Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00299
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2022
Parcel: 2S104BC08400
Jurisdiction: Tigard
Site address: 12970 SW OXALIS TER
Subdivision: HILLSHIRE CREST Lot: 6
Project: WAKEM
Project Description: 270 sq.ft. Covered Deck
BUILDING
Floor Areas Required Setbacks Required
Stones: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0
g sf Front: 10 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: S16,308.00 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 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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=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 St 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 SecurityAlarm: 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:
WAKEM,LYNN&GRETCHEN REVOCABSIGHTLINE CONSTRUCTION Required Items and Reports(Conditions)
12970 SW OXALIS TER 9405 N SYRACUSE ST
PORTLAND,OR 97223 PORTLAND,OR 97203
PHONE: PHONE: 971-330-1656
FAX:
Total Fees: $0.00
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 y to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Oc9-nn1_nnin thrm,nh rum oc ..nn111non Vni I may aln a onnv n n ndcc nr,1iran+rnlnetinnc tr.(II INC by Tallinn crr 91 1 OR7 nr 1 Ann
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Issued By: _es
Signature: ( 41/. /l r
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 lob site at the time of each inspection.
Building Permit Application
Residential RECEIVED`Cry FOR OFFIr..)._ .0.11._CE USE ONLI
City of Tigard RECEIVED ReceivedDate/By: / Permit No.. rya n�y-
11141 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t t(7J 1'`A 00
i Phone: 503.718.2439 Fax 503.598.1960 S E P 6 2 C i Date/By: f 7.2...,
r�/ Other Permit:
T I GA R D Inspection Line: 503.639.4175 Date Re--, ! y /" RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARL Notified/M< !/jy. /LZ_ i. 3-n Supplemental Information
BUILDING DIVISION
! v
TYPE OF WORK ? REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for
JO
CATEGORY OF CONSTRUCTION work indicated on this application. [Co 2.,69j t
El 1-and 2-family dwelling 0 Commercial/industrial aluation: $ �'
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12. 7e> 5 t✓ U 1c 4 to 1 e - New dwelling area: square feet
\ City/State/ZIP: T i�we) , c.,IZ q 72).3 Garage/carport area: square feet
rt/ Suite/bldg./apt.no.: Project name: 0 Covered porch area: square feet
-J Cross street/directions to job site: SW rarley CT _Deck area: 2:7D square feet
p - t �� square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Ada a. lecx w)- Jeck e- 15'6"1 16'5" 'I v-,o Valuation: $
"vs.- eAec k 4- + 1., re..+ t-1a,It i� c_ L4t,..0 Existing building area: square feet
V KS�
New building area: square feet
cii PROPERTY OWNER 0 TENANT Number of stories:
Name: L/h.. It/4 k,... Type of construction:
Address: /),c(70 5V O x q 1 is "Ter- Occupancy groups:
City/State/ZIP: T i3+,-dl i cQ , 1. 1,23 Existing:
Phone:(Yc ) 71-1 - 7 fir,- Fax:( ) New:
9 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
1 (Please refer to fee schedule)
Business name: S0�tFlt..e Ces4.5 r.Ktt.H
Structural plan review fee(or deposit):
Contact name: ' d,,„,,5 614.a4,.1:5
FLS plan review fee(if applicable):
Address: r(... A/ SYr4erst 54-
(� Total fees due upon application:
City/State/ZIP: t'or`'1.,,,t , 0R 17)..03
Phone:(T7( ) 3 3o- ICS Fax::
G ( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ,.„.3 506+1;to C6.t6t,..*ar..%Poly :c
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 6'1 y1}l/,� (c„�4,.,tc.l•�„k Submit two(2)sets of roof plan with connection details
�/ and fire department access,along with the 2010 Oregon
Address: c(t(o 5 iV S yrtc 4tc 5}- Solar Installation Specialty Code checklist.
City/State/ZIP: Qvr,4.la h,{ , 012
7 I 0 3 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(Y7( ) 3 10 - IC 5( Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 3 ILI y 3 Total fee due upon application: $201.60
Authorized signature: �f This perrrit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �yU,,,.t� L lt,t Date: <('_),3_ `Fee methodology set by Tri-County Building Industry
►al:q Service Board.
I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Small Form Residential Supplemental (Non -RT)
Building Permit #: ItS1O7--z—0O2. roject Name: V -kitV.---L'ik T( L
Site Address: I2 117G S\,J j-( Jj S t
Lot #: Total Existing Units: ,lOne ❑ Two 0 Three
New Configuration: '.Single Detached ❑ Duplex ❑ Triplex 0 +ADU
Small Form Residential Standards
Setbacks [5 Front: Rear: ' Side: Street Side:I L. Garage: 7-0
Height El Max. Height: Actual Height: L..-
Landscape ❑ Landscape Area: , _ % Lot Coverage Max: 80 oh
Entrance ❑ Set back no more than 8' from street-facing wall
❑ Parallel to street or offset 45 degrees or less
Windows--0,Minimum 12% of area of all street-facing facades
Garage Garage do r is behind widest street-facing wall
❑ Yes
El No, and one o the following is me .
