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Permit CITY OF TIGARD MASTER PERMIT i IN • COMMUNITY DEVELOPMENT Permit#: MST2022-00018 T F G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2022 Parcel: 2S102DC00506 Jurisdiction: Tigard Site address: 9190 SW OMARA ST Subdivision: EDGEWOOD Lot: 13 Project: Mantey Project Description: Convert 12'x 20'shed to habitable office space. (240'existing shed not permitted) BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 240 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: 240 sf Value: $31,339.20 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 Electricity Heat Pump: Y Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 4 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-3 240 Owner: Contractor: MANTEY,JOHNATHAN G&SHAWNA L OWNER Required Items and Reports(Conditions) 9190 SW O'MARA ST TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $1,515.16 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 require you to fol ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QF0.f fl1_nMn fhrnnnh rl4 59_11f11_n Vnn nhtain a nu erndnc nr riirort nnoetinne to hl InIC by Tallinn Fn4 919ygA7 nr RCM TA')9'2aa(/ Issued By: ��i��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. ' Suildina Permit Application i/u i .- Residential `F E � , V.� , FOR OFFICE USE ONLY Rweived �/ City of Tigard JAN 1 �p Re eive PIft/ 2o2a permit>.o.:M S12 2240v)1 Fr 3125 SoNA HailBlvd.,Tigard,OR 97223 ,9AN A iD 2. Plan Review 'Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: TIGARD Inspection Line: 503.6 i9.4 f 75 1 f' r Da•••Read B this. e 2 t l C'..aprl� Y� Y B1 sec Page-for Internet: www.tigard-or.gov WOO B}HI C,NG tif[ed:,Method: Supplemental Information TYPE OF WORK Sfl V s7 4/ 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 0 Addition%alteration replacement lgi Otherta.W la SF "0 To 444,FV ABLE equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation:tg 1-and 2-family dwelling 0 Commercial:industrial $ 3r ❑Accessory building j ❑Multi-family Number of bedrooms: f 0 Master builder ❑,Other: { Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Ctt(zio SW elk¢A SI______ New dwelling area: square feet City/State'ZIP: --71&,d.g17 Cg oil'22'3 Garage/carport area: square feet Suite/bldg.apt.no.: _ 1 Project name: Covered porch area: square feet Cross street,directions to job site: �,1' U� Sw t.( Sao UT� O� Deck area: square feet r-so►—`1JG (A- k.. (:3)Ale— Other structure area:• 240 square feet ✓�.•�, �ffrr,�s . �r�y( _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: �i4�! « �1,u`�d 3 .j / I t, Permit fees*are based on the value of the work performed. 7tS)p 2f7G�O�o6 Indicate the value(rounded to the nearest dollar)of all fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. move-v-T 1'y X'�t `"4k"10 To 1MF,,IT�+Fmis C.+>i�AGt=i Valuation: S L ;C, ) Existing building area: square feet c2/8$. ) — CoKIsiS/t Jke-r(1 Ijt,t,t N l &5,fi / New building area: square feet i 51 PROPERTY OWNEFV ❑ 'E NANT Number of stories: Name: Shawna and Johnathan Mantey Type of construction: Address: 9190 SW Omara St Occupancy groups: City/State-ZIP: Tigard,OR 97223 —� Existing: Phone:( 503 )407-1848 I Fax:( ) New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) --- — Structural plan review fee(or deposit): 1,4217 Contact name: Shawna Mantey _ _ I FLS plan review fee(if applicable): Address: 9190 SW Omara St I Total fees due upon application: City/State/ZIP: Tigard,OR 97223 Phone:( 503)407-1848rax::( 1 Amount received: I E-mail: awakeningresilience@outlook.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: , Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon y ' -- Permit Fe (administrative ncludes plan review checklist. Address: _ Solar Installation Specialty Code Cit /State:ZIl: $180.00 and dm nistra i e fees): i Phone:( ) _ 1 Fax:( ) State surcharge(12%of permit fee): ! S21.60 CCB lie.: 1 Total fee due upon application: 1 S201.6 Authorized signature:/ CI This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: Shawna L Mantey I Date: 0422 *Fee methodologyset by1'ri-County Building Industry Service Board. 1:\Building\Permits.BUP-RESPcmtitApp.doc 0 2124/20 1 l 440-46l3T(1 I/02/CO:41/WEB) i Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received g ! na,�B,•: � Permit Nu.: q 13125 SW Hall Blvd.,Tigard,OR 97223 I Associated permits: 1 a Phone: 503 71 R.2439 Fax: 503.598.1960 24-Hour inspection Line: 503.639.4175 I 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov 1 0 Other: TUE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW N'e, \o `IA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ 2 Zoning. Flood plain,solar balance points.seismic soils designation,historic district.etc. 0 0 Eil 3 Verification of approved plat/lot. V 0 1 ❑ U 4 Fire district approval required. Name of district: • 0 i 0 ; 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 6 Sewer permit. 0 ❑- G 7 Water district approval. i 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. I o Ell 9 Erosion control 0 plan permit required. Include drainage-way protection,silt fence design and location of catch- ❑ basin protection,etc. i 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state lil ❑ 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 he completed if E copyright violations exist. I II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if fZI 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 D 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ 0 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- E 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. XI ❑ r 0 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 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 V 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ RI 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 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. I 0 0 . 21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required fDit ❑ 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 U ❑ 0 architect licensed in Orevon and shall be shown to be a licable to the sro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-112"x 11"or 11"x 17". T4 ■ 24 Two(2)sets each are required for items 16. 19,20 and 22 above. ►_� 1 ■ ❑ 0 25 Building plans shall not contain red lines or tape-ons. `Mirrored"building plans will not be accepted. a ❑ 21 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 H 27 "Drawn to scale"indicates standard architect or engineer scale. ,.t 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable).and City of Tigard 0 0 , 5 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, in X 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 ❑ m 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. _ i I:`Building,Permits\BUP-RESPermitApp.doc 02/24 2011 440-4613T(I I/02-COM(WEl3) 1 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: No.: , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V 1111 II Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: T I(i A R Il Inspection Line: 503.639.4175 Date Ready/By: )uris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$698.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ®Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:9190 SW Omara St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: Project name:Mantey- Convert 12 x 20' shed Duct work 23.32 Cross street/directions to job site: Cross Street- Omara and Edgewood Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Edgewood Lot no.:13 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2S102DC00506 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Install Boreal Brisa 9,000 BTU .75 Tons Smart Home Inverter fireplace 23.32 Driven Ductless Mini Split Air Conditioner with Heat Pump - 115V Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Shawna & Johnathan Mantey Range hood/other kitchen equipment 33.39 Address:9190 SW Omara St Clothes dryer exhaust 33.39 City/State/ZIP:Tigard, OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(971)879-4009 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name:Same as above Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail:awakeningresilience@outlook.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Homeowner to Install Other: MECHANICAL PERMIT FEES* Address:Same as above Subtotal $75.20 City/State/ZIP: Minimum permit fee($90.00) $90.00 Plan review(25%of permit fee) $22.50 Phone:( ) Fax:( ) State surcharge(12%of permit fee) $10.80 CCB lic.: N/A TOTAL PERMIT FEE $123.30 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized si ature' * Fee methodology set by Tri-County Building Industry Service Board Print name:,�� �f ,+ Date:3/14/2022 I:1Building\PermrtsAMEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial &Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I.\Buiiding\Permits\MEC PermitApp_040113.doc 2 Electrical Permit Application roa orh'LCH, tiSE ONLY City of Tigard Received Date/B : COMMINIMIll II • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review m' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit 8: Inspection Line: 503.639.4175 Ready Date/By: furls: Fa See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information t tiO i ''¢ '417i ,}.OF WORK i vAtilrfp tiF l "i a _.kw WAt°t 1 ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. 1 a ��� where the available fault current ❑Marinas and boatyards. 0.1 it i!!11,j;1 t TI GORY OF,.CONSSTRVC'['IO(�1 v exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family g dwellin ®Accesso y building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Commercial/industrial amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE T 1,EO1iNtATION AND LOCATION k 0 Emergency system. larger separately derived Job#: Job site address:9190 SW Omara St o Addition of new motor load of system.100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy. o Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Mantey-Convert 12'x 20'shed ❑Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Cross Street-Omara and Edgewood 1iZ "°u; Ol!N" ° "i d"?°o-`Jipli , `o'n' Description I Qty. i Each I Total ( " New residential single-or multi-family dwelling unit. Subdivision:Edgewood Lot#:13 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: 2S 102DC00506 Ea.add'(500 sq.ft.or portion 33.92 1 a DESCRIPTION P WORK Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Na6,110 I�; it�::'. OPE'tT`Y OW$Z .i'�i . �,'d r=,.i'�u'�I'ill? .� °,i,.,.l.�❑::TENANT ° '' - : Services or r T Renewable Energy ❑ See Page 2 o feeders installation,alteration,and/or relocation Name: Shawna Mantey 200 amps or less 1 100.70 100.70 2 Address:9190 SW Omara St 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard, OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(971 )379-4009 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: awakeningresilience@outlook.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,=ore annge according to ORS 447 449 670,and 701. 201 amps to 400 amps _ 125.08 2 Owner signature: i7 Date: 3/13/2022 401 amps to 599 amps 168.54 2 Atii4;I�a 71 I I :I '' Co ,,PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 4 7,42 29.68 2 each branch circuit Contact name:Same as above B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'(branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 eAVillTl,49'i 1I GF' 4 Qt 1k trip 9I 11����1 " 4 11eIGI - .._ , ,,,, � �-.. o.a�a s=tiaatitDdil�(iGw-ai;l.-� � Pump or irrigation circle 67 84 2 Business name: q . ^^ .7- Sign or outline lighting 67.84 2 G�w' C Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lie.: spectficall'liste (�h hhrr irt) PERMIT x tl Y A Suprv.Electrician signature,required: Subtotal: 130.38 Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 15.65 Authorized si nature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: of n Date:3/13/2022 days after it has been accepted as complete. ((// * Number of inspections allowed per permit. (:\Building\Permits 1ELC_PemmitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB 1 City of Tigard INCOMMUNITY DEVELOPMENT DEPARTMENT N T 1 c A R n Building Permit Review — Residential 7 Building Permit #: t(5j ZQ22,-CCO Jg ' Site Address: CI, ( 61 Q S (iti ®wirzt. 5+-. Project Name: G doevurxXLot #: 13 1 Planning Review f r ' rr rr rr__I /' Proposal: (. VI,V 41- 12 k Z.o 1 s (VA., d-a Pk, ,i 4"rf.Uk o rfZe 5 pLtC2e igt Verify address/suite#active in Accela. ❑ In River Terrace: [ )No ❑ Yes, River Terrace Review Addendum Site Plan Elements: Qnl IA copies of site plan on 8-1/2"x 11"or 11 x 17"paper ,®Retained trees with drip line and tree protection measures ►fi Drawn to scale(standard architect or engineer scale) Worth arrow ) s ite address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) Gbeeati'vn ofl,tretVbeptic systems—. IALot dimensions and building setback dimensions IRSTrerriTCFM771Trzttilurrtiefir--- "nSliture footage of b gs street names { Existing structures on site PCorner elevations(2'contours if more than 4'differential) PLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes 22No impervious area(applicable if R-7,R-12,R-25&R-40) If ye ,' hown? ❑Yes ❑No ❑ Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ❑ Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified .IZt No Received: ❑ Yes ❑ No Received: ❑ Yes ❑ No ❑ Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified of9 No Applied For: ❑ Yes ❑ No,stop intake go Land Use Case#: {"fv p20 2-1 600 12- Zoning: R. -q• es IP Required Setbacks: Front: SO Rear: I rJ Side: 5 Street Side: Garage: 7.4) f t 1M Building Height: Max. Height: O Actual Height: 1 g g ssapc Arca: % a Lot Coverage Max. °/ En ❑ Set back no more than 8'from street-facing wall ❑ Parallel eet or offset 45 degrees or less Windows 12%of area of all street-facing facades Garage ❑ Garage door is e • widest street-facing wall Yes ❑ No,one of the following is met: ❑ Door extends no more 'from w there is a covered porch extending beyond garage. ❑ Door extends no more than 5' and there is a 12 sq ft.window above garage on 2'd floor. ❑ Garage door width is or less ❑ 50%or f facade ❑ 60%or less and includes 7 of following: ❑ Covered ❑ Recessed entrance ❑ Wall o s 1'Roof eave ❑ Roof offset ❑ Fi mgles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, mbrel roof ❑ Dormer Accent siding ❑ Window trim ❑ Window recess ❑ Window prof • ❑ Balcony ([-Visual-Clcarnnce E urban Forestry Plan CA Sensitive Lands: ❑ Yes 0 No Type: Ip Conditions met prior to issuance of building permit Notes: [A Approved ByPlanning: 1 /(2/20'�� PP Date: l Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 0//IO/20Z - Site Plans: # Building Plans: # 3 Building Permit#: [ 'Enter building permit#above. Workflow Routing: C-Planning Ia.-Engineering [I "Permit Coordinator Building Workflow Sign-off: L '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. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details.,if applicable,etc. Notes: By Permit Technician: Date: j>l//3/2422 Engineering Review 21 Slope at building pad: f0'% [ Conditions "Met"prior to issuance of building permit N le- g/Easements (encroachments)per engineering conditions of approval and plat n/4- E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes Di No Assess Water Quantity Fee in-lieu: ❑ Yes R"No LIDA Facility on lot: ❑ Yes IX No Add Fee: ❑ Yes ❑ No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er-Approved by Engineering: %ne i-,2-14_ Date: t it Fr/202-2. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 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: SDC Exemption: ❑ Received Does not appl �l SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes �1 N/A LIDA ❑ Yes N/A OK to Issue Permit / 5 Approved by Permit Coordinator: f)NP.')( A Date: (2,0 lid Z - I:\Building\Forms\BldgPernutRvw RES_1208021.docx RECEIVED MAR 21 2022 CITY OF TIGARD C1eanWate%Services SENSITIVE AREA PRE-SCREENING SITE ASS3e E °' Clean Water Services File Number 22-000880 1. Jurisdiction: Washington County 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Shawna Mantey 2S102DC00506 Company: Address: 9190 SW Omara St OR Site Address: 9190 SW Omara St City, State,Zip: Tigard,Oregon,97223 City, State,Zip: Tigard,OR,97223 Phone/fax: 5034071848 Nearest cross street Email: awakeningresilience©outlook.com 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: Shawna Mantey ElLot line adjustment ElMinor land partition Company: ❑ Residential condominium CICommercial condominium Address. 9190 SW Omara St ❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Tigard,Oregon,97223 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5034071848 Other Convert shed to habitable space Email: awakeningresilience@outlook.com 6. Will the project involve any off-site work? Dyes ❑x No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Convert existing 12`,21y detached accessory structure(non-habitable)into office space fora home business.No bathroom or water MI be added to this space.A bathroom in the home has been designated for csent use if necessary.2-3 clients expected per weekday,1 at a time. 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 Shawna Mantey Print/type title Signature ONLINE SUBMITTAL Date 3/18/2022 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. I1 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 PLANS)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 PROVIDER LETTER IS REQUIRED. Reviewed by N1 C12.64.d? Date 3/21/22 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 Retdsed 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org PROPERTY INFORMATION: DESCRIPTION: CONVERT EXISTING DETACHED ACCESSORY STRUCTURE PROJECT TEAM: c `4I3Cr (NON-HABITABLE)INTO OFFICE SPACE FOR A HOME tr� E�j ADDRESS: 9190 SW OMARA STREET BUSINESS OWNER: �, TIGARD,OR 97223 SHAWNA&JOHNATHAN MANTEY c KENDRA C. DUONG 'C' -'n PROPERTY ID: R468595 9190 SW OMARA ST. TAX LOT ID: 2S102DC00506 TIGARD,OR 97223 • CODE INFORMATION: ARCHITECT: ORILANU, URE ON 4 KENDRA C.DUONG SPRINKLERED: NO 3415 NE FREMONT ST PORTLAND,OR 97212 9 OF 0 CODE: 2021 OREGON RESIDENTIAL SPECIALTY CODE 503 853 2006 Y� ENERGY NOTES: ORSC N1101.2 APPLICATION TO EXISTING ZONING INFORMATION: kendra.duong@icloud.com BUILDINGS. THE MINIMUM COMPONENT REQUIREMENTS AS SPECIFIED CONTRACTOR: LLI ZONE: R-4.5 IN TABLE 1101.2 IS USED TO THE MAXIMUM EXTENT PRACTICAL. HOMEOWNER / OVERLAY: NONE DRAWING INDEX: U- LOT SIZE: 0.54 ACRE (23,472 SF) AO TITLE SHEET AND SITE PLAN O Al FLOOR PLANS HEIGHT: 30' A2 ELEVATIONS A3 SECTIONS u M SETBACKS: 20'FRONT/5'SIDE/15'REAR 5'-0"WOOD FENCE A4 ELECTRICAL PLAN 259' Si STRUCTURAL NOTES AND DETAILS O H 190 - - - - - - - 207' V) < tY 5'-0"WOOD L.1.1 U o 0 FENCE 3'=6_WOOD FENCE N Q a Pm w , \ r� LU Lu CONC, 1[1 PATIO i _ a EXISTING �/• \� Al Q a \I HOUSE ' 1 a 'a 1,588SF / •/ (E)'� ° I Y a �; SHED p O a (E) t • 0 OD v, ASPHALT DRIVEWAY 3 SHED e• u ` �1.- (E) o COOP TITLE SHEET o v AND SITE ELEC E)CONC. PLAN METER CONC. (E) AD \ REVESaNS PATIO SHED - � 41_____ if(E)WATER METER WOOD FENCE FEN ■ (Is!)OFFICE A p DATE Dec.aJ.2021 190' - - - - - - - - - '�� /r 210' JOB NO'. 259.68' 5-0"WOOD FENCE ±109.-4" 19'-10" S'-11', C- SITE PLAN AO 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 r 1 G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED Ir rE FROM: Shawna Mantey AE 2 zoo COMPANY: VITY OF 7IGA V PHONE: 503-407-1848 lUILDING DIVISION By. + EMAIL: awakeningresilience@outlook.com RE: 9190 SW O'mara St MST2022-00018 (Site Address) (Permit Number) Mantey-Convert 12'x 20'shed to habitable office space. (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: Plan review letter responses 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: Attached are the responses to the Plan Review Letter,3 copies of revised A2&A3 as well as information about the heater we are planning to use. FOROFFICE USE ONLY Routed to Permit Technici : D : 7i(e l2-Z Initials: Fees Due: ❑ Yes [ N Fee Description: Amount Due: Special Instructions: _ `/ Reprint Permit(per PE): ❑ Yes No ❑ Done /0 Applicant Notified: ate: �C/ 7 — Initials: Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the 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: 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. Shawna L Mantey Print Name of Permit Applicant r2" 19f/61 I 1Q 22. Signature of Permit Applicant Date Permit#: Address: �' '�' �0 2// Issued by: Date: $59--7 This Copy for Permit Offices Fes : , ED ti`,� �,�` Information Notice to Owners About Kz Construction Responsibilities \f Niry, '_ t.,_ an CTI �1RD (ORS 701.325 (3)) �IA t',NG DPVPSTA Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number (BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. 11111111111111111 CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 —Fax: 503-373-2007 Website Address:www.oregon.gov/ccb f/property_owner adopted 9-2016 This Copy for Permit