Permit _ CITY OF TIGARD MASTER PERMIT
2- COMMUNITY DEVELOPMENT Permit#: MST2022-00127
Date Issued: 05/23/2022
TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S107AA15600
Jurisdiction: Tigard
Site address: 16709 SW TOWNSVILLE ST
Subdivision: ROSHAK RIDGE Lot: 156
Project: Webb
Project Description: Adding stairs and extending existing deck. Replacing joists. Existing beam and posts to remain.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 12 Smoke
Dwelling Units: 0 Third: 0 sf Right: 3 Detectors:
Total: 0 sf Value: $5,589.52 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
Bckilw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heal Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 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 0
Owner: Contractor:
WEBB,DAMON&KELLY THREE MOUNTAINS CONSTRUCTION Required Items and Reports(Conditions)
16709 SW TOWNSVILLE ST PO BOX 230022
TIGARD,OR 97224 TIGARD,OR 97281
PHONE: PHONE: 503-422-0282
FAX:
Total Fees: $477.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co.-• 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 .uan•= . ' work is suspended for more
the 180 days. ATTENTIO ' Oregon law requires you o follow the rules adopted by the Oregon Utility Notificatio• renter. hose rules are set forth in OAR
q69-nn1-nn1n thrm,nh!1 qc9-nnl-nna ni may nht rnn„of the nlice nr,Brant mmetinna to(11 INC by nallinn Sn4 9 '117. 1 9 9Qdd
Issued By: /" Permittee Signature: �/Iitk
Call 503.639.4175 by 7:00 a.m.for the next available inspection V�/1 N
This permit card shall be kept in a conspicuous place on the Job site until comp - i• the•-o• .
Approved plans are required on the lob site at the time of each inspection.
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1 c A D Building Permit Review — Residential
Building Permit #: ///4'57-?C0 ) ^Dat 2 )
Site Address: 0-0 q 5u1 Tv(,t1 ►t'V j 1(.-i, SS'-
Project Name: U)re✓(9 b 7p c( &Q.( 'bv1 Lot #: ( 6
Planning Review /r-
Proposal: A I $( ( v v U ��-Cs f 4 t5l P c k
❑ Verify address/suite #active in Accela. ❑ In River Terrace: ❑ No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: 1411rosion Control
PZP3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper FRetained trees with drip line and tree protection measures
)rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and NNN,
North arrow )Utility locations&easements(required for new and additions)
pSite address,project or subdivision name and lot number KNidewalk/driveway approach
gApplicant information(name and phone number)
OLot dimensions and building setback dimensions aStreet tree size,type and location
quare footage of buildings to be demolished �S1Street names
xist ng structures on site Comer 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? ❑Yesef3N0
impervious area(applicable if R-7,R-12,R-25&R-40) I#3 es,is a 9t x- terms}�salit fa I hev tt. EY-cs ❑Nv
Lii Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 4.F1' No Received: ❑ Yes ❑ No
I& Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ,kl No Received: ❑ Yes ❑ No
r: ❑ Yes ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement(PH)Permit:
Required: ❑ Yes,applicant was notified „al, No Applied For: El ElYeess ❑ No,stop intake
N Land Use Case #: ail Zoning:Zoning: '- "7 l 1
[ i Required Setbacks: Front: t 2v Rear: 1' t I Side: 3j Street Side: op Garage: "Ze)
r'.� kl g-W-iighr. A...l�rt., 1
Landscape Area: 2O % i Lot Coverage Max: /3 O
Wurabwb -❑ Mamnum 12%of area of Al street fang faeadce
door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door exten re than 5'from wall and there is a covered porch extending be age.
❑ Door extends no more than all and there is a 12 sq ft.win ove garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or e ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entran Wall offset ' oof eave ❑ Roof offset
❑ Fire shingles ❑ g ❑ Roof pitch ❑ Gable,hip,or gam of ❑ Dormer
❑ Ac ❑ Window trim Q Window recess ❑ Window projection cony
pi Visual Clearance R) Urban Forestry Plan
'' Sensitive Lands: ❑ Yes Jat, No Type:
❑ Conditions met prior to issuance of building permit
Notes: _
[ . Approved By Planning: ede sim Date: -
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\B l d gPemiltRvw_RE S_122419.do cx
Building Permit Submittal
Original Submittal Date: �j �j/Z 2-
Site Plans: # 3
Building Plans: # l'2
Building Permit#: -Banter building permit#above.
Workflow Routing: ,R Planning engineering P-hermit Coordinator - Building
Workflow Sign-off: -Sign-off for Planning(include notes from planning review)
Route Application Documents: i[] Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
.„.2-Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: rieft L tj 6---- Date: 7!7,7 )
Engineering Review
❑ Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
D Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: 0 Yes ❑ No
O Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: Vd 22
Revisions (after Building Submittal on yl ) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Permit Coordinator Review
NA—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:
ICJ SDC Exemption: 0 Received Does not appl
/-' SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes XN/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes ele,N/A
LIDA 0 Yes , N/A
7 OK to Issue Permit
Approved by Permit Coordinator: tla‘r"4& Date: S I ltp koebl.
I:\B uilding\Forms\B l dgPemutRvw_RES_1208021.do cx
Building Permit Application
Residential EU:'."kV �L . FOR OFFICE USE ONLY
Received
City of Tigard t Date By: �c: 22 ,--j '�` ;• U2,2—UU 1.2.7
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /////� 1 ,�
;� ■ - �/ �cy/y Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 I IT (Jr I i Date/By: / I Div r J J
r 1 t,n R I) Inspection Line: 503.639.4175 Date Ready./By: lures: ® See Page 2 for
Internet: www.tigard-or.gov �,�-ji�Q�r�C Dr otified/Method. / 2L /I 1 Supplemental Information
TYPE OF WORK 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
dition/alteration/replacement ❑ Other: equipment,materials,labor,ov
J CATEGORY OF CONSTRUCTION work indicated on this nation.
/ Q
Valuation: $
❑ I-and 2-family dwelling ❑Commercial industrial
❑Accessory building ❑ Multi-family Number of bedrooms:
ElMaster builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J 6 7 0 ci
SYy I D j7 el V i Li 6 Si, New dwelling area: square feet
City/State/ZIP: T-I8 c,44- or (4 .7 zZ 4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: D eG(/-_ Covered porch area: ii/ square feet
Cross street/directions to job site: Deck area: Z I g . square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
eCaAA Vlc 'ik-cuc`, cork
c eA ell
aim
0 eii15f,in�deGiz.. Valuation: $
e/l 5>`1 n bye iM cer14 0bS q f i-o rewi al r\
New building area: square feet
a PROPERTY OWNER 0 TENANT Number of stories:
Name: 0 e yv) Uirs, \p i ebb Type of construction:
Address: 16 7 ay Sy( •1 o c 71`3 \I i I I e. St.
` Occupancy groups:
City/State/ZIP: Ti,Escurd 01 c 7 Z.2.14 Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �7 p� (PkeaerefertofeescheIn(e)
�yee ! ova 5 it il.t �k.��I Z,Z' C. ' Structural plan review fee(or deposit):
Contact name'T n Cis Cad r'/p t rifke i�,�
tIll C •r L FLS plan review fee(if applicable):
Address: )2 3 O . w O. ( ( iJtt L
City/State lP: (VW
n Q__/
C? Z2) Total fees due upon application:
Phone: 13) r2i�lw-0 Fax: :( ) Amount received:
E-mail: ( �.J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
fruhGisco /bf dt-c414041 aln,1ors Gr dn. i01-1
CONTRACTOR g e•C Oft Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name- r, n , L, ' i ry.i c �� 1 J I / Submit two(2)sets of roof plan with connection details
\ r 1 re 2 r 1yQ U11 @L(/1 S Cgr i J C-rho (, L l - and fire department access,along with the 2010 Oregon
Address: 35 Solar Installation Specialty Code checklist.
(�f �Ci Permit Fee(includes plan review
City/State/ZI> 4.(00 �ii / $180.00
�`�111 and administrative fees):
Phone: -mac--- ) 53—"Xi •-121.4 State surcharge(12%of permit fee): $21.60
1
CCB Iic.: p L'
Ci�VAI l I 3 ,�.z—� L., a A Total fee due upon application: $201.60
Authorized signa e: This permit application expires if a permit is not obtained
����IIf \ within 180 days after it has been accepted as complete.
Print name:' [[ i/wjV Date: Z�' ��*Fee methodology set by Tri-County Building Industry
T1Q (oIi
a Service Board.
1:1Building\Perlmits\BUP-RESPermit pp doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One— and Two—Family Dwelling FOR OFFICE USE ONLY
Received
- City of Tigard Permit No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 DateB :
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
T I G A R D
Internet: www.tigard-or.gov IDOther
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0
3 Verification of approved plat/lot. ❑ ❑ 0
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. 0 ❑ 0
7 Water district approval. 0 ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 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 ❑ ❑ ❑
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 ❑ 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- ❑ 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. 0 0 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 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
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. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2",x 11"or 11"x 17". 0 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. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. 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
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.
C\Building\Permits\BUP-RESPern itApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)