❑ Door extends no' aKe th '51 from wall and there is a covered porch
extending beyond gar
❑ Door extends n ore tha t'5; from wall and there is a 12 sq ft.
window abov arage on 2nd flood? .,,
Garage door:width is:
❑ 12:r less
9-50% or less of facade
'❑ 60% or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall et
ID 1' Roof eave ❑ Roof offset ❑ Fire shingles
❑ Lap Siding ❑ Gable, hip, gambrel roof ❑ Dormer
❑ Roof pitch ❑ Accent siding ❑ Window trim
❑ Window recess ❑ Window projection ❑ Balcony
Approved By Planning: - ', Date: 1 / i c1 l Zz_
I:Building\FormsVBldgPernvlRvw SFR Supplemental O7(1722
City of Tigard
G 't COMMUNITY DEVELOPMENT DEPARTMENT
71
TIGARD Building Permit Review - Residential
Building Permit #: /11.5 0)-d--- c7c'
Site Address: (Z61 7 0 S Q' t i "s 1- V
Project Name: Joy The C(,e_ Lot #: Co' i 1 -; l(S;re,-
Proposal: I 77-' cie -COv&.re C re s
Land Use Case: ill / Zone: CC .- C
Required Submittal Elements
Vico ies of site Ian quare footage of buildings to be demolished
awn to standard sca e ootprint of new structure and FFE
Cc 'N u-th arrow_ etained trees, drip line / tree protection
2'S address, project name, lot # treet trees shown / labelled
l 'St eet names )2-Sidewalk / driveway shown and dimensioned
re-Applicant name and phone # Util'
• and setback dimensions location of wells / septic systems
n 'sting structures on site ,Ettot area and lot coverage percentage
ot Erosion control EYCorner elevations (2' contours if > 4'giVision clearance triangle shown ted / shown
_i8. 1'3c.
Planningla Review
I� Verify address / suite # active in Accela.
C`'I'Clean Water Services - Service Provider etter (lot platted prior to 9/10/1995)
Required: ❑ Yes No
Received: ❑ Yes Colo
l Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes
Applied For: ❑ Yes L9Ni top intake
Sensitive Lands: ❑ Yes C1 No
Type:
® Housing Supplemental Sheets Completed
❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rpwhouse
❑ Cottage Cluster Type II (1 per unit) f�"Small Form Residential / ADU
��cc ❑ Courtyard Units Type II (1 per building) ❑ River Terrace Addendum
VEI‘Conditions met prior to issuance of building permit LOlyl VIP ('ate 4 --
Approved By Planning: 7- Date: cy/b /az_
Notes
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
I:ABuild kg\Forms‘HldgPamitRvw Res 070722.dncz
Building Permit Submittal
Original Submittal Date:
Site Plans #:
Building Plans #:
Building Permit #: 0 Building permit # entered on page 1
Workflow Routing: 0 Planning ❑ Engineering ❑ Permit Coordinator 0 Building
Workflow Sign-off: El Sign-off for Planning (include notes from planning review)
Route 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.
Permit Technician: Date:
Notes
Engineering Review
CT-Slope at building pad verified Slope: :$%
C-Conditions met prior to issuance of permit n 1a.
''Easements (encroachments) per engineering conditions of approval and plat hli./
p'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes LVNo
Assess Water Quantity Fee in-lieu: ❑ Yes Crsho
LIDA Facility on lot: 0 Yes G/No Add Fee: ❑ Yes El No
'Final Plat Recorded r'I'
El NOT Approved Date:
Notes
Approved By Engineering: i✓ y" l)1 e-7 Date: -dlozy
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
onditio et prior to issuance of permit
0 Approved, NO sed: Date notified applicant:
❑ ENG Revisions Required: - _ . - Date notified applicant:
, SDC Exemption: D. Received fd Does not apply
,a-SDC Fees Enter : . Wash Co Trans Dev Tax: El Yes xN/A
Tigard Trans SDC: ❑ Yes /NJ _
Parks SDC: ❑ Yes 7N/A
LIDA ❑ Yes N/' 'A
% /�OK to Issue/Approved by Permit Coordinator: Pity-A-` Date: C1I1 I702?i
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved El Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS:
This foram 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 ill= Transmittal Letter
T l c A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: f�tj. .1 DATE RECEIVED:
DEPT: B G DIVISION
RECEIVED
FROM: ti.owt45 1:c
,
SEP 1 9 2022
COMPANY: ; In1 t tvt e_ <ou54-V«L 1- v CITY OF TIGARD
PHONE: `( 71' 33v` I6S6
BUILDINGDIVItr5,�,
EMAIL: I11v .tus e S itni (at,sle,„1;0 15G1IG cam.
RE: 1)-17v $ ✓ UXa Ter M ST -UGz11
(Site Address) (Permit Number)
1 ( \
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Descrption:
3 Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
3 Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FO OF/ICE USE ONLY
Routed to Permit Technic' : Date: ' ?/! Z� Initials:
Fees Due: Yes p
No Fee Descri ti Amount Due:
v) e
1-71.
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials: