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Permit
IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00336 T I GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2022 Parcel: 1 S134AD05700 Jurisdiction: Tigard Site address: 10710 SW PONDEROSA PL Subdivision: BLACK BULL PARK Lot: 22 Project: McCormick Project Description: Adding 340 sq ft patio cover BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $10,268.00 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 SrvclFeeders 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 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: ADD SF VB R-3 0 Owner: Contractor: MCCORMICK,ROBERT CIJEAN L VULCAN DESIGN&CONSTRUCTION INC Required Items and Reports(Conditions) 10710 SW PONDEROSA PLACE 351 GRAND BLVD TIGARD,OR 97223 VANCOUVER.WA 98661 PHONE: PHONE: 503-227-9034 FAX: Total Fees: $549.09 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 ci >.ri N-nnln thrni,n qc nni noon v. ain n rn . he ndea nr dircrl n,incrinnc in(II Plr`.h,s rnilinn SOS 9Z9 10 Ann 109 99dd Issued By: �if . Permittee Signature: r Call 503.639.4175 by/ 10 a.m.for the next available inspec This permit card shall be kept In a conspicuous place on the job site until comple on of the project. Approved plans are required on the lob site at the time of each inspection. Building Permit Application RECEIVED Residential 19 202 / i JUL FORorrlcE USE ONLY City of Tigard CITY OF TIGAR'y ceivea Permit No.:/y� },�.I li " 13125 SW Hall Blvd.,Ti and,OR 97223 y' /I 1'`s I - 3 _ g 3UILDING DIVI`;It Be�ew z�� Phone: 503.718.2439 Fax: 503.598.1960 Dan ev Oche Permit: T t CA RD Inspection Line: 503.639.4175 Date Ready/By lures: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information --' ` 'TYPE OF WORK REQUIRED DATA: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 rhq_D CATEGORY OF CONSTRUCTION work indicated on this application. e'1 7 t 7 Li l ❑ 1-and2-famil dwellin Valuation: $ '1��,�.( Y g ❑Canvneecial/industrial v i U, : Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:I O"710 ]!w `COdeti'.e-o SO.- New dwelling area: square feet r City/State/ZIP: ��G�` t Gi12,23 Garage/carport area: square feet U Suite/bldg./apt.no.: Project name:(437_ O.-M t(,rM iC.� Covered porch area: square feet Cross street/directions to job site: , DA W Weil D wb f CA1-A.1,- square feet AO square feel /7 \ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: �j\ae� c3�1tear V--- Lot no.: Z,Z Permit fees*are based on the value of the work performed. Tax map/parcel no.: V Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPPTION OF WORK work indicated on this application. 41oik t 7i/5' x If'- y t o caVer- Valuation: $ polio Existing building area: square feet New building area: square feet PROPER-T�YOWNER " El TENANT Number of stories: Name: b -R vi c f oC N^t(J L Type of construction: Address: «l1 0 5 12on clR.r e2S0,. r/ Occupancy groups: City/State/ZIP: �' n. 9...i2 1113t� ty (Jfr Z Existing: Phone:( ) ' Fax:( ) FFF,,,��� New: 0 APPLICANT yq CONTACT PERSON BUILDING PERMIT FEES* Business name: � i lC�h �`�3)i-rt tort (Please refer Jofee::il). fed : ;rt t, , ��4FF"' Structural plan review fee(or deposit): Contact name: Address: t (,r,T he. lt FLS plan review fee(if applicable): City/State/ZIP: \ICA c uvq.T- w•- ci 664 Total fees due upon application: Phone: 2,)(t�, - -7-3 Fax::( ) Amount received: E-mail: 1 \ cater PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �g�,\\�aC. CONTRACTOR ` �` _ Commercial and residential prescriptive installation of r roof-top mounted PhotoVoltaic Solar Panel System. Business name: \flaky) ( yt g 4 c.D� a es, Submit two(2)sets of roof plan with connection details 11l [A � t and fire department access,along with the 2010 Oregon Address: &\l• . Solar Installation Specialty Code checklist. City/State/ZIP: '\ WI qV r t wi\ q 6�L I Permit Fee(includes plan review $180.00 Phone:(3�)(0 - 1,1T1'l Fax:( ) and administrative fpermi fees): State surcharge(12%of permit fee): $21.60 CCB lic.: 2..Q.t -u1,tl l < 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: ! kka A. vi.e_ A.. Date: r / et/ ZZ *Fee methodology set by Tri-County Building Industry W ``� ( Service Board. l:\Building\Permits\BUP-RESPcnnitApp•doc 02/24/2011 440-4613T(I 1/02/COM/WEB) City of Tigard Mil COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review - Residential Building Permit #: f4 * (aa—CC Site Address: 107 10 SW Pc)A,kroS PI Project Name: Acr oral c k_.- PGk-f) d COVPA7 Lot #: Land Use Case: KV I P\ Zone: S Required Submittal Elements L 3_ copies of site plan ', 'Square footage of buildings to be demolished If-brawn to standard scale 0 Footprint of new structure and FFE Tr-North arrow 0 Retained trees, drip line / tree protection to address, project name, lot # -❑ Street trees shown / labelled Street names ❑ Sidewalk / driveway shown and dimensioned ('Applicant name and phone # 0/ tility locations & easements (new / additions) L 7ot and setback dimensions ;\Location of wells / septic systems IT 'Existing structures on site tTLot area and lot coverage percentage u Erosion control g.'Corner elevations (2' contours if > 4' differential) q,QTVision clearance triangle shown 0-Ground slope at building pad calculated / shown Planning Review 0/Verify address / suite # active in Accela. ..0-Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: ❑ Yes -0-No Received: 0 Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes l3 No Applied For: ❑ Yes ❑ No, stop intake © Sensitive Lands: El Yes .moo Type: l/Housing Supplemental Sheets Completed ❑ Cottage Cluster C&O (1 site, 1 per unit) 0 Quad El Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse ❑ Cottage Cluster Type II (1 per unit) Cy-small Form Residential / ADU El Courtyard Units Type II (1 per building) ❑ River Terrace Addendum � Conditions met prior to issuance of building permit Approved By Planning: . �.pill t,nnrV iVe/1 t Date: ct i 13(ZZ Notes Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: I.\Nuilding'Porr s\BldgPernntRvw Res 07D722 docz Building Permit Submittal / Original Submittal Date: 'r// ' { Site Plans #: Building Plans #: Building Permit #: ErBuilding permit # entered on page 1 Workflow Routing: ❑ Planning 0-Engineering ❑-Permit Coordinator ❑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. ❑ Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. • Permit Technician: ! Date: Notes Engineering Review 'Slope at building pad verified Slope: 2.% 'Conditions met prior to issuance of permit i 4asements (encroachments) per engineering conditions of approval and plat g/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes dj\lo Assess Water Quantity Fee in-lieu: ❑ Yes No / LIDA Facility on lot: ❑ Yes C"No Add Fee: ❑ Yes ❑ No 12 Final Plat Recorded h ik ❑ NOT Approved Date: Notes Approved By Engineering: '�rkti-1f �vitkk Date: `f 11 / 'Z.'t- Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review ny Conditions met prior to issuance of permit ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: ''SDC Exemption: ❑ Received Z(Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ;Z(N/A Tigard Trans SDC: ❑ Yes /N/A Parks SDC: ❑ Yes 'N/A LIDA ❑ Yes /N/A /OK to Issue/Approved by Permit Coordinator: Y� Date: OgIii 242./z Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: City of Tigard UPIS ® COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Small Form Residential Supplemental (Non-RT) Building Permit #: Project Name: IV(COYMICk_ c--\b(cve✓ Site Address: 1O71C SlpJ P6yxc ' .r—csc� P 1 Lot #: Z. Total Existing Units: EOne 0 Two ❑ Three New Configuration: P'Single Detached ❑ Duplex ❑ Triplex 0 +ADU Small Form Residential Standards Setbacks Front: ��> Rear: i Side: S Street Side: I-' Garage: Height 11 Max. Height: 3C) Actual Height: i 6' Landscape iiandscape Area: 70 % Lot Coverage Max: f % Entrance ❑ Set back no more than 8' from street-facing wall LI Parallel to street or offset 45 degrees or less Windows`❑ Minimum 12% of area of all street-facing facades Garage Gate door is behind widest street-facing wall ❑ s ❑ No, nd one of the following is met: ❑ Do extends n fnore than 5' from wall and there is a covered porch extendi bey d garage. ❑ Door ex ds no more than 5' from wall and there is a 12 sq ft. window a ove rage on 2nd floor. Garage dogf width is: ❑ 12>or less 0,5-0% or less of facade �4 60% or less and includes 7 of following: ❑ Covered porch ❑ Recessed ent nce ❑ W ❑ 1' Roof eave ❑ Lap Siding ❑ Roof offset ❑ Fireall shingles offset El Gable, hip, gambre oof ❑ Dormer ❑ Roof pitch ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection Balcony ,fin ` ` ` Approved By Planning:J•1 " 7 I fl Yl I li Date: " ((� )Z? IvBuildingl[ornaABldeermilKv, SFR Supplemental 070722