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Permit (3) CITY OF TIGARD MASTER PERMIT - COMMUNITY DEVELOPMENT Permit#: MST2022-00167 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2022 TIGARD 9 Parcel: 1S133DC15700 Jurisdiction: Tigard Site address: 12930 SW LAURMONT DR Subdivision: VILLAGE AT SUMMER LAKE PARK Lot: 12 Project: Bereket Project Description: Installing new 76 sq ft deck including stairs 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: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $1,948.64 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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!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: BEREKET,TEDROS Required Items and Reports(Conditions) JEMBERE,FEVEN ADEME 12930 SW LAURMONT DR TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $478.75 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9-Ml-Min thrni inh(1 4F9-nM-n n,i ma nhtai a rnmi of tha n!lac nr rlirart nnacfinnc to fll IMr. F '2 919 10R7 nr 1 PM 119 99dd Issued By: r Permiftee Signature: 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. I K 9 • 11 ..'r r r , i90' "3i..,m x t i / / / i - /r CITY OF TIGARD \ / Approved by Planning ,5.-6.y_10 to„\ / Date: 22 Initials: PrA I a 127.83' 4' %; 36 >� 8 / 105.31' / , House I ,, 1 /17' i z II ' / / 111, ' 19 39'\ ./. \ 'a 18._9„ /r ._... Zoning:R-12 1 ---.;,, /Tax Lot Number:1S133DC15700 `£ 12930SWLaurmontOr Berekets Project 25 ar; / oryAlexander t _�, / Tigard,OR 97223 USA +t 1 scale r':t9' 4415 NE Minnehaha St. 4 • 992' / Vancouver,WA 98661 �, / Land.7841 SF (360)972-9412 i I \ / House:1888 SF 360 892-5478 \ Building Coverage Area:76.0720 SF • 4-8" • I .- -- 26• 79Q. Building Coverage Percentage-0 009702% Sheet �4.62', : / Site Plar \ i97 =20' • 22.58' ��o0 N / © CASCADI FENCE&DEC Jt.C.C\ AA�a G City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ilill T l G A u D Building Permit Review — Residential Building Permit #: K4 sr2o 3 oO L LQ7 Site Address: ‘7,0115 O Su) upitAryvio✓k Vir, t Project Name: eirOc-QkS Lot #: 11 Planning Review c� I Proposal: IQAP ��' t &`a'(S Verify address/suite#active in Accela. El In River Terrace: No ❑ Yes,River Terrace Review Addendum 1 Siy Plan Elements: ❑ Z.5 oSi copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑R..t ,cd-trees with drip line and tree protection measures rd prawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE orth arrow ❑Lidgiortorations&easements(required for new and additions) •WLite address,project or subdivision name and lot number 4idewalk/driveway.kApplicant information(name and phone number) ❑L'acFion of wZlls/septic systems of dimensions and building setback dimensions ❑c+lreet—wee-si'zg,type and location e of buildings to be demolished Street names Existing structures on site 0C6rrrer eievstirsns(2'contours if more than 4'differential) Icl,Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes to 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 No Received: ❑ Yes ❑ No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified 1 No Received: ❑ Yes ❑ No ❑ SDC Exemption for ADU applied for: ❑ Yes *I No Received: ❑ Yes ❑ No ❑ Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified "No Applied For: ❑ Yes ❑ No,stop intake ❑ Land Use Case#: ,Zoning: ,Z Required Setbacks: Front: \5 Rear: 1C Side: 5 Street Side: 10 Garage: Zo Building Height: Max. Height: `3 S Actual Height: Ndk- ,Landscape Area: 42.00 % Lot Coverage Max: PD 0/0 Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Mini 12%of area of all street-facing facades Garage ❑ Garage doo ' ehind widest street-facing wall ❑ Yes , e of the following is met: ❑ Door extends n re than 5'from wall and there i re porch extending beyond garage. ❑ Door extends no more than ' t ere is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12' ss ❑ 50%or cade ❑ 60%or less and includes 7 of following: ❑ Covere Recessed entrance ❑ Wall offset 1'Roof eave ❑ Roof offset ire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ❑ Visual Clearance ❑ Urban Fores Plan ❑ Sensitive Lands: ❑ Yes No Type: s • ❑ Conditions met prior to issuance of building permit Notes: Approved By Planning: iJ I Date: eel \ 17/7-- Revisions(after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: (,O/1/ Site Plans: # Building Plans: # 3 Building Permit#: [Enter building permit#above. Workflow Routing: C I'ianning ❑ Engineering ❑ Permit Coordinator LiJ'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 priginal 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: Date: 4 34j (p/li/22.