Permit CITY OF TIGARD MASTER PERMIT
i COMMUNITY DEVELOPMENT Permit#: MST2022-00077
Date Issued: 06/07/2022
T I C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102CC00315
Jurisdiction: Tigard
Site address: 13470 SW CRESMER DR
Subdivision: CRESMER HILLS Lot: 14
Project: Rogers
Project Description: Reconfiguration of interior walls, remove (1)window, replace w/(2)new windows in kitchen &new
garage opening. Trade permits are pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $65,000.00 Rear: 0
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'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:
ROGERS,FRANK MICHAEL&ALENE RCZIGLINSKI CONSTRUCTION LLC Required Items and Reports(Conditions)
13470 SW CRESMER DR 14860 SW 103RD AVE
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: PHONE:
FAX:
Total Fees: $1,614.05
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
oc9-nni-M1n thrni inhh�('i P 0c9-nni-nnon vn,,may nhtain P rnm,of rha r,,i nr riirc,t ni iccrinnc to ni INC by rnm„,,SM 9'�9 1QA7 nr i,"Ann'3Z9 9444
iV Issued By: ' IQ_) ` 1b c2 Permittee Signature: f`� ✓-Q--
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.
•
DocuSign Envelope ID:7DF19C9D-1EE3-4619-AE6D-84BD6E317EE2
Building Permit Application RECEIVED 0- 31z-1 !ZZ
Residential MAR 2 12022 FOR OFFICE I'SF.ONLY
City of Tigard ReReceive d :/I 8 �, it Permit No.:t�I��!�>T~2lj eXT
111 II 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF T IGAFi[1 Plan Review �n w
Phone: 503.718.2439 Fax: 503.598.1`.1 n AA''^^ n nn (J v`� Other Permit:
11Ur II UI OIVISIOIV Date By:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: // J ® See Page 2 for
Internet: www.tigard-ocgov otified Method: ��� lra Supplemental Information
`/�.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit tees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
D Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 I-and 2-family dwellingValuation: $ 65000
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
r JOB SITE INFORMATION AND LOCATION Total number of floors: 1
'b Job site address: 13470 SW C R I. A 1 l R 1)It New dwelling area: square feet
City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ROGERS Covered porch area: square feet
Cross street/directions to job site: Deck area: 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.
•
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.
RECONFIGURATION OF INTERIOR WALLS Valuation: $
REMO\ I ONE WINDOW AND REPLACE WITH TWO Nr\\' Existing building area: square feet
\V'I\I)O\V `, IN L l l( 1 I I \ - NI \V" G \R \(i l OI'r\I\(i New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: AR l.I N ROGERS Type of construction:
Address: 13470 SW CRESMER DR Occupancy groups:
City/State/ZIP: TIGARD OR 97223 Existing:
Phone:( ) sO;-;CO-;7110 Fax:( 1 New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: EX DESIGN (Please rejertoJeeschedu7e)
Structural plan review fee(or deposit):
Contact name: MATT GREINER
FLS plan review fee(if applicable):
Address: 29030 SW TOWN CENTER LOOP EAST SUITE 202 BOX 429
Total fees due upon application:
City/State/ZIP: WILSONVILLE OR 97070
Amount received:
Phone:( ) 503-866-428I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: LXARCHDESIGNWG\I \II..( ()\1
Commercial and residential prescriptive installation of
•
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ZIGLINSK1 CONS I RI ('I IO\ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 14860 SW 103RD AVE Solar Installation Specialty Code checklist.
City/State/ZIP: TIGARD OR 97224 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) (503)819-4263 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 206022 Total fee due upon application: $201.60
Authorized signature: `(� 3/17/2022 This permit application expires if a permit is not obtained
ry 1� within 180 days after it has been accepted as complete.
Print name: MATT GREINER Date: 3/9/22 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
S
DocuSign Envelope ID:7DF19C9D-1EE3-4619-AE6D-84BD6E317EE2
Building Permit Application Checklist
One- and Two-Family Dwelling roll orrlcl: t si: Oyl.v
City of Tigard Received Permit No.:
al 13125 SW Hall Blvd.,Tigard,OR 97223 AssociDate/B :
Associated permits:
III ■ Phone: 503.718.2439 Fax: 503.598.1960
TICARD
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing El Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ 0 ❑
4 Fire district approval required. Name of district: • ❑ 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
S K 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
,. 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 0 ❑ ❑
. there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
,,.',t 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.
k ` 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
;. and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
{ 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- ❑ ❑ ❑
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,roofmg,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. Cl ❑ ❑
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 ❑ ❑ 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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
• 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
• 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 ❑ ❑
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 II above. Site plans must be 8-1/2-x I l"or II"x 17. ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
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, ❑ ❑ ❑
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:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111111 COMMUNITY DEVELOPMENT DEPARTMENT
C
r G A R D Building Permit Review — Residential
Building Permit #: MST 2.DZ,2; ( o c -
Site Address: i341-0 SU Crams - t,
Project Name: `sr, Lot #:
Planning Review
Proposal: 44:10' �y�"ibr' (/i '
Verify address/suite #active in Accela. ❑ In River Terrace: No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: f-1Fr��:�., cn„tr„1
p3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper IIRP+�:.�a f����- •
Drawn to scale(standard architect or engineer scale)
orth arrow ❑U
)'<Site address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) . .oca.rion .ti etls,( epti, + .—.
OrLot dimensions and sip c 44
o emo s e Iltreet names
0Existing structures on site • 2'contours if more than 4'diff ' )
coverage arPq pPrfPnt'ge nFcow.s ge and >1,000 sf of impervious area create or replaced? ❑Yes attNo
0) If yes,is a storm water quality facility shown? LW a❑rPdv
jijil Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ail; No Received: ❑ Yes ❑ No
p Water Meter Fixture Unit Worksheet—Addi .•• Remodels and ADUs
Required: ea,applicant was notified ADNo Received: ❑ Yes ❑ No
( SDC Exemption for ADU applied for: • 'es No Received: ❑ Yes ❑ No
FID Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes CI No,stop intake
CI r Ana I rasp : Zoning: e— If-5
q6 S t Garage:20
Required Setbacks: Front: 24 Rear: �rj Side: 's Street Side:
WB ikli g ueigt,t. Max. IIeight.
`EL_ 7„ 7 r,P Ar % .-IT-Lot•Cu'PCragC SPit[7c.
--Euttalar-e--1;1—get-limask-fte-wtere-tagamail ara e to stree or o se
Garage eat Garage door is behind widest street-facing wall Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
AGarage door width is ❑ 12'or less ,® 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance k Urban Forestry Plan
Sensitive Lands: ❑ Yes No Type:
❑ Conditions met prior to issuance of building permit
Notes:
Approved By Planning: Date: 3 i2q/26ZZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw RES_122419.docx
Building Permit Submittal
Original Submittal Date: . #1 IW'
Site Plans: #
Building Plans: #
Building Permit#: a Enter building permit#above.
Workflow Routing: gi Planning a' Engineering a Permit Coordinator egt Building
Workflow Sign-off: cal.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: (Lthj) �9 e) n Z)c Date: /2,.4;31 —
Engineering Review
❑ Slope at building pad:
•
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of a and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ es ❑ No
Assess Water Quantity Fee in-lieu: Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:�te
ld'Approved by Engineering: Date: 4 eT�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved .
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
'4Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
yrSDC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Fr N/A
Tigard Trans SDC: ❑ Yes Ef N/A
Parks SDC: ❑ Yes ,ZI N/A
LIDA ❑ Yes , N/A
OK to Issue Permit pproved by Permit Coordinator: Date: 11J ��' (I ` �Z
I:\Building\Forms\BldgPemutRvw RES_1208021.docx
Allyson Armstrong
From: Matt Greiner <Ixarchdesign@gmail.com>
Sent: Monday, June 6, 2022 3:08 PM
To: Allyson Armstrong
Cc: zigcon@gmail.com
Subject: Re: 13470 SW Cresmer Dr
Attachments: 20211012_160025 jpg
Caution!This message was sent from outside your organization. Allow sender I Block sender
Hi Allyson,
On the existing floor plan we mistakenly did not show the existing sink in the laundry room - as shown in the attached
picture. We are opting not to reinstall another laundry sink in the laundry and are instead adding an additional lavatory
in the master bath, so we are not increasing the overall fixture count.
Thank you very much for your time with this,
Matt
On Mon, Jun 6, 2022 at 4:58 PM Allyson Armstrong<AllysonA@tigard-or.gov>wrote:
Please complete the attached Water Meter Fixture Sheet and return to me via email. The
existing house plan does not show a laundry utility sink. It appears you are adding a laundry
utility sink and a master bath lavatory.
Thank you,
Allyson
Allyson Armstrong
111 • " City Of Tigard
(503) 71 a-2612 Work
(503)718-8137 Mobile
AtlysonAZtigard-or.g ov
13125 SW Hall Boulevard
Tigard,Oregon 97223
1
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention
Schedule."
Matt Greiner
Architectural Designer
ph. 503.866.4281
2