HomeMy WebLinkAboutPermit (9) 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
_ Transmittal Letter
r c,A ii n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISIONRE,., ,�r ,
FROM: Micah Day �j �+
COMPANY: Micah Day Construction Inc. s�i1F
GAi�L
PHONE: 503-502-6655 ) of nitiFlSIOi BY:
EMAIL: mdayconstruction@msn.com
RE: 11803 SW Penny Lane MST2023-00193
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s)and details. x Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. x Engineer's calculations.
Other(explain):
REMARKS:
FOR FFI E USE ONLY A_
Routed to Permit Technici : Date: Lt. (Z27 Initials: /� f�
Fees Due: L Yes No Fee Descrip on: Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
II CITY OF TIGARD MASTER PERMIT
'a : COMMUNITY DEVELOPMENT Permit#: MST2023-00193
Date Issued: 07/06/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S135CC05700
Jurisdiction: Tigard
Site address: 11803 SW PENNY LN
Subdivision: BURT'S LANDING Lot: 9
Project: BISSETT
Project Description: 368 sq.ft.patio cover.
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 sf Front: 15 Smoke
Dwelling Units; 0 Third: 0 sf Right: 5 Detectors:
Total, 0 sf Value: $11,113.60 Rear: 5
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
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
• Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
0 1000 s or lamp: 0 f less: 0 200 0-200 amp: 0 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:
ALT SF VB R-3 0
Owner: Contractor:
BISSETT,ANGELA SUSAN REV LIVING 1MICAH DAY CONSTRUCTION INC Required Items and Reports(Conditions)
THOM,RONALD S PO BOX 113
11803 SW PENNY LN SHERWOOD,OR 97140
TIGARD,OR 97223
PHONE: PHONE: 503-502-6655
FAX:
Total Fees: $489.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Or. pecialty Codes and al other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started •'ithin 180 days of issuan = or if work is suspended for more
the 180 days. ATTENTIO : Oregon law requires you to follow the rules adopted by the Orego" Utility Notifcatior - es are set forth in OAR •
QS.7_nn1_nnf n Ihrn,nh Oc'_nfll_nnon V Main n rnnv of Ih>mina nr dinar.n„an+inns+n n1 Air he,rallin 72, • 'old
Issued By: / <J7 ' Permittee Signature:
Cal 03.639.4175 by 7:00 a.m.for the next available inspe• on 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 FOR OFFI(F: I 'IC ONl.l'
City of Tigard RECEIVE N eiPermit No.: 1
ceBy: 9� 3— ��✓—( «�° 13125 SW Hall Blvd.,Tigard,OR. 97223 Plan Review /�"" �A "
Phone:trill
503.718,2439 Fax: 503.598.1960 n,�tny. (7'
Lip n.-.'5 /Jf Other Permit:
TIGARD Inspection Line: 503.639.4175 MAY 9 2023 Date ReadyBy: y runs: lb See Page 4 for —
Internet www.tigardor.gov Notified/Method: ,7 (�3/ -�X Supplemental Information
CITY nFTIG RD tVu.il,al 'cl'
TYPE OF WORK BUILDING DIVISION REQUIRED DATA: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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.,, �f/`-'
U 1-and 2-family dwelling 0 Commercial/industrial Valuation: i `'�eoo_ kti t r3a.
❑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:11803 SW Penny Ln. New dwelling area: square feet
City/State/ZIP:Tigard /OR/97223 Gara / rt area: Jr� square feet
Suite/bldg./apt.no.: Project name: C �368 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:WCTM 1 S 135CC Tax Lot 5700 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.
Patio Cover Valuation: $
Existing building area: square feet
New building area: square feet
IS PROPERTY OWNER 0 TENANT Number of stories:
Name:Angie Bissell and Ron Thom Type of construction:
Address:11803 SW Penny Ln. Occupancy groups:
City/State/ZIP:Tigard/OR/97223 Existing:
Phone:(503)939-0998 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Micah Day Construction Inc.
Structural plan review fee(or deposit):
Contact name:Micah Day
FLS plan review fee(if applicable):
Address:P.O. Box 113
City/State/ZIP:Sherwood/OR/97140 Total fees due upon application:
Phone:603-502-6655 Fax::( ) Amount received:
E-mail:mdayconstruction@msn.com PAOTOYOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Micah Day Construction Inc. Submit two(2)sets of roof plan with connection details
Q O �x ` and fire department access,along with the 2010 Oregon
Address: 1
Solar Installation Specialty Code checklist.
City/State/ZIP: IM��611jo, (i% CCM? Permit Fee(includes plan review
q and administrative fees): $150.00
Phone:(5( ) JO1"w�W Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:165102 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:Micah Day Date:5/8/23 J *Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-RESPermitApp,doc 01/25/2023 440-4613T(11/02/COM/WEB)
City of Tigard
7 ' COMMUNITY DEVELOPMENT DEPARTMENT
s
Building Permit Review - Residential
TIGARD
Building Permit #: Ms 2O23 -06 1 /3
Site Address: 11(6O7 SW p-eninJerified in Accela
Project Name: � isS•€ fott1O CoJQ,r Lot/Unit #:
Proposal: 1"'G�n A" ' '° 1 ' ' Osier Q/JGIYliol foive ake,70 Zone: s--
Housing TypeFR(fy]'Single Detached ❑ Duplex❑Triplex 0 ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU DQuad ❑ Other
Required Site Plan Elements:
/3 copies of site plan on max 11x17"
Drawn to standard scale 1 / tree protection
/North arrow ees shown / labeled
,Site address, project name, lot # El Table calculating tree canopy at maturity
,P12: treet names (N/A for SFR)
Applicant name and phone # ❑ Courtyart#-rectangle dimensioned (if applicable)
Lot and setback dimensions ❑Vision clearance triangle
/Existing structures & square footage tuns easements
,B Footprint of new structure and FFE tions
a rivewa EI-Sitterimensioned isturbance)
tage El Elusion control
No ch.w.a.e
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) Summary table with calculations for:
❑ Drawn to standard scale ❑ Total façade area
❑ Building height dimensioned ❑ Total window and door area
❑ Façade dimensioned
❑ Windows and doors dimensioned
❑ Garage doors dimensioned
R ed Floor Plan Elements:
(Not m requirerequire able that includes
❑ Each story dimensio otal floor area
❑teach- t oor area calculated ❑ Floor area pe
Planning ReviewFed po
The following standards have been met: 3 r0��
Setbacks Front: 15 Rear: Side: S Min/Max Street Side: ' 5 / Garage:
Height ,KMax. Height: 30 roposed Height: t3
Yes 0 N/A Landscape
❑ • -s ❑ N/A Screening (Quad only)
O Yes . N/A % Window Co,erage
❑ Yes 0 • Garage (SF' Only) Parking (Other Res)
❑ Yes 0 N/A ntrance FR, Rowhouse, Quad only)
El Yes ❑ N/A O'•-r .4 ilding design standards (Rowhouse only)
❑ Yes 0 N/A Acce - Structure Standards
O Yes ❑ No Qu: ifying : e-existing unit exempt from standards (Cottage unit only)
Additional sta .ards for C. rtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes El N/A Unit Count:
❑ Yes 0 N/A Lot Width and Size
❑ Yes El N/ Pathway
Addition standards for Courtyard O ' s and Cottage Clusters only:
O Yes 0 /A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
El Yes 0 N/A Fence
❑ Yes ❑ No1V A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
❑ Yes ❑ No /A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
Sensitive Lands: ❑ Yes p'No
Main Land Use Case #s: tPj Z62.3 - 0OOO1y "Conditions met
,aApplicant notified of land use expiration date:
Approved By Planning: Date: lq 123
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: El Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: �/4/7A
Site Plans #:
Building Plans #:
Building Permit #: l�Building permit # entered oy page 1
Workflow Routing: Manning ❑ Engineering ri Permit Coordinator DI Building
Workflow Sign-off: Si off for Planning (include notes from planning review)
Route Documents: a-Engin ering: (1) copy of permit application, (1) site plan, (1) building plan
an iginal plan review routing form.
Building: original permit application, site plans, building plans, engineer and
ambeam calculations and trust details, if applicable, etc.
nn
Permit Technician: ei!`q Date: 3 /1
Notes:
Engineering Review
Er-PFI Permit: n/w
ErSlope at building pad: 3%
O'Conditions met prior to issuance of permits/ar
1asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Er
Assess Water Quantity Fee in-lieu: ❑ Yes 0/No
LIDA Facility on lot: ❑ Yes 13'No Add Fee: ❑ Yes ❑ No
'Final Plat Recorded
0 NOT Approved: Date:
Notes:
Approved By Engineering: %`'fit a^hr y Date: Shi/2l2 j
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ 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:
, SDC Exemption: ❑ Applied for ❑ Received /Does not apply
DC Fees Entered: Wash Co Trans Dev Tax: ❑Yes 11N/A
Tigard Trans SDC: El Yes N/A ❑ Deferred
Parks SDC: ❑Yes /N/A ❑ Deferred
LIDA ❑ Yes /N/A
XOK to Issue/Approved by Permit Coordinator: / & Date: 5I(S 1202
Revision 1: ❑ Approved D Not Approved Date: 111
Revision 2: 0 Approved 0 Not Approved Date: