Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00234
Date Issued: 10/19/2022
TI(liARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1046C08900
Jurisdiction: Tigard
Site address: 14055 SW KARLEY CT
Subdivision: HILLSHIRE CREST Lot: 11
Project: Tenney
Project Description: New steps 88sf leading down from existing deck to concrete patio.
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: 10 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $2,657.60 Rear: 10
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
Other Fixtures: 0
Drywall-Trench Drain: 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<10oK: 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 WI Svc or Fdr: 0
Ea add.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvdFdr: 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:
TENNEY,SUZANNE R&GRAYSON A Required Items and Reports(Conditions)
14055 SW KARLEY CT
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $324.21
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
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Issued By: e_._— Permittee Signature: ---
Cog
.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 completi the project.
Approved plans are required on the iob site at the time of each inspection.
Building Permit Application
Residential RECEIVE FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 9 1022 Date/By: 7l 0 I ,. 5,102,Z—Q42,'r
11111
Plan Review �/ i
Phone: 503.718.2439 Fax: 503.598.1960 Dale/By: 7 / ,i 2-2- 4j)� Other Permit:
Inspection 503.639.4175 CITY OF TIUAFIU r
TIGARD P Date Ready/By: kris: ® See Paget for
Internet: www.tigard-or.gov BUILDING D VI S'Or ifiedimethod: / '/'� Supplemental Information
TYPE OF WORK REQUIRED ADDAT/A:1-AND 2-FAMILY DWELLING
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the oro t for the
CATEGORY OF CONSTRUCTION work indicated on this application. )ZZ f
n 1-and 2-family dwelling ❑Commercial/industrial Valuation: . "lam c1,02 A00,?6.s2 ��
❑Accessory building ID Multi-familyNumber of bedrooms: 5
❑ Master builder ❑Other: Number of bathrooms: 4
JOB SITE INFORMATION AND LOCATION Total number of floors: 'L
Job site address: 1g-O55 SYJ icoxlei c.t New dwelling area: square feet
\/ City/State/ZIP: Pori-km,a , og, 4\3' 1_3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Tenn e. Covered porch area: /- square feet
Cross//street/directionsyt/� ct to job site: 5v� 0xc_ S/nTer(( A Deck area: Q4 square feet
& /J ✓'1 (�roe -- 7/4if/ I i prove r � Other structure area: C square feet
f I6 'SE.Gt-✓76h[<r L ee-pi se. 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.
New Ste* keaclin3 down Crow` Q.xi&f.tnS dcxx. }o court, Valuation: $
Existing building area: square feet
VGA it.
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Suzann2 Tt-nne3 Type of construction:
Address: 14055 SW kzork2 Cot Occupancy groups:
City/State/ZIP: pO .J ,.4 f In- A1-ZZ3 Existing:
Phone:(ql O Hot{ q5 -I Fax:( )
New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: ) C S 1 0 tc..s (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Mi mar,( Mark;n
FLS plan review fee(if applicable):
Address: 5( 4c Suu Stollc fQrr Q.
vCity/State/ZIP: Total fees due upon application:
d 9041..kand OR �14�2
-0 Phone:(`11i ) b(ota -ZSdy Fax: :( ) Amount received:
rt." E-mail: �N i e vxp.eA WtQ drake5i 1 ei,cos,co vv PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ket
CONTRACTOR Commercial and residential prescriptive installation of
NI. roof-top mounted PhotoVoltaic Solar Panel System.
y Business name: S ��e S Submit two(2)sets of roof plan with connection details
-0 p and fire department access,along with the 2010 Oregon
Address: 56+5 SW ScholtS Fe_or S�(1 Solar Installation Specialty Code checklist.
n City/State/ZIP: Por}kid 0� C }2.25 Permit Fee(includes plan review $180.00
a ( ) (0$3 `b7.8I`J ( ) and administrative fees):
Phone: 503 Fax: State surcharge(12%of permit fee): $21.60
..) CCB lic.: Total fee due upon application: $201.60
J Authorized signature: ` �, V' G� This permit application expires if a permit is not obtained
t�' within 180 days after it has been accepted as complete.
Print name: el i okeN rye M 0.r--1-1 in Date: 7/I oi/7.� *Fee methodology set by Tn-County Building Industry
l Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard DeceivReceived
.1 Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Y
$ Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing ❑ Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑
3 Verification of approved plat/lot. 0 ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 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 0 0 ❑
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 ❑ D 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 0 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 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 0 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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 ❑ ❑ El
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 0 0 0
architect licensed in Ore_on and shall be shown to be a.p licable to the I 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". 0 ❑ 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 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, 0 0 0
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\PetmitslBUP-RESPermitApp.doc 02/24/2011 project
i 1 ( te suno�
City of Tigard
ih COMMUNITY DEVELOPMENT DEPARTMENT
Small Form Residential Supplemental (Non-RT)
TIGARD
Building Permit #: M0202, bb231 Project Name: TcNt`1C`/
Site Address: i4053
Lot #: Total Existing Units: One 0 Two 0 Three
--New-Go-m#igU 'on: 0 Single Detached 0 Duplex 0 Triplex 0 +ADU
Small Form Residential Standards
Setbacks ❑ Front: l0 Rear: / 0 Side: s Street Side: 1S— Garage: 2=)
Height ❑ Max. Height: 3 S� Actual Height:
Landscape ❑ Landscape Area: r2A) % Lot Coverage Max:
E ante 0 Set back no more than 8' from street-facing wall
❑ Parallel to street or offset 45 degrees or less
Windows ❑ ' imum 12% of area of all street-facing facades
Garage Garage do is behind widest street-facing wall
O Yes
❑ No, and one the following is met:
0 Door exten o more than 5' from wall and there is a covered porch
extending beyond rage.
❑ Door extends no mo than 5' from wall and there is a 12 sq ft.
window above garage on d floor.
Garage door width is:
❑ 12' or less
O 50% or less of facade
O 60% or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset
ID1' Roof eave ❑ Roof offset N0 Fire shingles
❑ Lap Siding 0 Gable, hip, gambrel roof ormer
❑ Roof pitch LI Accent siding ❑ dow trim
O Window recess ❑ Window projection ❑ Balcols'
Approved By Planning:
Date:
1 giufldinefonmUlldpPern ifRvw_SFR Supple menbl 070722
. -
"PICity of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review - Residential
Building Permit #: A 572,02.2.--0D,2JG1
Site Address: I*X-C— cW Icit424..gy Cr
Project Name: - l Lot #:
Land Use Case: Zone: - c---
Required Submittal Elements
17'3 copies of site plan [1:1 Square footage of buildings to be demolished
V9rawn to standard scale Footprint of new structure and FFE
VNorth arrow j, II Retained trees, drip line / tree protection
e address, project name, lot # u eet trees shown / labelled
treet names ` :i Sidewalk / driveway shown and dimensioned
L P,pplicant name and phone # ii Utility locations & easements (new / additions)
L t and setback dimensions IN ation of wells / septic systems
isting structures on site Lot area and lot coverage percentage
ti Erosion control IN tl Corner elevations (2' contours if > 4' differential)
)Xsion clearance triangle shown Op Ground slope at building pad calculated / shown
Planning Review
/rify address / suite # active in Accela.
Clean Water Services - Service Provider,-Letter (lot platted prior to 9/10/1995)
Required: E Yes PfNo
Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 17/No
Applied For: ❑ Yes ❑ No, stop intake
Sensitive Lands: ❑ Yes s ❑ No sr /g �e�Y, \
Type: l J
l7-lousing Supplemental Sheets Completed
❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ gowhouse
❑ Cottage Cluster Type II (1 per unit) �Small Form Residential / ADU
❑ Courtyard Units Type II (1 per building) ❑ River Terrace Addendum
❑ Conditions met prior to issuance of buildin permit
-- Date: / /Z Z
Approved By Planning:
Notes fpasec-r- moo` LAX" A cr Set4tfly-C o
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
1:ABuildinFornxf3ldgPermi[Hvw Re.070722 du:x
. t
Building Permit Submittal
Original Submittal Date: 7/? ALL
Site Plans #:
Building Plans #:
Building Permit #: Z Building permit # entered on page 1
Workflow Routing: Planning ❑engineering p Permit Coordinator 2-Building
Workflow Sign-off: 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.
(ET Building: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: Date: 74oZd/1 2--
Notes -�
Engineering Review
lope at building pad verified Slope: )-
Conditions met prior to issuance of permit
sements (encroachments) per engineering conditions of approval and plat
CNater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Z.-No
Assess Water Quantity Fee in-lieu: ❑ Yes I-No
LIDA Facility on lot: ❑ Yes 4-No Add Fee: ❑ Yes ❑04-inal Plat Recorded
0 NOT Approved Date:
Notes
Approved By Engineering: .— ---- Date: 7/2Sc/2-2
Revision 1: ❑ Approved ❑ Nro.t Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
ik
' I Conditions met prior to issuance of permit
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
iSDC Exemption: ❑ Received L1 Does not apply
\ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes L] N/A
Parks SDC: ❑ Yes 0 N/A
LIDA ❑ Yes N/A
71 OK to Issue/Approved by Permit Coordinator: Date: 1 " ZS-ZZ-.
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date: