Permit CITY OF TIGARD MASTER PERMIT
III I ' ' COMMUNITY DEVELOPMENT Permit#: MST2022-00491
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2022
Parcel: 2S104CA08600
Jurisdiction: Tigard
Site address: 13416 SW 136TH PL
Subdivision: HILLSHIRE Lot: 86
Project: Emerson
Project Description: (1) 132 sq ft deck in front and (1)615 sq ft, 2 story deck in the rear.
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
DwellingUnits: 0 Yes
Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $22,559.40 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
Bckllw 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
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 V B R-3 0
Owner: Contractor:
EMERSON,PETER M&KAREN A RICKS CUSTOM FENCING&DECKING INC Required Items and Reports(Conditions)
13416 SW 136TH PL 4543 SW TV HWY#A
TIGARD,OR 97223 HILLSBORO,OR 97183
PHONE: PHONE: 503-640-5434
FAX:
Total Fees: $875.14
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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: regon 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: ..!/ Permittee Signature: G // /l G/d'�5
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.
Building Permit Annlication Checklist
One- and Two-Family Dwelling V F r' ro►t orru r; tlsr. ON►.v
.111111
City of Tigard 6 Received Vermit Xr.-
DateB
• 13125 SW Hall Bivd.,Tigard,OR 97223 0 L32 Associated permits
• Phony 503.718.2439 Fax 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Niechanmal
Internet: wwn'.ligard or.gov C 1 Y' OF-TIGARD o other
i III? l'OI,I,OWVI\ ; ITEMS ARE 12E_Q1 IRE() FOR PLAN REVIEW' 1es N'°
I Land use actions completed. See jurisdiction criteria for concurrent reviews. • • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. in
3 Verification of approved plat/lot. ■
4 Fire district approval required. Name of district . ■
5 Septic system permit or authorization for remodel. Existing system capacity ■
6 Sewer permit. •.
7 Water district approval ■
8 Soils report. Must cam original applicable stamp and signature on file or with application. ■
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ■
basin protection,etc.
10 L 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
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 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 ❑
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,thennal 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 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 ❑ 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El 8
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 ❑
architect licensed in Ore•on and shall be shown to be:15.1icable to the •'ect under review.
.11 RItiI)I( I IONA', SPI';('IFI('S
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. U • in
25 Building plans shall not corrtairr red lines or rape-ons. "Mirrored"building plans will not be accepted. • • •
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document • I ■
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, 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.
1:1BuildingPermits\BUP-RESPennitApp.doc 02/24!2011 440-4613T(11/02/COM/WEB)
Building Permit Application
Residential roiz OI'Fl('l 1 .SF O\L,1
Cityof TigardReceived
. :'� �
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : other Permit:
'f 1 i;n R n Inspection Line: 503.639.4175 Date Ready/By: htris 65 See Page 2 for
Internet: www,tigard-cr.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
13 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 profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 27300
® 1-and 2-family dwelling 0 Commercial/industrial
D Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
•
Job site address: 13416 Sw 136th P 1. New dwelling area: square feet
City/State/ZIP: Tigard, OR p7223 — Garage/carportarea: square feet
Suite/ldg/apt..iu.. l rtvjcui name: Covered porch area: sauare feet
Cross street/directions to job site: Deck area: Front Deck=132 square feet
Rack Deck=615 q —
Other structure t,r&tal=747 square feet
' REQUIRED DATA:COMMERCIAL-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.
Installation of 2 decks. One front building and 2nd deck on Valuation: $
the back side. Back side deck is 2 story. Existing building area: square feet
New building area: square feet
IXI PROPERTY OWNER I 0 TENANT Number of stories:
Name: _Emerson Type of construction:
Address: 13416 Sw 136th Pl. -- Occupancy groups:
City/State/LAY: Tigard, OR 97223 _ Existing:
t
Phone:( ) Fax:( ) Ne
al APPLICANT Iw-
0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer refer schedaf)
Business name: i.e. structural I.I.c. — Structural plan review fee(or deposit): 'p b.al
Contact name: Pima Shemetov
FLS plan review fee(if applicable):
Address: 6975 sw Sandburg St. Suite 160
Total fees due upon application:
City/State/ZIP: Tigard, OR 97223 _
Amount received:
Phone:( ) I Fax: :( )
E-mail: Shemetov@ieengineering.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
Commercial and residential prescriptive installation of
CONTRACTOR - roof-top mounted PhotoVottaic Solar Panel System.
Business name: Rick's Custom Fencing & Decking Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4543 SE TV Hwy _ Solar Insmllntion Specialty Code checklist.
City/State/ZIP: Hillsboro OR 97123 Permit Fee(includes plan review 5180.00
and administrative fees):
Phone: 503-992-6879 I Fax:( ) State surcharge(12%of permit fee): S21.60
CCB lie:50088 IAi .A Total fee due upon application: $201,60
�u e
Authorized signature: ,./- ; This pernit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
L / "Fee methodology set by Tri-County Building Industry
Print name: STeve Rta4Ie/Jl pate; /1-9_ g2 Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
6
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Building Permit #: inST-202.2—COLK1
Site Address: 13 1-1 ` 6 W 13V— P1 ,Verified in Accela
Project Name: �vrku-S01\ p2LK Lot/Unit #:
Proposal (include housing type): PtR-O&1 \O -Pro aAtkrots cteckS Zone: R. 5 —C__
Required Site Plan Elements:
d3 copies of site plan on max 11x17"
a Drawn to standard scale ❑ Ret • ip l r r•
❑ North arrow it
12c ite address, project name, lot # _ • a urr y
V,5treet names (N/A for SFR)
ViA pplicant name and phone #
�Fot and setback dimensions
xisting structures & square footage i enls
ootprint of new structure and FFE Property corner elevations
,
Lot area and lot coverage percentage —❑ CIusiui1 uui ill ul
wired Elevation Plan Elements:
(For S . cs needed only on street-facing) Garage doors dimensioned
❑ Drawn to standard-scale Summary table with calculationsfor:
❑ Building height dimensioned ❑ Total f ea
❑ Facade dimensioned otal window and door area
❑ Windows and doors dimens• ❑ Total garage area
Required Flo n Elements: ❑ Summary table that includes
❑ story dimensioned ❑ Total floor area
Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met: , i I
Setbacks El Front: tO Rear: l> Side: 5 a ax Street Side: 10 / Garage: a o
-Haig .
❑ Yes N/A Landscape
❑ Yes N/A Screening (Quad only)
❑ Yes N/A % Window Coverage
❑ Yes N/A Garage (SFR Only)
Parking (Other Res)
❑ Yes N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additi nal standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
El Yes ❑ N/A Unit Count:
❑ Yes 0 N/A Lot Width and Size
❑ Yes ❑ N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/A Unit Area:
❑ Yes C7 N/A Floor Area (per story)
❑ Yes Q N/A Courtyard
❑ Yes 0 N/A Fence
❑ Yes ❑ No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes ❑ No
❑ Land Use Case #: ❑ Conditions met prior issuance
Approved By Planning: �—' ' Date: a 1 71
Notes Pa( Off*. ,JvSt to Pf,f1oKS
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: ►ral j ZCZ2-
Site Plans #:
Building Plans #:
Building Permit #: ,'Building permit # entered on page 1
Workflow Routing: planning .2-Engineering .fTPermit Coordinator ,ErBuilding
Workflow Sign-off: er.§'ign-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.
0,1kftlding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: X/411/ Date: /Z/aa / zZ
Notes:
Engineering Review
13/1ope at building pad: /0
Conditions met prior to issuance of permit n/A--
gl-Easements (encroachments) per engineering conditions of approval and plat
i Plater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 121\10
Assess Water Quantity Fee in-lieu: ❑ Yes Oktio
LIDA Facility on lot: ❑ Yes L 4lo Add Fee: 0 Yes ❑ No
final Plat Recorded vi(e-
❑ NOT Approved: Date:
Notes:
Approved By Engineering: �� '' 4- Date: jZ"'Z
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
IIISDC Exemption: ❑ Applied for ❑ Received p-Does not apply
A SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes r N/A
�
Tigard Trans SDC: 0 Yes N/A ❑ Deferred
Parks SDC: ❑ Yes 4N/A ❑ Deferred
LIDA ❑ Yes N/A
J/OK to Issue/Approved by Permit Coordinator: Date: 12'5 113 1:2
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: rnsT 2022^C0L1c1
Site Address: I r; `I 1 b li✓ ‘36 - Pk if.,yerified in Accela
Project Name: _V S-5D.n pC K Lot/Unit #:
Proposal (include housing type): P-'e0, } "Pro 04 °kr- 1 s Zone: R-S -C.-
Required Site Plan Elements:
d3 c9pies of site plan on max 11x17"
Id Drawn to standard scale Retz i-. d t 'n l'n. / twee gotectinn
❑ North arrow n '+ + shew.IuWtieled
14 ite address, project name, lot # a un y
VlifiStreet names (N/A for SFR)
��/''�pplicant name and phone #
,Lot and setback dimensions
isting structures & square footage '— ?Ram = °
P• .,,c.119• • . - • -.
--❑ Eiu ivn Lunt"ul—
uired Elevation Plan Elements:
(For S . needed only on street-facing) Garage doors dimensioned
❑ Drawn to stan cafe Summary table with calcula ' for:
❑ Building height dimensioned _ ❑ Total a
❑ Façade dimensioned otal window and door area
Cl Windows and doors dimens' -Total garage area
Required Flo n Elements: ❑ Summary table that includes
❑ story dimensioned ❑ Total floor area
Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met: I / l
Setbacks ❑ Front: LO Rear: t> Side: S 40 ax Street Side: l 0 / Garage: a 6
a .
❑ Yes N/A Landscape
❑ Yes N/A Screening (Quad only)
CI Yes N/A % Window Coverage
CI Yes N/A Garage (SFR Only)
Parking (Other Res)
O Yes N/A Entrance (SFR, Rowhouse, Quad only)
O Yes N/A Other building design standards (Rowhouse only)
O Yes N/A Accessory Structure Standards
El Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additi nal standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes Op N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes 4 N/A Courtyard
❑ Yes ❑ N/A Fence
❑ Yes ❑ No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
❑ Sensitive Lands: ❑ Yes ❑ No
O Land Use Case #: ❑ Conditions met prior per issuance
Approved By Planning: Date: i
Notes 1?e" OeC►z ,J1J51 PpJ1o5C5 .
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: -1Z/Oi I Z012-
Site Plans #:
Building Plans #:
Building Permit #: ee-Building permit # entered on page 1
Workflow Routing: el- fanning .8-Engineering .LTPermit Coordinator IZ_YBuilding
Workflow Sign-off: e§ign-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.
❑,crflding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: '(ALl// Date: !d/ / ZZ
Notes:
Engineering Review
O Slope at building pad:
O Conditions met prior to issuance of permit
❑ 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 ❑ No
LIDA Facility on lot: 0 Yes 0 No Add Fee: 0 Yes ❑ No
0 Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date:
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
O Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
❑ SDC Exemption: ❑ Applied for ❑ Received ❑ Does not apply
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A ❑ Deferred
Parks SDC: 0 Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date: