Loading...
Permit II ii CITY OF TIGARD MASTER PERMIT �'1 COMMUNITY DEVELOPMENT Permit#: MST2022-00073 Date Issued: 04/28/2022 T I G A R 117 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108D605500 Jurisdiction: Tigard Site address: 15394 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 53 Project: Pieper Project Description: Add 192 sq ft to existing deck. 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: $4,922.88 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: I 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'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 0 Owner: Contractor: PIEPER,ANTHONY STANLEY DEWAYNE MOORE Required Items and Reports(Conditions) PIEPER,AMANDA 6107 SW MURRAY BLVD#263 15121 SW 154TH AVE BEAVERTON,OR 97008 TIGARD,OR 97224 PHONE: PHONE: 503-522-0047 FAX: Total Fees: $409.22 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QG9-nf11_0(11 n thrni inh rlA _no 1-nnQ 1(nn m nhtain a rnn of tha r c nr rlirnrt ni iactinnc to(111MC by rallinn cn 9 1QR7 nr 1 RCM 1'*0 90 41 _/ Issued By: Permittee Signature: 0 .���jj� �! < c-�o cC /! 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 13 - 2 17 2..- Residential FOR OFFICE USE ONLY City of Tigard RECER!E I Reaceived�2/le/22 Permit No:t STZQu-G1dO7�j li • 13125 SW Hall Blvd.,Tigard,OR 97223 DateBv: ✓ = Plan Review (.� n 44-Phone: 503.718.2439 Fax 503.598.1960 FEB 1.7 2022 DateBv: i r .l Z Other Permit: T 1 GAR 0 Inspection Line: 503.639.4175 Date Ready/By h See Page 2 for Internet: www.figard-or.gov CITY OF I Ilal-1,1'�IJ Not /Method L p Supplemental Information �/1 h TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all pt Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the rofit for ;e CATEGORY OF CONSTRUCTION work indicated on this application. ( r Valuation: $ atj 1-and 2-family dwelling 0 Commercial industrial i Accessory buildingNumber of bedrooms: Elg 0 Multi-family 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15%CI L.1 5•i,\y S i n e, f New dwelling area: square feet City/State/ZIP: I t !( 4 rdl p k' C1-1 ZZ t,1 Garage/carport area: square feet Suite/bldg/apt.no.: Project name: 171ae r d�ck Covered porch area: square feet Cross street/directions to job site: 1 5 tin±. Deck area: /92_ square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 00 I17,;i--1 cd 3u11 Mown*,ouii+0 t r) I Lot no.: 5. 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. �d� CC Valuation: S Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Tti,.,y el E er Type of construction: Address: j 53 q 4 $uJ Ski AG-- Or. Occupancy groups: City/State/ZIP: i ii G r'c C)I - `�.1 2 L Li� � Existing: Phone:(50 3) ei C 1— 1 3 3i., Fax:( ) 11 Oil . New: APPLICANT , CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name: / J *Si�t�n Zot,t C o,ts lsuc.�Iorl Structural plan review fee(or deposit):) !2T:4" Contact name: '4- rl 1400fa" FL S plan review fee(if applicable): Address: 1 o- Sit. in Lti 1-e,y i3IVii. H 2_4.3 ;� O Total fees due upon application: City:State ZIP: 1-3eav�.,--I-p no o - e-i c70&, Phone:(5'p ) 577 — 0047 Fax::( ) n 011c. Amount received: E-mail: `)��n �. lY 1 y O(•� �Y y t 0 i.Yv PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: -4 r� M 17 P(Y C�;t , C 11 n Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: (,t 0 7 Si.,./ PO 14 t r'ry / 1\)p1 . 7'11-Z ts 3 Solar Installation Specialty Code checklist. City/State/ZIP: Qo,,je p fit?r) C GJ 7 co Permit Fee(includes plan review $I80.00 ! and administrative fees): Phone:(5D ) 5?I _ t,C.,j,,I.7 Fax:( ) r)P/7.32.- State surcharge(12%of permit fee): $21.60 CCB tic.: 1 0 j y,7 yl W `672-3 Total fee due upon application: $201.60 Authorized signature: C _.- This permit application expires if a permit is not obtained jjj v\ within 180 days after it has been accepted as complete. Print name: :S"tan 1\0c y r,� Date: 2(c.�lZZ Fee methodology set by TO-County Building Industry l Service Board. I:1Building\Pennits\BtiP-RESPertuitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard •IN v COMMUNITY DEVELOPMENT DEPARTMENT C T l cA R. Building Permit Review — Residential 0 i tit Building Permit #: M5T2027- 00013 Site Address: , 5 3 c((-1 svi c7v Or Project Name: Fj,Q,QQ f 4 EQCI Lot #: 53 Planning Review �`Proposal: N Q.(JJ A CW.k I ' ICI Verify address/suite #active in Accela. F In River Terrace: (*.-- x--Y-e,s,,River-le..4rac4-12tev;chp,-fridendum Site Plan Elements: ❑Erasion Cmnini 3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper reteefi3ot1 measures Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE North arrow ) ri Site address,project or subdivision name and lot number ©Sidewa ',pplicant information(name and phone number) dimensions and building setback dimensions Elgtre Lottage of buildings.to he demolished %Street names Existing structures on site Ntot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes felNo impervious area(applicable if R-7,R-12,R-25&R-40) I o pClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): f17/Z-i . Required: ❑ Yes,applicant was notified Jk11 No Received: 1 Yes ❑ No C Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes Ad No4 Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified p No Applied For: ❑ Yes ❑ No,stop intake .. t r C.Ase ++r_.._-, Ip Zoning: Q_"l.f' ; j fg Required Setbacks: Front: 01 Rear: t t Side: _✓ Street Side: t 5' c Garage: 26 f Building Height: Max. Height: wb` Actual Height: i 3 �T a n % -g--L-vi-€vverage Max: 0/0 ,r 11cC use a P T'^.^l1e1 r� treet or offset .3-Kldeve� —B hnimum 12%of area o a s Garage ra e door is behind widest street-facing wall ❑ Yes ❑ No,one of the lleweSgis met: ❑ Door extend more than 5'from wall and there is a covered porch e . g�garage. ❑ Door extends no more a ' wall and there is a 1 .window above garage on 2"a floor. ❑ Garage door width is ❑ 12'or less ❑ 50° s facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Reces ranee ❑ Wall offset ' oof eave ❑ Roof offset ❑ Fire shingles ap Siding ❑ Roof pitch ❑ Gable,hip,or g roof ❑ Dormer ❑ nt siding ❑ Window trim ❑ Window recess ❑ Window projection `cony ce .8—L14444-F'ar_.__Patty-Plan ❑ Sensitive Lands: ❑ Yes gl No Type: • Conditions met prior to issuance of building permit Notes: zg Approved By Planning: 4Ii44 Date: 2 - z2 Revisions (after Building Submittal only) Reviewer Date Revision 1: Cl Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Fonms\BldgPermitRvw RES_122419.docx Building Permit Submittal Original Submittal Date: W7/2022- Site Plans: # 3 Building Plans: # 3 Building Permit#: lia-t.nter building permit#above. Workflow Routing: [Planning ["Engineering [Permit Coordinator ["Building Workflow Sign-off: [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. E"Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 0A41,Z022- Engineering Review p Slope at building pad: r j�O 1 tonditions "Met"prior to issuance of building permit sements (encroachments)per engineering conditions of approval and plat . Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes �No LIDA Facility on lot: ❑ Yes 2"-No Add Fee: ❑ Yes ❑ No ErFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: j . E2 Date: 3 -3D-T.o?r?., Revisions (after Building Submittal only) - Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ 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 g Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes g N/A Tigard Trans SDC: ❑ Yes AatiN/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes id N/A 4 OK to Issue Permit Approved by Permit Coordinator: 4 Date: 3 I:1Building\Forms\BldgPernutRvw RES 1208021.docx RECEIVED FEB 1 7 2022 CITY OF TIGARD Nvott7 BUILDING DIVISION C1eanVG ter Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 122-000568 f 1. Jurisdiction:710ard 2. Property Information(example: 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name:Tony Pieper 2S108DB05500 Company: Address: 16394 SW Selne Dr. OR Site Address: 15394 SW Seine or.. City,State,Zip: Ted,OR 97224 a City,State,Zip:Tigard OR 99224 Phone/fax: 503-807-1330 Nearest cross street: 15oth. Email: 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: stan Moore CILot line adjustment 0 Minor land partition Company: Stan Moore Construction ❑ Residential condominium [3Commercial condominium Address:6107 SW Murray Blvd.#263 ❑ Residential subdivision 0 Commercial subdivision City,State,Zip: Beaverton,OR 97008 ❑ Single lot commercial 0 Multi lot commercial Phone/fax: 503-5220047 Other Email: stan@mooredecks.com 6. Will the project involve any off-site work? ❑Yes ■No ❑Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Building a 16'x 12'deck 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 Stall Moore i Print/type title der Signature ,' v�(� Date 1127f22 FOR DISTRICT USE ONLY 0 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. 54 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 OHS APPROVED SITE PLAN(S)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 LETTERTE IS REQUIRED. Reviewed by /�1A-/Ge ( 4444, - Date 2/10/22 Once complete,email to:SPLReviewedeanwaterservices.org • Fax:(503)681.4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123 Revised 7/2070 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f:503.681.3603 * oleanwaterseerv? a.org