- Engineering Review [Slope at building pad: 2''6� Conditions "Met"prior to issuance of building permit nit, R"Easements (encroachments) per engineering conditions of approval and plat n it- 12'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2'No Assess Water Quantity Fee in-lieu: ❑ Yes [ 'No LIDA Facility on lot: ❑ Yes M No 12' Final Plat Recorded:Y f w ❑ NOT Approved by Engineering: Date: Notes: C' Approved by Engineering: -TfQ,.4 B��� Date: t lZ3lz jn2 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 Does not apply DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 7N/A Tigard Trans SDC: ❑ Yes /N/A Parks SDC: ❑ Yes ,/ N/A LIDA ❑ Yes N/A )2(OK to Issue Permit / Approved by Permit Coordinator: . ( Date: 21 W 0 I:\Building\Fonns\BldgPennitRvw_RES_122419.docx Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY • City of Tigard JUN Received L' d MST2Q22 ,--001 (07 2022 Date/By: / Permit No.: 111 q 13125 SW Hall Blvd.,Tigard.OR 97223 f 1 ,� g Plan Review ' /(/ Phone: 503.718.2439 Fax: 503.598.1960CiTy 0 �GARD Datc/By: 2��/ Other Permit: TIGARt� Inspection Line: 503.639.4175 BUILDING DIVISION Date early/By: /_ �� Mil,. ® sec Page Internet: www.tigard-or.gov N ted/Method( Supplemental Information TYPE OF WORK REQUIRED � •TA.I-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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 40 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ , 0 ' �� ❑Accessory building 0 Multi-family Number of bedrooms • ❑Master builder El Other: Number of bathrooms: y, JOB' SITE INFORMATION AND LOCATION Total number of floors: \/ Job site address: 12930 SW Laurmont Dr, New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Bereket7P ro j eet Covered porch area: square feet Cross street/directions to job site: Deck area: -169 square feet 36 Other structure area: square feet REQUIRED DATA:COMIVIERCIAL-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. Installing new deck and stairs in backyard Valuation: $ Existing building area: square feet New building area: square feet _ ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: -/•e-ke 7Tt 4' s Type of construction: — ,Address: (/ Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: Cascade Fence and Deck (Please refer trr fee'schedule) ' Structural plan review fee(or deposit): 14S f14 Contact name:Kory Alexander — FLS plan review fee(if applicable): Address: 4415 NE Minnehaha St . Total fees due upon application: City/State/ZIP:98661 Phone:( 3 6 0) 9 7 2-9 412 Fax: :( ) Amount received: F-mail:korya@cascadefenceanddeck . corn PHOTOVOLTAICSOLAI2I'ANELSYSIEMFEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Cascade Fence and Deck Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4 4 15 NE Minnehaha St . Solar Installation Specialty Code checklist. City/State/ZIP:Van c ouve r WA 98661 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(3 6 9 7 2-9 412 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 150983 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: Kory Alexander Date:5/2 6/2 0 2 2 *Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) Building Permit Application Checklist One— and Two—Family Dwelling FOR OFFICE USE ONLY City of Tigard Received - g Date/By: No.: e 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 TI Gt4 R D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov I 0 Other: THE FOLLOWING ITEMS ;ARE REQUIRED FOR PLAN REVIEW Yes o N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ® ❑ 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 © 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ® 0 6 Sewer permit. ❑ ® ❑ 7 Water district approval. ❑ ❑X 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑X ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑X ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑x 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 ❑Q ❑ ❑ 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 © ❑ ❑ 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 ❑ 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 ❑ 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 ❑X 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ® 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 ❑ 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 ® ❑ ❑ architect licensed in Ore_on and shall be shown to be a..licable 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". ® ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑x ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑x 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, ® ❑ ❑ 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, ❑ ❑ ❑x 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:\Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-461 3T(1 1/02/COM/WEB)