proposal: P�L� Co r€v .(oe `PJ14 i 0 i-I l4.1 Rate__ )1 0 Verify address/suite# active in Accela. ❑ In River Terrace: 4 No ❑ Yes, River Terrace Review Addendum 1 Site Plan Elements: 13Ervsion Control p copies of site plan on 8-1/2"x 11"or 11 x 17"paper e antree protection x rr+. rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFh e North arrow W. 4Site address,project or subdivision name and lot number AiSidewalk/driveway approach 44Applicant information(name and phone number) 0L..-46v..Of Ws.,$,,c,.i,;:.,,y,Lm, of dimensions and building setback dimensions 'Street names 4Existing structures on site ) r , o ? �rec is a cterm v°zte :�t .far .se ec�:� o can a er — • { Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No , reek Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 1 SDC 1 ❑ Yes ❑ No Received: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake © band U3c Ca3c#. Zoning: 1�'�� �1 Required Setbacks: Front: 1`j I Rear: t v t Side: �'t Street Side: I B t. Garage: 7,0 1 A Building Height: '� Max. Height: 3 - 1 Actual Height: ` 0 n Landscape Area: C) 0/0p Lot Coverage Max: go Entrance ess WmdOW3 ❑ Mu.uuuui 12/b u Garage arage door is behind widest street-facing wall ❑ Yes ❑ No,one of t g is met: ❑ o s no more than 5'from wall and there is a covered porc g beyond garage. ❑ Door extends no mor 'from wall and there ' t.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ entrance ❑ set El 1'Roof eave ❑ Roof offset ❑ Fire shin -Lap Siding ❑ Roof pitch ❑ a r ambrel roof ❑ Dormer ❑ Ac nt siding ❑ Window trim ❑ Window recess ❑ Window • 'on ❑ Balcony © Visual Clearance "S--t}rbarr-Fareatat cy P FP Sensitive Lands: ❑ Yes ia No Type: El Conditions met prior to issuance of building permit Notes: y? Approved By Planning: Date: l� Revisions (after Building Submittal only) Reviewer Datc Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 1,2/30/202/ Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit#above. Workflow Routing: L Planning FP'Engineering .Permit Coordinator WBuilding Workflow Sign-off: IR-Sign-off for Planning(include notes from planning review) Route Application Documents: lk"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. • • ["Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 003/2 2•2_ Engineering Review 2"<ope at building pad: 5/V I3'Conditions"Met"prior to issuance of building permit [? Ea ments (encroachments)per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes E i o Assess Water Quantity Fee in-lieu: ❑ Yes 211)lo LIDA Facility on lot: ❑ Yes [-No Lf Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12"-.4proved by Engineering: [4, i5 Date: ) -2c'—2022_ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review, N' 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: SDC Exemption: ❑ Received fe Does not apply KSDC Fees Entered: Wash Co Trans Dev Tax: w ❑ Yes N/A Tigard Trans SDC: ❑ Yes /1Z N/A Parks SDC: ❑ Yes 0 N/A LIDA ❑ Yes N/A CJ OK to Issue Permit Approved by Permit Coordinator: Date: ( 'ftj ZZ___ I:\Building\Forms\B1dgPermitRvw_RES_122419.docx