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Permit Support Document
- feb Building Permit Application Residential RECEIVED FOR OF TICE Ls.E()NIA City of Tigard Received.---, ,.., Date/By: /t-v, if.2.-C Vt.) Permit No.11 s T 24...z_ .: IN g7.3 3 . " 131/5 SW Hall Blvd.,Tigard,OR 97/23 JUL 1 3 2°2° 74 Plan Review I ' Phone: 503.718 Other Permit:.2439 Pox: 503.598.19BL Datailty. ' D r 16 A RI, Inspection Line: 503.639.4175 GliY OF TIGAR Date Ready/By: hi.; FFir-s-e-e-Page 2 for Internet www tigard-or gov RI)1101NO DINISION Notifiedalth eod: Supplemental Information TYPE OF W iORK 1 REQUIRF.D DATA:I. AND 2-FAMII V MEI I!NG Permit fees*are based on the value of the work performed 0 New construction 0 Demolition „ Indicate the value(rounded to the nearest dollar)of all krAddition/alteration/replaccrnero El Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGOR Y OF CONSTRUCTION Valuation: c q' a 0.0y 5/,--- Di-and 2-family dwelling 0 Cotninercial/industrial S El Accessory building El Multi-family Number of bedrooms: 1/ Number of bathrooms: 3 0 Master builder El Other: JOB SITE INFORMATION AND LOCATION "NMI number of floors: 2, ..... Job site address: i 531t) S 4 _,I ' ----- thr -- New dwelling area:-4}..- Ci. square leer _ „. ... City/State/Z1P: ^T/4.10.,i-ci, e)(4,..e,-,8(1,-1 9'7 2 2- Il Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Or ' Covered porch area: square feet Cross street/directions to job site: Deck area: / 2:0 square feet Other structure area. square feet --"' REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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. i-------4 --,-- , a14114,1 _ Valuation: S „ , . .t• „ ..,..4,10, 1-- if:el) I,:xisting building area: square feet New building area: square feet GAOPERTY OWNTII "--- ' '' ''' I 0 TENANT Number of stories: Name: c 1 , ,,,,ft vi, ' k-Sk.___ Type of construction: Address: /5-3 .?.,i, 5,„„ se bi,c. d„,t,:: Occupancy groups: (ity/'state/ZIP -TtAct,,,..-4, O(L. 1 7 rim 1-1 F.xisting: Phone'(5113) .5°2,„,2.,-- 3 ?...3 ( I Fax:( ) - New: .„., fr;APPLICANT l4VONTACT PERSON BUILDING PERMIT FEES* .., (Please reJer le fre schedule) Business name: ,t)if y Oct k (it/C.. Strudural plan review fee(or deposit). Contact name: is e44,,A 0„,,,,i.I n U yi b e _ ...,...,........_ FLS plan review fee(if applicable): Address: 7 '''Z E.-- 0 q/I(S01"177A—v'e" __s ... d. Total fees due upon application: City/State/ZIP: Aft_\,41_,: -e-vi ) it.. crt( 77-- Amount received: Phone:(503) Cii S .„ .;.T Fax::( ) /Vie-6 ETES* E-inail: V v12 a 14.6)0(4.,4-1 0 LIC.- I CO r,- PFUTIOYOUTA IC SO! AR PANEL SYSTEM r — ,„,,,, ----- Commercial and residential prescriptive installation of "-''TRACT°R ' roof top mounted PhotoVoltaic Solar Panel System. _ , Business name: j.jsry 6 OA( itiorc .... Submit two(2)sets of roof plan with connection details _ . - — and fire department access,along with the 2010 Oregon Address: e. 0 (3s ci i # 2.,,,, 9 q Solar installation Specialty Code checklist, City/State/ZIP: Ate.....Ad.46-cAl c)(i. P 7/ 3 4 - Permit Fee(includes plan review $180.00 ,. and administrative fees): Phone:(c :9 90 c 3 , 9,c , ,61 Fax:( ) State surcharge(12°/0 of permit fee). $21.60 ._.„. CCB lie.: 2,0---t 0 g D .. Total fee due upon application: I $201.60 „,, ",,,,,4. Authorized signature* This permit application expires if a permit is not obtained V ...........„. ' '' 7 within 180 days after it has been accepted as complete. a Tee methodology act by Tri-County Building Industry Service Board. 1:113uilding1Pennits\BUP-RESPernutApp.doc 02/24/2011 440-461 3T(1 1/02/COM/WEB) CITY OF TIGARD Approved by P! nning BENJAMIN URIBE Date: 9-L 503-953-9648 initials: LC -- LEGEND + —Ss- SANITARY SEWER f,.. TRACT 0 * SD-- STORM DRAIN --too--- WATER LINE _ i �. 446 �_„ ® MANHOLE tp..soefvm '- -- -- -- 6.52 I11 CATCH BASIN m srraa s. 446.6 446.0 STREET LIGHT ...,. n•+..s.n arnsio►s STRAW WATTLE PERIMETER ,..a �a� -a scs.rAw r 1 ( /,' — — P r — — — EROSION CONTROL I r , 36.017 `I r T+-+ I J P / /,�. I i F- -J L--.. I I I •I SMACK SUMMARY -- 1 it FRONT SETBACK: 20' i I -----^� SIDE SETBACK: 5' 5 STREET SIDE IS 54 REAR SETBACK: 15' al I 7,085SI ib v, 55 It 53 r. BUILDING:5017.5DRD ff 10.OR 1 FF-458.23 ---1Mo 5.00 _ qf:ARAI: . —, II I ✓ i 4N IT COVERAGE: R1-----�. . — I � T 'II �I V. -_ �—�-T .- . I , _-__■ 7..,. SF z — ____ �� iit s ,._ 454 � s o o TRLD4G •RINT: 2,356 SF POLYGON AT ,00 I � 26.71: \ BULL 24.00 13 SF MOUNTAIN _ mow ,. -- ---- =..-•• --a-_ _---._ CANik.flIER - ,.: .. 0 SF ,///rr Z'4,456.9'7'1�'/�Air>� is �fr erg,.456.2 22T SF I /��I '^ I � / T. S TOT •• 2,62A SF j LOT 54 �' • . `l�ariT.� _- M WATER METER 1 % PLOT PLAN M—SIDEWALK ' _ •._ .. AiPERYIOUS AREA: 3,1 - 5F- € \ STORM LATERAL-• 5D !� PLANT(2)51 et I 5 SD SD TREE:Y CAL -sD- o SW SEINE DRIVE SNo7ARY LATERAL GOLDENRAIN TREE/ 1 Ss KOFIRELTT PANKULATA POLYGON NORTHWEST(503)221..1920 2S1W8 e ... .. Itft P LOT 54(R-4.5, LARGE) *E fl i POLYGON AT BULL MOUNTAIN )538Fr SW SEINE DR 1 INCH.a0 MET x `fi�` RECEIVED JUl. 1 3 2020 CITY OF TIGARD k\ BUILDING DIWS►ON MI >es \ Olt / , , , 451) I. 1i . _ _ r RECEIVED JUL 13 2020 CITY OF TIGARD BUILDING DIVISION Yvk ` - - - ,, -m _�- -- - _ - _ _-_-- _ _ _ - - - x/ ' +� - - - _ - 4 4 Z I tf II { I I1I , i III ( i { + I II 1 I6X t 0 ek. I cii, { I E it I I , ,A , ,. S __ i I ! _ _ • _ _ SI I T . t\i ram, __ .,� City of Tigard Ili1 COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Residential . Building Permit #: M S7 7-0 - ()'13.3 Site Address: 15388 SW Seine Dr Project Name: Crist Deck Addition Lot #: Planning Review Proposal: Add onto existing deck in backyard QVerify address/suite #active in Accela. 0 In River Terrace: ❑ No 3 Yes, River Terrace Review Addendum Site Plan Elements: ion Control 111; copies of site plan on 8-1/2"x 11"or 11 x 17"paper N • ed trees with drip line and tree protection measures 12•rawn to scale(standard architect or engineer scale) tprint of new structure(including decks)and FFE el orth arrow 'LJtility locations&easements(required for new and additions) Dbite address,project or subdivision name and lot number ° i alk/driveway approach I\pplicant information(name and phone number) cation of wells/septic systems IV., dimensions and building setback dimensions Street tree size,type and location 1 a uare footage of buildings to be demolished _;Street names I xi a g structures on site °2orner elevations(2'contours if more than 4'differential r\k , t area,building coverage area,percentage of coverage and >1,000 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 Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑r No Received: ❑Yes ❑ No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: El Yes,applicant was notified 0 No Received: ❑ Yes El No k\ ❑ SDC Exemption for ADU applied for: ❑Yes El No Received: ❑ Yes ❑No ❑ Public Facilities Improvement(PFI)Permit: Required: ❑Yes,applicant was notified El No Applied For: ❑Yes ❑No,stop intake ❑ Land Use Case#: Q Zoning: R-4.5 QRequired Setbacks: Front: N/A Rear: 15 Side: 5 Street Side: N/A Garage: N/A El Building Height: Max.Height: 30 Actual Height: '^"/ 0 I : .dscape Area: % ❑ Lot Coverage Max: 0/0 Entrance Set back no more than 8'from street-facing wall ❑ P. Al el to street or offset 45 degrees or less Windows tt....urn 12%of area of all street-facing facades 0 Garage Gara e dos • behind widest street-facing wall ❑Yes ❑ No,one of the following is met: Door exten. •a more than 5'from w . and there is a covered porch extending beyond garage. Door extends no mo an 5' .m wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara e door width is .r ❑ 50%or less of facade 60%or less and includes 7 of following: Covered porch Recessed entra El Wall offset 1'Roof eave Roof offset Fire s •. s Lap Siding Ro. itch 0 Gable,hi ,or gambrel roof Dormer ent siding Window trim Win. recess Window projection ❑ Balcony ❑ Visual Cle. . ce ❑ Urban Forest,Plan ❑ Se•. f ve Lands: ❑ Yes L''J No Type: Conditions met prior to issuance of building permit Notes: L El Approved By Planning: id' _ Date: 7/29/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1 9 I:\Building\Forms\BldgPermitRvw RES_122419.docx t. Building Permit Submittal Original Submittal Date: 7/13/'Z,) Site Plans: # 3 Building Plans: # 3 Building Permit#: U'r.nter building # above. Workflow Routing: ©'Planning L`�'Engineering R1'rmit Coordinator alitiildin g Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: LI-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: Z273-(a/"-1(2-1r---4--' Date: 7 3/ 2.j En ineering Review o lope at building pad: /V7 onditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Ye Assess Water Quality Fee in-lieu: El YesLe No Assess Water Quantity Fee in-lieu: ❑ Yes Lr No LIDA Facility on lot: ❑ Yes 0/No li Final Plat Recorded: 0 NOT Approved by Engineering: Date: NlApproved tes: by Engineering: Date: JA6r24=' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review Gs-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 a..ly SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1.1 N/A Tigard Trans SDC: ❑ Yes `.N/A Parks SDC: ❑ Yes a N/A LIDA ❑ Yes 1 -N/A RrOK to Issue Permit Approved by Permit Coordinator: NO-VnP\--64--"\-- Date: '1I012 II:\Building\Forms\B1dgPermitRvw_RES_122419.docx