Loading...
Permit (2) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00182 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2022Parcel: 2S104CC04100 Jurisdiction: Tigard Site address: 13922 SW HILLSHIRE DR Subdivision: HILLSHIRE ESTATES NO.2 Lot: 147 Project: Meaut Project Description: Construction of a new 288 sf pool. 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: $67,600.00 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 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Pool filtration system MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 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: 2 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: MEAUT,ZACHARY M&AMY CUSTOM POOLS&SPAS Required Items and Reports(Conditions) 13922 SW HILLSHIRE DR 16467 S SEA HORSE LN TIGARD,OR 97223 OREGON CITY,OR 97045 PHONE: PHONE: 503-8/27/2024 FAX: Total Fees: $1,922.66 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 Q59_M1_M1n}hrnnnh hAR QF9_nM_nnQn v—mau nhrai rha nJac nr riirart nnactinnc fn(ll ISI(:by Tallinn rin4 9Z9 1OR7 nr 1 Ann'119 9'ldd Issued By: ermittee Signature: ��� �`�'4 503.639.4175 by 7:00 a.m.for the next available inspection date.0 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 Residential R E "°I V E ' FOR OFFICE USE ONLY City of TigardReceived J UiN 1 4 1022 Datc/By: P 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 JITY( t Date/By: �/ 2 v�/ Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: 0See Page 2 forInternet: www.tigard-or.govtt lr� r 7"` o[ificd/Meth Supplemental Information „ ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® $ 6 % 60%)1-and 2-family dwelling ❑Commercial/industrial l/industrial t ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 777 Total number of floors: Job site address: 13922 SW Hillshire Drive New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Meaut Residence Covered porch area: square feet Cross street/directions to job site: Located on the south side of SW Hillshire drive Deck area: square feet west of SW Mistletoe Dr. 1 k L Other structure area. square feet Subdivision: Hlllshl e Estates No 2 Lot no.: 147 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2S104CC04100 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Construction of a new pool,- '�: .etaining r•allc irtithP h�� �+�� Valuation: $ _nn int HilhhirP nriva Existing building area: square feet New building area: square feet ] / Number of stories: Name: Zachary and Amy Meaut Type of construction: Address: 13922 SW Hillshire Drive Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone:( 503) 999-0383 Fax:( ) New: Business name: Structural plan review fee(or deposit): Contact name: Zachary Meaut FLS plan review fee(if applicable): Address: 13922 SW Hillshire Drive City/State/ZIP: Tigard, OR 97223 Total fees due upon application: d: Phone:( 503) 999-0383 Fax: :( ) Amount receive, i E-mail: zakmeaut@gmail.com Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: ( t�5+Gv �07 S fi S of 5 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 16 "167 J Pct NG('$c? LSolar Installation Specialty Code checklist. City/State/ZIP: © �� t }. C Permit Fee(includes plan review $180.00 and administrative fees): Phone:(S 03 ) c� I yS i,6 tO Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Z 2 2 -3 2 Total fee due upon application: $201.60 Authorized signature: -' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: -ZZ kA Date: I y *Fee methodology set by Tri-County Building Industry t= ect r! �' ( 2 Service Board. I:ABuilding\Permits\BUP-RESPcnttitApp.doc 02/24/2011 4404613T(I1/02/COM/WEB) Mechanical Permit Application Cit of Tigard �' V r�„�,. - Received Y g Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: - Plan Review Phone: 503.7182439 $It 2 r Other Permit Inspection Line: 503.639.4175 1 G Date/By: Internet: www.tigard-or.gov i y if Date Ready/By: Juds: See Page 2 far ITI Y s✓t t t�,' C�..d� Notified/Method: Supplemental Information �� �� %;;/ ✓<' � :' '� � ''� � ''pit :. ®New construction ❑ Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. WelValue:$ ® 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building o ❑Multi-family El Master builder ❑Other: For cpecin!information use checklist. Description Qty. Ea. Total 7i�t71 Heating/cooling: Job site address: 13922 SW Hillshire Drive Air conditioning 46.75 Furnace 100,000 BTU(ducts vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Meaut Residence Heat pump 61.06 Cross street/directions to job site: Located on the south side of SW Hillshire drive Duct work 23.32 H dronic hot waters stem 23.32 west of SW Mistletoe Dr. Residential boiler(radiator or h dronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for an of above LT 23.32 Subdivision: Hillshire Estates No 2 Lot no.: 147 Other: 90-OV 2332 Tax map/parcel nn.: 2S104CC04100 Other Mel afiances: Water heater 23.32 ;% �� , Gas fire lace/insert 33.39 Mechanical construction associated with pool construction for Flue vent for water heater or gas fireplace 23.32 the existing residence located at 13922 SW Hillshire Dr Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 /22 00*W0WM*1 11/ Other: 23.32 Environmental exhaust and ventilation: Name: Zachary and Amy Meant Range hood/other kitchen Address: 13922 SW Hillshire Drive equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard, OR 97223 Single-duct exhaust(bathrooms, Phone:( 503 )999-0383 Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawls ace fans 23.32 P1f / ., r ErI Other: 23.32 Business name: Fuel piping: Contact name:Zachary Meant $14.15 for first four;$4.03 for each additional Furnace,etc. Address: 13922 SW Hillshire Drive Gas heat pump City/State/ZIP: Tigard, OR 97223 Wall/suspended/unit heater Water heater Phone:(503 )999-0383 Fax::( ) Fireplace E-mail: zakmeaut@gmail.com Range Barbecue Clothes odaer =as) Business name: ' (�t,J1r��X' �I W Awl e Address: %�' � -- Subtotal City/State/ZIP: Minimum permit fee($90.00) Z Phone:(S C' Fax:( ) Plan review(25%of permit fee) CCB lic._ State surcharge(12%ofpermit fee) TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 Authorized signature: 77VVVYYY�"'""" `�'����/,Q�' days after it has been accepted as complete. ' Fee methodology set by Tri-County Building Industry Service Board Print name: P Date: 6 /1 2 27 I:ARu,idi,,gVPermits\MPC_PennitApp_(182520.d c 440-4617T(I /02/C0M/Wfl13) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Submittal Requirements: • (2) sets of plans, drawn to scale. • (2) sets of equipment cut sheets. • (2) copies of site plan for ground and roof top equipment location and screening per Tigard development code. Commercial& Multi-Family Fee Schedule: $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. 1:ABuilding\Permits\MEC_PermitApp_082520.doc 2 Electrical Permit Application-City of Tigard YagE-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Dc.,ition Fee for all residential systems combined: $75.00 � Ren wabte etkctrieat energy systems: I 5A Corlett i t(f)70 1 2 i Cheek Type of Work Involved: ( t„; {--f - z a ❑ Audio and Stereo systems* 1 15.0 l lo 2�;ikva r 200,34 fi Wind e eneration systems in excess of25",a ❑ Bur-11ar Alarm 5t)ol u�It306�t 2 2 ❑ Garage Door Opener* , '100(,i (icc m a eonianc I i 3 _ c th OAR 91-309-00410) ❑ Heating.Ventilation and Air Conditionim, Solar generation sYstems to excess of 25 kxa: � Sv'sleiti* 1 l i I'.ah aticlmotratl 1,va quer 12 ! �t10 r�-tivaeiditinrlifaarg: tQ ❑ VdCUttin SySteri"IS• _ Each additional ins ection oxer allowable in any of the ahnee: 1 ❑ Other: �ii i Ia sutiiti«nal tnspcctizra ss 1 6,6)7s riaarg 1 at Ora lr yr}(l hr rr n __. ha patrons for hianh no 1crs_.._ _ fl{(, r �rvcificall%3+qed l :ixnm3) FC-WOMMAL-M 777777-7-1 1'Fee fqr each Commercial system. $75.00 1 Sub oral"{i t ru rata t a c l (SEE OAR 91S-309- 000) ' '�+tuber a,3 Dc.ilott5 iruciderpi,eut. i Check Type of Work Involved. ❑ Audita and Stereo Systems Boiler Controls i ❑ Clock Systems ❑ Data Telecommunication Installation ❑'Fire Aiarrn Installation ❑ HVAC ❑ ,instrumentation ❑ Intercom and raging Systems I ❑ Landscape irrigation Control* i ❑ Medical ❑ Nurse Cal Is � © 01.111d0or Landscape Lighting* ❑ Protective Signaling Other: `Total number of commercial systems: *No licenses are required. Licenses are required for all other installations a dumbing Permit Applicj§ �y Building Fixtures Cit g of Tigard `T Received• 13125 SW Hall Blvd.,Tigard,OR Q7�23 Date/By: Permit No.: Plan Review Phone: 503.718.2439 Fax: 503.159 1� �1� I 1 t Detc/By: Other Permit No.: Inspection Line: 503.639.4175 1 ! Date Ready/By: 't;. v - tons: ® See Page 2 for Internet: www.tiga[d-or.gov Notified/Method: Supplemental information ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 g® 1-and 2-familydwelling ❑Commercial/industrial SFR(2)bath 437.78 C1Accessory building C]Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 El Master builder C]Other: Fire sprinkler( sq.ft.) Page 2 % Site utilities: Job site address: 13922 SW Hillshire Drive Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Meaut Residence Manufactured home utilities 50.03 Cross street/directions to job site: Located on the south side of SW Hillshire drive Manholes 18.76 west of SW Mistletoe Dr. Rain drain connector 18.76 Sanitary sewer(no.linear It.:_) Page 2 Storm sewer(no.linear It.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Hillshire Estates No 2 Lot no.: 147 Fixture or item: Tax map,/parcel no.: 2S104CC04100 Backflow preventer 31.27 Backwater valve 12.51 f Clothes washer 25.02 Sanitary and Water utility connection associated with pool construction for Dishwasher 25.02 the existing residence located at 13922 SW Hillshire Dr , f��uatilo ✓+ Drinking fountain 25.02 Cr �ntt��en3 i-0 0-C, Ejectors/sump 25.02 Expansion tank 12.51 wl Name: Zachary and Amy Meaut Fixture/sewer cap 25.02 Address: 13922 SW Hillshire Drive Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Tigard, OR 97223 Hose bib 25.02 Phone:( 503) 999-0383 Fax:( ) Ice maker 12.51 Interce P g P tor/ rease trap 25.02 Medical gas(value:$ ) Page 2 Business name: g Contact name: Zachary Meaut Primer 12.51 Address: 13922 SW Hillshire Drive Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP: Tigard, OR 97223 Solar units(potable water) 62.54 Phone:( 503) 999-0383 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: zakmeaut@gmail.com Urinal 25.02 / Water closet 25.02 er heater 37.52 Business name:- 17(*,S yf W'��c'.P" b. O.0 g/DWV 56.29 Address: >�(� ��j�yV fj C1` Other: 25.02 City/State/ZIP: n Z _ Subtotal g Phone:(�5� Minimum permit 572.50 Fax:( ) n7/1 41 Plan review (25%of permit fee) CCB Lic.: 1 6.31 1 -7 / - ic.no.: -1 1 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: CPDate: 6 e q 2 2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I vBuildingAPenn its`,PLMU-PermitApp.doc 1001/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental information Fee Schedule: Residential Fire Suppression Systems: 22" LIT-n Footing drain 1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer- I st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1 st 100' 62.54 Medical Lias S stems: Water Service-each additional 100' 37.52 -b", Stone&Rain Drain-1 st 100' 62.54 $1.00 to 55,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50.000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. ONOWAM Otma by Fixture TVze Plan review is required for any of the following. Fixture Type,for Reptese/ Please check all that apply. Work Performed: Capped Added Relocate Pp Y ElBaptistry/Font Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. C3Car Wash: -Each Stall New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. -Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: 2" k-+ 4" -Car Wash Drain El Isometric or riser diagram is required for new buildings Garbage -Domestic non-food _ that meet the qualifications above. t Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:ABuilding\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard , o r 4j COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: �u57ZZ• U ?� Site Address: 7 22 6J h74Ze Y_ Project Name: , Lot #: Planning Review f r&Qr C/ eAw '''t 6s q# Propos 1: '- � '� .LCF� � S j42 vCTZ. �f��:L� �'l[h�� ''� , r, z � . Verify address/suite #active in Accela. ❑ In River Terrace: No ❑ Yes,Rj' erTerrace Retwip 4ddendum �? Sit�P ­Elements: Erosion Control s of site plan on 8-1/2" x 11"or 11 x 17"paper arced trees with drip line and tree protection measures ,LfDr to scale (standard architect or engineer scale) Foo tint of new structure(including decks) and FFE _.No arrow ility locations&easements (required for new and additions) -25s t�� dress,project or subdivision name and lot number Sidewalk/driveway approach [2 phcant information (name and phone number) ��et �Lo ationof wells/septic systems Lot dimensions and building setback dimensions tree size,type and location CpEotsaaea, footage of buildings to be demolished Street names g structures on site I�Corner elevations (2'contours if more than 4'differentia�l)// y building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes L�SI�io' impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes �o Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified J� o Received: ❑ Yes ❑ No Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs JZ6quired: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Z SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ❑ Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified Applied For: ❑ Yes ❑ No,stop intake ❑ Id Use Case#: ❑ Zoning: Z Required Setbacks: Front: 'W Rear: Side:_ Street Side: Garage: 2 2 Building Height: Max. Height: Actual Height: ❑ Landscape Area: ;?�o % ❑ Lot Coverage Max: ;1 % 1 Entra Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Mini 00 of area of all street-facing facades Garage ❑ Garage door is behin ur�est street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more than om wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from d there is a 12 sq ft.window above garage on 2"d floor. ❑ Garage door width is ❑ 12'or less ❑ 50%or less ade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 1'Roof eav-e ❑ Roof offset ElFire shingles EJLap Siding ElRoof pitch ElGable,hip,or gambrel r ❑ Dormer El Accent siding El Window trim El Window recess El Window projection ❑ Balcony ❑ Visual Clearance ❑ Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes ❑ No Type: ❑ Conditi s met prior to issuance of building permit Note Approved By Planning: -_"`"` --- - - Date: Z2 Revisions (after Building Submittal-6n''1y) Reviewer Date Revision 1: "Approved ❑ Not Approved 1/r/ � Z LZ 7 ,Revision 2: ' }KA roved ❑ Not Approved -7 (2 2 rr rr z 1:\Building\Fonns\B1dgPennitRvw_RES_122419.doex Building Permit Submittal Original Submittal Date: &111e112_2 Site Plans: # Building Plans: # Building Permit#: ding permit#above. Workflow Routing: 2 Planning engineering J�9ermit Coordinator -Tl-Building Workflow Sign-off. Sign-off for Planning(include notes from planning review) Route Application Documents: 'Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. a 177r-Building: original permit application, site plans, building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: 14 1 17 By Permit Technician: Date: En meering Review Slope at building pad: /0 % 2o'Conditions "Met"prior to issuance of building permit r)Ik Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes &No Assess Water Quantity Fee in-lieu: ❑ Yes 2 No LIDA Facility on lot: ❑ Yes C7'No Add Fee: ❑ Yes ❑ No Final Plat Recorded: n Iw 7 -1/71z*3 %�'YiVt CVNOT Approved by Engineering: -rr {- Date: fe r-3 Z# 2Z_ Notes: j�/��S e S,4el , *ri - ov) g144S A�r _detk aitd at'-ovod p4v/ C'a of �av� /I,'M �,S,�n+r�►} ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ rj pproved Cy2Qot Approved �f��� 8,.�Z,�,�� -t l->< Revision 2: ©/Approved El Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: p" Date: Notes: MS��g nadP ' P,yV1 '6"",��R lY'2 f�7� 7i7- aV CK Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: , Date Sent to Applicant: ���hCril kSDC Exemption: ❑ Received Does not apply ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: QhI��Y Date: �`2" l-7 �007„ I:\Building\Fonns\B1dgPennitRvw RES_1208021.doex Information Notice to Owners About Construction Responsibilities (ORS 701.325 (3)) 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, call 503-945-8091 or go to hftr)://www.oregon.ciov/DOR/BUS/docs/211-055.12d for the appropriate forms. • 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 503-947-7815. • 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, call the IRS at 1-800-829-4933 or visit their website at 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. 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 9-23-08 This Copy for Permit Applicant 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: ❑ 1 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 ❑ I 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. Z--,G�0.rq ► " lP 411��" Print Name of Permit Applicant �'��'- -7�2� Signa ure of Permit Applicant Date Permit#: m�qab )a - '3CA go� Address: Iii �� Qhs e: :L Issued by: j�f-Z) Date: This Copy for Permit Offices 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 13125 SW Hall Blvd. • Tigard, Oregon 97223 - 503.718.2439egg • t►_�c a.turd ur. �u�- TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: JUL 12 2022 CITY OF TIGARD COMPANY: BUILDING DIV PHONE: S C, "I - C3 3 �:�% RE: 1397—z- 5w H 1*k bt ,« Df- tvt5`T -2- 8 2- (Site (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Sitz Pic" WIAV.J +a�n her Cross section(s)and details. T Wall bracing and/or lateral analysis. w a! t Floor/roof framing. Basement and retaining walls. (-e4,,,Vej Beam calculations. Engineer's calculations. Other(explain): REMARKS: �P�wtr�11�C71 T>r'rW5eJ VleA-J VX vac t�ct, FOR OffICE USE ONLY Routed to Permit Technici ate: l 'fi Initials: A4 L Fees Due: 0 Yes N Fee Des ti : Amount Due: $ Special Instructions: Reprint Permit erPE : Yes No Done Applicant Notified: ate: Initials: 1:\Buildia&ormslTiansmittalLeder-Revisions 061316.doe 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 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION q FJ,%,I E IFROM: ;.._cX rr n V"WCA u`� COMPANY: ;i I'Y OF fl(jAhL, �s_fl�.C?lI�1C C?I>ll. . PHONE: C�:3 �� c1 �� _ p s S By: EMAIL: Z« 14- RE: 4 RE: i X22_ SW NIS�;r (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Co Ties: Description: Copies: Description: Additional set(s) of plans. Revisions: AJJ,?d t Cross section(s) and details. Wall bracing and/or lateral analysis. 'I f Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Added 5 c w e,r / +o s i -ke i� l cay) 1'7 1 kA CX V! civ S Sj� ( "t- c,-e' 8 C) / 5q ,,CA-" —' FOR OFFICE USE ONLY Routed to Permit Technic' Date: -7 7 ZZ Initials: Fees Due: ❑ Yes N4.-'-Fee Descri ti n: Amount Due: $ $ Special Instructions: Re rint Permit(per PE): ❑ Yes I ZNo I ❑ Done Applicant Notified: Date: 77d,(,/ 1 Initials: 1:\BuildingTorms\Transmittal Letter-Revisi ons_073120.doc CITY OF TIOARO Approved by Planning - - - - - _ Date: SW HIl<LSHIRE DR � `IV LLJ 34.5' ----- 2 2Q22 CITY OF TIGARD 1 DRIVEWAY - 13UILDING DIVISION - - ' --------------------- Oen G \.7 - -` - - - - — 5 1 71 ---------------I ---------- ----------- E - ------------- - ---- -- SEDIMENT FENCE --EROSIOI COTVTROL) `I- - ---- EXISTING HOUSE 13922 SW,HILLSHIRE DR I 112 11' I 1 f 5_0.0' \ — — •F SLAY •�TJ�UCTURE I 6FX:1 ECK 20.0' EXISTING EXISTING I 685.0 RETAINING RETAINING_____ $ — WALL WALL -- — - El— " FUTURE I POOL STRUCTURE 12'X24' ------------- 15.0' :- - - - 17.0'. - -- _--8' --- " --- ---------CWS ESMT. — _ -------- - _---------- _ ---- w ---------- V) EXISTING o RETAINING U) WALL w w LEGEND GENERAL NOTE: CONTRACTOR TO o PROVIDE INLET PROTECTION FOR ALL v -- PROPOSED LOT LINE INSTALLED STORM CATCH BASINS 'w - - - - - -100 EXISTING MAJOR CONTOUR Of ------------92------------- EXISTING MINOR CONTOUR N 0 w PROPOSED WATER LINE UGP PROPOSED POWER LINE W©E SCALE: 1" =20 FT X PROPOSED SILT FENCING 5 0 20 co 3J CONSULTING SITE PLAN - MEAUT RESIDENCE 04 "VI�ENGINEERING.WATER RESOURCES.COMMUNITY PLANNING 13922 SW HILLSHIRE DR, TIGARD, OR 97223 Hope Pollard From: Hope Pollard Sent: Monday, June 27, 2022 8:41 AM To: zakmeaut@gmail.com;#Building Permit Technicians;Trent Brickey Subject: MST2022-00182 Hello, Thank you for submitting your building permit for the pool at 13922 SW Hillshire. Revisions are required. Please submit three revised site plans showing sanitary easement on the plans and showing net new impervious surface for the deck and around the pool. Thank you! Hope Pollard Associate Planner City of Tigard I COMMUNITY DEVELOPMENT 13125 SW Hall Boulevard Tigard,Oregon 97223 www.tigard-or.gov Email HopeP@tigard-or.gov 1 SPECIFICATIONS: OTTEN + ASSOCIATES BONDING — Pool fixtures, piping systems, reinforcing steel, conduit and other appurtences to the pool shall be bonded and LANDSCAPE ARCHITECTURE conform to all provisions as set forth in the National Electric Code ART .680 Swimming Pool for 1987 N.B.F.U. No. 70. By 3933 South Kelly Avenue,Suite B Owner. Portland,OR,97239 (503)972-0311 s GROUND FAULT INTERRUPTER — A ground—fault interrupter shall be provided on all branch circuits involved in lighting or www.ottenla.com receptacle outlets in accordance with the National Electric Code. By Owner. All electrical work is to be performed by a licensed electrical contractor and is not the responsibility of the Pool Contractor. All electrical work is to be installed per state and local codes. By Owner. PIPING — All piping shall be PVC schedule 40 and is to be NFS approved. HEATING SYSTEM — Heating systems to be equipped with 18" CPVP on both sides of heater, plus two high temperature ASME relief valves at 50 psi plumbed to within 6" of the floor. Z OTHER WORK BY OWNER — Fresh water supply to equipment room with proper backflow prevention device in place, ground N — fault interrupters, venting for boilers, sewer line for backwash, fencing and decking. Q a- w DECKING — To be concrete with trowel and light broom finish, sloping minimum 2& from coping to drains. By Owner. N J LO 0 WATER REMOVAL — The pool is designed to have water in it at all times. Removal of water for pool repair or cleaning (n rn shall occur when the ground water table is below the bottom of the pool. J oz o SIGNS — State health signs are to be posted at the entrance to the pool. O Q w � �0 o REGULATIONS — Operating instructions are to be furnished to the owner by the Pool Contractor, and the Owner must follow all City, County and State codes and laws governing the use and operation of the pool. O o 0 F— U)z r,0 U CO o 6" CERAMIC F.P. TILE BAJA LEDGE WATER LEVEL MASTIC JOINT COPING U)1'-3" 2 E 3" 2% SLOPE W V) W R1'-0" INTERIOR FINISH AUTO COVER w N 8 —0 i� WHITE PLASTER - U J R1'—O" i0 z Q 3'-0" N = R3'-0" W V)C14 J� O FINAL FLOOR SLOPE TO BE O DETERMINED IN THE FIELD, _ NOT TO EXCEED 3:1 (33%) Q U 2" HYDRO—STATIC : «.. Q _Z RELIEF VALVE : K Q N IX N Q " :2 PO N 19'-0 5-0" DATE 24'-0" 06/01/2022 SCALE PROJ. NO. AS SHOWN LONGITUDINAL POOL SECTION DRHWN CEHCKED SCALE: 1/4"=V-0" SHEET NO L1 . 1 OTTEN +ASSOCIATES LANDSCAPE ARCHITECTURE 3933 South Kelly Avenue,Suite B Portland,OR,97239 (503)972-0311 www.ottenia.com SW HILLSHIRE DR PROPERTY�LINE d z DRIVEWAY6AkU U) a'l f f Ori lu Approved by. Planning Z Date: < _j 0 'j r- initials: (Ni 0) Of _j 0z MO 0 <0 Ld 0 Lj Of V)0 M: Li zM U 0 RESIDENCE z 0 V) 0 a1 ,�POOL vo 0 0 0 EQUIPMENT 0 M AREA 0 a- L_jL 5'-10" 0 LLJ 30'-0" , W _ > C) Cif Z z POOL Ljj LLj < 12'x24' NOTES: 0 IX pe) _j --AUTOCOVER M C4 CL 1. Swimming pool has a powered safety cover which J C-4 _j 50'-3" complies with ASTMF 1346-91 standard performance Ld _j 0) 00 0 specifications and requirements to exempt a barrier. -1 8 BAJA LEDGE W a- r_ 2. Grading and compaction of all fill areas by others. 0 CD A V)C; Z PROPERTY LINE < 04 cr, M CN< M 0)0 3.- F— u) DATE SITEPLAN 06/02/2022 SCALE rROJ. NO. SCALE: 1 "=20'—O" AS SHOWN DRAWN CHECKED LH I EH SHEET NO L1 .0