Permit II
OF TIGARD MASTER PERMIT
' 11 COMMUNITY DEVELOPMENT Permit#: MST2022-00252
T t C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2022
Parcel: 2S104BCO2200
Jurisdiction: Tigard
Site address: 14040 SW FERN ST
Subdivision: HANDY ACRES Lot: 22
Project: BASHIR
Project Description: 528 sq.ft. detached garage. Trade permit to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 12 Bathrooms: 0 Second: 0 sf Garage: 528
9 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $31,907.04 Rear: 20
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: Storm Sewer 0
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
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 am 0
p: W/Svc or Fdr: 0
Ea add'I 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:
NEW ACS VB R-3 0
Owner: Contractor:
BASHIR LIVING TRUST BELLS DRAFTING&CONSTRUCTION INC Required Items and Reports(Conditions)
BY BASHIR,MOHAMMAD SHUAIB& 11385 SHELBY ROSE DR 1 Ersn Cntrl 503-639-4175
BASHIR,MARTHA ALICIA TRS OREGON CITY,OR 97045
14040 SW FERN ST
TIGARD,OR 97223
PHONE: PHONE: 503-313-9228
FAX:
Total Fees: $915.12
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialt ',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 day- 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 Notifica,on Center.___Tbase—r-ulee.arv.sehforth in OAR
9c2.nrN-nr11n fhrnnnhinAl?oc9-nM-n on NA!! my nhfmin n nnnv of fhc rulae nr riirenf nnoefinne fn C i INC by nnllinn grrl 9 9 1057 nr 1 Rnn'249 72A4
Issued By: /, l Q `/.n i Permiftee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dad, ��^ —�
This permit card shall be kept in a conspicuous place on the job site until completion •f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard l , Received
.� Datemy: 7/H/ Permit No.: l�I Co3
III 13125 SW Hall Blvd.,Tigard,OR 97223 Pl
C Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 5 2022 DateBy:anReview 0 tail-2,2_,Aft, Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: p Juris: &I See Page 2 for
Internet: www.tigard-or.gov CITY' OF I IGA Notified/Method: 1/ T]/d� r 1�I 7�j Supplemental Information
PI III f-11 t ri\I'c' r; / -- ter,
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
at New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the nrofit for th
CATEGORY OF CONSTRUCTION work indicated on this application. 3 t p 9 b� 67
i1
❑ 1-and 2-famil dwellingValuation: $
Y El Commercial/industrial
[R Accessory building 0 Multi-family Number of bedrooms: NONE
❑Master builder ❑Other: Number of bathrooms: NONE
JOB SITE INFORMATION AND LOCATION Total number of floors: ONE
Job site address: 14040 SW FERN STREET New dwelling area: NA square feet
I/ City/State/ZIP: l!GAR 1 OREGON 9122 Garage/carport area: 528 square feet
Suite/bldg./apt.no.: Project name: BASHIR GARAGE
Covered porch area: NA square feet
Cross street/directions to job site: Deck area: NA square feet
FROM 135th turn west on Fern, take flag lot driveway at mailboxes, Other structure area: NA square feet
third and last house, left side REQUIRED DATA:COMMERCIAL-USE CHECKLIST'
Subdivision: HANDY ACRES Lot no.: 22 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 104BCO2200 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 22'x24', single story, two garage, detached Valuation: $
Existing building area: square feet
New building area: square feet
EXPROPERTY OWNER 0 TENANT Number of stories:
Name: Mohammad & Martha Bashir Type of construction:
Address: 14040 SW Fern Street
1 and Oregon 9/223
Occupancy groups:
9
City/State/ZIP:
Existing:
Phone:(503) 267-9085 Fax:( )
New:
la APPLICANT ®'CONTACT PERSON
BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):,65x180=1 17
Contact name: Martha Bashir
Address: SAME AS ABOVE FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: 404.12
Phone:( ) Fax:;( ) Amount received:
E-mail: ALICIA.BASHIR@GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: BELL'S DRAFTING AND CONSTRUCTION Submit two(2)sets of roof plan with connection details
r, and fire department access,along with the 2010 Oregon
Address: 5 �} ' (�1 , Solar Installation Specialty Code checklist.
City/State/ZIP,- C'` ` J ^16:-t Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503 )818_ 228 Fax:( ) _ State surcharge(12%of permit fee): $21.60
CCB lie.: 77165
`--
, _.,.gym' Total fee due upon application: $201.60
trai
Authorized signature:(3j4 �j►� This permit application expires if a permit is not obtained
���► within 180 days after it has been accepted as complete.
Print name: MARTHA ALICIA BASHIR Date:/,.� *Fee methodology set by Tri-County Building Industry
`� �� �J` Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
r
IIICity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review - Residential
Building Permit #: ,' 7 0..)—(A) , „
Site Address: i` V t Cu) jV n, 3--ti.
Project Name: ja.shnC Ciav'a Lot #:
Land Use Case: ' 0 Zone: k.5 - C
Required Submittal Elements
copies of site plan ag f buildings to be demolished
sgi_Drawn to standard scale ,Footprint of new structure and FFE
`Iii,plorth arrow ❑ Rcta+ncd trees, drip line / tree protection
rs•.ite address, project name, lot # wn / labelled
Street names iOidewalk / driveway shown and dimensioned
•KApplicant name and phone # ETTRilirrtorations & easements (new / additions)
Lot and setback dimensions -❑ Loeetietr of wells / septic systems
lA S xisting structures on site Lot area and lot coverage percentage P- b aCbN.U1.
Erosion control Corner elevations (2' contours if > 4' differential)
❑ Vision clearance triangle shown -E-Grou -slape at building pad calculated / shown
Planning Review
.Verify address / suite # active in Accela.
`,gil Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Required: ❑ Yes CNo
Received: ❑ Yes E 1No
lit_ipublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes iallo
Applied For: ❑ Yes ❑ No, stop intake
sensitive Lands: ❑ Yes 'flo
Type:
iJP' ❑ Housing Supplemental Sheets Completed
❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse
❑ 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 building permit
Approved By Planning: - co\\. . . Date: -',., 7,.'5- 27
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
I:\Building\Forms\BldgPermitRvw Res 070722.docx
Building Permit Submittal
Original Submittal Date: `7/ 511).
Site Plans #:
Building Plans #:
Building Permit #: uilding permit # entered on page 1
Workflow Routing: p•P1an ing 13-CFigineering El-ik5'rmit Coordinator if1ing
Workflow Sign-off: -off for Planning (include notes from planning review)
Route Documents: ngineering: (1) copy of permit application, (1) site plan,
(1) building plan and original plan review routing form.
uilding: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: Date: /y/. -j—
Notes
Engineering Review
IBrSlope at building pad verified Slope: G f
2/Conditions met prior to issuance of permit
2/Easements (encroachments) per engineering conditions of approval and plat n
12/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C-i'No
Assess Water Quantity Fee in-lieu: ❑ Yes 131\lo
LIDA Facility on lot: ❑ Yes R'No Add Fee: ❑ Yes ❑ No
ElyFinal Plat Recorded
❑ NOT Approved Date:
Notes
Approved By Engineering: Date: 5/51292.2
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
Ka onditions met prior to issuance of permit
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
etzf SDC Exemption: ❑ Received KDoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /N/A
Tigard Trans SDC: ❑ Yes A N/A
Parks SDC: ❑ Yes 7f N/A
LIDA ❑ Yes , N/A
IlLf OK to Issue/Approved by Permit Coordinator: Date: 1,101V)/./2
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
City of Tigard.
1 COMMUNITY DEVELOPMENT DEPARTMENT
TiGARo Small Form Residential Supplemental (Non-RT)
Building Permit #: 1,A3 Project Name: S V ]�
Site Address: I `) v 1v S\NJa(l�l
Lot #: Total Existing Units: pir One 0 Two 0 Three
?ro 4 \ 0 1fllC1"-c g0`v0�q�
❑' Sing9e Detached 0 Duplex 0 Triplex 0 +ADU
Small Form Residential Standards =Acce5 S\-(uChA-E C\ L*€0 )
Setbacks 0 Front: ta- Rear: Side: Street Side: Nk Garage: 20
vv;‘nr�zoll�t1
Height L 4 ax. Height: < Actual Height: V 2---
Landscape '2 Landscape Area: '2V % Lot Coverage Max: 1) %
En I ce 0 Set back no more than 8' from street-facing wall
■ Parallel to street or offset 45 degrees or less
Windows 0 Minimum - r- - • a street-facing facades
Garag- G- •oor is behind widest stre- facing wall
❑ Yes
❑ No, and one of the following is met:
❑ Door extends no more than 5' f R ' wall and there is a covered porch
e ending beyond garage.
❑ Do. extends no more t 5' from wall and there is a 12 sq ft.
window •ve garage o• nd floor.
Garage door width is:
❑ 12' or less
❑ 50% or less facade
O 60% or I= s and includes 7 o •(lowing:
❑ Co ered porch 0 Recess- entrance ❑ Wall offset
■ ' Roof eave 0 Roof offset 0 Fire shingles
❑ Lap Siding 0 Gable, hip, gam, el roof 0 Dormer
❑ Roof pitch 0 Accent siding 0 Window trim
❑ Window recess 0 Window projection 0 Balcony
Approved By Planning: 1A [`Ayd Date: `6 ' I (y • ?�Z
I\Building\Foruat\Bld PeimitRvu_SFR Supplemental 070722
FOR OFFICE USE ONLY— SITE ADDRESS:
This form 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
11
= Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: lel 1/ 4S ' 4{01 '&'/? ' DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: Mai-kha �' ca ch 1 RECEIVED
AUG 1 ] `?
COMPANY:
CITY OF TIGA
PHONE: 503 2-1o1 QS BUILDING DIVISI
Opl
EMAIL: a�l eia • bAbrearndi/ eDevi
RE: I4C Sal Sire M.sTZozz- oo 25 2-
(Site Address) (Permit Number)
'eaSh Ir ar-a c wt t d�
Project name or subdivision nitme and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
3 _ Additional set(s) of plans. A Revisions: k t Z PG{G.P
Cross section(s) and details. Wall bracingand/or lateral ana ysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): p ' _
REMARKS: �� ia\et_ c(OW Utz° 1II(€ re.J7f - -( C,
FOR OF ICE USE ONLY
Routed to Permit Technic n: Date: t 1 Initials: Ak
Fees Due: ❑ Yes I No Fee Descriptio : __ Amount Due:
fl (6
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No Done
Applicant Notified: Date: Initials: